PMT19-00029 City of Menifee Permit No.: PMT19-00029
29714 HAUN RD.
ia
MENIFEE, CA 92586 Type: Commercial Alteration
r' IFi,9lV-F,:E MENIFEE Date Issued: 01/04/2019
PERMIT
Site Address: 27174 NEWPORT RD 1, MENIFEE, CA Parcel Number: 336-181-008
92586 Construction Cost: $0.00
Existing Use: Office Proposed Use: Office
Description of HOURLY INSPECTION FOR JEREMY T POWERS DMD DENTAL OFFICE
Work:
Owner Contractor
QUYNH A.TRAN-NGUYEN
27174 NEWPORT ROAD SUITE#1
MENIFEE, CA 92586
Applicant License Number:
JEREMY POWERS
27174 NEWPORT ROAD SUITE#1
MENIFEE,CA 92586
Phone:951-243-4981
Fee❑@SCI IptlOn (3t,( Amount(S]
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_Template.rpt Page 1 of 1
CERTii=ICATE Of` OCCUPArWCY APPLICATION MENIFEE
DATE I _ PERMIT NUMBER ���'VOOZ
BUSINESS NAME • O IR '
TYPE OF BUSINESS ��)i`5
ADDRESS -7 1 -7 ^ * :331Q• l ( ' og
NAME OF BUSINESS OWNER(S)
ADDRESS(IF DIFFERENT FROM ABOVE)
PHONE �t, (� Z�3 -`1aQy EMAIL ]
OWNER OF BUILDING
ADDRESS 2 7 7 z/ New L)r+ S�,
PHONE ,10� EMAIL 1.U✓►{7 Y�` �a ► ,
DESCRIBE EXACT USE OF BUILDING: 04((
PREVIOUS USE OF BUILDING/SUITE w { d `&o,
ACKNOWLEDGEMENTAPPLICANT
Applicant agrees that the Certificate of Occupancy shall be posted in a conspicuous location, and will operate subject
to the Ciity's issuance of the Certificate of Occupancy.
I, OVJ , hereby agree to comply with the above-described terms in this
Application for C rtificate of Occupancy.
APPLICANT DATE l a
BUS LICENSE a ed DATE 91 Di HEALTH DEPT DATE
BUS LIC.NUMBER FIRE DATE
PLANNING DATE � EMWD DATE
ENGINEERING DATE BUILDING DATE
ENGINEERING INSPECTION(INCLUDE VERIFICATION OF BMP's BUILT PER PLANS/WQMP)
REF WQ/SW# APPROVED BY DATE
Riverside County
Fire - Menifee
JAN 0 4 2010
City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
www.cityofinenifee.us Receive
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