PMT18-01564 City of Menifee Permit No.: PMT18-01664
29714 HAUN RD.
�/ MENIFEE,CA 92586 Type: Commercial Alteration
MENIFEE MENIFEE Date Issued: 0 712 5/2 01 8
PERMIT
Site Address: 29826 HAUN RD, Suite#306, MENIFEE, Parcel Number: 336-380-055
CA 92586 Construction Cost: $96,293.28
Existing Use: Proposed Use:
Description of TENANT IMPROVEMENT FOR REALTY MASTER, 1,992 SF
Work: INSTALL NEW DIVIDING WALLS AND ELECTRICAL, RELOCATE MECHANICAL
Owner Contractor
HAUN PROFESSIONAL LLC JAMES KINGSTON CONSTRUCTION AND
29826 HAUN ROAD,STE 305 PROPERTY INSPECTION SERVICE
MENIFEE, CA 92586 19246 FAIRHAVEN EXTENSION
Applicant Phone:9513232938
GARRETT GRAMM License Number.681366
19246 FAIRHAVEN EXTENSION
SANTA ANA, CA 92705
Phone:7143943845
Fee Description QQt Amount($1
Building Permit Issuance 1 27.00
Additional Plan Review Building 129 129.07
Additional Plan Review Building 356 355.73
GREEN FEE 1 4.00
SMIP COMMERCIAL 1 27.00
New Construction Permit Fee 1 442.95
General Plan Maintenance Fee-New 1 22.15
Construction
$1,007.90
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 peril 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_BIdg_Permil Template.rpt Page 1 of t
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjury that I am under provisions of
with a licensed contractor(s)pursuant to the Contractors State License Law).
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 mylicense is in full force and effect. the following reason:
�,7 License Class - QC License No. 3 66 By my signature below I acknowledge that,except for my personal residence
Expires 1 / 119 Signature in which I must have resided for at least one year priorto 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 Cade,for the performance of work for which
this permit is issued. www.leainfo.ca.gov/calaw.html.
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 n By my signature below I certify to each of the fallowing: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# Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($1D0)or less PROPERTY OWNER OR AUTHORIZED AGENT
VI 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#
worker's 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 fort cam ith se provisions. /[1 rI Will the applicant or future building occupant handle hazardous material or a
7! , `O mixture containing a hazardous material equal to or greater that the
Applicant Date amount{sp/�cified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes bJJI
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will-the.intended. sof-the-building.by-the.applicant.or.future.building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($300,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guideli es
CONSTRUCTION LENDING AGENCY ❑Yes td No
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) ❑Yes o
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that am exempt from the permitting checklist.I understand my requirements under the State of
California Health al Safety Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the
dous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 �hh�;ar
No
Business and Professions Cade).Any city or county that requires a permit to V,eta C6111-tu 5Ee✓5 rb ApwwFc5 Date -7/IS/ 1$
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY WNER OR AUTHORIZED AGENT
issuance,also requires the applicant for the permit to file a signed statement
that he or she Is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRPI
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 llcensure 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 orthrough 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 www.epa.¢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 Contractor's 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
Cade:The Contractor's 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.
BUILDING SAFETY PERMIT/PLAN CHECK APPLICATION
n.
Menifee
DATE:4-3-2018 PERMIT/PLAN CHECK NUMBER
TYPE: X COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: OADDITION XALTERATION XDEMOUTION XELECTRICAL XMECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK Tenant Improvements t0 demo a few Walls and replace With glass Walls
LoVekc
PROJECTADDRESS 29826 Haun Rd Ste 306 ZIp 92586
ASSESSOR'S PARCEL NUMBER 'Fysj(„Q - LOT _ TRACT
OWNER NAME Haun Professional, LLC C•
jy Of Menifee
ADDRESS
29826 Haun Rd Ste 305 Menifee, CA 92586 Building Dept.
PHONE (951) 301-8835 EMAIL lynette@hub-amber.c*R 0
APPLICANTNAME Realty Masters & Associate Inc.
ADDRESS 17592 E. 17th St. Suite 100 Tustin, CA 92780 — MiCeived
PHONE 714-368-1300 x 302 EMAIL mlin@securedincomegroup.com
CONTRACTOR'S NAME dames Kingston 2WNER BUILDER? O YES 9 NO
BUSINESS NAME JAMES KINGSTON CONSTRUCTION & PROPERTY INSPECTION SERVICE
ADDRESS 417 Canoe Cove Drive Diamond Bar, CA 91765
PHONE (951)323-2938 EMAIL
CONTRACTOR'S STATE LIC NUMBER 681366 _ LICENSE CLASSIFICATION _
VALUATION$ .0 $Q FT�� LSO FT
APPLICANT'S SIGNATUR PAW 4-3-2018
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY;
PERMIT FEE %S •I Q SMIP a, - GREEN
PLAN CHECK FEE INVOICE TOTAL
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE#7 NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee. CA 92586 951-672-6777
www.Cityofinenifee.us
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