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PMT16-04351 City of Menifee Permit No.: PMT1 6-04361 29714 HAUN RD. Type: Sign-Permanent <A—CCIEU� MENIFEE, CA 92586 MENIFEE Date Issued: 12122/2016 P E R M I T Site Address: 28881 NEWPORT RD, MENIFEE, CA Parcel Number: 364-030-004 92584 Construction Cost: $2,000.00 Existing Use: Proposed Use: Description of INSTALL 4 LED SIGNS TO FACIA OF 4 ELEVATIONS Work: Owner Contractor FOOTHILLARCH LLC MEINEKE&SON'S ELECTRICAL SERVICES 2910 S.ARCHIBALD AVE SUITE A350 29850 ASPEN CRT ONTARIO, CA 91761 CANYON LAKE, CA 92587 Applicant Phone:9512329248 GERALDIN ROBERTS License Number.599973 MEINEKE&SON'S ELECTRICAL SERVICES 18301 COLLIER AVE SUITE B LAKE ELSINORE, CA 92530 Phone:9518165154 Fee Description Qtv Amount($1 Sign Permit 4 214.00 Building Permit Issuance 1 27.00 GREENFEE 1 1.00 General Plan Maintenance Fee-Building 1 10.70 $252.70 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. AA,_Bldg_Pennit-Ternp1ate.rpt Page I 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). Chapter9(commencing with section 7000)of Division 3 of the Business and o 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 0— to cerise No. 5-wi -73— By my signature below I acknowledge that,except for my personal residence Expires 20 ie Signature _A_e" Axetr in which I must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION 1�6� /72ee_t4e improvements mvered by this permit.I cannot legally sell a structure that I 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: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 this permit is issued. www.leginfo.ca.gov/calaw.htmi. Policy#— A-) — —Date o I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT 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 ownees behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to 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 o I 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';.9 compensation provisions of Section 3700 of the Labor Code,I shall forth mply with those r 151 Will the applicant or future building occupant handle hazardous material or a Applicant -,-5 tz_,2� 7Z d,,.te 12 -2 2- mixture containing a hazardous material equal to or greater that the (Zf7 — amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS a Yes 1)Vo 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 requ Ire a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Managern ant District ISCAQM D)?See Perm itting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidellnes CONSTRUCTION LENDING AGENCY 0 Yes &9b T I hereby affirm that under the penalty of peTlury 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 b clary of a school? (Section 3097 Civil Code) a Yes 090 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 affirm under penalty of perjury that I am exempt from the California Health&Sa�ety Code,Section 25505 and 25534 concerning Contractoes License Law for the reason(s)indicated below by the hazardous materiall r orting. c Business and Professions Code).Any city or county that requires a permitto vyles a No heckmark(s)I have placed next to the applicable item(s)(Section 7031.5 construct,alter,improve,demolish or repair any structure,prior to its PROPERTYbWAd 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 IRRP1 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 ci 1,as owner of the property,or my employee with wages as their sole employees.For mom 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 contactthe 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 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. o No EPA Lead-Safe Certified Firm is required for this project because: o 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 Men if e e DATE PERM IT/PLAN CHECK NUMBER TYPE: -�ICOMMERCIAL ORESIDENTIAL OMULTI-FAMILY OMOBILEHOME OPOOL/SPA OSIGN SUBTYPE: OADDITION OALTERATION ODEMOLITION 9,'tLECTRICAL OMECHANICAL ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK H �n a-f, � PROJECTADDRESS ASSESSOWS PARCEL NUMBER ZkV4— 1030�00q LOT TRACT OWNERNAME Ar?cL4 , C(�- ADDREss�ZUO S, Avrlysa�-r) Al�k - al:v, A36b PHONE Ct �-(q EMAIL -42, r r 1 .5 g- (P APPLICANT NAME hx/ u H eb ADDRESS A00— 3(1 PHONE EMAIL 40�- CONTRACTOWS NAME OWNER BUILDER? 