Loading...
PMT16-02987 City of Menifee Permit No.: PMT16-02987 29714 HAUN RD. Type: Sign-Permanent -1;kCCELA-31 MENIFEE,CA 92586 MENIFEE Date Issued: 0910812016 P E R M I T Site Address: 30054 HAUN RD, MENIFEE, CA 92586 Parcel Number: 360-69D-027 Construction Cost: $900.00 Existing Use: Proposed Use: Description of INSTALL TWO ILLUMINATED CHANNEL LETTER SIGN INSERTS ON EXISTING MONUMENT Work: "FOREVER 21" Owner Contractor DONAHUE SCHRIBER CENTERLINE SIGNS 200 E BAKER STREET,#100 10833 CHERRY STREET COSTA MESA, CA 92626 LOS ALAMITOS, CA 90720 Applicant Phone:5626183707 JAMES KAKALLIS License Number. 1013962 CENTERLINE SIGNS 10833 CHERRY STREET LOS ALAMITOS, CA 90720 Fee Description Qtv Amount($ 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 buillding operations being carried an 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 BldgPernfit-Ternplate.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 contmctor(s)pursuant to the Contractors State License Law), Chapterf)(commencing with section 7000)of Division 3 of the Business and a I am exempt from licensure under the Contractoes State License Law for Professions Code and my license is in full force and effect. the following reason: LicenseClass t--L45 License No. By my signature below I acknowledge that,except for my personal residence Expires Signature �� in which I must have resided for at least one year prior to completion of cl� improvements covered by this permit.I cannot legallysell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder If It has not been constructed in its entirety by o I hereby affirm under penalty of perjury one of the following declarations:1, licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self-insure forworker'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 webside: by Section 3700 of the Labor Code,for the performance of work for which www.Ieginfo.ca.Aov/caIaw.htmI. this permit is issued. Policy# PROPERTY OWNER OR AUTHORIZED AGENT Date 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 o 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($100)or less PROPERTY OWNER OR AUTHORIZED AGENT )"E� ertify 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 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 p.rovipspps of Section 3700 of the Labor Code,I shall Will the applicant or future building occupant handle hazardous material or a Applicant=7��'Date ey, 0y. 1,4 mixture containing a hazardous material equal to or greater that the 41� amounts specified an the Hazardous Materials Information Guide? WARNING.FAILURE TO SECURE WORKEWS COMPENSATION COVERAGE IS oYes allo UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or futu re 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(SCAOM D)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguldelines CONSTRUCTION LENDING AGENCY uYes ciNo 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) ci Yes n No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCACXMD 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 ciYes ci No Business and Professions Code).Any city or county that requires a permit to Date construct,after,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 IRRPJ License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Ru le 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 th e 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 renta I property owners and property than($500). managers who do the paint-disturbing work themselves or through their a 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.goy/lead or contact the National Lead Information Center at not Intended or offered for sale.(Section 7044,Business and Professions I-BOD-424-LEAD(5323). Code;The Contractoes 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 oi proving that it was not built or improved for the purpose of sale. a No EPA Lead-Safe Certified Firm is required for this project because; a 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 RAP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee ldolllklb�__ � DATE PERMIT/PLAN CHECK NUMBER 9MQ-naqS-1 Clty c f Menitee TYPE; 0 COMMERCIAL 0 RESIDENTIAL 0 MULTI-FAMILY 0 MOBILE HOME 0 POOLIFSPA 0 Smmlding I Safety Dopi SUBTYPE: OADDITION CALTERATION C-DEMOUTION OELECTRICAL OMECHANICAL ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES_ SEP 0 8 2U*iI) DESCRIPTION OF WORK eived C+AAWNI&L 1w e-yc �-Fx" II-Auxjx T-4Ek"awT- ?6(c U-C-0 PROJECTADDRESS 306 6-Lt 12� 0=1 nBu ASSESSOR'S PARCEL NUMBER ?koO - (jflf)7_� LOT TRACT OWNER NAME sIoo Ae ADDRESS :k�JC)o CCt�� t�::LCW_(nA a@UQU PHONE EMAIL APPLICANT NAME -TAt--LC-�< V��CALLU-,� ADDRESS /Dg-3 7 Ckt-a-te j?y S T , �6s /1 (P4 04,r-M C-4 �'67Z PHONEA-6 7 ?76,7 EMAIL CONTRACTOR'S NAME 6t-tPIqN'-/ OWNER BUILDER? 0 YES'"0 BUSINESSNAME ADDRESS lbf)3 6t&—rCrO �e S-r J�� 6661dr7v Co F677-0 I b PHONE(-E/11-3767 EMAIL lav-0&�0-4�94 t4i-fta,e CONTRACTOR15.STATE LIC NUMBER LICENSE CLASSIFICATION J c-Ll 5-4 VALUATION$4, .56 SJQ FT 2-6�L3 LSQFT APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPAKTMENT UlbTRIBUTION LI I Y U�FOLWEE BU51NESS LICENSE NUMBEK BUILDING PLANNING ENGINEERING FIRE I GREEN SK41P INVOICE I e PAIDAMOUNT '10 AMOUNT �Pj.eo 1 1@ 0 CASH 0 CHECK# OCREDITCARD VISA/MC PLAN CHECK FEES I PAIDAMOUN.T 1 0 CASH 0 CHECK# OCREDITCARD VISAIMC OWNER BUILDER VERIFIED 0 YES 0 No DLNUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofmenifee.us Inspection Request Line 951-246-6213 ,O�cjoo 3013=10 LS6eO - I'Al�� Q) > (D co .6 U) > L) cl LLJ G) r- :tf c M 2 Mr as CL (n th E U) r Cc CL ca CE LO (N co 0-) (0 C) w N LO < N Z >1 Z3 FD z 2 0 ui W tp 2 m uj Cc 2 LU LLJ LIJ Lj- 0 co 7r� LAJ �j uj 0 0 LLI wo,loo@s!hwnw!xow g !, up.-Is 51 -1191SIA wnwi IN 9 x A< 4M SE 13 IF. I iou 71 7r r W!, L r I < wit -,f ME rl�j 0� og 06ZO6 v)Hud.1 PH ll�I'll Ups b..H sEal al I sst oic 0 mas lelai 6vejss�oje(qd wnw. Z9281 <0 m a T AIIIISISIA Dc'vW .10. HE LLI LU w U) ----------------- V*4 LLJ LLJ cm 9 OU06 vi a6undol 5 e Wpla AJU,K fill !'I!a IZLISSVDIE((04 6VEZ55vot IF c v HIM III R shill! EM AII-11191SIA Whw"IXVW a! @ m It 21 12-5F lo� ,> 4 AO z Z Z-. wE 5 2= r op ai E t: Eme o Eo v So 0