PMT18-02496 City of Menifee Permit No.: PMT18-02496
29714 HAUN RD.
-ACCELX--' MENIFEE,CA 92586 Type: Commercial Alteration
MENIFEE Date Issued: 05/2212018
PERMIT
Site Address: 27851 BRADLEY RD, Suite# 100, Parcel Number: 335-201-004
MENIFEE,CA 92586 Construction Cost: $0.00
Existing Use: Proposed Use:
Description of HOURLY INSPECTION FOR C OF O-TRUTH MINISTRIES CHURCH
Work:
Owner Contractor
SUN PLAZA BUSINESS CENTER
41890 S ENTERPRISE DR,#100
TEMECULA, CA 92590
Applicant License Number:
MENIFEE, CA
Fee Description ON Amount f8)
Building Permit Issuance 1 27.00
Inspections not specified 129 129.07
$166.07
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_Pemnil_TempIate.rpt Page 1 of 1
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 contractors)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and D 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 personal residence
Expires Signature in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I
D I hereby affirm under penalty of perjury one of the following declarations:) have built as an owner-builder if it has not been constructed in its entirety by
licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure forworker's 7p44 of the Business and Professions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for
by Section 3700 of the Labor Code,for the performance of work for which this application is submitted or at the following website:
this permit is issued. www.leRinfo.ca.gov/caIaw.htmI.
Policy 0
Date
D 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 D By my signature below I certify to each of the following: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 ail applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to Polity If Expires - enter the;above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred / //l
dollars($100)or less ���rcw�:GU A-- Date -) —ZZ--20 �
PROPERTY-OWNER OR AUTHORIZED AGENT
D 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 C:BUSINESS LICENSE g
workers compensation laws of California,and agree that if I should become
subject to the workers compensation provisions of Section 3700 of the Labor HAZARDOUS MATERIAL DECLARATION
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 o Yes ❑No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN Will the intended use of the building by the applicant or future building
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air quality Management District(SCAQMD)?See permitting checklist
for guidelines
CONSTRUCTION LENDING AGENCY D 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 Cade)
❑Yes D Na
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable Rem(s)(Section 7031.5 hazardous material reporting.
Business and Professions Code).Any city or county that requires a permit to oYes ❑No
construct,alter,improve,demolish or repair any structure,prior to its Date
issuance,also requires the applicant forthe permit to file a signed statement PROPERTY OWNER OR ALMHORiZED AGENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPI
License Law(Chapter 9(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 for most work that disturbs paint in a pre-1978
an Applicant for a permit subjects the applicant to a civil penalty of not more. residence or childcare facility to be RRP-certified firms and comply with
than($500). required practices.This includes rental property owners and property
managers who do the paint-disturbing work themselves or through their
D 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.eoa eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-SOD-424-LEAD(5323).
Code,The Contractors State License Law does not apply to an owner of a
property who,through employees'or personal effort,builds or Improves the D An EPA Lead-Safe Certified Renovator will be responsible for this project
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
completion,the Owner-Builder will have the burden of proving that it was Firm Certification No.:
not built or improved for the purpose of sale. D No EPA Lead-Safe Certified Firm is required for this project because:
D 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.
CERTIFICATE OF OCCUPANCY & TENANT DISCLORE APPLICATION
City of Menifee
Building Dept.
MAY 2 2 logs iVlenifee
DATE S —ZZ-- .2,0/ 9
II69LI SS NAME Ira /v(/rllS7r%eS �/yGlr�i ry�
BUSINESS ADDRESS
NAME(S) OF BUSINESS OWNERS 7iy
PHONE NUMBER gS/ 313 -d9S� //11EMAIL�+ulh�tln�tfr�esusaC akoa.
OWNER OF BUILDING,5U t P "Q RUS/ness eewk,, LG
OWNER OF BUILDING ADDRESS a'/8S/ �/C✓/��¢� 1C0 /�elyi ye.� C/� gases
INTENDED BUSINESS USES of nishr nn mm. C.-L,k,
15 THIS A NEW BUSINESS IN THE CITY OF MENIFEE7 YES NOOK (CIRCLE ONE)
ARE YOU THE FIRST TENANT TO OCCUPY THIS SPACE? YES 61000 (CIRCLE ONE)
IS THE BUILDING EQUIPPED WITH FIRE SPRNKLERS? ? YES NO (CIRCLE ONE)
SQUARE FOOTAGE (9w NUMBER OF EMPLOYEES
NUMBER AND LOCATION OF RESTROOM FACILITIES on ,j; �
• LIST ANY TOXIC CHEMICALS, FLAMMABLE/COMBUSTIBLE LIQUIDS OR GASES USED OR
STORED WITH MSDS SHEETS AND QUANTITIES OF EACH BELOW OR ON A SEPARATE
ATTACHE./D SHEET(S):
/y
• ARE YOU MAKING ANY IMPROVEMENTS TO THE SUITE OR BUILDING OTHER THAN PAINTING,
PAPERING, FLOOR COVERING, MOVABLE CASES,SHELVING OR PARTITIONS NOT OVER 5'9"
HIGH? ��n '
YES '� (CIRCLEONE)
Applicant agrees that the Certificate of Occupancy shall be posted in a conspicuous location,andwill
operate subject to the City' issuance of the Certificate of Occupancy.
