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PMT16-02700 City of Menifee Permit No. PMT16-02700 29714 HAUN RD. Type: Sign-Permanent MENIFEE, CA 92586 MENIFEE Date Issued: 08/1812016 PERMIT Site Address: 26025 NEWPORT RD, Sufte#F, Parcel Number: 36D-011-027 MENIFEE,CA 92584 Construction Cost: $1,250.00 Existing Use: Proposed Use: Description of INSTALL ONE ILLUMINATED CHANNEL LETTER SIGN"VAPOR BARN" Work: Owner Contractor ARYA NEWPORT GROSSING, LLC GIG SIGNS 1762 WESTWOOD BLVD,#446 560 E HOSPITALITY LN#400 LOS ANGELES, CA 90024 SAN BERNARDINO, CA 92408 Applicant Phone: 9094414444 YEK CHHU License Number. 857429 GIG SIGNS 560 E HOSPITALITY LN#400 SAN BERNARDINO, CA 92408 Fee Description 21 Amount Sign Permit 1 190.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Building 1 9-60 $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. AkB1dg_Perrnit—TernpJate.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 a 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 mason: LicenseClass ClfS License No. eS"F 921 By my signature below I acknowledge that,except for my personal residence Expires q�'No - 11 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 COMPENSATION DECLARATION have built as a n owner-builder if it has not been constructed in its entirety by a 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 a nd 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.IegInfo.ca.gov/caIaw.htmL this permit is issued. Policy# Date PROPERTY OWNER OR AUTHORIZED AGENT o I have and will maintain workees compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which a 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 with all applicable city and county ordinances and state laws relating to Carrier building construction.I authorize representatives of this city or county to Policy# Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit Is for one-hundred Date dollars($3.00)or less PROPERTY OWNER OR AUTHORIZED AGENT /11 certify that in the performance of the work for which this permit is issued, Ishallnotemplo 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 worker's compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply wilth those provisions. Will the applicant or future building occupant handle hazardous material or a mixture containing a hazardous material equal to orgreater that the Applicant Y?fe� C41tv Date amounts specified on the Hazardous Materials Information Guide? WARNING: AILURETO SECURE WORKER'S COMPENSATION COVERAGE IS a Yes 0 No 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($100,000),IN occupant require a permit for the construction or morillication 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,INTERIEST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY a Yes a No 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) in Yes a No OWNER BUILDER DECLARATIONS I have mad 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 California Health&Safety Code,Section 25505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes allo 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 PROPERTY 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING JRRP) 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 practims.This includes renta I 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 I )all of or I )portion of the work,and the structure is www.epa.gov/lead or contact the National Lead Information Center at not intended or offered forsale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractor's State License Law does not apply to an owner of a a An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through em ployees'or persona I 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. ci No EPA Lead-Safe Certified Firm is required for this project bemuse: ci 1,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 k PERMIT/PLAN CHECK NUMBER 0 a-lot) TYPE: QrCOMMERCIAL ORESIDENTIAL 0MULTI-FAMILY OMOBILEHOME QPOOL/SPA OSIGN SUBTYPE: OADDITION OALTERATION C)DEMOLITION OELECTRICAL OMECHANICAL ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES_ DESCRIPTION OF WORK e7 L/C� v -,.L.�,�,. ,-,�,,QBUilding & SaiGtYDEPt- C rlt�,,v C L_ ) AUG 18 2016 PROJECTADDRESS Z � t,2S vjv��,zr�- R,�) -A Received ASSESSOR'S PARCEL NUMBER '�(00 -0jj!nC);L-A LOT TRACT OWNER NAME Alt-JA L_�(_ 1-11 oQ jt4%p I L-ACJ4 ADDRESS 99;0 v ou -jz,:ve/,�,Lkv PHONE jSc) EMAIL APPLICANT NAME Ve w ADDRESS II ti 1 5 oe it 14.4 A�e �1 A tk 3:s PHONE 9 U11 Li�(44 EMAIL CONTRACTOR'S NAME OWNER BUILDER? 0 YES "0 BUSINESS NAME C_,C ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER g5q 4yz-I; LICENSE CLASSIFICATION r /�c VALUATION$ �,2,5,o SO FT /S L SO FT 1r-144 APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY 1w_ DEPAR1 MENT DISTRIBUTIUN LI IT U�MtNII,tL BUNNE�b LICLNbE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP X INVOICE PAIDAMOUNT AMOUNT -Aw I 1 0 CASH 0 CHECK# OCREDITCARD VISAINIC PLAN CHECK FEES I PAIDAMOUNT I OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED 0 YES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee Building&Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofmenifee.us Inspection Request Line 951-246-6213 AdOO 301=1=10 9 LU < C4 c < uj to -g 21 z Iflat .1c nc 0 r . M T Z' 0. > � -> - M.2 is �5 0 u, 8 E� > cc a).?, C= C14 Mu CD co co Cd Lo LLJ Bo ILI lu V) -i jE pp z ci a E Im 2, CD .5 C-0 0 =D CL &n aloq doeM aoinos Jamod AOZT LPI!MS loauuo:)Slp WmpmzVMnle ol!qm Palsil in poleo:).ejd buiqsnq :)l 1181L .1seld ajimAiddnS oiiAj:)e,,9T/E JOA00 t4JIM ainsopue wnuiwnle pawjo44eajq.080, dp:)wijl amomar buisnoq Alddns jamod AOZT suoilipum alls jad pajm�aj se jaualsel--7m le:)iue4:)aw ain:)aS I!o:)wnuiwnie BINM Palpoo-aid,10170, I !D49(] U01pas J94491 0 cl rF7 TflT I fm P4 -3 avou Yl Muljiuv