PMT15-03952 City of Menifee Permit No.: PMT15-03952
29714 HAUN RD.
.KCCELA1? MENIFEE, CA 92586 Type: Sign-Permanent
MENIFEE Date Issued:
01108I2016
PERMIT
Site Address: 30171 HAUN RD, MENIFEE, CA 92586 Parcel Number: 360-080-053
Construction Cost: $7,000.00
Existing Use: Proposed Use:
Description of INSTALL 3ILLUMINATED CHANNEL LETTER WALL SIGNS,2 ILLUMINATED DIRECTIONAL SIGNS
Work:
Owner Contractor
SPG MANAGEMENT, LLC STANFORD SIGN&AWNING INC
2892 SOUTH SANTA FE,STE 107 2556 FAIVRE STREET
SAN MARCOS, CA 92069 CHULA VISTA, CA 91911
Applicant Phone:6194236200
KELLY BONELLI-SHERER License Number:863570
STANFORD SIGN&AWNING INC
2556 FAIVRE STREET
CHULA VISTA, CA 91911
Fee Description Qtv Amount IS)
Sign Permit 5 238.00
Building Permit Issuance 1 27.00
Additional Plan Review Building 148 148.37
GREEN FEE 1 1.00
SMIP COMMERCIAL 1 2.00
General Plan Maintenance Fee-Building 1 11.90
$428.27
The issuance of this permit shall not prevent the building official from thereafter requiring the correction ofermrs in the plans and
specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg_Permit_Template.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ 1 am exempt from licensure under the Contractors'State License Law for the
I hereby affirm under penalty or perjury that I am licensed under provisions of following reason:
Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that, except for my personal residence in
Professions Code and my license Is in full force and effect. which
D which I must have resided for at least one year prior to completion of
4 License Class 7 License No. k improvements covered by this permit,I cannot legally sell a structure that I have
6�,J r,QO ..a„ built as an owner-building if it has not been constructed in its entirety by licensed
Expires D$-3 I-l01-pignature
contractors. I understand that a copy of the applicable law, Section 7044 of the
WORKERS'COMPENSATION DECLARATION Business and Professions Cade,is available upon request when this application is
submitted or at the following Web site:
I hereby affirm under penalty of perjury one of the fallowing declaration
i http://www.leginfo.ca.govlplaw.html.
ve 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. Property Owner or Authorized Agent
Policy# « ❑ 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. 1 have read this
❑ I have and will maintain workers' compensation insurance, as required by application and the information I have provided is correct. I agree to comply
i section 3700 of the Labor Code, for the performance of the work for which this
i permit Is issued.My workers'compensation insurance canter and policy number are: with all applicable city and county ordinances and state laws relating to building
,) _ f-_ � construction.l authorize representatives of this city or county to enter the above-
j Carder J b(t1GyQ I 4 Il� identified property for the inspection purposes.
P1"II/Policy# 1) Wa'6b0-(SExpires 04—Di— Date
Property Owner or Authorized Agent �]'y��"
(This section need not be completed if the permit is for City Business License# 0� 11
one-hundred dollars($100)or less)
❑ 1 certify that in the performance of the work for which this permit is issued,IHAZARDOUS MATERIAL DECLARATION
shall not employ any persons in any manner so as to become subject to the J Will the applicant or future building occupant handle hazardous material or a
workers' compensation laws of California, and agree that if 1 should become r mixture containing a hazardous material equal to or greater that the
subject to the workers'compensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide?
Code,I shall f rthwith comply W those provisions. DYES XNO
plican, i6'ate; l��—� ! 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 4 for guidelines
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES KNO
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS!
($100,000), IN ADDITION TO THE COST OF COMPENSATIONS Will the proposed building or modified facility be within 1000 feet of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a school?
LABOR CODE, INTEREST,AND ATTORNEYS FEES 1 DYES Al NO
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD
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) hazard us material reporting. ,
OWNER BUILDER DECLARATIONS 4PERTY
0
I hereby affirm under penalty of perjury that I am exempt from the Contractor'sAWL Date
License Law for the reasons)indicated below by the checkmark(s)I have placed O NER OR AUTHORIZED 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 IRRP)
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:
❑ I, as owner of the roe car m employees with wa es as their sole www.epa.gov/lead or contact the National Lead Information Center at
property,rty� Y9 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 ❑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
BUILDING & SAFETY PERMIT/.PERMIT/PLAN CHECK APPLICATION
4=y
Menifee
ifee
DATE �c2-/ -/�j` PERMIT/PLAN CHECK NUMBER Saetfi ty Dept.
