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PMT16-02419 City of Menifee Permit No.: PMT16-02419 29714 HAUN RD. Type: Commercial New �/iCCEL/�> MENIFEE,CA 92586 MENIFEE Date Issued: 07/28/2016 PERMIT Site Address: 33103 NANCY LN, MENIFEE, CA 92584 Parcel Number: 384-090-003 Construction Cost: $1,000.00 Existing Use: Warehouse Proposed Use: Description of USED 10'x 52'COMMERCIAL MODULAR W/2 ACCESSORY PRE-FAB STRUCTURES Work: SEE PMT16-02394 FOE ELECTRICAL RIVCO FIRE APPROVAL REQUIRED PRIOR TO FINAL PLANS REQUIRED FOR ACCESSORY STRUCTURES PRIOR TO FINAL INSPECTION MODULAR FOR STORAGE ONLY VERIFIED @ FINAL INSPECTION Owner Contractor CHARLES ANDREWS , 33103 NANCY LN MENIFEE, CA 92584 Applicant License Number. CHARLESANDREWS 33103 NANCY LN MENIFEE, CA 92584 Phone:9514533519 Fee Description Oft Amount IE1 Commercial Coach 1 240.72 Permit Fee 1 27.00 GREEN FEE 1 1.00 SMIP COMMERCIAL 1 1.00 $269.72 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing builiding operations being carded on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA_Bldg_Permit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). Chapter!)(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: License Class License No. By my signature below I acknowledge that,except for my personal residence Expires Signature in which I must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a structure that 1 WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by o I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self-insure for workers 7044 of the Business and Professions Code,Is available upon request when compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website: by Section 3700 of the Labor Code,for the performance of work for which .le in .ca. ov cola html. this permit is issued. mTgPolity C# c Date ,0 o I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which o By my signature below I certify to each of the following:I am the property this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act an the property owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# Expires enter the above identified property for Inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT o I certify that in the performance of the work for which this permit is issued, I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE It workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a mixture containing a hazardous material equal to or greater that the Applicant Date amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS F.Y", o No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYERTO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY Ves o No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) sfYes ❑No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD perjury j t er I hereby affirm under penalty of phat I am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the p erury )indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning ten hazardous m al repo ng. checkmark(s)I'have placed next to the applicable Item(s)(Section 7031.5 t1Les o No 1 Business and Professions Code).Any city or county that requires a permit to /(Y Date O� as aUl�b construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED AGENT Issuance,also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP) License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their A 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.epa.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAO(5323), Code;The Contractors State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will he responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that It was not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because: n I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION 4 G. •a 7- 'I PERMIT/PLAN CHECK NUMBER �mT 1 Cz TYPE: I COMMERCIAL O RESIDENTIAL O MULTI-FAMILY MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION D ALTERATION O DEMOLITION D ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES Y DESCRIPTION OF Ann ``I'ko� Pi'SZ� /�/JuG,6'/e -T�jA'6-E� (,C//� 16 b/z 1 . PROIECTADDRESS .33/e3 tV&4•c 1-4 cl 25o Vt.KSSCIRISPARCEI NUMBER �j!��-" ��p - �� 'LOt TRACT OWNER NAME OCA4WCS /{KGl�l2/�IS ADDRESS Qlo PHONE EMAIL APPLICANT NAME ADDRESS 33/O 3 A/./KC LY rAe� l - Sg PHONE /� 9.S/— yS3-3SlS nr 7. / ��MAIL CONTRACTOR'S NAME e4*.-1<S A y4l-eadS OWNER BUILDER? m YES v NO BUSINESS NAME Cr LcrYit frtecn SCw ADDRESS 33103 N,t,re_ /'1of; cee C,4 AS8y PHONE /-?S/-Yr3-.3S/9 mr EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ SO FT L SQ FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUiAR=. i BUILDING PLANNING ENGINEERING FIRE GREEN SMIP , INVOICE PAID AMOUNT AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH 0 CHECK# O CREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES C NO DL NUMBER NOTARIZED LETTER O YES ^ NO /ptowwz RNEPMDE COUNTY FIRE DEPARTMENT IN COOPERATION WITH THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION s i 2300 Market St., Ste. ISO Riverside, California 92501 • (951) 955-4777 • Fax(95 1) 955-4886 www.rvcfire.org PROUDLY SERVING THE UNINCORPORATED AREAS OF RNERSIDE CONDITIONS OF APPROVAL COUNTY AND THE CITIES OF: CASE NUMBER: 12-MENI-PP-181 BANNING BEAUMONT REVIEWED BY: L.GALLARDO DATE: 8-7-13 CALIMESA DESCRIPTION: