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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 c 0 > -0 -V w 0 �3 U) 0 ;u m 0 m 0 0 0 a < U) 0 ID M M -4 — :3 0 CD -n > z =3 a M Z Z Er Cn Eii CD 0 CD (31 0 zr =r =r 0 1 � M CD M co z co .1h. ou z m �� C: m 0 CD CD cn cn C) 0 0 -P� w —1 =3 0 C) 0 g 0 :3 co 0') C) 0 0 L CD C: 0 0 -0 c CD 0 PI) CD SD co =) o co -4 0 > U) U) 0 :3 =r 0 CD C-r, w 0 (D 0) �D CD c m (a CD 5- 0 z z 0 o :E --lo CD CO � -,-a E c , =3 0 00 — > ;:p =r > -n CD CD C:r o 0 Ca (0 G) N) CD =3 0 r1i (31 -n 0 =- - C) =r CD m C() :3 a) , z ca m CD — zz o a- -n C) -q 0 1 0 M -n m cn 0 M > M 0 o m � C) Z M ;u z I -1 0 C: C: CL 0 > 0 -0 (D > C z E W U) > :3 0 0 > cn > l< -n 0 (a (D 10 z > cn m -n 0 -q , a) --I m 0 9: o =r 0 CD 0 0 a co LD. -P� > CD CD CD C) 0 (J) _0 C) (D w Z 0 3 a 0 0 (T < 0 3 CD :y 0 w CD :3 CD CD C) CD Co 0) S�. CL 0- CD .v