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PMT18-00133 City of Menifee Permit No.: PMT18-00133 29714 HAUN RD. 41-kCCELA? MENIFEE, CA 92586 Type: Commercial Alteration MENIFEE Date Issued: 04/06/2018 PERMIT Site Address: 26905 NEWPORT RD, Suite#100, Parcel Number: 360-030-025 MENIFEE, CA 92584 Construction Cost: $265,081.60 Existing Use: Shell Retail Proposed Use: Restaurant Description of TENANT IMPROVEMENT FOR DUNKIN' DONUTS RESTAURANT 2,240 SO FT Work: Owner Contractor SAWS, LLC H A BUILDERS INC 1250 PROSPECT ST.SUITE#200 14796 WILD COLT PLACE LA JOLLA, CA 92037 JAMUL, CA 91935 Applicant RSI GROUP Phone:6196691183 CA License Number:816820 Phone: 7143434338 Fee Description Oft Amount($) Tenant Improvement Building 1 696.00 Services, Switchboards, Control Centers&Panels 3 549.00 Receptacle,Switch, Outlet&Fixture 126 741.00 Plumbing Fixtures and Vents,fixtures 31 256.00 Grease Interceptor 1 116.00 Gas System 1 116.00 Water Heater 1 83.00 Sewer 1 150.00 Forced-Air or Gravity-Type Furnace or Bumer 1 149.00 Air Handling/Condensing Units Non-SFR 1 183.00 Building Permit Issuance 1 27.00 Additional Plan Review Building 90 90.00 Additional Plan Review Building 1,524 1,523.69 GREEN FEE 1 11.00 SMIP COMMERCIAL 1 75.00 New Construction Permit Fee 1 1,219.38 General Plan Maintenance Fee-Mechanical 1 16,60 General Plan Maintenance Fee-Plumbing 1 36.05 General Plan Maintenance Fee-Electrical 1 84.50 General Plan Maintenance Fee-New 1 60.97 Construction $6,163.19 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_Permlt_Template,rpt Page 1 of 2 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 a under provisions of Chapter9(commencing with section 7000)of iston 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for Professions Code d my license is in full forc nd effect. the following reason: License Class s 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 DECLARATI 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 Ie¢nfo ca Rov/calaw html. this permit is je�'tl � J� (fy Date `P/olicyp 1 PROPERTY OWNER OR AUTHORIZED AGENT `h I have and will maintain workers compensation insurance,as required by s ction 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 an the property owners behalf.I have read this number are: /� I application and the information I have provided is correct.I agree to comply �1 n \_ // In�rp is %n� ('+ with all applicable city and county ordinances and state laws relating to county Carrier ^sl_�F—I° 11 V c) t�U!, __ly+f�I � �1�/� building construction.I authorize representatives of this city or county to Ex ire enter the above identified property for inspection purposes. PolicYH �I1 �n� —Expires (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OW NER OR AUTHORIZED AGENT ❑I certify t the performance of the work for which this permit is issued, CITY BUSINESS LICENSE q I shall not m any persons in any manner so as to become subject to the workers om sation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject th I rkWs compensation provisions of Section 3700 of the Labor Will the applicant or future building occupant handle hazardous material or a Code,I ply with those provisions. ib�I mixture containing a hazardous material equal to or greater that the Applican Date amount s cified on the Hazardous Materials Information Guide? WARNIN . LURE TO SECURE WORKER'S COMPENSATION COVERAGE Is ❑Yes o 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 COD_E,INTEREST,AND ATTORNEYS FEES ___ _forguid�elipes_ _ CONSTRUCTION LENDING AGENCY ❑Yes 110 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 b0 dory of a school? ❑Yes 0 (Section 3097 Civil Code) ' OWNER BUILDER DECLARATIONS I hav d the Hazardous Material Information Guide and the SCAQMD per i i checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the Cali r ' Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the �hq terial reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ?b s o Business and Professions Code).Any city or county that requires a permit to Y" DahE A construct,alter,improve,demolish or repair any structure,prior to its PR OWNER OR AUTHORIZED AGENT issuance,also requires the applicant for the permit to file a signed statement EPA R OVATION REPAIR AND PAINTING(RRPI that he or she is licensed pursuant to the provisions of the Contractors State 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( I all of or( )portion of the work,and the structure is www.eoa.Rov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-8GO-424-LEAD(5323). Cade;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 ❑No EPA Lead-Safe Certified Firm is required for this project because: not built or improved for the purpose of sale. ❑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.