PMT17-02034 City of Menifee Permit No.: PMT17-02034
29714 HAUN RD. Type: Commercial Electrical
<X6CEiOk MENIFEE,CA 92586
MENIFEE Date Issued: 06/28/2017
PERMIT
Site Address: 30296 GOETZ RD,MENIFEE, CA 92587 Parcel Number:
Construction Cost: $2,500.00
Existing Use: Proposed Use:
Description of #2 ELECTRIC METER STA 23+11 GOETZ RD, LS-3 ST LIGHT 100AMP, FED FROM SCE WD Al
Work: 4-7109
Owner Contractor
RIVERSIDE MITLAND INVESTOR 03, LLC BROOKFIELD LOS ANGELES BUILDERS INC
3200 PARK CENTER DR SUITE 1000 12265 EL CAMINO REAL STE 180
MENIFEE, CA 92626 SAN DIEGO, CA 92130
Applicant Phone: 714427686E
ANN HO License Number: 960237
BROOKFIELD LOS ANGELES BUILDERS INC
12265 EL CAMINO REAL STE 180
SAN DIEGO, CA 92130
Fee Description Qtv Amount 151
Services, Switchboards, Control Centers&Panels 1 183.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
GREEN FEE 1 0.00
SMIP COMMERCIAL 1 0.00
General Plan Maintenance Fee-Electrical 1 9.15
$220.15
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carded on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg_Permit_Template.rpt Page 1 of 1
BUILDING & SAFETY PERMIT/PLANAPPLICATION
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Menifee
DATE 06/19/2017 PERMIT/PLAN CHECK NUMBER-FMT I1'b2D364
TYPE: [-]COMMERCIAL ❑✓ RESIDENTIAL []MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION []ALTERATION [-]DEMOLITION QELECTRICAL ❑MECHANICAL
❑✓ NEW ❑PLUMBING ❑RE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK #2 Electric Meter Sta 23+11Goetz Road, LS-3 St Light 100amp, FED from SCE WD Al 4-7109
PROJECTADDRESS 30296 Goetz Road q2,C;1 n
ASSESSOR'S PARCEL NUMBER LOT TRACT
PROPERTY OWNER'S NAME Riverside Mitland Investor03, LLC
ADDRESS 3200 Park Center Drive, Suite 1000,Costa Mesa, CA 92626
PHONE (714)200-1603 EMAIL adrian.peters@brookfield.rp.com
APPLICANTNAME Ann Ho
ADDRESS 3 Hughes, Irvine CA 92618
PHONE (949)422-4812 EMAIL aho@hunsaker.com
CONTRACTOR'S NAME Brookfield Los Angeles Builder, Inc. OWNER BUILDER? ❑✓ YES❑NO
BUSINESS NAME
ADDRESS 3200 Park Center Drive,Suite 1000, Costa Mesa, CA 92626
PHONE (949)200-1608 EMAIL joe.stone@brookfield.rp.com
CONTRACTOR'S STATE LIC NUMBER 960237 LICENSE CLASSIFICATION B
VALUATION$ $2,500.00 SO FT L SO FT
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT I 1 0CASH 0CHECK# 0CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMDUNT 0CASH 0CHECK# 0 CREDIT 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 Houn Rd. Menifee, CA 92586 951-672-gjgof Menifee
www.cityofinenifee.us Inspection Request Line 951-246-6213 Building & Safety Dept.
JUN 19 2017
Received