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PMT16-04367 City of Menifee Permit No.: PMT16-04367 29714 HAUIN RD. Type: Commercial Addition <A—CCECA—> MENIFEE, CA 92586 MENIFEE Date Issued 0211312017 P E R M I T Site Address: 30098 HAUN RD, MENIFEE, CA 92584 Parcel Number: 360-690-007 Construction Cost: $39,998.70 Existing Use: Proposed Use: Description of CONSTRUCT 4'BLOCK W/5'6"GLASS ATOP WALL OUTSIDE PERIMETER AND PATIO Work: ALTERATIONS AT HANA SUSHI Omer Contractor KUIYOUN CHO-HANA SUSHI STANFORD SIGN&AWNING INC 30098 HAUN RD 2556 FAIVRE STREET MENIFEE,CA 92584 CHULA VISTA,CA 91911 Applicant Phone:6194236200 INCHA LOCKHART License Number:863570 STANFORD SIGN&AWNING INC 2556 FAIVRE STREET CHULA VISTA, CA 91911 Fee Description Qtv Amount Building Permit Issuance 1 27.00 Wall/Fence, non-standard 1 133.00 Inspections not specified 387 387.21 Additional Plan Review Building 129 129.07 Additional Plan Review Building 78 77.74 GREEN FEE 1 2.00 SMIP COMMERCIAL 1 12.00 New Construction Permit Fee 1 184.00 General Plan Maintenance Fee-New 1 9.20 Construction $961.22 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifirations 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 3ldg_Perrnit-Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe projects I hereby affirm under penalty of pedurvthat I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). Chapteril(commencing with section 7aOO)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 reason: License Class (I-4Z S- License No. 2 Expires //:Z, Signature .By mysignature below I acknowledge that,exceptformy personal residence in which I must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered 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 pen@ Ity 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 InclustrI.TRelatmais 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.html. Policy#(�[?!2-C) �F -)�/) 4�9-1 X Date 0 1 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 ci By my signature below I certify to each oFthe 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 Carrier-:rij-ly 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 dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT Date ci 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# 0-374ft 2 worker's compensation laws of California,and agree that if I should become subject to the worker's compensation provisions of Section 3700 of the Labor HAZARDOUS MATERIAL DECLARATION Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Appficallll,�A�C-V!:: I Date 12))b1l mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WA—RNING'.FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS n Yes if N UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will thZoded use of the building by the a pplica nt or futu re bu ildfirig AN D CIVIL FINES UP TO ONE HU N DRED THOUSAND DOLLARS($100,000),1 N ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(5CAQMD)?See permitting checklist forguidelines CONSTRUCTION LENDING AGENCY 0 Yes d I hereby affirm that under the penalty of perjury there is a construction Wil �p I 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 O�Alu OWNER BUILDER DECLARATIONS I have mad the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractor's Uicense Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkma rk(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting. Business and Professions Code).Any city or county that requires a permit to 0yes �Xci construct,alter,improve,demolish or repair any structure,prior to its Date issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRPI 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 and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensation far most work that disturbs paint in a pre-1978 an Applicant for a permit subjects the applicant to a civil penalty of not more residence or childcare facility to be RRP-certified firms a nd comply With than($500). required practices.This includes rental property owners and property 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 more information about EPA's Renovation Program visit: compensation,will do( )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 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 completion,the Owner-Builder will have the burden of proving that it was Firm Certification No.: not built or improved for the purpose of sale. u No EPA Lead-safe Certified Firm Is required for this project because: n 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.