PMT17-01507 City of Menifee Permit No.: PMT17-01507
29714 HAUN RD. T e:
�.'�CCEL/E� MENIFEE,CA 92586 YP Commercial Alteration
MENIFEE Date Issued: 09/08/2017
PERMIT
Site Address: 30464 HAUN RD, MENIFEE, CA 92584 Parcel Number: 360-690-020
Construction Cost: $250,008.80
Existing Use: Proposed Use: Retail
Description of PETCO TENANT IMPROVEMENT, CONSTRUCT NEW PET SELF WASH AND NEW FULL SERVICE
Work: VETERINARY HOSPITAL,2635 SF WITHIN EXISTING AREA, NEW MECHANICAL, ELECTRICAL&
PLUMBING
Owner Contractor
DONAHUE SCHRIBER REALTY GROUP RYAN CONTRACTORS INC
5694 MISSION CENTER ROAD 9390 7TH ST STE A
SAN DIEGO, CA 92108 RANCHO CUCAMONGA, CA 91730
Applicant Phone:9099892181
MENIFEE, CA License Number:976882
Fee Description City Amount ISl
Power Apparatus 1 150.00
Services, Switchboards, Control Centers&Panels 1 183.00
Receptacle, Switch, Outlet&Fixture 142 821.00
Plumbing Fixtures and Vents, fixtures 10 151.00
Gas System 1 116.00
Sewer 1 150.00
Air Handling/Condensing Units Non-SFR 2 366.00
Building Permit Issuance 1 27.00
Additional Plan Review Building 1,430 1,430.00
Additional Plan Review Building 605 605.00
GREEN FEE 1 10.00
SMIP COMMERCIAL 1 70.00
New Construction Permit Fee 1 1,150.04
General Plan Maintenance Fee-New 1 57.50
Construction
$5,286.54
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_eldg_Permit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
with a licensed contractor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjury that I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from icensure under the Contractors State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class t'7 License No. inn 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
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 worker's 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.html.
this permit is Is �� 1
Date
Policy# PROPERTY OWNER OR AUTHORIZED AGENT
eve and will maintain worker's compensation insurance,as required by
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 owner's behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
Carrier J "�}} / J building construction.I authorize representatives of this city or county to
Policy# Q D W (4045—Z0(ErCpires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
in 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,apd,agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation ro signs of Section 3700 of the Labor
Code,I shall forthwith c mply with tt)o ppvisions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greaterthat the
Applicant Date V� 7 amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKE S COMPENSATION COVERAGE IS ❑Yes
UNLAWFUL,AND SHALL SUBIECr 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
1 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 bounn daar of a school?
(Section 3097 Civil Code) ❑Yes a'7Vo
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 Code,Se 5505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the haz�dous material r orting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 aJ les c N
Business and Professions Code).Any city or county that requires a permitto Date
construct,alter,improve,demolish or repair any structure,priorto its PROPERTY OWNER OR AUTH b RIZED AGENT
issuance,also requires the applicant forthe 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(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 a pre-1978
and the basis for the 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
❑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.eoy 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 forthis 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 provingthat it was
not built or improved for the purpose of sale. No EPA Lead-Safe Certified Firm is required forthis 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 RRP
Acknowledgement.