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PMT17-03320 City of Menifee Permit No.: PMT17-03320 29714 HAUN RD. T Commercial Alteration <ACCELA? MENIFEE, CA 92586 Type: " MENIFEE Date Issued: 0 9121/2 01 7 PERMIT Site Address: 27186 NEWPORT RD, Suite#D4, Parcel Number: 336-181-017 MENIFEE, CA 92584 Construction Cost: $0.00 Existing Use: Proposed Use: Description of HOURLY INSPECTION FOR C OF O"BRIAN THE HOME LOAN GUY" Work: Owner Contractor NEWPORT COMMONS EXECUTIVE SUITES , 27186 NEWPORT ROAD,SUITE 2 MENIFEE, CA 92585 Applicant License Number: MENIFEE, CA Fee Description Qtv Amount isl Building Permit Issuance 1 27.00 Inspections not specified 129 129.07 $156.07 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 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 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 improvements covered by this permit.1 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.gav/caIaw.htmI. this permit is issued. tm Policy# Date ❑I have and will maintain worker's 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 ofthefollowing:I am the property this permit is issued.My worker's 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 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 If Expires Fntbove ified property(This section need not to be completed is the permit is for one-hundreddollars($100)or less WRORA ORIZE❑I certify that in the performance of the work for which this permit is issued, I shall not emolov any persons in any manner so as to become subject to the SS ICENSEIt workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's 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 COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR 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) ❑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 exemptfrom the CaliforniaHealth al Safety de,Section 25505 and 25534 concerning Contractors License Lawfor the reason(s)indicated below bythe hazardous material reporting.checkmark(s)1 have placed nett 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,prior to 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(RRP) License Law(Chapter9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that 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 formostworkthatdisturbspaint ina compith ly an Applicant for a permit subjects the applicant to a civil penalty of not more residence ra childcare facility to be rental property firms s and pr ply property 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 ww_w.gpa; ov 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 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: ❑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. CERTIFICATEOF OCCUPANCY APPLICATION City of Menifee Building& Safety Dept. Menifee sEP 21 2017 IN- 00 ved yam/ i DATE qhJ ) W/ / PERMIT NUMBER n- BUSINESS NAME I e U PE OF BUSINESS Q J / S le ADDRESS 2, NAME OF BUSINESS OWNER(5) •/ I 4 _ ADDRESS(IF ENT E ENT FROM ABOVE) PHONE / ,✓ _,/ IJ� L EMAIL �Y�/�JI1✓LC<-��Y)C�1� �y iti �OGY%IC I✓Cl OWNER OF BUILDING f© 7 ON V�"� �V i ADDRESS Cg51 Lj��1Jo`/c� /�/Y�c t�^jY' �/ � Z �)F�iYIIPI� ✓U �5 PHONE /n 7 / O/1�OI EMAIL a DESCRIBE EXACT USE OF BUILDING: l �5y cb �yU PREVIOUS USE OF BUILDING/SUITE APPLICANT ACKNOWLEDGEMENT Applicant agrees that the Certificate of Occupancy shall be posted in a conspicuous location, and will operate subject to th�e^City's issuance of the Certificate of Occupancy. �:i 1 ✓bO� - C ry 5 hereby agree to comply with the above-described terms in this Application for Certificate of Occupancy. �J -7 DATE / J W) / APPLICA CITYSTAFF USE ONLY AND DATE BUS LICENSE HEALTH DEPT DATE BUS LIC.NUMBER FIRE DATE PLANNING DATE EMWD DATE ENGINEERING DATE BUILDING DATE ENGINEERING INSPECTION(INCLUDE VERIFICATION OF BMP's BUILT PER PLANS/WQMP) REF WQ/SW# APPROVED BY DATE City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-572-6777 www.cityofinenifee.us Inspection Request Line i 1 _ �o cn m o o � m c v o ;a ? o O Q � < U) C (DO c � -0 9 o _ N. Dm -i oIr Z I 3 Cl) = d v. o p � mrt z m Z 0o p7 ,... O rn m m 0 s CD � a (D n O .� Z co N O'(Q (D W O Q_ C) j n 0 ca O00�Z- N O m CL O c r41. O (n 3 O CD _ � c% O 3 o 1 (D CD w ° (D C mCD \ N O 0 O �2 O z z x �'�} j Q 7 — ij 4 O o W 0 rj (D (D < (D s (1 O C -n }' CD 1 C) Qom mom 0 D P 3m Zzz N m O Q O T � f O � m m m ° v M y m , O n � � � Zm a (� Z n � � n c z E v ) D cn n D o m D (D 0fn D o < s N � A Z y m �.(Q m (n m (a 0 � -� �n < m m' o c = m V� C N m(D " O y m ' D { N CD 0 0 00 n •i , ^ 1 N 3 N O 3 1 �J CD (D 3-0 I I CD O .-.cc .� N S CD #' 9 N G (D N C) W s 3 O CD •ti J � 1