TYPE: krCOMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑ 2015
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL
❑NEW []PLUMBING [:]RE-ROOF-NUMBEROF SQUARESg
DESCRIPTION OF WORK jI 6h- a -,AiJ , u
PROJECTADDRESS 1'1 wAt4,n ou �p7 ra�7j
ASSESSOR'S PARCEL NUMBER LOT TRACT
PROPERTY OWNER'S NAME �n I
ADDRESS 9 FLe, MQAeo5 90 SIP Q
PHONE 714'/Q41- `JO/D EMAIL �GSGLIGGC�Yl G�SGfYI�LG /IiI'ISaC� C'JYY!
APPLICANT NAME
ADDRESS p /JJ 44��LC/L G J7 a/I GCJS / ga7e
/
PHONE /7 - `7 t�" �Q-// EMAIL �[ Lk) $"�//'/// SJ IL°0717
CONTRACTOR'S NAME/I L�l/I�,-\ j� j L OWNER BUILDER? ❑YES❑NO
BUSINESS NAME n� (1 YAW Y1 tI(1
ADDRESS LV f /J p[/7p
PHONE -1100--7�IE -&07(7 EMAIL �c..e�QiL(,I �/ h 5110 �71 Uw
CONTRACTOR'S STATE LIC NUMBER 53,1�5y7t? LICENSE CLASSIFICATION (�
VALUATION$ M SQ FT 2 I L SQ FT
APPLICANT'S SIGNATURE i DATE
DEPARTMENT DISTRIBUTION CITY OF MENNEEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP 0 -7412-
INVOICE PAID AMOUNT
AMOUNT 0CASH 0 CHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# 0CREDIT CARD VISA/MC
OWNER BUILDERVERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Hour;Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
STATE OF CALIFORNW
SIGN LIGHTING
CEC-NRCC-LTS-01-E Revised 06114 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 1 of S)
Projea Name: Date Prepared.
Project Address:
ill c D3
Location of Sign puutd6orSigns ❑Indoor Signs of Menife
Phase of Sign Construction ❑ City New Signs ❑Sign Alterations �City e
& SMfety .
Type of Lighting Control ❑New Lighting Controls ❑Replaced Lighting Controls ❑Not Installing UJAting @ontrols
This Certificate of Compliance includes the following components(check all that apply) ^ 2Ut5
❑Mandatory Measures(Lighting Controls) ❑Maximum Allowed Lighting Power ❑Specific Lighting Sources DEC L L
1.Mandatory Sign Lighting Controls ecelved
NOTES:
1. 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 an 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
for the entire construction.
Ia. Statements of Responsibility:Any person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E
shall complete Part Ia.Check Yes or No for all of the following statements:
1 I have responsibility for installing the sign lighting controls
❑Yes,complete parts la and lb of this form No,complete part la of this form
Z There are no existing sign lighting controls and I will be,falling compliant sign lighting controls
❑Yes N NO
3 Th a 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
There are existing sign lighting controls that do not comply with the applicable provision of§110.9 and§130.3 and someone
5 els will be responsible to install compliant sign lighting controls
zYes ❑No
CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2014
STAVE OF CALIFORNIA
SIGN LIGHTING
CEC-NRCC-LTS-01-E Revised 06114 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E
Sign Lighting (Page 2 of 5)
projed mme: Date Prepared
lb.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 sign lighting control requirements,that person shall answer all of the following questions:
If there are construction documents,indicate where on the building plans the
mandatory measures(sign lighting control)note block can be located:
1 §330.3(a)1.All indoor sign lighting is controlled with an automatic time-switch control or astronomical time- Y N
switch control. ❑ ❑
§130.3(a)2A. All outdoor sign lighting is controlled with a photocontrol in addition to an automatic time- Y N NA
2 switch control,or an astronomical time-switch control. ❑ ❑
EXCEPTION to Section 130.3(a)2A:Outdoor signs in tunnels,and signs in large permanently covered outdoor y N
areas that are intended to be continuously lit,24 hours per day and 365 days per year. ❑
§130.3(a)2B. 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 Ix ❑ ❑
day and night.
EXCEPTION to Section 130.3(a)28:Outdoor signs in tunnels and large covered areas that are intended to be y N
illuminated both day and night. ❑
§330.3(a)3. Demand Responsive Electronic Message Center Control.An Electronic Message Center(EMC) Y N N/q
having a new connected lighting power load greater than 15 kW has a control installed that is capable of ❑ ❑
4 reducing the lighting power by a minimum of 30 percent when receiving a demand response signal.
