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PMT17-00250 City of Menifee Permit No.: PMT17-00250 29714 HAUN RD. Type: Commercial Plumbing '�CCELA7 MENIFEE,CA 92586 MENIFEE Date Issued: 01/31/2017 PERMIT Site Address: 28500 BRADLEY RD, MENIFEE, CA Parcel Number: 336-030-006 92586 Construction Cost: $55,000.00 Existing Use: Proposed Use: Description of REPLACEMENT OF GREASE INTERCEPTOR FOR SUN CITY GARDENS Work: Owner Contractor SUN CITY RHF HOUSING, INC. 24-HOUR EXPRESS SERVICES INC 911 N STUDEBAKER RD 26047 JEFFERSON AVE STE D LONG BEACH, CA 90815 MURRI ETA, CA 92562 Applicant Phone:9513025320 MIKE WEIMANN License Number. 761778 24-HOUR EXPRESS SERVICES INC 26047 JEFFERSON AVE STE D MURRIETA,CA 92562 Fee Description DIN Amount(E1 Grease Interceptor 1 116.00 Building Permit Issuance 1 27.00 GREEN FEE 1 3.00 - New Construction Permit Fee 1 253.00 New Construction Plan Check 1 164.45 General Plan Maintenance Fee-Plumbing 1 5.80 $569.25 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 cared 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_Permil_Templatespt 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 taw). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from Ilcensure under the Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: License Class \_3 to License No. B m signature below I acknowledge that,except for m� Y Y g 8 P my personal residence Expires Signatur in which I must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by D 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 this permit is issued. www.leeinfo.ca.kov/calaw.html. Policy g Date 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 1 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 a 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 Pph p /�/s /c--.,r©/�yt� / building construction.l authorize representatives of this city or county to cy V'�'1, P Sl 7 Expires / enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred dollars($100)or less Date 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 anner so as to become subject to the CITY BUSINESS LICENSE p workers compensation laws of Calif rnia,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers c pensa' n provisions of Section 3700 of the Labor Code,I shall forthw' h c pl wit hos@provisions. Will the applicant or future building occupant handle hazardous material or a Applica Date W(' mixture containing a hazardous material equal to orgreater thatthe amounts specified on the Hazardous Materials Information Guide? WARNING: ILURETO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ❑No UNLAWFUL,AND SHALLSULUECTAN 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 ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist for guidelines CONSTRUCTION LENDING AGENCY ❑Yes 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) o Yes o No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from 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 checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting. Business and Professions Code).Any city or county that requires a permit to oYes ❑No construct,after,improve,demolish or repair any structure,prior to its Date issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER 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(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 apre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence compenor sation facility to be RRP-certified firms and comply with thanApplicant 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 o I,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 1-800-424-LEAD(5323). Code;The Contractors 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 p p 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: 01,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. C & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE PERMIT/PLAN CHECK NUMBER YmIll -' Dom TYPE: EA COMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL ❑NEW MPLUMBING FIRE-ROOF-NUMBEROF/SCIUARES DESCRIPTION OF WORK PROJECTADDRESS 0 !mil ASSESSOR'S PARCEL NUMBER ,� TRACT PROPERTY OWNER'S NAME e t In l.