PMT16-01245 City of Menifee Permit No.: PMT16-01246
29714 HAUN RD. Type: Sign•Permanent
<ACCELA-. MENIFEE, CA 92586
MENIFEE Date Issued: 04/25/2016
PERMIT
Site Address: 26100 NEWPORT RD, Suite#A14, Parcel Number: 338-160-015
MENIFEE, CA Construction Cost: $3,500.00
Existing Use: Proposed Use:
Description of INSTALL 1 ILLUMINATED CHANNEL LETTER SIGN& LOGO. REFACE TWO DOUBLE FACE PYLON
Work: SIGNS FOR"PIZZA HUT'
Owner Contractor
SUN CITY LLC YESCO SIGNS LLC
30242 ESPERANZA 2401 FOOTHILL DRIVE
RANCHO SANTA MARGARITA, CA 92688 SALT LAKE CITY, UT 84109
Applicant Phone:8014644600
ROY COURTNEY License Number:980698
YESCO SIGNS LLC
2401 FOOTHILL DRIVE
SALT LAKE CITY, CA 84109
Fee Description OQt Amount($)
Sign Permit 1 190.00
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 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 property who builds or improves thereon,and who contracts for the projects
with a licensed contractor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjury that I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑lam exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force attid effect. c,. the following reason:
License Class U se o. �Cd By mysignature below 1 acknowledge that,except for my personal residence
Expires �'.3/^/ Signatu Q6z�7 in which I must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARA N have built as an owner-builder if it has not been constructed in its entirety by
❑I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for worker's 7044 of the Business and Professions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website:
by Section 3700 of the labor Code,for the performance of work for which wwwleeinfo.caeov/mIaw.html.
this permit is issued.
Policy g Date
❑I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below I certify to each of the following:I am the property
this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this
number are: / > application and the information I have provided is correct.I agree to comply
Cartier /L3/zc'7Y with all applicable city and county ordinances and state laws relating to
g building construction.I authorize representatives of this city or county to
Policy 8 uie,2k51459 ZI7301 Expires 7—1 -16 enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
❑I certify that in the performance of the work for which this permit is issued, D ��
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the wo reis co pefsation provisions of Section 3700 of the Labor
Code,I shall fo t c d(r wits hose provisions. Will the applicant orfuture building occupant handle hazardous material or a
Applirant �6si rrw Date Q-Zs-'t mixture containing a hazardous material equal to orgreater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:F LURE TO SECUREWORKER'S COMPENSATION COVERAGE IS ❑Yes w9b
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS(5100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQM D)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes XAo
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) ❑Yes Ao
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from the
C California Health&Safety C e,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the
hazardous m I rep in .
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes !1/
Business and Professions Code).Any city or county that requires a permit to F-T Date �r'zs ^�G
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY NE AUTHORIZED AGENT
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 EPA RENOVATION,REPAIR AND PAINTING(RRP)
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with
an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves or through their
❑I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.epa.RoWlead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-8011424-LEAD(5323).
Code,The Contractor's State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered far Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE � Z7, PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ;SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL [:I MECHANICAL
[-]NEW [-]PLUMBING 11❑RE-'ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORKiCrg/.26l J r ,✓Jyjr-L Lr
PROJECTADDRESS 21i/®p �f/fur tC5' 17R.�
ASSESSOR'S PARCEL NUMBER LOT TRACT
PROPERTY OWNER'S NAME
ADDRESS 36 S-KZ / /1rLZ�,d
PHONE —dojo -�3/-3 EMAIL
APPLICANT NAME .ice'cf
ADDRESS -Z 3 2 Q %J�2(``r// /✓!l,fi0 <! L°,4
PHONE 1D/r,,37r1- /L98 EMAIL
CONTRACTOR'S NAME OWNER BUILDER? ❑YES NO
BUSINESS NAME 49E '5 �
ADDRESS
PHONE 5/0 76G,6 EMAIL
CONTRACTOR'S STATE LIC NUMBER f� LICENSE CLASSIFICATION G^YS
VALUATION $ �, 5DU SOFT A LSO FT
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION Iro CITY OF MELJIFE�E BUS�INQESS�LI�C.EN�SE NUMBER
BUILDI PLANNING ENGINEERING FIRE GREEN ` SMIP O-✓A���
INVOICE PAID AMOUNT
AMOUNT OCASH 'O CHECKq CREDITCARD VISA/MC L�
PLAN CHECK FEES PAID AMOUNT CASH O CHECK A O CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER 0 YES O NO
City of Menifee Building & Safety Department 29714 Houn Rd. Menifee, CA 92586 951-612-677 7
www.cityofinenifee.us Inspection Request Line 951-246-6213
tin bw
CITY OF MENIFEE
�IENIFE%
` ;, Planning Department
APPLICATION FOR CONCURRENT PROCESSING
This is an application to request that the Department of Building and Safety review construction plans
concurrently with the Planning Department's processing of the related development application. Please
complete the required information and sign the waiver and assumption of risk, and return the completed
application to the Planning Department.
INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED
PLANNING APPLICATION NO: (P9Ltt l�`(J (J�((J DATE SUBMITTED: C i
APPLICATION INFORMATION
Applicant's Name: 1� o� COu � E-Mail:
Mailing Address: -2328 �ptxYa� �t��GZ
Street(2G4eNrJ J4)JJS �/a %17Q/"
City State ZIP
Daytime Phone No: (?) 2 7 y O fg. Fax No: ( . )
As applicant for the above-referenced project, UWe hereby request that the ❑ Building and Safety
Department accept construction plans for review concurrent with the Planning Department's processing
of the applicable development applications.
As applicant for the above referenced project, IM/e acknowledge that acceptance of plans by the
Department of Building & Safety for review prior to final action on the proposed project does not
explicitly or implicitly suggest that the project will receive final approval. INVe assume the full risk that
the plans submitted at this time may not ultimately conform to the approved project or any changes
necessitated by the final conditions of approval, or that the subject proposed project may ultimately be
denied. I/We recognize that any fees submitted to the Department of Building & Safety Department for
the processing of plans may be nonrefundable if this project is ultimately denied, or if subsequent
project redesign or the final conditions of approval result in the requirement for changes in the plans,
and that additional fees may be required by the Department of Building & Safety Department for the
processing of plans required due to project redesign. UWe further acknowledge that acceptance of
construction plans and the payment of fees to the Department of Building & Safety does NOT obligate
the Planning Department to support a proposed project design,
P ,NTED NAME OF APPLICANTJS49NATUREOFAPPLICANr
29714 Haun Road
Menifee, California 92586
(9,91)672-6777 • Fax (951)67q-3843
Form 295-1015(04/09/12)
Pngc 1 of 2
APPLICATION FOR CONCURRENT PROCESSING
DATE:
TO: DEPARTMENT OF BUILDING &SAFETY
FROM: PLANNING DEPARTMENT
RE: REQUEST FOR CONCURRENT PROCESSING
't"t�"PLANNING APPLICATION NO. UR C AI�J 2�M
The applicant for the above referenced case has requested that the Department of Building & Safety accept
construction plans concurrent with the filing of the above referenced planning case. The Planning Department has
no objection to the acceptance of such plans by the Department of Building & Safety pending a final decision on the
subject planning application. Concurrent review does not explicitly or implicitly suggest that the specific project
design has been found acceptable at this time. The applicant assumes the full risk that a project redesign,
approved conditions of approval, or denial of the project may make the construction plans unacceptable or moot,
and that any or all of the fees for the processing of the plans may be nonrefundable. Acceptance of construction
plans and the payment of fees to the Department of Building and Safety does NOT obligate the Planning
Department to support or approve a proposed project design.
ADDITIONALLY, NO PERMITS SHALL BE ISSUED BY THE DEPARTMENT OF BUILDING AND SAFETY PRIOR
TO AN APPROVAL OF THE ABOVE REFERENCED DEVELOPMENT PROPOSAL, AND ISSUANCE OF THE
FINAL CONDITIONS OF APPROVAL BY THE PLANNING DEPARTMENT.
CITY OF MENIFEE PLANNING DEPARTMENT
As applicant for the above referenced project, IMe acknowledge that acceptance of plans by the Department of
Building and Safety for review prior to final action on the project proposal does not explicitly or implicitly suggest
that this project will receive final approval. I /We assume the full risk that the plans submitted at this time may
not ultimately conform to the approved project or any changes necessitated by the final conditions of approval, or
that the subject proposal may ultimately be denied. I/We recognize that any fees submitted to the Department of
Building and Safety for the processing of plans may be nonrefundable if this project is ultimately denied or if
subsequent project redesign or the final conditions of approval result in the requirement for changes in the plans,
and that additional fees may be required for the processing of plans due to project redesign. IMe further
acknowledge that acceptance of construction plans and the payment of fees to the Department of Building and
Safety does NOT obligate the Planning Department to support or approve a proposed project design.
PRINT D NAME OF APPLICANT ATURE OF�ICANT
Form 295-1015(04/09/12)
Page 2 of 2