PMT15-02821 City of Menifee Permit No.: PMT15-02821
29714 HAUN RD. Type: Sign-Permanent
I MENIFEE, CA 92586
sin s� n MENIFEE Date Issued: 09/11/2016
1,
PERMIT i
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Site Address: 26100 NEWPORT RD, MENIFEE, CA Parcel Number: 338-160-014
92584 Construction Cost: $1,020.00 J
Existing Use: Proposed Use: 'I
Description of INSTALL ILLUMINATED CHANNEL LETTER AND LOGO ON BAKCER PANEL 610"H X 17'6"W, INSTALL
Work: NON-ILLUMINATED FCO LETTER SETS 1 @ 12"H X 75.6"WAND 1 @ 12"H X 17'6"W
Owner Contractor
SCP MENIFEE LLC FLUORESCO SERVICES LLC
1234 E 17TH ST P 0 BOX 27042
SANTA ANA, CA 92701 TUCSON,AZ 85726
Applicant Phone: 5206237953
BOBBIE DUDDEY License Number: 998602
FLUORESCO SERVICES LLC
P 0 BOX 27042
TUCSON, CA 85726 _
Fee Description Qty Amount($1
S
Building Permit Issuance 1 27.00
SMIP COMMERCIAL 1 1.00
$228.50
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 slated,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_Templale.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ 1 am exempt from licensure under the Contractors'State License Law for the
I hereby atfrrn under penalty or perjury that I am licensed under provisions of following reason:
Chapter 9 (commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that, except for my personal residence in
Professions Code a m I' else is in full which I must have resided for at least one year prior to completion of
License Class License No. OCR improvements covered by this permit, I cannot legally sell a structure that I have
Expires Signature- built as an owner-building if it has not been constructed in its entirety by licensed
I contractors. I understand that a copy of the applicable law, Section 7044 of the
{ WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application is
submitted or at the following Web site:
❑ 1 hereby affirm under penalty of perjury one of the following declarations: htto://www.leginfo.ra.aov/calaw.hlml.
I have and will maintain a certificate of consent of self-insure for workers'
compensation,issued by the Director of Industrial Relations as provided for by Date
Section 3700 of the Labor Code, for the performance of work for which this
permit is issued. Propve -wner or Authorized Agent
Policy# By my Signature below, I certify to each of the following: I am the property
I have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read this
section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comply
permit is issued.My workers'compensation insurance carrier and policy number are: 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-
Card i n�, s / r �7 en i . a erty for the inspection purposes.
/
Policy#�c.7 '1�tnn�T Expires 7 — i _/ � - Date
`- Property Owner or Authorized Agent
(This section need not be completed if the permit is for City Business License#
one-hundred dollars($100)or less)
HAZARDOUS MATERIAL DECLARATION
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 Will the applicant or future building occupant handle hazardous material or a
workers' compensation laws of California, and agree that if I should become mixture containing a hazardous material equal to or greater that the
subject to the workers' compensation provisions of Section 3700 of the Labor amounts spp ified on the Hazardous Materials Information Guide?
Code,I shall forthwith comply with those provisions. C_ ❑YES I NO
Applicant; Date; ! —1 �^/-J Will the intended use of the building by the applicant or future building
occupant require a permit for the construction or modification from South
WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guideline
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES NO
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary�o�fa chool?
LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑YES 7"0
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist. I understand my requirements under the State of
agency for the performance of the work which this permit is issued (Section California Health&Safety Code,Section 25505 and 25534 concerning
3097 Civil Code) - hazardous material reporting.
OWNER BUILDER DECLARATIONS DYES _
/r _ /
I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date
r License Law for the reason(s)indicated below by the cheekmark(s)I have placed PROPERTY OWNER OR AUTHORIZEb AGENT
next to the applicable item(s)(Section 7031.5. Business and Professions Code:
Any city or county that requires a permit to construct, alter, improve, demolish, EPA RENOVATION,REPAIR AND PAINTING(RRP)
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 The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
provisions of the Contractor's State License Law (Chapter 9 (commencing with receiving compensation for most work that disturbs paint in a pre-1978
Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with
she is exempt from licensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to. managers who do the paint-disturbing work themselves or through their
a civil penalty of not more than($500).) employees.For more information about EPA's Renovation Program visit:
www.epa.gov/lead or contact the National Lead Information Center at
❑ 1, as owner of the property, or my employees with wages as their sole 1-800-424-LEAD(5323).
compensation,will do( )all of or( )porting of the work, and the structure is
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 ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however, Certified Firm Name:
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 Firm Certification No.:
purpose of sale).