I, y[jUG G 4z'Ze r , hereby agree to comply with the above-
described term=ilication of ertificate of Occupancy.
SIGNATURE DATE
CITY STAFF USE ONLY
APN �j PERMIT NUMBER
INVOICE AMOUNT OCCUPANCYGROUP
City of Menifee Building"R Jni'C'.' i'onrrtineeilt 29?_I4 Houn Rd. Plienifee, CI 52586.v-_-5-7-5%i
www.cityor;;per:ifee.!u lnspectioi: Fe quest Lire 95i 24n-o"<_3
A& MENIFEE PERMIT NUMBERQT1�03,4 'W
------- - REQUESTS MUST BE MADE PRIOR TO 2 M1 TO BE ON THE NEXT BUSINESS DAYSCHEDULE
BUILDING & SAFETY SCHEDULING DEPENDENT UPON INSPECTIONS REQUESTED AND AVAILABILITY
POST IN VISABLE LOCATION WITH APPROVED PLANS
BUILDING&SAFETY INSPECTION JOB CARD INSPECTION DATE ,INSPECTO,I .'
INSPECTION REQUEST LINE 951-246-6213 or Block Wall
EMAIL bldg-insp@cityofinenifee.us Footings/Steel
_ Drain/Seal
Building Bond Beam/Grout
Set-Backs Final
Ground Plumbing Patio Awnin
Footings Footings
U/G Electric Track/Ledger
Slab Grade Roof/Deck Nail
Floor Nail Final
Shear Nail Pool &Spa
Roof Nail Pre-Gunite
Rough Frame Rough Plumbing
Rough Electric U/G Electrical
Rough Plumbing Gas Line
Rough HVAC Deck/Pool-Bonding
Insulation Pre-Plaster
Drywall Nail Rough Electric
Firewall Final
Exterior Lath Re-Roof
T-Bar Roof Deck
Sewer/Septic Final
Water Line Hood Duct
Gas Line Ducts
Electric Release Fire Wrap
Temp Electric Accessibili
Mobile Home Interior
Site-Prep Exterior
Footings Finals
Bond Beam Solar
Plate Line/Framing Electric
Piers Plumbing
Perm. Foundation Mechanical
Roof Connect Fire
Continuity/Ring-Out Engineering
Gas Test Planning
Final Buildin
NOTES:
` � �NOTICE: PERMIT WI L EXPIRE IF INSPECTIONS ARE NOT SCHEDULED EVERY 180 DAYS
1&`� 01 Vu.SW- _.S
0 ca 03 -0
M 0 v 0 M F), 0- <
(D
FL 0 c M T.
(a > to
Z z C) Hr
0 0 (D 0 (D 4.
0 > 0
-t� 0
OD
e co z E3 00
C) m
m C:
cn ;u co cn co CD
a.
6 �?
m
:3 co PQ 0�(o
-N K)
CD 0 0-
0) 00 0 0 =5
_0
CL
(D N
CD 0)
>0
CD
0
SD CD
l< > ig
cf) =5 c6 ,
CD U) = (D c m
0 (D 0 C) z z
cn 0
CD
:3 0 00 —
C) CD D Ct) (D r4 -<
C) C: --CD 7� w
c- U) 0 0
CD CD :3 c
-n
D m
(D
3 C) CD
CD C>
CD
z z
C) n
0 M > M
of,
0 n -a Z
M M
0 o > m CL 0
z 0 -0 CD >
> Z >
C.D
(a CD Ul M
0- 00 -q
0
-n 0 -0 CD o C: zj
< m
0) r
=r a) cn CD
CD 0) 0
C)
>
C) l< m0 0Z 0
0
N) w 0
U) 0 OL) =
� =) CD
PI)
=r =r (D
00 (D
C/)
0 CD =r zr 1 0
=r C 0) Fj
CL
cr
(a CD
Mlu