PMT17-01917 City of Menifee Permit No.: PMTV-01917
29714 HAUN RD. Type: Commercial Electrical
'CXCCEL/> MENIFEE,CA 92586
`-11 -""!1141' MENIFEE Date Issued: 0 611 512 01 7
PERMIT
Site Address: 29197 NEWPORT RD, MENIFEE, CA Parcel Number:
92584 Construction Cost: $500.00
Existing Use: Proposed Use:
Description of RETENTION BASIN METER PEDESTAL, 120/208V 3 PHASE 400A
Work:
Owner Contractor
STATER BROS MARKETS STATER BROS DEVELOPMENT INC
301 S TIPPECANOE P 0 BOX 150
SAN BERNADINO,CA 92408 SAN BERNARDINO,CA 92402
Applicant Phone:9097335000
CHRIS BOYER License Number:444461
STATER BROS DEVELOPMENT INC
P0 BOX 150
SAN BERNARDINO, CA 92402
Fee Description Qty Amount
Services,Switchboards, Control Centers& Panels 1 183.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Electrical 1 9.15
$220.16
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 carded 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_Permit_Template.rpt Page 1 of 1
SAFETYBUILDING & PERMIT/PLAN CHECK APPLICATION
4 "Menifee
DATE PERMIT/PLANCHECKNUMBER \ ��
TYPE: [-]COMMERCIAL []RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME POOL/SPA []SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION []DEMOLITION ❑ELECTRICAL ❑MECHANICAL
❑NEW ❑PLUMBING ❑RE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK " d \) J) -��SC.►.L—
v (� 4
PROJECTADDRESS79 jqj 4oq
ASSESSOR'S PARCEL NUMBER LOT TRACT
PROPERTY OWNER'S NAME
ADDRESS : I � . �'^ �5�A�[5� AO
PHONE (Q(J'1,, � 733 -5Ot6 EMAIL
APPLICANT NAME ,S LW.
ADDRESS WVC-
PHONE �T EMAIL
CONTRACTOR'S NAME J 1�'�i�BIC.. �, �.p� ��-M OWNER BUILDER? ❑YES❑NO
BUSINESS NAME pL-L}� A
ADDRESS
PHONE ,/�� �y��{"y��)) EMAIL
CONTRACTOR'S STATE LIC NUMBER 4 + / 4 101 LICENSE CLASSIFICATION 'P
VALUATION$ SO FT L SO FT
APPLICANT'S SIGNATURE DATE
J.
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP
INVOICE PAIDAMOUNT O,� O
AMOUNT a \S CASH OCHECKR 0CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0 CHECK N 0CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92585 951-672-6777
www.cityofinenifee.usinspection Request Line 951-246-6213