❑ I, as owner of the property an exclusively contracting with licensed Ll No EPA Lead-Safe Certified Firm is required for this project because:
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractor's License Law does not apply to an owner of a property
who builds or improves thereon, and who contracts for the projects with a
licensed contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BLI I LDING & SAFETY • IT/PLANAPPLICATION
6 1C
Menifee
DATE 09/02/2015 PERMIT/PLAN CHECK NUMBER P t" I 1 1� �>✓'J
TYPE: ❑COMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY [-]MOBILE HOME ❑POOL/SPA ❑✓ SIGN
SUBTYPE: []ADDITION ❑ALTERATION []DEMOLITION []ELECTRICAL [-]MECHANICAL
❑NEW ❑PLUMBING FIRE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Install Illuminated channel letters and logo on backer panel 5'10"h x 17'6"w, Install
non illuminated FCC)letters sets 1 @ 12"h x 75.6"w and 1 @ 12"h 77.2"w
PROJECT ADDRESS 26100 Newport Rd
ASSESSOR'S PARCEL NUMBER 338-160-014 LOT j TRACT
PROPERTY OWNER'S NAME SCP Menifee LLC
ADDRESS 1234 E 17th St.Santa Ana CA 92701
PHONE (714)245-7400 EMAIL
APPLICANT NAME AKC Services Inc
ADDRESS 18650 Collier Ave Suite B Lake Elsinore CA 92530
PHONE (951)471-8419 EMAIL info@akcservices.net
CONTRACTOR'S NAME Fluoresco Services LLC OWNERBUILDER? ❑YES❑NO
BUSINESS NAME Floureso Services LLC
ADDRESS P.O.BOX 27042 Tucsons AZ 85726
PHONE (619)444-9000 EMAIL
CONTRACTOR'S STATE LIC NUMBER 998602 LICENSE CLASSIFICATION C10/C45 C61
VALUATION$ $1,020.00 SO FT 114.80 L SO FT
APPLICANT'S SIGNATURE DATE I
CITY STAFF USE ONLY jr
DEPARTMENT DISTRIBUTION -•=v CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN I SMIP
INVOICE PAID AMOUNT
AMOUNT '*"� CASH C%CHECK# ii CREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT CASH C CHECK# :CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED "'YES i NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
STATE OF CALIFORNIA Auk
SIGN LIGHTING City of Menifee am
CEC-NRCC.LTS-a1-ERevised 0611q Buildin fx Safety Dept. CALIFORNIA ENERGY COMMISSION aw
[ E'TC"
ICATE OF COMPLIANCE NRCC-LTS-Ol-E
hting (Page 1 of 5)
True Value °"`"`" "'
0910212015
Project Address: Received
26100 New Dort Rd Menifee
Location of Sign Outdoor Signs Cl Indoor Signs
Phase of Sign Construction New Signs ❑Sign Alterations
Type of Lighting Control New Litting Controls ❑Replaced Lighting Controls ❑Not Installing Lighting Controls
This Certificate of Compliance includes the following components(check all that apply)
OCMandatory Measures(Lighting Controls) C1 Maximum Allowed Lighting Power EkSpecific Lighting Sources
1.Mandatory Sign Lighting Controls'
NOTES:
I. The same responsible person may install both the sign lighting power and the sign lighting controls, or a different responsible
person may install the sign lighting controls than the responsible person installing the sign lighting power.
2. The Mandatory Measures (sign lighting controls) are required for compliance with the sign lighting Standards. If the person
responsible for installing the sign lighting power is not also responsible for the sign lighting controls,then the owner of the sign,
general contractor,or architect shall be responsible to have the sign lighting controls installed.
3. If more than one person has responsibility for compliance, each responsible person shall prepare and sign a Certificate of
Compliance and on Installation Certificate applicable to the portion of construction for which they are responsible;alternatively,
the person with chief responsibility for construction shall prepare and sign the Certificate of Compliance Declaration Statement
or the entire construction.