0 YES ONO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ *,qloo(D SO,FT 1 ( L SO,FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE 4EN S'vI P � I INVOICE PAIDAMOUNT CASH 0 CHECK# ON CREDIT CARD VISA/MC AMOUNT I PLAN CHECK FEES PAID AMOUNT 1 0 CASH 0 CHECK# OCREDITCARD VISA/MC LOWNER BUILDER VERIFIED 0 YES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO City offvlenifee Suildir3g&Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6777 wo,vvxityofrnenif�e.us Inspection Reqoesr Line 9S]-246-6213 'T'A�Ineke & S66�' 0677575vc (951) 232-9248- PLANNING DEPARTMENT RE: AUTHORIZATION TO PULL SIGN PERMIST FOR CONTRACTOR 1,hereby authorize the following individual(s) to act on behalf of Meineke & Sons Electrical Service to obtain permits from required municipality departments as necessary. We are properly licensed as required by the State of California. We assume full responsibility under the law for permits obtained by the below authorized person/ entity to act on my behalf. This authorization shall continue until Meineke & Sons Electrical Service notifies, in writing, to cancel this letter of authorization. Persons authorized to sign for permits and related documents pursuant to the above include: MAXIMUM SIGN CO: Geraldine S.Roberts-1 8301 Collier Avenue #13,Lake Elsinore,CA 92530. License No. C-10 599973 Dated: L, By: Brian Meineke Meineke & Sons Electrical Service Owner & License Holder STATE OF CAUFORW SIGN LIGHTING CEC-WCC-LTS-01-EFW4Wd 0IA6) CAUFORIIIIAE14ERGYCOMMISSION 'S CER71FICATE OF COMPLIANCE NRCC-LTS-011E Sign Lighting (Page 5 of 5) DOCUMENTATION AUTHORS DECLARATION STATEMENT 1. lcuftthatthisCerMkateafGompHancedocumerr4dionis and complete. Dmummmlun D--- CampanT. Skullim ba� Add� /83cd OhWik�� AV-k- CEA Cermicautm liGnPrapplimitak): city/shibow. /—)Ggc- &CC/kJCAC=- O�4 q2 S-2, 57 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury,uriderthe laws of the State of cafifornia: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance(responsible designer). 3. The energy features and performance specifications,materials�components,and manufactured devices for the building design orsystem design identified on this Certificate af Compliance conform to the requirements of Title 24,Part I and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Cer tificate of Compliance am consistent wIth the information provided on other applicable compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency fo r approval with this building permit application. 5. 1 will ensure that a completed!�igried copy of this Certificate of Compliance shall be made available with the building permit(s)Issued for the building,and made available to the enforceinent agency forall applicable inspections�I understand that a completed signed copy of this Certificate of Compliance is required to be included with the docum Son the builder provides to the building owner at occupancy. ResponsweDestmrName R-Ponsw.oesilperswswbff� com�: oateskpmd: Addr.: CRY/stawZ11,; ph�- CA Building Energy Efficiency Standards-2016 Nonresidential Compliance JanuarV2016 STATE OF GAUFORNJA SIGN LIGHTING CEC-NRCC-LTS-01-EOWWMW 01P16) CAUFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIMCE NRCC-LTS-01-E Sign Lighting -(Page 4 of 5) 3.Specific Lighting Source Method of Compliance Certificate of Compliance and Field Inspection Energy Checklist Complete this pan if there are signs using the Specific Lighting Source method of compliance.(Complete pan 2 of this Certificate of Compliance If there are signs using the maximurn allowed lighting power method of compliance) A B C D E OPTIONAL Specific light source used for Symbol ENERGYVERIFIED compliance Field Inspector or Description label Shallinclude only lighting CheckthatSign Code (see instructions technologies listed below Complies below) (List all that apply) ir- rg ar If [3 007-04 NW-T-191W Er jig [3 -Pr�i otc 0 1 El A Symbol or code used an the plans twhenjolans are required)and other documents. 8 A narrative description of the sign,or location of sign on the building;and the location of sign an construction documents OPTIONAL-Check this bux only if this sign has a permanent,preprinted,bdrivy-instifled ENERGY VERIFIED[abet confirming that this sign complies with the Section 140.8 of the California 2016 Title 24,Part 6 Standards�using the Specific Lighting Source Method of Compliance, The on ly labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by Underwriters Laboratories(UL)or C other Product Certification Body accredited to 1SO/IEC Guide 65 bythe American National Standards institute inaccDrdanoe with ISO/IEC 1703.1.Surveillance"e Accredited Certification Body shall be an ongoing annual Inspection program carried out by a Type A Inspection body in accordance with ISQ/IEC 17020.For signs with such an ENERGY VERIFIED label,column'W Is not required to be filled out.Note:Using a n ENERGY VERIFIED label is an optional mettiod to validate compliance.An ENERGY VERIFIED label is not needed for crunpliance. Specific Light:Source Compliance Method.The sign(s)identified above use only the following fightingteclmalq� List all applicable numbers(1 through 9)that apply in column D above for each row. I High pressure sodium lamps Metal halide lamps that are pulse start or ceramic served by a ballast that has a minimum efficiency of 88%or greater. 