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PMT18-05259 City of Menifee Permit No.: PMT18-05259 29714 HAUN RD. Type: Commercial Alteration MENIFEE, CA 92586 MENIFEE MENIFEE Date Issued: 10/29/2018 PERMIT Site Address: 27186 NEWPORT RD, MENIFEE, CA Parcel Number: 336-181-017 92586 Construction Cost: $2,800.00 Existing Use: Proposed Use: Description of HOURLY INSPECTION FOR C OF O FOR PERFORMANCE REGISTRATION SERVICES Work: Owner Contractor JENNY PHUNG 175070 NEWHOPE ST FOUNTAIN VALLEY, CA 92708 Applicant License Number: JENNY PHUNG 175070 NEWHOPE ST FOUNTAIN VALLEY, CA 92708 Phone:9517075799 Fee Description Qtv Amount($1 Building Permit Issuance 1 27.00 Inspections not specified 153 152.60 $179.60 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_Permit_Tem plate.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 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 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.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 Code,for the performance of work for which www.le info.ca. ov calaw.html. this permit is issued. 1 Policy# � Date PROPE TY OWNER OR AUTHORIZED AGENT ❑I have and will maintain worker's compensation insurance,as required by section 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 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 with all applicable city and county ordinances and state laws relating to Carrier building construction.I authorize representatives of this city or county to Policy# Expires enter the above identified property for inspection purposes. G 1 (This section need not to be completed is the permit is for one-hundred Date I D Z 1 dollars($100)or less PROPEROY WNER OR AUTHORIZED AGENT ❑I 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 forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a mixture containing a hazardous material equal to or greater that the Applicant Date amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes NNo 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($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 guidelines CONSTRUCTION LENDING AGENCY ❑Yes r3tNo 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 KNo 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 Contractor's 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 item hazardous material reporting. $)(Section 7031.5 Yes ❑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 PROP OWNER 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(RRP) 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 ❑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.gov/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 Code: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 MENIFEE DATE: PERMIT/PLAN CHECK NUMBER 0 GRADING/ PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: COMMERCIAL RESIDENTIAL MULTI-FAMILY MOBILE HOME POOL/SPA SIGN SUBTYPE: ADDITION _;ALTERATION DEMOLITION ELECTRICAL MECHANICAL NEW PLUMBING RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK `f e ^ c)e R g c. "0vx eC v t C e OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS -YES NO PROJECT ADDRESS 271 S 6 N�.