PMT15-01907 4
City of Menifee Permit No.: PMT15-01907
29714 HAUN RD.
MENIFEE, CA 92586 Type: Sign-Permanent
cv.+n,ewx4u sn"'`�" MENIFEE Date Issued: 0 710 7/2 01 6
1
PERMIT
Site Address: 28005 BRADLEY RD, MENIFEE, CA Parcel Number: 337-302-017 it
92586 Construction Cost: $2,000.00
Existing Use: Proposed Use:
Description of REFACING OF TWO SIGNS-WALL SIGN AND EXISTING POLE SIGN, EXISTING ELECTRICAL FOR
Work: "CASTANEDA'S MEXICAN RESTAURANT"
Owner Contractor
SUN REGENCY ALCOA SIGNAGE
2721 S ALAMEDA ST 8535 ARJONS DR STE E
LOS ANGELES, CA 90058 SAN DIEGO, CA 92126
Applicant Phone: 8585479755
STAN IDEKER License Number: 726492
ALCOA SIGNAGE -
8535 ARJONS DR STE E
SAN DIEGO, CA 92126
Fee Description 0 yt Amount f$1
Building Permit Issuance 1 27.00
$218.00
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 Marilee. 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_Templatexpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION
I hereby affirm under penalty or perjury that 1 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 Class 6 '4 5 License No. `7 2(a 14?2 who builds or improves thereon, and who contracts for the projects with a
Expires ir i 15 Signature JAAn _9 licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
❑ I am exempt from licensure 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 permit is issued. improvements covered by this permit, I cannot legally sell a structure that I have
Policy# built as an owner-building if it has not been constructed in its entirety by licensed
contractors. I understand that a copy of the applicable law, Section 7044 of the
XI 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.leginfo.ca.-gov/calaw.html.
permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier SI Je V, ,A Property Owner or Authorized Agent Date
Expires LII Policy# 9Oq 5330 - 13
Name of Agent Phone# ❑ By my Signature below, I certify to each of the following: I am the property
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
construction. I authorize representatives of this city or county to enter the above-
El I certify that in the performance of the work for which this permit is issued, I identified property for the inspection purposes.
shall not employ any persons in any manner so as to become subject to the
workers' compensation laws of California, and agree that if I should become Jln, ,OAJ-I 7 /? /S"
subject to the workers'compensation provisions of Section 3700 of the Labor Property Owner or Authorized Agent Date
Code,I shall forthwith comply with those provisions.
L City Business License#
p 1 ,�,
Date; 7 .7 � S Applicant; �O '�" �""""'""`
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, []YES OCCUPANT HANDLEA HAZARDOUS MATERIAL ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES 0-NO EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS
I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE?
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
Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
�O DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR
OWNER BUILDER DECLARATIONS GUIDE LINES
I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME:
License Law for the reason(s)indicated below by the checkmark(s)I have placed ❑YES 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
provisions of the Contractor's State License Law (Chapter9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or FIVES 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 aNO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than ($500).) CODE, SECTION 25505, 25533 AND 25534 CONCERNING
El I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORTING.
compensation, will do ( )all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044, Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale. If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
A=� Menifee
DATE July 07,2012 PERMIT/PLAN CHECK NUMBER
TYPE: p✓ COMMERCIAL RESIDENTIAL M MULTI-FAMILY F1 MOBILE HOME POOL/SP SIGN
SUBTYPE: EDADDITION ALTERATION DEMOLITION ELECTRICAL ❑MECHAN CAL
NEW PLUMBING n RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Qku-e W4•jf S.`��'1 / Reface Pole Sign
PROJECT ADDRESS 28005 Bradley Road Menifee,CA 92586
ASSESSOR'S PARCEL NUMBER 7151 J09 'Q(, LOT I TRACT
OWNER NAME '\
ADDRESS �, S '5+ L'rA C)� -700%g
PHONE EMAIL
APPLICANT NAME Stan Ideker
ADDRESS 8538 Arjons Drive San Diego,CA 92126
PHONE 858-549-1655 EMAIL alcoasigns@sbcglobal.com
CONTRACTOR'S NAME Al Meza OWNER BUILDER? MYESPNO
BUSINESS NAME Alcoa Signage
ADDRESS 8535 Arjons Drive San Diego,CA 92126
PHONE 858-549-1655 EMAIL Alcoasigns@sboglobal.com
CONTRACTOR'S STATE LIC NUMBER 726 492 LICENSE CLASSIFICATION C 45
VALUATION$ 2000.00 SQ FA�T 20ppSF Letters/100 SF Pole L SQ FT
APPLICANT'S SIGNATURE —O`��C�tbl_ DATE July 07,2015
a i
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN 10
$MIP
INVOICE PAID AMOUNT
AMOUNT vCASH CCHECK# QCREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT .O CASH O CHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES 0 NO DLNUMBER NOTARIZED LETTER C YES C NO
City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6177
www.cityofinenifee.us Inspection Request Line 951-246-6213
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