The URL can be used to link to this page

PMT16-04268 City of Menifee Permit No. PMT16-04268 29714 HAUN RD. Type: Commercial New <A—CCFLA MENIFEE,CA 92586 MENIFEE Date Issued: 11/0912017 P E R M I T Site Address: 29844 HAUN RD,MENIFEE, CA 92586 Parcel Number: 336-38D-058 Construction Cost: $3,624,188.94 Existing Use: Proposed Use: Offire Description of NEW COMMERCIAL 2-STORY BLDG"HAUN MEDICAU',25,698 SF Work: Owner Contractor HUB ENTERPRISES 29826 HAUN ROAD,ff 305 MENIFEE, CA 92586 Applicant License Number: MENIFEE, CA Fee Description Qtv Amount is Power Apparatus 1 150.00 Services,Switchboards, Control Centers&Panels 19 3,477.00 Receptacle, Switch,Outlet&Fixture 221 1,216.00 Pole or Platform Mounted Fixtures 17 263.00 Plumbing Fixtures and Vents,fixtures 22 211.00 Plan Check Fee 51 51.25 Water Heater 1 8100 Forced-Air or Gravity-Type Furnace or Burner 1 149�00 Suspencled/Reressed Wall/Floor Mounted Heater 18 2,394.00 Air HandlinglConclensing Units Non-SFR 18 3,294.00 Building Permit Issuance 1 27.00 Additional Plan Review Building 90 90.00 Additional Plan Review Building 148 148.37 Additional Plan Review Building 11,250 11,250.44 GREEN FEE 1 145.00 SMIP COMMERCIAL 1 1,015.00 New Construction Permit Fee 1 16,671.27 General Plan Maintenance Fee-Mechanical 1 291.85 General Plan Maintenance Fee-Plumbing 1 14.70 General Plan Maintenance Fee-Electrical 1 255.30 General Plan Maintenance Fee-New 1 833.56 Construction $42,030.74 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 carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherv0se 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. Akl3klg_Perrnil-Temp1ate.rpt Page 1 of 2 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjurythart I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractor's 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 I WORKER'S COMPENSATION DECLARATION have built as an owner-builder If It has not been constructed In its entirety by o I hereby affirrin 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 worker's 7D44 of the Business and Professions Code,is ava liable 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 this permit is issued. www.Ie0n!q.ca.Roy/ckWA.htmI. Policy It Date o I have and will maintain worker's compensation insurance,as required by PROPERTY OFVNER 6-R-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 worker's compensation Insurance carrier and policy owner or authorized to act on the property owner's beha If.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 relatinj to building construction.I authorize representatives of this city or county to Policy# Expires_ enter the aIIpve.IdentIfie perty for Inspection purposes. (This section need not to be completed Is the permit Is for one-hundred Date dollars($100)or less P40VIErTY O%VNER OR AUTHORIZED AGENT ?d.certify that in the performance of the work for which this permit is Issued, I shall not empi any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# worker's compensation laws of California,and agree that If I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's t' provi.slons of Section 3700 of the Labor Code,I shall forth omply wit e rovisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date //- g - / mixture containing a hazardous material equal to or greater that the amounts sp Tied on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS 0 Yes ;VN.d UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL HNES UP TO ONE HUN DRIED THOUSAND DOLLARS($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FO occupant require a permit for the construction or modification from South R Coast Air Quality Management District(SCACM D)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guideline CONSTRUCTION LENDING AGENCY 0 Yes 07. 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 bound ry of a school? (Section 3097 civil Code) o Yes =1 OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMID I hereby affirm under penalty of perjury that I am exempt from the permitting checklisL I understand my requirements under the State of California Health&Safety Code,Section 25505 and 25534 concerning Contractor's License Law for the reason(s)Indicated below by the hazardous nriateria repord checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 0yes Business and Professions Code).Any city or county that requires a permit to construct,alter,improve,demolish or repair any structure,prior to its Date 0 47 — 1-7 Issuance,a Iso requires the applicant for the permit to file a signed statement