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PMT16-00006 City of Menifee Permit No.: PMT16-00006 29714 HAUN RD. 'F CCEL/-> MENIFEE,CA 92586 Type: Sign -Permanent MENIFEE Date Issued: 01/04/2016 PERMIT Site Address: 30115 HAUN RD, MENIFEE, CA 92584 Parcel Number: 360-080-062 Construction Cost: $2,500.00 Existing Use: Proposed Use: Description of INSTALLATION OF 1-4'X 24' ILLUMINATED WALL SIGN,2 FACES IN TWO PYLON SIGNS Work: Owner Contractor ' HAUN NEWPORT DARNEIL ENTERPRISES LTD 1000 N WESTERN AVE#200 1282 W LAMBERT ROAD UNIT A SAN PEDRO, CA 90732 BREA, CA 92821 Applicant Phone:5626905622 TIM HOLMES License Number.856006 DARNEIL ENTERPRISES LTD 1282 W LAMBERT ROAD UNIT A BREA, CA 92821 Fee Description City Amount lSl Sign Permit 3 190.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Building 1 9.50 $227.50 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 carded 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_Pennit_Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ lam 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 it Professions Cod nd my license Is In full force ))td a ct. which I must have resided for at least one year prior to completion o License Class �KS Lic s do. �o� Improvements covered by this permit, I cannot legally sell a structure that I have Expires �J ag(� tr? Signatu built as an owner-bullding If It has not been constructed in Its entirety by Ilcensec 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 it submitted or at the following Web site: ❑ I hereby affirm under penalty of perjury one of the following declarations: http•I/wwwleainfo.ce.gov/celaw.html. 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. Property Owner or Authorized Agent Policy# ❑ By my Signature below, I certify to each of the following: I am the propera ❑ 1 have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owners behalf. I have read thie 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 compil permit is Issued.My workers'compensation insurance carder and policy number are: with all applicable city and county ordinances and state laws relating to buildinc construction.I authorize representatives of this city or county to enter the above Carder Q I identified property,for the inspection purposes. Policy# L(OL?5 T7 F) Expire, 141 Dale Property Owner or Authorized Agent (This section need not be completed if the permit is for one-hundred dollars($100)or less) City Business License# ❑ 1 certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION 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 th workers'compensation provisions of Section 3700 of the Labor amounts spe�fled on the Hazardous Materials Information Guide? Code,I shal orth ith comply with those provisions. DYES 940 Applicant; Date; 1 rq r'tcg 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 guldelin 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 of�chool? LABOR CODE, INTEREST,AND ATTORNEYS FEES El VIVO 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 8 Safety Code,Section 25505 and 25534 concerning 3097 Civil Code) hazardouusJmaterial r rting. OWNER BUILDER DECLARATIONS DYES L rN0 / I hereby affirm under penalty of perjury that I am exempt from the Contractor's Dater-qr't/ License Law for the reason(s)Indicated below by the checkmark(s)I have placed PROPERTY OWNER 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 1RRP1 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 [!censure 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 EPKs Renovation Program visit: ❑ www.epa.gov/lead or contact the National Lead Information Center at I, 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 Contractors 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 Acknowledmement APPLICATION & SAFETY PERMIT/PLAN CHECK Men ifee DATE PERMIT/PLAN CHECK NUMBER ? I TYPE: COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA ASIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION XELECTRICAL O MECHANICAL X NEW C PLUMBING C> RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 6,&l 4'A 2`Y'1-1 1 qq •CI e h 1u q­wU w" /i1 _4o PROJECTADDRESS 36 ►15 14AU0 20; ASSESSOR'S PARCEL NUMBER _0'D 0?3—LOT TRACT OWNER NAME �� �A ADDRESS PHONE EMAIL APPLICANT NAME ADDRESS ` M PHONE 774 h7z -(,4ts-7 EMAIL CONTRACTOR'S NAME 1 ! OWNER BUILDER? :%YES ` NO BUSINESS NAME ' 1 ADDRESS 1282 IAA. ,� PHONE ��� �� �[p� V ' EMAIL /jdy(� � 2I Cf �A ✓ CONTRACTOR'S STATE LIC NUMBER ���OOCp LICENSE CLASSIFICATION C; VALUATION$ SO FT L SO FT APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE I PAID AMOUNT AMOUNT I I ()CASH 'CHECK# O CREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH %CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER O YES O 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 SIGN LIGHTING City of Menifee CEC-NRCC-LTS-Di-E Revised 06/14 Bulldinb & Safety Dept. CALIFORNIA ENERGY COMMISSION 1 CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 1 of 5) Nam`: PARTY CITY Dal"" "11/18/2015 Project Address: -50 r j 14-,&u o Location of Sign 12 Outdoor Signs ❑Indoor Signs Phase of Sign Construction 2 New Signs ❑Sign Alterations Type of Lighting Control ❑New Lighting Controls ❑Replaced Lighting Controls ❑Not Installing Lighting Controls This Certificate of Compliance includes the following components(check all that apply) ❑Mandatory Measures(Lighting Controls) ❑Maximum Allowed Lighting Power ®Specific Lighting Sources 1.Mandatory Sign Lighting Controls 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. 