la. Statements of Responsibility:Any person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E
shall complete Part la.Check Yes or No for all of the following statements:
1 1 have responsibility for installing the sign lighting controls
❑Yes,complete parts la and lb of this form No,complete part la of this form
2 There are no existing sign lighting controls and I will be installing compliant sign lighting controls
O Yes b No
3 There are no existing sign lighting controls and someone else will be responsible to install compliant sign lighting controls
®Yes ❑No
There are existing sign lighting controls that do not comply with the applicable provision of§110.9 and§130.3 and I will be
4 installing compliant sign lighting controls
❑Yes Cl No
There are existing sign lighting controls that do not comply with the applicable provision of§116.9 and§130.3 and someone
5 else will be responsible to install compliant sign lighting controls
❑Yes ❑No
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CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2014
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STATE OF CALIFORNIA
SIGN LIGHTING ��'
CEC-NRCC-LTS-Ot-E(Revisetl 00/14) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E j
Sign Lighting (Page 2 of 5) !,
True Value "` 1 015
1b.Mandatory Sign Lighting Controls
If the person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E is responsible for complying with
the sin lighting control requirements,that person shall answer all of the following questions:
If there are construction documents,indicate where on the building plans thee,
mandatory measures(sign lighting control)note block can be located:
1 §130.3(a)1.All indoor sign lighting is controlled with an automatic time-switch control or astronomical time- Y N NA
switch control. ❑ ❑ M
§130.3(a)2A. All outdoor sign lighting is controlled with a photocontrol in addition to an automatic time- Y N NA j
2 switch control,or an astronomical time-switch control. M ❑ ❑
EXCEPTION to Section 1303(a)2A:Outdoor signs in tunnels,and signs in large permanently covered outdoor y NA
areas that are intended to be continuously lit,24 hours per day and 365 days der year. ❑ '!,
§130.3(a)26. All outdoor sign lighting that is ON both day and night is controlled with a dimmer that provides
the ability to automatically reduce sign lighting power by a minimum of 65 percent during nighttime hours. Y N NA !!
3 Signs that are illuminated at night and for more than 1 hour during daylight hours shall be considered ON both ❑ ❑ 91
day and night.
EXCEPTION to Section 130.3(a)2B:Outdoor signs in tunnels and large covered areas that are intended to be Y NA
illuminated both day and night. ❑ 15
§130.3(a)3. Demand Responsive Electronic Message Center Control.An Electronic Message Center(EMC)
having a new connected lighting power load greater than 15 kW has a control installed that is capable of ❑ ❑Y N N/AI
4 reducing the lighting power by a minimum of 30 percent when receiving a demand response signal, i
EXCEPTION to Section 130.3(a)3:Lighting for EMCs that is not permitted by a health or life safety statute, Y NA I
ordinance,or regulation to be reduced by 30 percent. ❑
Field Inspector Notes:
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CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2014
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STATE OF CALIFORMA
SIGN LIGHTING �g r
CEC-NRCC-LTS-01-E(Revised 06114) CAOFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-0j5)
1
Sign Lighting (page 3 of
True Value p"`°"""°' 09/02/2015
2.Maximum Allowed Lighting Power Method of Compliance
Certificate of Compliance and Field Inspection Energy Checklist
Complete this part if there are signs using the maximum allowed lighting power method of compliance.(Complete part 3 of
this Certificate of Compliance if there are si ns using the Specific lighting sources method of compliance)
A B C D T—E—f F I G H I 1
OPTIONAL—Energy Filed inspector
P
Symbol Description of the Sign Verified Label(see Allotted Watts Design Watts Complies Check that sign
Or Code instructions below) YIN complies
_ Cn
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4 N v = 4 u I
m n
❑ ❑
171
❑ ❑
❑ ❑ i
❑ p
❑ ❑ I
❑ ❑
A I Symbol or code used on the plans(when plans are required)and other documents.
B A description of the sign,or location of sin on the building;and the location of sign on construction documents. s'
OPTIONAL-Check this box only if this sign has a permanent,pre-printed,factory-installed,ENERGY VERIFIED label,confirming that the j }
sign complies with the Section 140.8 of the California 2013 Title 24,Part 6 Standards,using the Maximum Allowed Lighting Power !
method of compliance. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by i t
C Underwriters Laboratories(UL)or other Product Certification Body accredited to ISO/IEC Guide 65 bythe American National Standards i
Institute in accordance with ISO/IEC 17011.Surveillance by the Accredited Certification Body shall be an ongoing annual inspection I
program carried out by a Type A Inspection body in accordance with ISO/IEC 17020.For signs with such an ENERGY VERIFIED label,
columns'O'through'I'are not required to be filled out.Note:Using an ENERGY VERIFIED label is an optional method to validate
compliance.An ENERGY VERIFIED label is not needed for compliance.
D The sign area in square feet.
E List"I"if the sign Is internally Illuminated. List"E"if the sign is externally Illuminated.
F Allowed watts per square foot. Enter 12 if the sin Is listed as"I"in column E.Enter 2.3 if si n is listed as"E"in column E. 7
G Multiply the Square footage in column 0 times the allowed Lighting Power Density(LPD=watts)in column F.
H Show the total installed watts in the sign,as determined according to the applicable provisions of§130(c).
I Enter Y if the number In column H is less than orequal to the number in column G. Otherwise,the sign does not comply.
J This page doubles as a field inspection checklist.
Field inspector Notes:
(
CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2014 i
STATE OF CALIFORNIA
SIGN LIGHTING j .