2 Ballast efficiency is the measured output wattage tD the lamp divided by the measured operating input wattage when tested according to ANSI C82.6-2005. Metal halide lamps that are pulse start that are 320 watts orsmaller,am not 250 watt or 175 wait IampSr and are served by a ballast that has a minimum efficiency of 80%. 3 Ballast efficiency is the measured output wattage to the lamp divided by the measured operading input wattage when tested according to ANSI C82.6-2005. Neon or cold cathode lamps with transformer of power supply effidency greater than or equal to a minimum efficiency of 75%when the D 4 transformer or power supply rated output cuffent is less than SO mA.The ratio of the output wattage to the input wattage is at 100% tubing load. Neon or mid cathode lamps with transformer or power supply efficiencygreater than or equal to a minimum efficiency of 69%when the 5 transformer or power supply rated output current is 50 mA or greater.The ratio of the outputwa=ge to the input wattage is at 100% tubing load. 6 Fluorescent lighting systems meeting one of the following requirementm A.)Use only lamps with a minimum color rendering index(CRI)of 80,or 8.)Use only electronic ballasts with a fundamental output frequency nut less than 20 kHz. 7 Light emitting diodes(LEDs)with a power supply having an efficiericy of 80%or greater. Single voltage external power supplies that are designed to convert 120 valt AC Input Into lower voltage DC or AC output,and have a nameplate output power less than or equal to 2SO watts,shall comply with the applicable requirements of the Appliance Efficiency Regulations(Tide 20)- 9 Compact fluorescent lamps gut do not contain a medlum screw base sockets(E24/E26). E This page doubles as a field inspection clieddist. Field Inspector Notes: CA Building Energy Efficiency Standards-2016 Nonresidential Compliance January 2016 STATE OF CAUFORNIA SIGN LIGHTING GEC-WCC­l.T"1-E(Revisad 01116) CALIFORNIA ENERGY COMAISSION 10 CERTIFICATE OF COMPLIANCE NRCC-LT"l*E Sign Lighting (Page 3 of 5) 2.Miudmuni Allowed Lighting Power Method of Compliance Certificate of Compliance and Field Inspection Energy Checklist. Complete this part if there are signs using the maodmum allowed fighting power method Of compliance-(Complete part 3 of this Certificate of Compliance if there are signs using the Specific Lighting Sources method of cum lia.nce). A B C D E F F G Symbol OPTIONAL—Energy Filed or Description of the Sign Verified Label tsee Allotted Watts Design Complies inspector Code instructions below) watts Y/N Checkthat SignComplies I t cc! E E E It: 0 0 E < El L)lq2 4C)6 \j 13 'T-3 q0() 0 11 Soo�K LQ �r��ve 0 0 A Symbol or code used on the plans byhen plans are required)and other documents. B A description of the sign,or location of sillit on the building;and the location of sign an construction documents. OPTIONAL-Check this bDX only if this sign has a permanent preprinted,bctoryminstalled,ENERGY VERIFIED label,confirming that the sign complies with the Section 140.8 of the Caftmia 2016 Title 24,Part 6 Stikndards�using the Maidinum Allowed Lighting Power methadofmmlillarice The only labels that will be recognized for V&purpose am ENERGY VERIFIED Certification Marks authorized by C Underwriters Laboratories(UIL)or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards Institute in accordance with 150/(EC 1701L Surveillance by the Accredited Certification Body shall be an ongoing annual Inspection program carried out by a Type A Inspection body in accordance with ISO/IEC 17020.For signs with such an ENERGY VERIFIED labeJ, columns'D'through I'are not required In be filed ouL Note:Using an ENERGY VERIFIED label is an optional method to validate 1 compliance.An ENERGY VERIFIED label is riot needed for compliance. D The sign area in square feet. E Ust ffr if the sign Is internally diuminated. 1.1st'lEw if the sign is extornzilly illuminated. F Allowed watts per square libut Enter 12 if the sign is listed as*1'in column E.Enter 2.3 if sign is listed as To In column I- G Multiplythe square foolage in column D times the allowed Lighting Power Density(LPD=watts)in oaliarm F. H Show the total Installed watts in the sign,as deterudned monarifing to the applicable provisions;of§130(c), I Enter Y if the number in column H is less than or equal to the number in coltunn G. Otherwise,the sign does nut comply. i This page doubles as a field inspection checklist Field inspector Notes: Cok Building Energy Efficiency Standards-2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA SIGN LIGHTING CEC4,1RCC-LTS411-EQUylsed 011116) CALIFORMENERGYCOUMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01�E Sign Lighting (Page 2 of 5) 2 [ 1 1b.Mandatory Sign Lighting Controls If the person signing the Certificate of Compliance Declaration Statement an this NRCC-LTS-017E is responsible for complying with the sign lighting control requirements,that person shall answer all of the following questions: If there are construction documents,indicate where an the building plans the mandatory measures(sign lighting oimtrol]i note block can be located: .I I §130.3(a)l.All indoor sign righting is controlled with an automatic time-switch control or astronomical time- Y N switch control. 