[ n r Q r ADDRESS /� -7 Q/J�OI )OI I r PHONE q�/- LP / / -`-)-3 91 EMAIL D(7 APPLICANT NAME D4 S-e.,r I cpn ✓✓ ADDRESS .C�� Q Q rrf[M PHONE /�� 3o Z- S-32-b EMAIL t . °1 0` •L�-Q r-P.}' S-�rt/lC.¢f, CONTRACTOR'S NAME LYI/L OWNER BUILDER? [-]YES NO BUSINESS NAMES) � c rn L. ADDRESS PHONE J .362S.37 EMAIL CONTRACTOR'S STATE LIIC�JNUUMBER :Z& (`7 7 � LICENSE CLASSIFICATION VALUATION$ �� / o FT L SO FT APPLICANT'S SIGNATU r DATE -)7/ZD DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP INVOICE PAID AMOUNT AMOUNT I OCASH OCHECK# 0CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityofmenifee.us inspection Request Line 951-245-6213 IV 'Iffice Copy _..--- of N�eKiitee . 24" CLEAR OPENING.. . . _ . . .. City Building Dept TRAFFIC FRAME AND COVER PICK HOLE JAN 17. `f" WITH GASKET s ` '` " T—GASKET 26-1/2" II E //FRAME COVER II 4" S�23-1/2" CITY OF MENIF 1-1/2 2s-1/2" ►1 BUILDING AND SAFETY D MENT STANDARD MODEL PLAN APPROVA WEIGHT: OVER 10 LB . JAN 2 1 loll PICK HOLE REVIEWED B DATE 29-1 2" 'Approval of these plaF,h #ustiof the $e ermapproval of,any lat16of the fede 6f CIknt an he�regulations and o ma 4" jobsite until comp tio7 INA 1-1/2" I 23-1/2" L, 26-1/2" O FOR SLAB CONSTRUCTION GENERAL INFORMATION ♦ ALL MATERIALS USED IN MANUFACTURING SHALL CONFORM TO ASTM A48, CLASS 35B. ♦ FRAME & COVER BEARING SURFACES MACHINED TO ASSURE CLOSE, QUIET FIT. ♦ STANDARD COVER MEETS H-20 WHEEL LOADING. ♦ MARKED 'INTERCEPTOR" ♦ OIL RESISTANT T—GASKET USED FOR GAS TIGHT SEAL. ♦ PROPER HANDLING AND SERVICING IS REQUIRED TO MAINTAIN T—GASKET AND INSURE A GAS TIGHT SEAL. ♦ OPTIONAL F&C's — TRAFFIC BOLT DOWN. — PARKWAY COVER & FRAME (1 1/2" High). FOR COMPLETE DESIGN AND PRODUCT INFORMATION, CONTACT JENSEN PRECAST. 10-01-03 24FLJNT_W.dwg w 0 2003 Jansen Precast t a pREE45Te �� U � �x�`� ��8�� '� ��U�� U�� x�� l�1� UUK-� �-U�-�� 'UnNU�� K �"�K-&�� MODEL 2432-Z 24" CAST IRON FRAME 0c COVER WITH GASKET (GASTIGHT) AS REGUIRED VARIABLE (AT EXTRA COST) MINIMUM jE SIDE VIEW \-PIPE CONNECTOR — ' SEE DETAIL BELOW `---COMPACTED FILL � OR UNDISTURBED EARTH SHOWN WITH PIPE (AFTER INSTALLATION) TOP VIEW e% COVERS AND RISERS REMOVED \ VARIABLE OUT8|PG UYams \ DETAIL PIPE CONNECTOR BOX WEIGHT: 125OLBS. (Z^LOK) BOX 0[3|GN LOAD:� H-20 TRAFFIC PIPE CONNECTOR CAST INTEGRALLY IN WALL. WILL ACCEPT SAMPLE BOX MUST BE PLACED ON PIPE O.D. /|WCHE3\ SUITABLE BASE OF COMPACTED SOIL (INCHES) UQ UNDISTURBED EARTH IN TRAFFIC MIN. MAX. CONDITION. FOR COMPLETE DESIGN 4.25 6.25 AND PRODUCT INFORMATION, SEE Z-LOK PIPE CONNECTOR PAGE CONTACT JEN3[N PRECAST. FOR ADDITIONAL INFORMATION 10/19/05 zmazm=* a wo ��~~��o *zno5 .eoo" p/^mst �v�' PR8E45T E-== GRADE RINGS/RISERS MODEL 2432 f 24" I.D., 4" WALL 32" O.D. i 24" I.D. i �TYP. i A A 3.. titi� i 6" I TOP VIEW i 12" DESCRIPTION WEIGHT I 2432 GR-03 GRADE RING 92 LBS. SECTION A-A - 2432 GR-06 GRADE RING 183 LBS. 2432 GR-12 GRADE RING 366 LBS. � CONFORMS TO CURRENT SPECIFICATIONS: ASTM C-478 AND AASHTO M-199 i FOR COMPLETE DESIGN ' AND PRODUCT INFORMATION, CONTACT JENSEN PRECAST. 6/8/99 ©1999 Jensen Precast lPRECi�� Since1968 1.500 GALLON ** GREASE INTERCEPTOR MODEL JP15OOG-.ItEr` TRAFFIC RATED ACCEPTED BY UPCO SIDE VIEW P4 CAST IRON FRAME & COVER (CUTAWAY) WITH GASKET (THREE STANDARD) AS REQUIRED 12 WHEN SUBJECT 2432 M-3',6'OR 12' TO T�affir 24" fT 4"PVC INLET & OUTLET ea�xE PIPE AND FITTINGS STANDARD 6'-3" 5'-0" . 12" 12" 12" E---. -------I F-------I 5'-7"TOP VIEW(COVERS & RISERS REMOVED) -----J L-----J I '!. ■ LIQUID CAPACITY: 1,500 GALLONS. I ■ TANK DESIGNED F R H-20 TRAFFIC WHEEL LAD.WITH DRY SOIL CONDITIONS WATER TABLE BELOW TANKg EARTH COVER 0 TANK NOT TO EXCEED 6 FT. ` '. w SUITABLE NATIVE SOIL OR GRANULAR SUB—BASE SHALL BE COMPACTED AND LEVELED TO HANDLE ANTICAPATED LOADS. SEE INSTALLATION PROCEDURES SHEET FOR ADDITIONAL INFO. •* REQUIREMENT FOR 1500 GALLON CAPACITY AND LARGER. ■ FOR COMPLETE DESIGN AND PRODUCT INFORMATION CONTACT EIEJENSEN PRECAST. � - nte oFROMmav am I of nos ism Exmr w a &MM wox rts am wotac /R=: OmeySD-1500—W.dw oesM xm exErnax ie'xns uE smonm. . S am"chosen pmost 9 i g 3 NOD-002 �+�� REV.04r2071 a<rz¢ City of Merric:e 2270 Trumble Road