�r�or k f�d Sv �e�3 ZIP ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME � ADDRESS 1-7r,70 NewIn C'_ SA 5}e_ O4- 0 Foud} za q'nd PHONE fib` --707;57c�q EMAIL Co +c,� R'� C APPLICANT NAME ADDRESS ve u C Z PHONE � 51- -1Zfj-��{,`� EMAIL ", 01 D&Igi1 _ Cowl CONTRACTOR'S NAME OWNER BUILDER? '::: YES '?NO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATES LIC NUMBER LICENSE CLASSIFICATION VALUATION$ Z 12 0 U SQ FT L SQ FT APPLICANT'S SIGNATURE DATE jV-Zq-L O CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL O GREEN SMIP r" • OWNER BUILDER VERIFIED `:`YES NO DRIVERS LICENSE# NOTARIZED LETTER YES NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofinenifee.us NIFE E o. M_E_N1_F_EE %awLDING Co SAFETY I DATE BUSINESS NAME BUSINESS ADDRESS NAME(S) OF BUSINESS OWNERS O V 4Ic AcQvTX PHONE NUMBER EMAIL K-\, O Z3 010 T-), Lv OWNER OF BUILDING OWNER OF BUILDING ADDRESS Q C( 6 - INTENDED BUSINESS US.€ L2C::, IS THIS A NEW BUSINESS IN THE CITY OF MENIFEE? YES NO (CIRCLE ONE) ARE YOU THE FIRST TENANT TO OCCUPY THIS SPACE? YES NO (CIRCLE ONE) IS THE BUILDING EQUIPPED WITH FIRE SPRNKLERS? YES NO (CIRCLE ONE) SQUARE FOOTAGE "�d0 NUMBER OF EMPLOYEES NUMBER AND LOCATION OF RESTROOM FACILITIES 9 Ssj -FIoo(- 2--2r� a LIST ANY TOXIC CHEMICALS, FLAMMABLE/COMBUSTIBLE LIQUIDS OR GASES USED OR STORED WITH MSDS SHEETS AND QUANTITIES OF EACH BELOW OR ON A SEPARATE ATTACHED SHEET(S): • ARE YOU MAKING ANY IMPROVEMENT TO THE SUITE OR BUILDING OTHER THAN PAINTING, PAPERING, FLOOR COVERING, MOVABLE CASES, SHELVING OR PARTITIONS NOT OVER 5' 9" HIGH? YES NO (CIRCLE ONE) • APPLICANT SHALL OBTAIN ALL REQUIRED CLEARANCES AND/OR APPROVALS FROM THE APPROPRIATE WATER DISTRICT AND FIRE DEPARTMENT PRIOR TO ISSUANCE OF ANY BUILDING PERMITS SIGNATURE DATE PRINT NAME Zooja o,- Avow,< TENANT ER CONTRACTOR / ARCHITECT / ENGINEER (CIRCLE ONE) FOR CITY STAFF I PERMIT NUMBER OCCUPANCY GRP TYPE OF CONST I STAFF INITIALS City of Menifee Building & Safety Department 29714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofinenifee.us MENIFEE PERMIT NUMBER vt.r 0G25 q ---- ----- REQUESTS MUST BE MADE PRIOR TO 2PM TO BE ON THE NEXT BUSINESS DAY SCHEDULE BUILDING & SAFETY SCHEDULING DEPENDENT UPON INSPECTIONS REQUESTED AND AVAILABILITY POST IN VISABLE LOCATION WITH APPROVED PLANS BUILDING&SAFETY INSPECTION JOB CARD INSPECTION DATE INSPECTOR INSPECTION REQUEST LINE 951-246-6213 or Block Wall EMAIL bidg-insp@cityofinenifee.us Footings/Steel INSPECTION DATE INSPECTOR Drain/Seal Buildin Bond Beam/Grout Set-Backs Final Ground Plumbing Patio Awnin Footings Footings U/G Electric Track/Ledger f Slab Grade Roo /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-Bondin 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 Conti nuit /Rin -Out Engineering Gas Test Planning Final Building ()- NOTES: V/Q I A. OTICE: PUWALLWPIRE I INSPE TIO ARE NOT SCHEDULED EVERY 180 DAYS r } `la \ ems+ Zvi w :J Y` l v •J r � _.. r7 r 7 7 "a J r" 7 C"J Ci ..� i'C � i f (� r l ((J C F� � Gr.'�c •-a f—T 1 lfi' F," ? /l CER?7' ICA' O OCC�1P.��NC y � { .� y �➢�� CITY OF MENIFEE )� ( DEPARTMENT OF BUILDING AND SAFETY 29714 HAUN ROAD, MENIFEE, CA 92586 �aG )a ' S ` This certifies that the building or structure or portion thereof, as described herein, complies with provisions of the Building Code for the following use(s) and occupancy group(s). No change shall be made in the character of occupancy or use of the building or structure without approval of the Building G Official. ? f OG11 BUILDING ADDRESS: 27186 Newport Road, #D3 TENANT: Performance Registration Services PERMIT NO: PMT18-05259 PERMIT DATE: October 29 2018 PROPERTY OWNER: Mainstream Investment ➢ z ADDRESS: 30141 Antelope Road, #G, Menifee, CA 92584 ➢;, ��! D G OCCUPANCY: B OCCUPANCY LOAD: 2 �- USE OF BUILDING: Vehicle Re ' tration TOTAL SQ FT: 200 00 Y > Building Official Date:00 y `" i- r :..— .• l '.i1'1 FrI Ts r—� Z z. r -+ r � v. a'V J� V tip' 1,'"e%9, C�--�i��1� S�`�2� C�r���ll� tf C� (���1 :�J��J �j QIT