PMT17-00835 City of Menifee Permit No.: PMT17-00835
29714 HAUN RD. Type: Mobile Home
'5A—CCEL/? MENIFEE, CA92586
MENIFEE Date Issued: 04/10/2017
PERMIT
Site Address: 30261 ANTELOPE RD, MENIFEE, CA Parcel Number: 364-010-015
92584 Construction Cost: $12,283,12
Existing Use: Proposed Use:
Description of COMMERCIAL MODULAR SALES TRAILER FOR LA FITNESS 528 SO FT
Work:
Owner Contractor
WRI GOLDEN STATE, LLC FITNESS INTERNATIONAL, LLC
P.O. BOX 924133 3161 MICHELSON DR#600
HOUSTON,TX 77292 IRVINE, CA 92612
Applicant Phone: 9492557415
MENIFEE,CA License Number:000000
Fee Description Qtv Amount fb)
Commercial Coach 1 240.72
Permit Fee 1 27.00
Additional Plan Review Building 148 148.37
Additional Plan Review Building 148 148.37
GREEN FEE 1 1.00
SMIP COMMERCIAL 1 4.00
$569.46
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_Bldg_Pennit_Template.rpt 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 Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure underthe Contractor's State License Law for
Professions Cade and my license is in full force and effect. the following reason:
License Class License No. By my signature below I acknowledge that,exceptfor my personal residence
Expires Signature in which I must have resided for at least one year priorto 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
❑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.leRinfo.ca.gov/calaw.html.
Policy# Date
❑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 ❑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: 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
building construction.I authorize representatives of this city or county to
Policy# Expires enter the above enti d property for inspection purpoossees.
(This section need not to he completed is the permit is for one-hundred (`��[ Date / — O ^7A/
dollars($100)or less PROPERTY OWNER OR AUTHORI 0 AGENT
o I certify that in the performance of the work for which this permit is issued,
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
Applicant Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes o No
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 for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes ❑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 ❑No
OWNER BUILDER DECLARATIONS - I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Cade,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 DYes D No
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED AGENT
issuance,also requires the applicant for the permit to file a signed statement
that he orshe is licensed pursuant to the provisions of the Contractors 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 forthe alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with
an 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
❑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 ❑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:
o 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 RRP
Acknowledgement.
BUILDINGAPPLICATION
Menifee
DATE March 16,2017 PERMIT/PLAN CHECK NUMBER AI 777* ✓U 65!5
TYPE: PCOMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING ORE-ROOF
APPLICATION NAME Fitness International LLC
DESCRIPTION OF WORK At Modular Sales Trailer for the sale of health club memberships
;i PROJECTADDRESS 1 AM 30251 Antelope Rd. Menifee,CA 92584
ASSESSOR'S PARCEL NUMBER 364-010-015 LOT TRACT
OWNER NAME WRI Golden State,LLC
ADDRESS P.O.Box 924133 Houston,TX 77292-4133
PHONE 714-899-6888 EMAIL Christine Thomas,CPMcthomas@weingarten.com
APPLICANT NAME Fitness International,LLC
ADDRESS 3161 Michelson Dr.Suite 600 Irvine,CA 92612
PHONE (949)255-7415 EMAIL Charlesc@fitnessintl.com
CONTRACTOR'S NAME OWNER BUILDER? O YES O NO
BUSINESS NAME Dinamic Mod Construction Inc
ADDRESS 123 N Rose St
PHONE 714-814-5058 EMAIL Dmc001@yahoo.com
CONTRACTOR'S STATE LIC NUMBER 916007 LICENSE CLASSIFICATION General B
VALUATION$ 12,283.12 SQ FT �528 L SQ FT
APPLICANT'S SIGNATURE (.iGlQ2�f/� �C/�L-�// DATES
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS UCENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE SMIP GREEN
INVOICE PAID AMOUNT
AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC
OWNER BUILDERVERIFIED OYES O NO LICENSE NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92586 951-672-6777
www.citycfinenifee.us Inspection Request Line 951-246-6213
CROSS DRIVE TIE DOWN
lCHASSIS 1 •,,,,
END TIE-DOWN
#407 LOCK TOP OR
#406 PIER STEEL
BOLT-ON TOP LIT STRAP
i BOLT &60 PNUT #607 CROSS
µIN SIDE TIE DOWN DRIVE ANCHOR
#606 STEEL #616 STABILIZE
STRAP PLATE
#614 STL. 'a0 /p, '�iy GROUND LINE,.; F:cii?i::::"
STRAP w
..:. ..... .. .: . ..
".... .... ... DETAIL A
(TYPICAL CROSS DRIVE WITH
STABILIZER PLATE)
INSTALLATION INSTRUCTIONS
1. INSTALL CROSS DRIVE ANCHORS INTO SOIL AS SHOWN.
2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
3. INSERT STRAP THROUGH SPLIT BOLT, CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG.
CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES.
CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL OCCURS, IF THE GROUND SURFACE IS OTHER
THAN ROCK OR MINIMUM 2" ASPHALT, INSTALL #616 STABILIZER PLATE. (STABILIZER PLATES MAY BE PREWELDED
TO #607 CROSS DRIVE ANCHOR) OR INSTALL 12"x12"x12" CONCRETE BLOCK.
NOTE:
IF A CROSS DRIVE IS USED WHERE AN AUGER COULD BE USED (IN LOAMY TYPE SOIL), THEN TWO CROSS DRIVES
MUST BE INSTALLED PROPERLY IN PLACE OF THE ONE TIE-DOWN. BOTH CROSS DRIVES MUST BE STABILIZED AS
SHOWN IN DETAIL "A". SEE PAGE #1, GENERAL NOTE #4. ' .
THIS PLAN MAY BE USED FOR MANUFACTUED HOMES.PLACES IN FEMA FLOOD HAZARD
ZONES A,AE&AH, PROVIDED THE GROUND ANCHORS ARE THE #603 48"T.D.A. EARTH
AUGERS. UNDER FLOOR VENTS AT THE PERIMETER SKIRTING SHALL BE PLACED.WITH
THE BOTTOM OF THE VENT MAX 12"ABOVE THE UNDER FLOOR GROUND SURFACE
CONCRETE TIE DOWN
CHASSIS INSTALLATION INSTRUCTIONS
SIDE TIE-DOWN #604 DRY
ENO TIE-DOWN ®® 1. CONCRETE MUST BE A MINIMUM OF 3Y2" THICK AND
#407 LOCK TOP OR !s IN GOOD CONDITION.
J406 PIER ® ��
BOLT-ON TOP ® 2. MINIMUM SLAB AREA OF EACH ANCHOR IS
i ® 28 SQUARE FEET.
MIN. #606 STEEL
#614 STL STNAP 3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF
STRAP 12" FROM ANY EDGE.
o e. #61.5 WET
e ro. 1. PLACE CONCRETE ANCHOR INTO WET CONCRETE.
2. ALLOW CONCRETE TO PROPERLY DRY.
1't , �`• CHASSIS CONNECTION
1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
2. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS
#604 CONCRETE SW STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG.
#615 WET ANCHOR h
M
W
av
"I"BEAM CHASSIS TIE DOWN
SEE " I " BEAM CHASSIS
NOTE #5, SHEET I FOR
TIE—DOWN INFORMATION SPLIT BOLT
END TIE—DOWN & NUT
#407 LOCK TOP OR
0406 PIER GROUND LINE o.
BOLT-ON TOP
i
1g" � SIDE TIE DOWN
M{N #606 STEEL
STRAP
#616 T.D.A. I
o STABILIZER PLATE
#614 STL. o o oe 0• i
STRAP aa" ro NOTE:
c .y VERTICAL OR ANGULAR (�
u __ INSTALLATION IS OPTIONAL r
�D•-10 ..
SEE DETAIL "A"
(TYPICAL)
o INSTALLATION INSTRUCTIONS:
A`
SEE DETAIL "A" �0'IO' I. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT DOWNWARD
PRESSURE TO MINIMIZE SOIL DISTURBANCE,UNTIL HEAD IS FLUSH WITH
(TYPICAL) STABILIZER PLATE,ANCHORS SHOULD BE INSTALLED BELOW FROST LINE.
- DRILL %," HOLE AT MID DRILL HOLE AT MID
HEIGHT OF BEAM, INSTALL HEIGHT OF BEAM, 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
Xh- A307 BOLT INSTALL )4" A307 BOLT
3. INSERT STRAP THROUGH SPLIT BOLT.CUTOFF IXCESS STRAP AND THEN
TIGHTEN BOLT UNTIL STRAP IS SNUG.
/ l - CONTRACTORS WARNING:
CHECK FIRST FOR UNDERGROUND UTILITIES..
"C" BEAM CHASSIS RFC" ITI BEAM CHASSIS
SEE"I•BEAM CHASSIS SEE-C BEAM CHASSIS
NOTE: b5 SHEET 1 FOR NOTE: #5 SHEET I FOR
TIE-DOWN INFORMATION TIE-DOWN INFORMATION
I
STALL GROUND ANCHOR :PLACESTABIUZERPLATE .:�i FINISH TURNING ANCHOR
INTO GROUND,LEAVING :'.iNEXI'TO SHAFT BETWEEN INTO THE GROUND UNTIL
B"-12'OF SHAFT EXPOSED ':` ANCHOR AND CHASSIS ': ANCHOR HEAD IS FLUSH
BEAM,AND DRIVE INTO WITH STABILIZER PLATE.
GROUND THIS PROVIDES SECURE
PROTECTION AGAINST
LATERAL MOVEMENF.
- CONTRACTORS VERIFICATION -
I CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS.
I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE.
COMPANY NAME: CONTRACTORS L1C. # 14T
W
DATE: SIGNATURE: Q
a
TLW 1-09