Plot Plan proposes allow for an existing 468 sq. ft. office , CANYON LAKE two (2) 120 sq. ft. storage sheds, a 6,000 sq. ft. shade structure, and a COACHELLA 22,200 sq. ft. Fenced equipment and vehicle area for a landscaping DESERT HOT SPRINGS business and wholesale nursery on 5.22 acres. EASTVALE SITE LOCATION: The project site is located at the south of Scott Road, INDIAN WELLS west of Nancy Lane, and east of Nightly Rd. INDIO APN: 384-0909-003 LAKE ELSINORE To: RYAN FOWLER, CITY OF MENIFEE, LA QUINTA 29714 HAUN ROAD, MENIFEE CA 92586 MENIFEE MORENO VALLEY PH: 951-672-6777 FAX: 951-679-3843 EMAIL: rfowler(a7.cityofinenifee.us PALM DESERT 10. GENERAL CONDITIONS PERRIS RANCHO MIRAGE 10. FIRE.999PC-#01—West Fire Protection Planning Office Responsibility IN EFFECT RUeIDOUx CSD SAN JACINTO It is the responsibility of the recipient of these Fire Department conditions to forward them to all interested parties. The permit number (as it is noted TEMECULA above) is required on all correspondence. WILDOMAR Additional information is available at our website: www.rvcfire.or(I go to the link marked "Ordinance 787". BOARD OF Questions should be directed to the Riverside County Fire Department, Fire SUPERVISORS: Protection Planning Division at 2300 Market St. Suite 150, Riverside, CA BOB BLISTER 92501. Phone: (951) 955-4777, Fax: (951) 955-4886. DISTRICT I JOHN TAVAGLIONE 10. FIRE.999 CASE—CITY CASE STATEMENT IN EFFECT DISTRICT 2 JEFF STONE With respect to the conditions of approval for the referenced project, the Fire DISTRICT Department recommends the following fire protection measures be provided in JOHN BENOIT accordance with Riverside County Ordinances and/or recognize fire DISTRICT protection standards. MARION ASHLEY DISTRICTS 77-933 Las Montanas, Palm Desert, CA 92211 . (760) 863-8886 e Fax (760) 863-7072 10. FIRE.999 USE*-#23— MIN REQ FIRE FLOW IN EFFECT Minimum required fire flow shall be 1500 GPM for 2-hour duration at 20 PSI residual operating pressure, which must be available before any combustible material is placed on the job site 10. FIRE.999 USE-#20-SUPER FIRE HYDRANT IN EFFECT Super fire hydrant(s) (6"x 4"x 2 Yz') shall be located not less than 25 feet or more than 150 feet from any portion of the building as measured along approved vehicular travel ways. 10. FIRE.999 USE-#88A-AUTO/MAN GATES IN EFFECT Gate (s) shall be automatic or manual operated, minimum 20 feet width, with a setback of 35 feet from face of curb/flow line. Gate access shall be equipped with a rapid entry system. Plans shall be submitted to the Fire Department for approval prior to installation. Automatic/manual gate pins shall be rated with shear pin force, not to exceed 30 foot pounds. Automatic gates shall be equipped with emergency backup power. Gates activated by the rapid entry system shall remain open until closed by the rapid entry system. Current plan check deposit base fee is $126.00. 80. PRIOR TO BUILDING PERMIT ISSUANCE 80. FIRE.999 USE-#17A-BLDG PLAN CHECK $ IN EFFECT Building plan check deposit fee of$307 to $1,056.00 shall be paid in a check or money order to the Riverside County Fire Department after plans have been reviewed by our office. 80. FIRE.999 USE-#51-WATER CERTIFICATION IN EFFECT The applicant or developer shall be responsible to submit written certification from the water company noting the location of the existing fire hydrant and that the existing water system is capable of delivering 1500 GPM fire flow for a 2-hour duration at 20 PSI residual operating pressure. If a water system currently does not exist, the applicant or developer shall be responsible to provide written certification that financial arrangements have been made to provide them. 90. PRIOR TO BUILDING FINAL INSPECTION 90. FIRE.999 USE-#45— FIRE LANES IN EFFECT The applicant shall prepare and submit to the Fire Department for approval, a site plan designating required fire lanes with appropriate lane painting and/or signs. 90.FIRE.999 PC-#014— Display Address—Building IN EFFECT Display street numbers in a prominent location on the address side of building(s) and rear access if applicable. Numbers and letters shall be a minimum of 12" in height for building(s) up to 25' in height and 24" in height for building(s) exceeding 25' in height. All addressing must be legible, of a contrasting color with the background and adequately illuminated to be visible from the street at all hours. All lettering shall be to Architectural Standards. All egress door hardware shall comply with the California Building Code. 77-933 Las Montanas, Palm Desert, CA 92211 • (760) 863-8886 . Fax (760) 863-7072 90. FIRE.999 USE-927-EXTINGUISHERS IN EFFECT Install portable fire extinguishers with a minimum rating of 2A-10BC and signage. Fire Extinguishers located in public areas shall be in recessed cabinets mounted 48" (Inches) to center above the floor level with Maximum 4" projection from the wall. Contact Fire Department for proper placement of equipment prior to installation. Conditions of approval may change based on Conditions hazardous to life, property or public welfare in the occupancy of structures or premises; and Fire hazards in the structure or on the premises from occupancy or operation. 77-933 Las Montanas, Palm Desert, CA 92211 Y (760) 863.8886 • Fax (760) 863-7072