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 There are no existing sign lighting controls and I will be installing compliant sign lighting controls Z ❑Yes ❑ 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 ❑ No There are existing sign lighting controls that do not comply with the applicable provision of§110.9 and§130.3 and someone 5 else will be responsible to install compliant sign lighting controls ❑Yes ❑ No l V ri CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA SIGN LIGHTING W . l CEC-NRCGLTS-0I-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 2 of 5) PfOIw"am`: PARTY CITY D'"""""`°:11/18/2015 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 §130.3(a)1.All indoor sign lighting is controlled with an automatic time-switch control or astronomical time- Y N I NA switch control. ❑ ❑ p §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 NA areas that are intended to be continuously lit,24 hours per day and 365 days per year. ❑ p §330.3(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 ❑ ❑ 0 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. ❑ p §130.3(a)3. Demand Responsive Electronic Message Center Control.An Electronic Message Center(EMC) Y N N/A having a new connected lighting power load greater than 15 kW has a control installed that is capable of 4 1 reducing the lighting power by a minimum of 30 percent when receiving a demand response signal. ❑ ❑ rel 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. ❑ p Field Inspector Notes: CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2014 STATE OF CALIFORNIA SIGN LIGHTING CEC-NRCC-LTS-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 3 of 5) Project Name: HAHTY Ul I Y Date PlePared. 2.Maximum Allowed Lightine 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 OPTIONAL—Energy Complies Filed Inspector Symbol Description of the Sign Verified label(see Allotted Watts Design Watts YEN Check that sign Or Code instructions below) complies 7 o w � « w � vi W Ma a 3 X - I m e d N m c N y m W % N p N in c w — Ccw < F 3 0 WALLSIGN ❑ 98 1 12 1179 180 YES ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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 bean 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, columns'D'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 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(LPO=watts)in column F. H Show the total installed watts in the sign,as determined according to the applicable provisions of 4130(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-NRCC-LTS-0I-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 4 of 5) °I"°"am` PARTY CITY °°"°"°"` 11/18/2015 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 OPTIONAL Specific light source used for Field Inspector Symbol ENERGYVERIFIED compliance Check that Sign or Description label Shall include only lighting Complies Code (see instructions technologies listed below below) List all that apply WALL SIGN 0 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. 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 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 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 8 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 CEC-NRCC-LTS-01-E ttyisad 06114 c;quruecnlw crv�rtur s.vrvrmwarvry CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 5 of 5) frolect Name: Da[e Preparttl: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT • 1 certify that this Certificate of Compliance documentation is accurate and com fete. Documentation Author Name: Documentation Author Signature: TIM HOLMES Company: Signature Date: D&D SIGN SERVICE 10/14/15 Address: CW HERSCertificatton Identification(if applicable): 1282 W LAMBERT RD. city/state/zip: Phone: BREA,CA.92821 562-690-5622 RESPONSIBLE PERSON'S DECLARATION STATEMENT 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 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 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 inspections.I understand t a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides t building owner at occupancy. Responsible Designer Name: Responsible Designer Signatu TIM HOLMES Company: Date Signed: D&D SIGN SERVICE 10/14/15 Address: Limnse: 1282 W LAMBERT RD. 856006 Clry/State/Llp: Phone: BREA,CA.92821 562-690-5622 CA Building Energy Efficiency Standards-2013 Nonresidential Compliance June 2014