PMT16-02778 City of Menifee Permit No.: PMT16-02778
29714 HAUIN RD. Type: Sign-Permanent
<X-CCIELA> MENIFEE, CA 92586
MENIFEE Date Issued: 08124/2016
P E R M I T
Site Address: 27701 SCOTT RD, Suite#301, MENIFEE, Parcel Number: 384-180-038
CA 92584 Construction Cost: $3,000.00
Existing Use: Proposed Use:
Description of INSTALL 2 ELECTRIC CHANNEL LETTER SIGNS FOR"LA BELLA VITA SALON SPA"
Work:
Owner Contractor
MENIFEE PARTNERS J K PAPPA ENTERPRISES INC
4909 MURPHY CANYON RD#405 26019 JEFFERSON AVE UNIT B
SAN DIEGO, CA 92123 MURRI ETA,CA 92562
Applicant Phone:9513049993
JERRY PAPPALAIG License Number:935797
J K PAPPA ENTERPRISES INC
26019 JEFFERSON AVE UNIT B
MURRIETA, CA 92562
Fee Description Qtv Amount I$1
Sign Permit 2 190.00
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 othervVise 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_Perrnjt Template.rpt Page I of 1
CITY OF IVIENIFEE
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)pursuentto the ContraclorsState License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and u I am exempt from licensure under the Contractor's State Ucense Law for
Professions Code nd R . . f lif I
is n u orce and effect. the following reason:
License Class Licens 0. By my signature below I acknowledge that,except for my personal residence
Expires 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 an owner-builder if it has not been constructed in its entirety by
in 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 La bar Code,for the performance of work for which www.Ie5infc.ca.F2!A.alaw.htm].
this permit is issued.
Policy#
PROPERTY OWNEI?OR AUTHORIZED AGENT
ci 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 Kymy signature below I certify to each of the following:I am the property
this permit is issued.My workees compensation insurance ca rrier and policy owner or authorized to act an the property ownees beha If.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 01 building construction.I authorize representatives of this city or county to
Policy# (Q0 I 10j(0 Q 6 big Expires q he h L, enter th�above ldentifi property for inspection purposes-/
(Mis section need not to be completed is the permit Is for one-hundred c —Date
dollars($IGO)or less PROPERTY owh A OR AUTHORIZED AGEN.
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# 0:M1531
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 f rth%V_"mply with those provisions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
Applicant aunts spe 'fled on the Hazardous Materials Information Guide?
am
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAJE IS 7.
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Wilitheintencled use of the building by the applicant or future building
ANDCIVILFINES UP TOONE 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 SIXTION 3706 OF THE LABOR CODE,INTEREST�AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY a Yes �4
1 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) 0 Yes [1 0
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 affinni 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 hazardousCrial reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 0��i I
Business and Professions Code).Any city or countVthat requires a permitto Date
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNN 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(RRPI
Ucense 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 workthemsehres or through their
in 1,as owner of the property,or my employee with vniges as their sale employees.For more Information about EPA's Renovation Program visit:
compensation,will do I I all of or I I portion of the work,and the structure is www.epa.gov/fead 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 Contractor's State License Law does not apply to an owner of a ci 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. .4a EPA L,,d-S,fe 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
"Wenifee
DATE PERMIT/PLAN CHECK NUMBER 7Mk%D-
TYPE: VCOMMERCIAL ORESIDENTIAL CMULTI-FAMILY OMOBILEHOME OPOOL/SPA V(16N
SUBTYPE: OADDITION OALTERATION ODEMOLITION OELECTRICAL OMECHANICAL
W'NEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES—
DESCRIPTION OF WORK J�-�C, 0,�XO&N34 I ejeA < ��v 04-� �00A
cxpd k--3 -, � � :>
PROJECTAIDDRESS �7-fj9j �C 0�1 U1 131 �t, e-
ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNER NAME Tom H&mo ]i 1 9 pmA\\ C C--
ADDRESS 0 t� NL4N 0�j �-s
PHONE EMAIL
APPLICANT NAME 0�-\
ADDRESS 9 6 11� I> %A�juktAcl.
PHONE Q� I - -q0Lj- EMAIL cc �0-4 mot , C 0
CONTRACTOR'S NAME \Of rLI vu:or) 0- CL, OWNERBUILDER? OYES i�40
BUSINESS NAME S ,\k
ADDRESS pc�bo eA st)t-,, o e— e-
@
PHONE EMAIL )e — S63 LMQ� , C 0 WA
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ S)L90 C) SQ FT L SQ FT
APPLICANT'S SIGNATURE C95::Z—�Q TE
CITY STAFF USE ONLY
DEPARTMENT DURIBUTION CFFY OF ME sE NUMHtK
a FIRE
BUILDING PLANNING ENGINEERIN 3REEN 0 tmq
INVOICE PAID AMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
AMOUNT 15q 1 1
PLAN CHECK FEES I PAIDAMOUNT I I OCASH OCHECK# OCREDITCARD VISAIMC
OWNER BUILDER VERIFIED 0 YES 0 No DLNUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building& Sofety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.us Inspection Request Line 951-246-6213
03 0
g
0 C:
N) LD LA r- W -;� -
-lj Ul u- w 0 >
I'D
Ln M
C) ID Im
L) I— L
"j DJ IA a'
0) Z ED
CID Ln w <
r) :3 > > Q:7j
0 0) FD' 5 z
cy >
ID > C)
M Z'
Alt
F
to
M z -4 CD
ID CMD
C> 4.8 in
rp)
>
M M
Ln 0 j= in
CID <
E :z
* �l Q FF==
0
M
0
z M<
>
0
CID
m 4�
co 0
co)
m
(3' 0 > owes
.b. < IM 23.5 In_
(& 4, P
W cn
to
m m
IM
3
Wx n
IM w
0'01 z P
0
.I-ftlip,
am
w
M W. Alit zi-3
M
CD
CID
cn
to 23.5 in-- CD a
0 OCID
w (D
L Cn
r
_1
>
N - >*
o
0
0 0
rn 4
rm
!vp
?ZIP
-01 si YZI
�j �o tA r- oo F
rD �j Ln w m 0 > 0
rD w >
:3 CD Ln M
0) z
2
CD un �j ON >
n - > z
0 Fo < 6) o
M >
W (D G)
C: Rl
Ln 0 X
l<
rD
w ;:p 0 CL
C)
@
' 2- =r
> to
Q
3 > CL
ko w .. *
r� m m m
Ln
00
0 M
41
2.
0
0
z
> m 2:
C) <
=.
x
44
CL m
'o
0
>
cu co
-n 0i
wx - = w
r)
m
0 r 0
cm o
>
to
Ll
cn
44C
1 ' 00, m I
74 r
E
0
z 0
C,
to r
r
0 m
r
CD
ff 0 F,
>
rn
7J
3! rn
6
r- of— > M
o M >0 r, co-u> r X
0 z UD OD;U-ucn
.1m
> -V C)M'eu%M 9;
;a 0 0 m< IC—Z —
> a o z ;o--u c z
m C ->,G 2 2 m;u
z x m m ME>
,ci) ;u
G)M m
m m >
0 0 0 M >
r, 0 0 r=
m m --I a
;a 'a X z
CA F) -V
4F