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PMT17-00199 City of Menifee Permit No.: PMT17-00199 29714 HAUN RD. 4A\CCEL^-'** MENIFEE,CA 92586 Type: Commercial New MENIFEE Date Issued: 10/06/2017 PERMIT Site Address: 30015 WINTER HAWK RD, MENIFEE, CA Parcel Number: 360-020-030 92584 Construction Cost: $499,970.16 Existing Use: Proposed Use: Description of CONSTRUCTION OF TOMMYS CAR WASH W/2ND FLOOR OFFICE,4744 SO FT Work: Owner Contractor CAL CRUZ EXPRESS STRONGINC 34193 CAMELINA ST 10373 LOS ALAMITOS BLVD LAKE ELSINORE, CA 92532 LOS ALAMITOS, CA 90720 Applicant Phone: 5629361454 MPA ARCHITECTS License Number: 746901 CA Fee Description Qtv Amount($1 Power Apparatus 1 150.00 Services, Switchboards, Control Centers&Panels 6 1,098.00 Services, Switchboards, Control Centers&Panels 2 566.00 Receptacle, Switch, Outlet& Fixture 85 536.00 Pole or Platform Mounted Fixtures 5 203.00 Plumbing Fixtures and Vents,fixtures 8 141.00 Gas System 1 116.00 Water Heater 2 166.00 Plan Check Fee 205 205.00 Sewer 1 150.00 Forced-Air or Gravity-Type Furnace or Burner 4 596.00 Air Handling/Condensing Units Non-SFR 4 732.00 Building Permit Issuance 1 27.00 Additional Plan Review Building 2,788 2,788.08 Additional Plan Review Building 90 90.00 GREEN FEE 1 20.00 SMIP COMMERCIAL 1 140.00 New Construction Permit Fee 1 2,299.86 General Plan Maintenance Fee-Mechanical 1 66.40 General Plan Maintenance Fee-Plumbing 1 28.65 General Plan Maintenance Fee-Electrical 1 127.65 General Plan Maintenance Fee-New 1 114.99 Construction $10,361.63 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 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_BIdg_Permit_Template.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 perjurythat 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 ❑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 147 j . fT z Lice s760. -7 4 6 90 By my signature below I acknowledge that,except for my personal residence Expires 4ol d 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 RKER'S COMPENSATION DECLARATI N have built as an owner-builder if it has not been constructed in its entirety by �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 wi0 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 31700 ofthe Labor Code,for the performance of work for which www.leeinfo.ca.eov/calaw.html. this permit fs issued. Policy# Date XI have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZEDAGENT section 3700 of the Labor Code,for the performance of the work for which ❑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 on the property owners behalf.I have read this number are: y � application and the information I have provided is correct I agree to comply Carrier - T�7 ��`^ with all applicable city and county ordinances and state laws relating to �LLt� building construction.I authorize representatives of this city or county to Expires Q enter the above identified property for inspection purposes. (This section need notto be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT D I certify that in the performance of the work for which this permit is issued, /�Lyl1��I I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# —11 0�/ ll 19 workers compensation laws of California,and agree that if I should become pZARDOUS MATERIAVSECLARATION subject to the worker compensation provisions of Section 3700 of the Labor de,I shall fo )rw' o ply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant ` Date l� mixture containing a hazardous material equal to or greater that the ��I amounts specified on the Hazardous Materials Information Gufde7 WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes VNo UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO 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)7 See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES fo Coast Airllnes Qua CONSTRUCTION LENDING AGENCY ❑Yes Ft�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) ❑Yes XrNo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAOMD I hereby affirm under penalty of perjurythat I am exemptfrom the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning hazardous mate'al r p g. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 es o No Business and Professions Code).Any city or county that requires a permit to T Z Q construct,alter,improve,demolish or repair any structure,prior to Its Date 1-7 issuance,also requires the applicant for the permit to file a signed statement ROPERTY OW ER OR AUTHORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRPI License Law(Chapter9(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 and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensation for most work that disturbs paint in a pre-1978 an Applicant for a permit subjects the applicant to a civil penalty of not more residence or childcare facility to be RRP-certified firms and comply with than($500). required practices.This Includes rental property owners and property managers who do the paint-disturbing work themselves or through their o 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.eoa.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-80D-424-LEAD(5323). Code,The Contractors State License Law does not apply to an owner of a ❑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. ❑No EPA Lead-Safe Certified Firm Is required for this project because: ❑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 RIP Acknowledgement. BUILDINGAPPLICATION M21"i fe e DATE l`�S' 6 PERMIT/PLAN CHECK NUMBER TYPE: COMMERCIAL O RESIDENTIAL C> MULTI-FAMILY G MOBILE HOME 0 POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION ODEMOLITION O ELECTRICAL O MECHANICAL NEW OPLUMBING ORE-ROOF-NUMBER OF SQUARES ,, DESCRIPTION OF WORK f y 1VAiof enho rho O Building & a y LjapT. PROJECTADDRESS JAN 2 6 2017 ASSESSOR'S PARCEL NUMBER NG 0 F•V V Jo LOT C TRA® Qjjjgd PROPERTY OWNER'S NAME ADDRESS Cagy CVVI CQ 4 5 • C PHONE L EMAIL �`�3(D APPLICANT NAME - Y �- d Q ADDRESS �JpS� �--q � ,/ t SQ� /`i✓��y'e- CA 1�L C' PHONE (OIL �?� ' J l� 'el��•5!-t�'MAIL 1�(�1.tt"! 1 �QY U•� CONTRACTOR'S NAME OWNER BUILDER? OYES C3 NO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ L SO FT rr APPLICANT'S SIGNATURE DATED CITYSrAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MOFEE BU5 � UMBER BUILDING PLANNING ENGINEERING FIRE GREEN ' SMIP INVOICE PAIDAMOUNT `� AMOUNT O , CASH OCHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT '.!CASH 0CHECK# OCREDITCARD VISA/MC OWNER BUILDERVERIFIED C%YES O NO DL NUMBER NOTARIZED LETTER C:; YES C% NO City of tAhenifee Building& Safety Department 29714 Noun Rd. Menifee, CA 92585 951-672-6777 www.cftyo¢menifee.us Inspection Request tine 951-246-5213