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PMT17-01284 City of Menifee Permit No.: PMT17-01284 29714 HAUN RD. Type: Commercial Alteration �CCEL/-> MENIFEE,CA 92586 MENIFEE Date Issued: 0511012017 PERMIT Site Address: 28087 BRADLEY RD, MENIFEE, CA Parcel Number: 337-302-009 92586 Construction Cost: $450.00 Existing Use: Proposed Use: Description of INSTALL 12'6"WALL AND 12'WALL TO DIVIDE SUITE Work: Owner Contractor PRIME PROPERTIES C/O HUB ENTERPRISE MENIFEE SUPPLEMENTS 29826 HAUN ROAD,#305 28087 BRADLEY RD MENIFEE, CA 92586 MENIFEE, CA 92586 Applicant Phone:8054163424 MENIFEE,CA License Number:0 Fee Description QtV Amount I51 Building Permit Issuance 1 27.00 Inspections not specified 258 258.14 Additional Plan Review Building 129 129.07 Additional Plan Review Building 129 129.07 GREEN FEE 1 1.00 SMIP COMMERCIAL 1 1.00 $545.28 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_PermiLTerrplate.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)pursuantto the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contactors 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 far 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 ❑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 WWW.Ieginfo.ca.gov/calaw.litml. this permit is issued. 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 relatingto building construction.I authorize representatives of this city or county to Policy# Expires enterth ab ntified/prro/perty for inspection purposes. (This section need not to be completed is the permit is for one-hundred / !L!� Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED 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# 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 occupant require a permit for the construction or modification from South ADDITION TO THE COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 37060F THE HE LABOR ABOR 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) D 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 Contractor hazzardou s License Law for the reason(s)indicated below by the Health al Safety Code,Section 25505 and 25534 concerning hazardous checkmark(s)I have placed next to the applicable Rem(s)(Section 7031.5 hs material reporting. °Yes °No Business and Professions Cade).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 permitto file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRPI License Law(Chapter 9(commencingwith Section 7000)of Division 3 of the Business and Professions Cade)arthat he or she is exempt from licensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensation for most work that disturbs paint in a ply w78 an Applicant for a permit subjects the applicant to a civil penalty of not more residenceorchildcares inclluesity to hetal propertyfied firmsandcomplywith than($500). required practices.This includes rental property owners and property 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.epa.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-8o0-424-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: ❑1,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 PERMIT/PLAN CHECK APPLICATION Menifee DATE 00 '(fj PERMIT/PLAN CHECK NUMBER TYPE: b COMMERCIAL O RESIDENTIAL O MULTI-FAMILY 0 MOBILE HOME O POOL/SPA O SIGN fee SUBTYPE: O ADDITION "OALTERATION O DEMOLITION O ELECTRICAL O MECHANNAiding &Safely Dept. O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES 017 DESCRIPTION OF WORK VLJL -t j L S 7 ,� ed PROJECTADDRESS Q LJr ASSESSOR'S PARCEL NUMBER - - LOT TRACT OWNER NAME o h VAY1 c Gffiew. N i1�' ADDRESS ( s5 IvNj � "aim PHONE Ctoq-Cpq�3 -�25� EMAIL APPLICANT NAME ADDRESS Z n C C 1 PHONE C ' 65� y Q21.' EMAIL C�!' CONTRACTOR'S NAME OWNER BUILDER? YES O NO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ SO FT L SQ FT APPLICANT'S SIGNATURE DATE 6c"� 1 �5 OTYSTAFFUSEONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP h INVOICE 1 PAID AMOUNT O AMOUNT OCASH CHECKq OCREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES 0 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