VRO'WRTI'OWN-ER OR AUTHORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRPI 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 qe RRP-certifled firms and comply with a n 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 cr 1,as owner of the property,or my employee with wages as their sole employees.For mom information about EPA's Renovation Program visit; compensation,will do( )all of or I )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-BOD-424-LEAD(5323). Code;The Contractor's State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be 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. o No EPA Lead-Safe Certified Firm is required for this project because: b"as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code;The Contractor's 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 RAP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION '�,"M e n i f e e DATE PERM IT/PLAN CHECK NUMBER CIA TYPE: ACOMMERCIAL ORESIDENTIAL OMULTI-FAMILY OMOBILEHOME OPOOL/SPA OSIGN SUBTYPE: OADDITION OALTERATION 0DEMOUTION OELECTRICAL OMECHANICAL ANEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 04 4? s4c"� agfLe �w. 1�q e�7 A�Qm W&coa —rg:iprvc. �AA INV PROJECTADDRESS 2�1341-' Q—A,- i7a ir L-1-Agp ee ASSESSOR'S PARCEL NUMBER LOT TRACT 'Y� "fel I Dept. OWNERNAME LLC 6-li- 'PkA 7-sz33 %13 2 016 ADDRESS —F(�, PHONE 9!!�/- 301- — T'3 35- EMAIL mod APPLICANTNAME ��Vtff_ c"j,Lsorl ADDRESS 30,!S- vl� '(119 -,�2s-&e5 PHONE , EMAIL CONTRACTOR'S NAME OWNER BUILKLER? YES 0 NO BUSINESS NAME a k1c k1Z ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ �UQ LA LA SO FT zP!5, LPq Z L SO FT APPLICANT'S at��DA�TE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION 5INE55 LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP INVOICE — PAID AMOUNT I I AMOU�T JjMt-S3 I OCASH OCHECK# OCREDITCARD VISA/MC PLAN CHECK FEES I PAID AMOUNT OCASH OCHECK# OCREDITCARD VISA/MC_ OWNER BUILDER VERIFIED OYES —_ NO DL NUMBER NOTARIZED LE17ER 0 YES 0 NO City of Menifee Building&Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofmenifee.us Inspection Request Line 951-246-6213 01 REQUEST FOR PERMIT ISSUANCE 11- Menifee CITY OF MENIFEE BUILDING & SAFETY DEPARTMENT Prior to issuance of new residential Building Permits,approvals from the departments listed below are required.Approval shall be designated by the original signature of the appropriate department staff.When all appropriate signatures are obtained, please return permit issuance form to the Building& Safety department. Please allow up to 48 hours for processing of building permits. Permit Number: 62 -, 0 H Z b Tract Name: ku n ca� A!2u ji% Tract: Lot: U Address: '2Qe6L1q RA Custom Home: YES NO Model Home: YES NO Condo/Apt: YES NO Tract Repetitive: YES NO Mobile/Manufactured Home: YES NO ( ) DEPARTMENT DATE APPROVAL SIGNATURE ENGINEERING I I —?? —1 -7 (jTw"ti' l � r) PW ]INSPECTOR /A PLANNING RIVERSIDE COUNTY FIRE ILI h-I By Email —jq- BUILDING 0 1 1_1 List of required items to obtain signatureg for Permit Issuance: Engineering-Grading Plan Approved, Rough Grade Certification,Soils Compaction Planning-Payment of School Fees, provide receipts,Compliance with all prior conditions,including approval of Minor Plot Plan Application Riverside County Fire-Please contact Riverside County Fire 953.-955-4777 Building-Payment of Permit and Plan Check Fees,verification of all required signatures CrrY OF MENIFEE BUILDING&SAFETY DEPARTMENT -29714 HAUN RD MENIFEE,CA 92586 -951-672-6777 Riverside County Fire Department It Office of the Fire Marshal Section RnmmideMax,23E)OhlaNat!]L.Sta�1%Rhersft,M�1 P�(NJ)9�"? PahmlsoenOlfi� 77-033 Us Mantahas Its-1201 Palm 0... � 92211413IPh.(760)863-8886 F.x(760)8637072 Fire Department Clearance/Release Date: 614)1-1 To: ecarlson@cltyofmenifee.us;brivera@cityofmenifee.us;mbinnall@cityofmenifee.us Fax: TracttParcel Map#: Permit/Lot#: Ito VE*J I OATbe) Job Site Address: 0 q)4+ LAA4AN ILD �PM tJ kAV-,D I C-&L� Final For Recordation Release For Building Permit(s) Shell Final Only(No Tenant) El Final For Occupancy Release For Residential Sprinkler Installation Building Plan Check Fees Paid,Water Requirement Met-if water app#cabie Building Plan Check Fees Not Paid Residential Sprinkler Plan Check Fees Paid Residential Sprinkler Plan Check Fees Not Paid Other Fees F1 Fees Not Required If you should have any questions,please contact the appropriate Riverside Cc g office for unty-Firp,,Protection Plannin further assistance. —IWQ��ilvl I Authorizing Signature For Release Aj- Print Name F0=C—RfiviSmd&fl1l6