Building Dept P.O.Box 8300 Perris, CA 92572-8300 (951)928-3777 FIRST RELEASE OAK? 2 7 7 Requesting Agency: Brivera@cityofinenifee, ccarlson@cityofinenifee.us, Ilizafae@riycpshe:o)g APPLICANT INFORMATION: Business Name: SUN CITY GARDENS Site ID-Service Address: 1077959 -28500 BRADLEY RD, SUN CITY, CA 925f86 Contact Name: MICHELLE A PELHAM S6,a, 3-�3- 3 75 Cp Contact Phone Number: (951) 679-2391 Fax Number: Requesting Agency&Applicant Please Note: ♦ This "FIRST RELEASE" Is being issued to allow applicant to pull permits with your agency and pOES NOT constitute a release for Certificate of Occupancy. ♦ A subsequent EMWD"CLEARANCE"or"FINAL RELEASE" Is to be requested by applicant noted above and will be submitted to your office prior to your agency issuing Certificate of Occupancy. Your cooperation in this matter is greatly appreciated. It is extremely important that these procedures are followed for EMWD to meet federal and state requirements. Eastern Municipal Water District has reviewed and accepted the Application for Service and/or Waste Discharge Application and plans dated_12/12/2016 and determined that the project is within EMWD service area(s). EMWD to provide service. The provisions of service are contingent upon the applicant completing the necessary arrangements in accordance with EMWD rules and regulations. Fees Required: [ ] New Business Fees Due. Call(951) 928-3777 extension 2081 for more information. [ ] Source Control Fees Due. Call(951) 928-3777 extension 6203 for more information. Inspection Required: [ ] Sewer Lateral. Call(951)928-3777 extension 4838 or 4372 to schedule. [ ] Backflow Prevention. Call(951)928-3777 extension 7906 to schedule. [ ] Rough Plumbing. Call(951) 928-3777 extension 6203 to schedule. [ X] Interceptor Installation. Call(951) 928-3777 extension 6203 to schedule. Interceptor Status: [ ] No interceptor is required. [ ] Current interceptor is acceptable. Size: [ X] New interceptor to be installed. Size: 1500 GALLON IF THERE ARE ANY REQUIRED INSPECTIONS, Eastern Municipal Water District must Inspect the service connection(s), installed backflow prevention, and/or plumbing prior to backfrlling to verify that the accepted plans have been followed and that requirements have been met. Please make an appointment for inspection a minimum of 48 hours prior to backfilling to reduce delays in construction. If you have any questions,,,please call EMWD at((99551)928-3777 extension 6203. RON BEDINGFIELD#1927 // t��/-'L. r 0111 8120 1 7 EMVVD Representative Date 2270 Trumble Rd., Perris CA 92570 P.O. Box 8300 Perris CA 92572-8300 Telephone (951) 928-3777 City of Menifee EASTERN MUNICIPAL WATER DISTRICT Building Dept PLAN CHECK SUPPLEMENTAL PAGE JAN 2 7 -'2a Date: 01/18/2017 REF No.: SC2017000011 ,. € ": e°n Business Name: SUN CITY GARDENS R e c "'` " Site No. & Site Address: 1077959- 28500 BRADLEY RD, SUN CITY, CA 92586 1. Waste Discharge Application dated 12/12/2016 is acceptable for Source Control issues. 2. Installation of 1500 gallon grease interceptor with sample box is acceptable. The interceptor must be installed per SB-70. See attached. 3. If a water softener is installed currently or in the future, it must be of the type that does not discharge brine to the sewer as per EMWD Ordinance 59.6 Article 3.6(A)(1): "Prohibiting Users from discharging the regeneration cycle from any water conditioning appliance, including but not limited to water softeners or conditioners, to the POTW." Inspector: Ron Bedingfield#1927 Released for first to RB For more information, please call EMWD Source Control Division at (951) 928-3777 ext 6203. y City of Menitte Building Dent JAN 2 7 IPA MILO OWN o , C, ��Mp. OK.. 6" , 30� v h _- MMU b AW"M NdaiO mom i f 9 f � City of 1 lenifee Building Dept JAN 2 7 2017 s �� ss� s5E � `° t5E 59E I-9E i Z9E S � . o w V961 1 990 68L a ¢ 99E L9£ �. Ro O L8� 88L 9E X LL OL6 L z 6LL 08L :w O ZLE EL 11l 8L1 tLEi w I 5LL . '3Lf Q 9LE 9LE U CLL L1 CD _ 8LE ILLS UL — 08E 61 L OL1 Z8E fs m r I, o HSI S8E 69L ! 98£ 58£ 89 D as Lg 991- 68E 59L11V91 £9 L Z9 PATIO L9L 09[ 69 L I 189F x o L9Ko L 85L Z99L t5L �L 19[ Z5L oLL Q 0