PMT16-01422 City of Menifee Permit No.: PMTIS-01422
_ _ 29714 HAUN RD. Type: Commercial Addition
�/-►CCEL/� MENIFEE, CA 92586
MENIFEE Date Issued:
05/0412016
PERMIT
Site Address: 30058 HAUN RD, MENIFEE, CA 92584 Parcel Number: 360-690-027
Construction Cost: $3,000.00
Existing Use: Proposed Use:
Description of 4.5'x 29'ILLUMINATED LED SIGN
Work: REFERENCE BSNO80075 ORIGINAL INSTALLATION
Owner Contractor
DONAHUE SCHRIEBER THE SIGNS AND SERVICES COMPANY
200 E. BAKER ST 10980 BOATMAN AVENUE
COSTA MESA, CA 92626 STANTON,CA 90680
Applicant Phone:7147618200
MENIFEE, CA License Number:624675
Fee Description QtV Amount IS1
Sign Permit 1 190.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Building 1 9.50
$227.60
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 violafion 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_Pernnil Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full force and effect the following reason:
License Class CA'` License No. /S By my signature below I acknowledge that,except for my personal residence
Expires A9 1 Signature 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 CO PENSATION DECARATIO have built as an owner-builder if it has not been constructed in its entirety by
O I hereby affirm under penalty of pequry one of the following declarations:I licensed contractors.I understand that copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for workers 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 wvvw.leRinfo.g.env/calaw.html.permit is issued. w
Policy# Date
❑1 have and will maintain workers 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 workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
numberare: application and the information I have provided is correct.I agree to comply
Cartier rn rt with all applicable city and county ordinances and state laws relating to
�"I[PPLL�,.tc'7 22=�s ��11 building constmNon.Iauthorize representatives of this city or county to
Policy y SA150Z �QI-, /O pims rJ 4 enter the above identified property for inspection purposes.
(This section need not to be completed is the permi is for ne-hundred Date
dollars($10D)or less PROPERTY OWNER OR AUTHORIZED AGENT
O I 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 became subject to the CITY BUSINESS LICENSE#
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall forth i comply wi eseprovisions. Will the conta in or future buildingma occupant handle hazardous material or a
G� mixture contai toga hazardous material equal to or greater that the
Applicant Date S 1 amounts sppifified on the Hazardous Materials Information Guide?
WARNING' ALLURE TO SECURE WORKER'S COMPENSATION COV RAGE IS ❑Yes Jo
UNLA L,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES g by the applicant or future building
Will the intended use of the building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Qua Management District(SCAQMD)?See permittingchecklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguideli
CONSTRUCTION LENDING AGENCY ❑Yes N1
I herebyaffirm that underthe penaltyof perjurytherels a construction Will the prop ed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer bf a school?
(Section 3097 Civil Code) O Yesou ary o No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guideand the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Calif Inia Health&Safety Code,Section 25505 and 2S534 concerning
Contractors License Law for the reason(s)indicated below by the zardous material r ring.
checkmark(s)I have placed next to the applicable items)(Section 7031.5 Ayes ❑No
Business and Professions Code).Any city or county that requires permit to Date
construct,alter,improve,demolish or repair any structure,prior to its PROPER WN OR 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 Contractors State EPA R NOVATION.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 licensum 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
Ol,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.eoa.Rov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800.424-LEAD(5323).
Code,The Contractors 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 for 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 f
not built or improved for the purpose of sale. �No EPA Lead-Safe Certified Firm is required for this project bemuse:
❑1,as owner of the property am exclusively contracting with licensed J\
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors 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.
& SAFETY PERMIT/PLAN CHECK APPLICATION
IIII.Wenifee
DATE J PERMIT/PLAN CHECK NUMBER r 2
TYPE: OMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOB LE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION 0 DEMOLITION ELECTRICAL O MECHANICAL
O NEW O PLUMBING ORE-ROOF-NUMBER 0 SQUARES
DESCRIPTION OF WORK
City of Menifee
PROJECTA'PIESS 2
ASSESSOR'S PARCEL NUMBER 7690• (!QO LOT TRACT
OWNER NAME eceive
ADDRESS 9
PHONE I EMAIL
APPLICANT NAME
ADDRESS q rQ8D /+'�
PHONE ' lit/J� ,�/8 / EMAIL J F LvI,'l '
�r
CONTRACTOR'S NAME % OWNER BUILDER? OYES KNO
BUSINESS NAME
ADDRESS I Q
PHONE �� I'/l� — ��OD EMAIL I 0 G;aAwgtv
vu; ,C1DyYI
CONTRACTOR'S STATE LIC NUMBER �0�4(o I;./ LICENSE CLASSIFICATION
VALUATION$ t oo d , SO FT L SO FT C
APPLICANT'S SIGNATURE DATE rJ -4 �.
GTY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN ZIP
INVOICE PAID AMOUNT
AMOUNT O CASH O CHECK R O CREDR CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECKS CI CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-6 72-6 777
www.cityofinenifee.usInspection Request Line 951-246-6213
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®RIVERSIDE COUNTY Choose a department . . .
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BUILDING PERMIT INFORMATION FOR BSNO80075 Onhne Ser,,c,,,
Results for BSNO80075 as of 5/4/2016 11:11:55 AM
........................:...........:............................................................................................................................................................................................................................................................
PERMIT NUMBER: BSNO80075
PERMIT STATUS: FINAL
APPLIED DATE: 05/02/2008
ISSUED DATE: 05/02/2008
CLOSED DATE: 01/23/2009
EXPIRATION DATE: 10/29/2008
SPORT CHALET ILLUM. CHAN. LTR SIGNS - SEE
DESCRIPTION: DESCRIP>2 WALL MOUNT SIGNS, 1 ROOF MOUNT SIGN
AND 1 FREE STANDING SIGN
TYPE DESCRIPTION: SIGN
SITUS CITY: MENI
SITUS: HAUN RD 030054
http://onlineservices.rct[ma.org(content/build-Mmit_info.aspx?permitNumber=BSN080075 1/2
5/4/2016 Online Services MasterPage
GENERAL LOCATION: 2008 TG PG 868 E2/3 {BLDG 'G')
APN: 360080021 Click to view in Map My County
APPLICANT: LOREN ELECTRIC SIGN CO
ADDRESS II: 321 VAN NORMAN RD
ADDRESS 2: MONTEBELLO CA
ADDRESS 3: CONTACT. KAM[ BETT
ZIP: 90640
Fee Information
TOTAL FEES $425.54
TOTAL PAYMENTS: $425.54
BALANCE DUE: $0.00
Valuation Information
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