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PMT16-02065 City of Menifee Permit No.: PMT16-02066 29714 HAUN RD. <A-CCEL/> MENIFEE, CA92586 Type: Sign-Permanent MENIFEE Date Issued: O6l3012016 PERMIT Site Address: 30075 HAUN RD, Suite#103, MENIFEE, Parcel Number: 360-080-062 CA 92586 Construction Cost: $4,500.00 Existing Use: Proposed Use: Description of INSTALL 3 ILLUMINATED CHANNEL LETTER SIGNS"PIEOLOGY PIZZERIA" Work: Owner Contractor MENIFEE PPF, LLC STARR SIGN DESIGN 1269 POMONA RD#109 1485 POMONA ROAD SUITE A MENIFEE, CA 92882 CORONA, CA 92882 Applicant Phone: 9513401873 TOMAI QUINTANA License Number: 766950 STARR SIGN DESIGN 1485 POMONA RD#A CORONA, CA 92882 Phone: 9513401873 Fee Description QtV Amount f51 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 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_Template.rpt Page 1 of 1 / CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe projects with a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjurythat I am under provisions of Chapter9(commencing with section 7000)of Division 3 of the Business and D I am exempt from licensure under the Contractor's State License law for Professions Code and my license is in full force and effect. the following reason: License Class — Ucens o. By my signature below I acknowledge that,except for my personal residence i Expires afore in which I must have resided for at least one year prforto completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPE SATION DECLARATION have built as an owner-builder if it has not been constmcted in its entirety by o 1 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 www.leainfo.ca.eov/alaw.html. this permit is issued. Q Q Policy li .��C /�� O c� Date PROPERTY OWNER OR AUTHORIZED AGENT D I have and will maintain worker's compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which c By my signature below 1 certify to each of the following:I am the property this permit is issued.My workers compensation insur nce carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: application and the information 1 have provided is correct.I agree to comply Carrier 0 r ( .U`�� with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Poltcy>t C(i/C �TQ�xpires 3 ?O CO- enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one undyed 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, I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE JI workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provi ions of Section 3700 ofth Labor Code,lshall forthv(th comply wit .4ros rovisions. Will the applicant or future building occupant handle hazardous material or / 3Q mixture containing a hazardous material equal to or greater that the Applicant �h. Date amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS Dyes "a UNLAWFUL,AND SHALLSUBJECTAN EMPLOYER TO CRIMINAL PENALTIES Will the(inwcled use of the building bythe applicant or future 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 Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY In Yes KNo 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 ,0 OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD hereby affirm under penalty of perjury that 1 am exempt from the permitting checklist.I understand my requirements under the State of California Health&Safety Cade,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardous matey al reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Dyes D No o Business and Professions Code).Any city or county that requires a permit to Date construct,alter,Improve,demolish or repair any structure,prior to its PROPERfY OWNER 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 RENOVATION,REPAIR AND PAINTING LRRPI 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 o 1,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.gov/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 o 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 not built or improved for the purpose of sale. 0 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 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. APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK 5 Menifee DATE (� PERMIT/PLAN CHECK NUMBER s TYPE: O COM ERCIAL CJ RESIDENTIAL O MULTI-FAMILY MOBILE HOME O POOL/SPA SIGN SUBTYPE: CJ ADDITION O ALTERATION O DEMOLITION C ELECTRICAL O MECHANICAL O NEW " PLUMBING CJ RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK rC r PROJECT ADDRESS ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME / ADDRESS 0 ` Ave / el 7� g PHONE % - Z EMAIL j ( APPLICANTNAME (j j ADDRESS QQ Q PHONE EMAIL r CONTRACTOR'S NAME r OWNER BUILDER? O YES NO BUSINESS NAME /'/11 yu / q ADDRESS PHONE T�T�Z ��z14 ,�3 EMAIL 7— CONTRACTOR'S STATE LIC NUMBER aZ 6 �0 LICENSE CLASSIFICATION VALUATION$ SQ FT L SO FT APPLICANT'S SIGNATURE DATE G DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE G EN SMIP 00�INVOICE ID AMOUNT AMOUNT 2 OCASH <%CHECK# ;%CREDIT CARD VISA/MC H N CHECK FEES PAID AMOUNTCASH CJ CHECK# :%CREDITCARD VISA/MC UILDER VERIFIED O YES CJ NO DL NUMBER NOTARIZED LETTER CJ YES O NO City of Menifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-245-6213 Site Map-30075 Haun Rd.#103 City of Menifee Building & Safety Dept. JUN 3 0 201b EXHIBIT B—SITE PLAN Received ' 1 SOUTH ELEVATION 70 LINEAR FEET i Pica uct-0;&u4a for � ��fR>E2 6d3��1C� \ W I-JUN 3 0 20IG LL �,aj ' c>tra K vl o.p.rrs.nt U. c ,fVillill 'I I D3 _ Ci8 � Q N v o O # I R EAST ELEVATION WEST ELEVATION 40 LINEAR FEET I .�e� ' 40 LINEAR FEET IIlin 1 PAFTMENT ' VAE _ vY ,N� SIN a- -u DATE N E W P a R 7 R D. FfONUAENiSKfN 'Approval of these plans shall not be construed to be&permit for,or an approval of,any violation of any provisions of the federal,state or city regulations and ordinances. This set of approved plans must be kept on the jobsite until completion. ƒP(i- / _in _ Jhl ; e sv£ « m FLA _ (\ 0 7 ■ _ ! \ = z. - , ( -=§;f a\ I_{\| < § / �7 > m a % d R � � q 0 & 7R Er 2 : % $ \ Ln . = - I k }_\ 14 ml ` o � ff � # z c Xrm § w kX � yam � } j » - dtA � - A % � ° 9 0 \ \ k { § 'I _ \ ) a § % c | _/ / \ ! 0 / ` / ` _ / 0 7 \ � � i / © - I moo \ D — § � k — ^� � . 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