PMT14-01096 City of Menifee Permit No.: PMT14-01096
29714 HAUN RD. Type: Sign-Permanent
4;kMEILA> MENIFEE, CA 92586
MENIFEE Date Issued: 05/13/2014
PERMIT
Site Address: 26900 NEWPORT RD, Suite# 113, Parcel Number: 338-170-013 '..
MENIFEE, CA 92584 Construction Cost: $2,000.00
Existing Use: Proposed Use:
Description of INSTALL ILLUMINATED CHANNEL LETTERS
Work:
Owner Contractor
COASTLINE EQUITY INC TRAN'S SIGNS
41769 ENTERPRISE CIRCLE NORTH 6579 HAWKLEY DRIVE
SUITE 202 RIVERSIDE, CA 92506
Applicant Phone: 9513470833 -
TRAN'S SIGNS License Number: 733158
6579 HAWKLEY DRIVE
RIVERSIDE, CA 92506
Fee Description
(,3yt Amount
�:n..�vxnvw
Sign Permit 1 190.00
�B ildng-fie �ltI�s.�uartce ` � . :;� 7M0" .
GREEN FEE 1 1.00
$334.00
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.rpl Page 1 of 1
City Of Menifee
LICENSED DECLARATION
I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed
Chapter 9 (commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions
Professions Code and my license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property
License Clas U5- Licens No.. � ) _ who builds or improves thereon, and who contracts for the projects with a
Expires in 7 41 j Signature 1 licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensors under the Contractors'State License Law for the
❑ I hereby affirm under penalty of perjury one of the following declarations:
following reason:
I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in
compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of
Section 3700 of the Labor Code, for the performance of work for which this improvements covered by this permit, I cannot legally sell a structure that I have
permit is issued. built as an owner-building if it has not been constructed In Its entirety by licensed
Policy# contractors. I understand that a copy of the applicable law, Section 7044 of the
❑ I have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is
section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http//www.IegInfo.ca.cIov/caIaw.htmI.
permit is issued.My workers'compensation insurance carrier and policy number are:
Property Owner or Authorized Agent Date
Carrier
Expires Policy#
❑ By my Signature below, I certify to each of the following: I am the property
Name of Agent Phone# owner or authorized to act on the property owner's behalf. I have read this
(This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply
one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building
co struction.I/authorizer tSre.tratives of this city or county to enter the above-
asI certify that in the performance of the work for which this permit is issued, I i a, ified op y for ins tion purposes.
shall not employ any persons in any manner so as to become subject to the �� - ----� 05-- ]z
workers' compensation laws of California, and agree that if I should become
subject to the workers'compensation provisionsppf Secti f(/,00 of the Labor Property Owner or Authorized Agent D to
Code, I shall orthwi h comply with th se,provisions.
���� ����((ff�� /� City Business License#
DateK4 Appli n.;
I
WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING
($100,000), IN ADDITION TO THE COST OF COMPENSATION, OYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑NO EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS
INFORMATION GUIDE?
I hereby affirm that under the penalty of perjury there is a construction lending
agency for the performance of the work which this permit is Issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE
3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address ONO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR
GUIDE LINES
OWNER BUILDER DECLARATIONS PRINT NAME:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the reason(s)indicated below by the checkmark(s)I have placed OYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable item(s) (Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A
Any city or county that requires a permit to construct, alter, improve, demolish, ❑NO SCHOOL?
or repair any structure, prior to Its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the I HAVE READ THE HAZARDOUS MATERIAL
provisions of the Contractor's State License Law (Chapter 9 (commencing with
Section 7000)of Division 3 of the Business and Professions Code)or that he or AYES INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE SE S ION 2 505I�25533POWt AND 25534 CONCERNING
HAZA❑ I, G.
as owner of the property, or my employees with wages as their sole
compensation, will do ( )all of or( )porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale. (Section 7044,Business and Professions Code; X
The Contractor's State License Law does not apply to an owner of a property
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale. If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY
OF MENI ,EE PLCK No: Permit No:
City of Menifee
29714 Haun Road Building & Safety Dept. Date: Date:
Menifee, CA 92586
Phone: (951)672-6777 MAY 13 2014 oust: Amount: J
Fax:(951)679-3843 Ck#:Ck IIIdeceived
Building Combination Permit
^ �; To Be Completed By Applicant
Legal Description: 6N� S :�7-1 b�� Planning Case:A) TA-t-c 9 F: L: Rt: R
Property Address: Assessor's Parcel u b
&J 2!" 0 # u - 1 O -(n
Project/Tenant Name: q Unit
Name: Floor#:
P2 A L� (r aL- `( Phone oS71.` 2 1 Fax No.
Property Address:
Owner A+cv � 2c -H �j2 .�µe Unit Number Zip Code 2 O
Email Address:
Name: A^` +-, 7�� T Phone No. Fax No.
1"u1(j�-7T O
Applicant Address,3 r Unit Number Zip C de
[ /
Email Address:
Name: Ve Phone No. Fax No.
�,,' -0 33
Contractor Address: Il n lr* ie-r ity State > Zip Code
(I7 >
ontractor s Mness icense o. Contractor's Cifomia License No. Classification:
Number of Squares: 0 �j
Square Footage
Description of Work: ,a OS - /I 1/.A,,,r^�S�/� Cost of Work:$ c)
Applicant's Signature !v l�Cf/1/U /C
'
o Be Completed Byy,Cfty'Staff Only
Indicate As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans which include: 1 set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Solls Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on B%x 11)
❑ Foundation Plan Cross Section ❑ Structural Calculations
❑ on ❑ Plumbing Plan ❑ Single Line diagram for else.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration• Addigon* Means/Methods
Work Type: Repair" Retrofit* Revision to Existing Pemdf Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: #Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indicate if Indicate all Geo-tech.Haz.Zane
At Project Spdnklered YES or NO
Completion: Construction Thal apply: Coastal Zone
Type(s): C of O YES or NO Noise Zone
RequiredT Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review Board Landmark Camm. Planning Comm.Zoning Administrator
Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit special ease:elag.
OfficialA roval
Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
BuildinglSafialy Permit Specialist I City Planning I Civil Engineering EPWM-Admin I Transportation Mgmt. 11 Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
BUILDING AND SAFETY DEPARTMENT
PLAN APPROVAL
r REVIEWED BY J 55� DATE IV
C �
'Approval of these plans shall not be construed to be a permit for,or an (�
approval of,any violation of any provisions of the federal,state or city C>
regulations and ordinances. This set of approved plans must be kept on the C>
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