11 13 §130.3(a)21L All outdoor sign fighting is controlled with a phutDcontrol in addition to an automatic f*wne- Y N NA 2 switch control,or an astronomical time-switch control. bf 13 [1 EXCEPTION to Section 130.3(a)M,Outdoor sign in tunnels,andsigns in large permanently covered outdoor y areas that are intended to be continuously 114 24 hours per day and 365 days per year. §130.3(a)2B. All outdoor sign lighting that isON both day and night is controlled with a dimmer that provides the ability to automatically reduce sign lighting power by a minimum of 65%during nighttime hours.Signs that Y N 3 are illuminated at night and for more than I hour during daylight hours shall be considered ON both day and 0 El night. EKCEPTION to Section 130.3(a)2B:Outdoor signs in tunnels and large covered areas that are intended to be y illuminated both day and nighL El I -El-- §130.3(a)3. Demand Responsive Election! Message Center Control.An Electronk Message Center(EMC) having anew connected righting power load greaterthan 15 kW has a control installed that is capable,of' Y N NjAj 4 reducing the lighting power by a minimum of 30%when receiving a demand response signal. 0 1 0 m- EXCEPTION to Section 130.3(a)3:Lighting for EMCs that is not permitted by a health or life safety statute, y r ordinance,or regulation to be reduced by 3M Field Inspector Notes: CA Building EneW Efficiency Standards-2016 Nonresidential Complianm January 2016. STATE OF CAUFORNIA SIGN LIGHTING CEGMCC-LTS-01-E�WIS) CALFURNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01--E Sign Lighting (Page I of 5) NFL C H 2- A.General Information Project Address: Location of Sign p9utdouswa 13 Indoor S%W Phase of Sign Construction ULNewSigns El Sign Alterations Type of Lighting Control —UWew Lighting Controls 13 Replaced Lighting Controls EINotlastadlingUghtin Controls This Certificate of Compliance includes the folkiwing components(check all that apply): 13 Mandatory Measures(Lighting Contraft) tan Allowed Lighting Power 13 Specific UghtingSourcec 1.Mandatory Sign Ughting Controls NOTES: 1. The some responsible person may Install both tire sign lighting power and the sign fighting contrals,or a different responslble person may Install thesign lighting controls than the responsible person installing thesign,fililitiagpower. 2. The Mandatory Measures(sign lighting contruls)ure required for compliance with the sign lighting Stundurds� if the person re-3ponsiblefor installing the sign lighting power is not also responsiblefor the sign lighting controls,then the owner of the sign, general contractor orarchitectshollbe responsible to have thesign lighting corifth installed. 3. If more than one persm has responsibility for compliance, each responsible person shall prepare and sign a oerlecate of Compliance and an Installation Certifinate applicable to the portion of constructionjor which they are responsible,aiternawely, the person with chief responsibiTityfor construction shall prepare and sign the Certftate of Compliance Declaration Statement for the entire construction. Ia.Statements of Responsibility Any person signing the Certificate of Compliance Declaration Statement on this NROC-LTS-01-E shall complete Part Ia.Check Yes or No for all of the following statements: I I have responsibil"r installing the SIM lighting controls: I�Py—�-complete parts Ia and Ib of this form 0 No,complete part Ia of this form 2 There are no existing sign lighting controls and I will be i"IlIng compliantsign lighting contro6- 0 Yes ELND Zp 3 ;are no e)dsting sign lighting controls and someone else will be responsible to install compliantsign lighting controls-. ONo Tbere are existing sign lighting controls that do not comply with the applicable provision orf§110-9 and§130.3 and I will be 4 installing compliant sign lighting controls: Yes There are eAsting sign lighting controls that do not coWpl�wlth the applicable provision Of§110A and§1303 and someone 5 else will be responsible to Install compliant sign lighting controls. U Yes U� I YO CA Building Energy Efiliclency Standards-2016 Nonresidential Compliance January 2016 ns� M 2. 0 Acl WON UE ir"T -M rn m ri, 26 zo wo ' U 7 m 0 CrT. L M bz 3:� Cc) ZO CD Em 0. HIT Ur 2t a m 900 CD I LO) < CD 0 CL C7� 0 CD MON gp. 24 r K K '3 ON SIR �n m 26' Mr > No CD u 1-4 zo 0- RD No *0 C-) CD MP: CD (D < Wi.0 5a�tw� CD sR OCD CD t2 Un 0 2 PP A la A 2.2 Y z M v z z p s 0 0 H =00�. al7w- 3c 0 F,9.gg�- �A �i st IIJ 0 W. 00 �m Lei Ei OR Ar DRIW �RU RX el r e3 L THIRWU 0 RX % LLL L ---------------- --------- UE own 3 N