The URL can be used to link to this page

PMT17-00877 City of Menifee Permit No.: PMT17-00877 29714 HAUN RD. �CCEL/? MENIFEE,CA 92586 Type: Commercial Alteration MENIFEE Date Issued: 0 612 9/2 01 7 PERMIT Site Address: 28115 BRADLEY RD,Suite#6,MENIFEE, Parcel Number: 337-302-015 CA 92586 Construction Cost: $45,68B.44 Existing Use: Proposed Use: Retail Description of USA NAILS TENANT IMPROVEMENT,998 SF,WITH PLUMBING&ELECTRICAL Work: Owner Contractor DONALD HOBBS JAMES WILLIAM STILES 41495 CHAPARRAL DRIVE 12880 LASSELLE STREET TEMECULA, CA 92592 MORENO VALLEY,CA 92553 Applicant Phone: 9515058206 MENIFEE,CA License Number:988701 Fee Description -0t Amount 151 Receptacle, Switch, Outlet&Fixture 21 216.00 Plumbing Fixtures and Vents,fixtures 8 141.00 Water Heater 1 83.00 Building Permit Issuance 1 27.00 Additional Plan Review Building 281 281.03 GREEN FEE 1 2.00 SMIP COMMERCIAL 1 13.00 New Construction Permit Fee 1 210.17 General Plan Maintenance Fee-New 1 10.51 Construction $983.71 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 ❑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 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 ❑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 worker's 7044 of the Business and Professions Code,is available upon requestwhen 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 www le info.ca. M c w.html. this permit is issued.Policy ff Date`/'r — _ ❑I have and will maintain workers compensation insurance,as required by PROPER 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 H Expires enter the above id nufled property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date 7 dollars($100)or less P OPE NE ORIZED AGENT ❑I certify that in the performance of the work for which this permit is issued, I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE q 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 Applicant Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ❑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 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 ❑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 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 al Safety Code,Section 25505 and 25534 concerning hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes ❑No Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,priorto its PROPERTY OWNER OR AUTHORIZED AGENT issuance,also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP) 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 Cade)or mthat he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978 and the casts for the alleged exemption.Any violation of Section of not o residence or childcare 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 ❑I,as owner of the property,or my employee with wages as their sale 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.epa.gov/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 property who,through employees'or personal effort,builds or improves the D An EPA Lead-Safe Certified Renovator will be responsible for this project 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 Ilt or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because: 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. BUILDING & SAFETY . APPLICATION City of Menifee ==°` Menifee Building & Safety Dept, DATE 1 PERMIT/PLAN CHECK NUMBER TYPE: i�COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA 6IejV - d SUBTYPE: S413DITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW dPLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK L 2. 4L rLe,lP 2- 41 ✓ _ •� L !` Jt -!It PROJECTADDRESS T lJ]'C� (�f Q fG . Z ASSESSOR'S PARCEL NUMBER � �Z �� LOT ` 1 TRACT OWNER NAME ADDRESS PHONE 57) , 5, EMAIL 11 j/7 APPLICANT NAME ` )neA, ADDRESS 41LH Ct� gPLxVij ra- PHONE EMAIL T-eYYtecld C -1� 12 CONTRACTOR'S NAME .,S OWNER BUILDER? O YES-CNO BUSINESS NAME cl ADDRESS / PHONE EMAIL CONTRACTOR'S "/'S STATE LIC NUMBER 4 ,f 7(7 I LICENSE CLASSIFICATION V`ALUA�TION�$R' . SO FT "l"L L SQ FT APPLICANT'S SIGNATURE DATE CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I e SMIP INVOICE PAID AMOUNT AMOUNT O CASH O CHECK# O CREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building &Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213