CEC-NRCC-LT5-et-E Revisetl ealt4 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-02-E
Sign Lighting f page 4 of 5)
nroje.,rvnmr. rraee wey.rca ! I
rue-flue Q9L(12/2015
3.Specific Lighting Source Method of Compliance
Certificate of Compliance and Field inspection Energy Checklist
Complete this part IF there are signs using the Specific lighting source method of compliance. (Complete part 2 of this Certificate
Of Compliance if there are signs using the maximum allowed lighting power method of compliance)
A B C D E
CIPTIONA Specific light source used for Field Inspector
Symbol ENERGY VERIFIED compliance
or Description label Shall include only lighting Check that Sign
Code (see instructions technologies listed below Complies
below) List all that apply ✓ i
A cannel letters/lo 0 on Backer ❑ 7 ❑
❑ ❑
❑ ❑ f I
A Sy mbol or code used on the plans{when plans are required)and other documents,
B A narrative description ofthe sign,or location of ME on the building;and the location of sign on construction documents t
C OPTIONAL-Check this box only if this sign has a permanent,pre-printed,factory-installed ENERGY VERIFIED label,confirming that this sign }
compiles with the Section 140.8 of the California 2013 Title 24,Part 6 Standards,using the Specific Lighting Source Method of Compliance. The
only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by Underwriters Laboratories(UL)or
other Product Certification Body accredited to SO/EC Guide 65 by the American National Standards Institute in accordance with ISO/IEC
17011,Surveillance by the Accredited Certification Body shall bean ongoing annual inspection program carried out by a Type A Inspection body
in accordance with ISO/EC 17020.For signs with such an ENERGY VERIFIED label,columi- is not required to be filled out.Note:Using an
ENERGY VERIFIED label is an optional method to validate compliance.An ENERGY VERIFIED label Is not needed for compliance. 'C
Specific Light Source Compliance Method. The signls)identified above use only the following lighting technologies:
List all applicable numbers(1 through 9)that apply in column D above for each row. i
1 High pressure sodium lamps
Metal halide lamps that are pulse start or ceramic served by a ballast that has a minimum efficiency of 88 percent or E
2 greater.Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage
when tested according to ANSI C82.6-2005.
Metal halide lamps that are pulse start that are 320 watts or smaller,are not 250 watt or 275 watt lamps,and are served by 'r
3 a ballast that has a minimum efficiency of 80 percent.
Ballast efficiency Is the measured output wattage to the lamp divided by the measured operating input wattage when tested
according to ANSIC82.6-2005.
Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 75 percent [
D 4 when the transformer or power supply rated output current Is less than 50 mA.The ratio of the output wattage to the Input wattage is at
100 percent tubing load.
Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 68 percent
5 when the transformer or power supply rated output current is 50 mA or greater.The ratio of the output wattage to the input wattage is at
100 percent tubingload.
b fluorescent lighting systems meeting one of the following requirements:A.Use only lamps with a minimum color rendering Index(CRI)of
80;or B.Use only electronic ballasts with a fundamental output frequency not less than 20 kHz.
7 Light emitting diodes ILEDs)with a power supply having an efficiency of 80 percent or greater;
Single voltage external power supplies that are designed to convert 120 volt AC Input Into lower voltage DC or AC output,and have a r
8 nameplate output power less than or equal to 250 watts,shall comply with the applicable requirements of the Appliance Efficiency
Regulations(Title 20).
g Compact Fluorescent lamps that do not contain a medium screw base sockets(E24/E26).
E This page doubles as a field inspection checklist
Field Inspector Notes:
CA Building Energy Efficiency Standards,2013 Nonresidential Compliance June 2014 f
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STATE OF CALIFORNIA
SIGN LIGHTING
CEC-NRCGLTS09.E(Revisetl 06//4) CALFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE _ NRCC-LTS-OI-E
Sign Lighting (Page 5 of 5) j
R`°i`°""°` True Value pare°raauoa: �
— 09/02/20--1Z—
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Nome: Documentation Author Signature:
Cpmpany Signature Date:
F esco Services LL i
Address: CEA/HERS Cenlfieatton IdenFficatipn Iirapplicable): 1
P.0 Box 27042
Gty/Smtejli Phone:AZ 85726 619-444-9000
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury,under the laws of the State of California: j
1. The Information provided on this Certificate of Compliance Is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design
identified on this Certificate of Compliance(responsible designer(. i
3. The energy features and performance specifications,materials,components,and manufactured devices for the building design or system
design Identified on this Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of
Regulations. ,
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information [
provided on other applicable compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement ( 4k
agency For approval with this building permit application. I
5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s)issued for the
building,and made available to the enforcement agency for all applicable Inspections.I understand that a completed Signed copy of this
Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible DeslgnerNane: Responsible Designer Signature;
I
Company: Dategign¢d: i bpf{
Address: �f11ESA� e.fYJCES License: 998602 1I
City/gwte/tip: Phone; E
n A7 R 619-444-9000 j; G
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CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2014
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