EXCEPTION to Section 130.3(a)3: Lighting for EMCs that is not permitted by a health or life safety statute, Y NA
ordinance,or regulation to be reduced by 30 percent. ❑
Field Inspector Notes:
CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2014
STATE OF CALIFORNIA
SIGN LIGHTING i
CEC-NRCC-LTS-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMLIANCE - NRCC-LTS-01-E
Sign Lighting I (Page 3 of 5)
Prolm Name: Vale P.,.nM: q 9 )
2.Maximum Allowed Llehtin¢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 signs using the Specific lighting sources method of compliance)
A B C D E F G H I J
Symbol OPTIONAL—Energy lies Filed Inspector
Or Code Description of the Sign Verified Label(see Allotted Watts Design Watts Y ComEN Check that sign
instructions below) complies
L7
c>a a x m a m m`o �-
2 wry m a x 5
w w
W y x ? o " 30 .m. m a
i'A ¢ F 3 E
✓ V
6 S(e� > ❑ IZ A 34 ❑
' ❑ 3fi i ?r 334(v y ❑
t al( L' ❑ q, Z 3r;5,Z Ji ❑
D e — �I 3v
❑ y Z 5R Y ❑
t
ref: r V4.9 71:� ( y r ,1a Y ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
A Symbol or code used on the plans(when plans are required)and other documents.
B A description of the sign,or location of sign on the building;and the location of sign on construction documents.
OPTIONAL-Check this box only if this sign has a permanent,pre-printed,factory-installed,ENERGY VERIFIED label,confirming that the
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
C Underwriters laboratories(UL)or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards
Institute in accordance with ISO/IEC 17011.Surveillance by the Accredited Certification Body shall be an ongoing annual inspection
program carried out by a Type A Inspection body in accordance with I50/IEC 17020.For signs with such an ENERGY VERIFIED label,
columns'D'through T 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 sign is listed as"I"in column E.Enter 2.3 if sign is listed as"E"in column E.
G Multiply the square footage in column D 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§330(c).
Enter Y if the number in column H is less than or equal 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
STATE OF CALIFORNIA
SIGN LIGHTING
CEC-NRCG-LTS-01.E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLI NRCC-LTS-01-E
Sign Lighting I(� (Page 4 of 5)
ProjeR Name: Date PreParea: ) )
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
OPTIONAL 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
IC ❑ -7 ❑
❑ ❑
❑ ❑
A Symbol or code used on the plans(when plans are required)and other documents.
B A narrative description of the sign,or location of sign on the building;and the location of sign on construction documents
C OPTIONAL-Check this box only if this sign has a permanent,pre-printed,factory-installed ENERGY VERIFIED label,confirming that this sign
complies 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 ISO/IEC Guide 65 by the American National Standards Institute in accordance with ISO/IEC
17011.Surveillance by the Accredited Certification Body shall be an ongoing annual inspection program carried out by a Type A Inspection body
in accordance with ISO/IEC 17020.For signs with such an ENERGY VERIFIED label,column'D'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.
Specific Light Source Compliance Method. The sign(s)identified above use only the following lighting technologies:
List all applicable numbers(1 through 9)that apply in column D above for each row.
2 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
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 175 watt lamps,and are served by
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 ANSI C82.6-2005.
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 tubing load.
6 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(LEDs)with a power supply having an efficiency of 80 percent orgreater;
Single voltage external power supplies that are designed to convert 120 volt AC input into lower voltage DC or AC output,and have a
B nameplate output power less than or equal to 250 watts,shall comply with the applicable requirements of the Appliance Efficiency
Regulations(Title 20).
9 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
•. STATE OF CALIFORNIA
SIGN LIGHTING
CEC-NRCC-LTS01-E Revised 06l14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMP CE NRCC-LTS-01-E
Sign Lighting (Page 5 of 5)
Projett Neme: Date Prepared: Is
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. I rtify that this Certificate of Compliance documentation is accurate and plete.
Documenbn 4thD NalfnS; Documentat A or a ure: �j
Coml t f i Signature te: I O I
Address: �i n s l7A/NERS Certification ltlentificadon( appli hlei:
J l IA
City/StaWT am h11 W1.(.Q ` ^ Phone: — o , &O�O
RESPONSIBLE PERSON'S DECLARATION STATEMENT/ [/[� av
I certify the following under penalty of perjury,under the laws of the State of California:
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).
3. The energy features and performance specifications,materials,components,and manufactured devices forthe 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
agency for approval with this building permit application.
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 insp ions.I understand that a completed signed copy of this
Cerfflcate,of Compliance is required to be included with the documentation tJI19Fbujldey provideglo thjlbuiAg owner at occupancy.
ResPonsibl.hVNarne: Responsi I er re:
C mpa y Date Sl ed:
Address: Ocense: }('
CM/State/MP:S d Phone:
/��tos 2�Z8'
CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2014