PMT16-04069 City of Menifee Permit No.: PMT16-04069
29714 HAUN RD. Type: Commercial Alteration
<;�%CCEILA> MENIFEE,CA 92586
SO.. MENIFEE Date Issued: 1211312016
P E R M I T
Site Address: 30010 HAUN RD,Suite#250,MENIFEE, Parcel Number: 360-690-006
CA 92586 Construction Cost: $0.00
Existing Use: Proposed Use:
Description of OWNERSHIP CHANGE FOR"LA MODE SALON MENIFEE"
Work:
Owner Contractor
DONAHUE SCHRIBER REALTY GROUP
5694 MISSION ROAD
SAN DIEGO,CA 92108
Applicant License Number:
MENIFEE,CA
Fee Description Qtv Amount
Duplicate Certificate of Occupancy 1 21.00
$21.00
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of ennors in the plans and
specifications or from preventing builiding operations being carried 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 BIdgPermll—Template.rpt Page 1 of 1
CE�TJUCATE OF OCCUPANCY TENANT DISCLOSURE FORM
INN
Menifee
AW Lfl�-
DATE PERMITNUMBER�M�
ADDRESS
BUSINESS NAME "U�P, _�UJOV\
INTENDED BUSINESS USE -fty-
IS THIS A NEW BUSINESS IN THE CITY OF MENIFEE? YES (CIRCLE ONE)
ARE YOU THE FIRST TENANT TO OCCUPY THIS SPACE? YES (CIRCLE ONE)
IS THE BUILDING EQUIPPED WITH FIRE SPRNKLERS? CES) NO (CIRCLE ONE)
SQUARE FOOTAGE —HOD
NUMBER OF EMPLOYEES eb
NUMBER AND LOCATION OF RESTROOM FACILITIES
LIST ANY TOXIC CHEMICALS, FLAMMABLE/COMBUSTIBLE LIQUIDS OR GASES USED OR STORED WITH
MSDS SHEETS AND QUANTITIES OF EACH BELOW OR ON A SEPARATE ATTACHED SHEET(S):
n orvc�!,
0 ARE YOU MAKING ANY IMPROVEMENT TO THE SUITE OR BUILDING OTHER THAN PAINTING,
PAPERING, FLOOR COVERING, MOVABLE CASES,SHELVING OR PARTITIONS NOT OVER 5, 9- HIGH?
YES � 00 (CIRCLE ONE)
APPLICANT SHALL OBTAIN ALL REQUIRED CLEARANCES AND/CIR APPROVALS FROM THE
APPROPRIATE WATER DISTRICT AN�FIRE DEPARTMENT PRIOR TO ISSUANCE OF ANY
BUILDING PERMITS
SIGNATURE 71--, DATE
PRINT NAME J(,,j �( C6
TENANT (F)ONTRACTOR / ARCHITECT / ENGINEER (CIRCLE ONE)
OCCUPANCY GRP TYPE OF CONST STAFF INITIALS
City of Menifee Building & Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.us Inspection Request Line 951-246-6213
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