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
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�➢�� CITY OF MENIFEE )� (
DEPARTMENT OF BUILDING AND SAFETY
29714 HAUN ROAD, MENIFEE, CA 92586 �aG
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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
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Building Official Date:00
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