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PMT17-00941 City of Menifee Permit No.: PMT17-00941 _ 29714 HAUN RD. '�A-CCEL/> MENIFEE, CA 92586 Type: Sign-Permanent °n'""tSyk—" MENIFEE Date Issued: 03/29/2017 PERMIT Site Address: 26100 NEWPORT RD, MENIFEE, CA Parcel Number: 338-160-015 92584 Construction Cost: $350.00 Existing Use: Proposed Use: Description of ADD 2 MONUMENT FACES ON EXISTING MONUMENT SIGN FOR FITNESS 19 Work: Owner Contractor PACIFIC COAST COMMERCIAL POWER SIGN 6050 SANTO RD#200 P O BOX 1034 SAN DIEGO,CA 92124 MURRIETA, CA 92564 Applicant Phone: 9512859595 DEAN HOFMASTER License Number:911728 POWER SIGN P 0 BOX 1034 MURRI ETA, CA 92564 Fee Description OQt Amount I51 Building Permit Issuance 1 27.00 Inspections not specified 129 129.07 GREEN FEE 1 1.00 $167.07 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 Merifee.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_aldg_Pe"It_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects with a licensed contractor(s)pursuant to the Contactors State License Law). I hereby affirm under penalty of perjury that 1 am under provisions of Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for Professions Code and ec and my license is in full force and effect. the following reason: l License Class — 1-/ 7 License No. l / 1 7 1.)- C)c� By my signature below I acknowledge that,except for my personal residence Explres3-3 j - 19 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 an owner-builder if it has not been constructed in its entirety by ❑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 workers 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 www.leainfo.ca.gov/calaw.htmI. this permit is Issued. Policy R Date o I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below I certify to each of the fallowing: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 N Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date �dolllaars($300)or less PROPERTY OWNER OR AUTHORIZED AGENT bvfcertify 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 N workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forth ith comply with those provisions. /./ Will the applicant or future building occupant handle hazardous material or a , Applicant - Y`V Date /• S. i �- mixture containing a hazardous material equal to or greater that the amounts spec�ified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE Is o Yes 20 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 modification 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,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY aYes We 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 bound of a school? (Section 3097 Civil Code) o Yes a;o OWNER BUILDER DECLARATIONS I have read 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 Contractors License Law for the reason(s)indicated below by the California Health al Safety Code,Section 25505 and 25534 concerning haz rdous material r parting. checkmark(s)I have placed next to the applicable Rem(s)(Section 7031.5 D No � Business and Professions Code).Any city or county that requires a permit to < 1'V 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 Contractors 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]!censure 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 ❑1,as owner of the property,or my employee with wages as their sole employees.For more information about EPNs Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.eaa.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 Contractors State License Law does not apply to an owner of a ❑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. D No EPA Lead-Safe Certified Firm Is required for this project because: ❑I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill outthe RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE PERMIT/PLAN CHECK NUMBER I TYPE:COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA V§-IGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O�PLLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK GfGA 2 �f7 6AA"I gf PROJECTADDRESS ASSESSOR'S PARCEL NUMBER -J Jp� `�-� LOT TRACT OWNER NAME G - -`C O ® CO -C,'G / ADDRESS PHONE EMAIL APPLICANT NAME ADDRESSG��' PHONE EMAIL CONTRACTOR'S NAME� G,� �� OWNER BUILDER? + YES ONO J BUSINESS NAME 4�74✓e/ �` p ADDRESS PHONE EMAIL OGvC�z'�h C=l/e �ryi CONTRACTOR'S STATE LIICCJNUMBER LICENSE CLASSIFICATION Glef; S w,�� VALUATION$ l /'L/ _ SO FT L SO,FT APPLICANT'S SIGNATURE • NLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT O AMOUNT VV- OCASH UCHECKN CREDIT CARD VISA/MC L N CHECK FEES PAID AMOUNT OCASH OCHECKR OCREDITCARD VISA/MC UILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES U NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 p FunWEEF rY OF MENIFEE ND SAFETYPEPA MEN VAL ATE f these plans shall not be construed to be a rmR for, an violation of any provisions of the fede ,state or ' es, This set of approved plant ust be ke t on the • Total of (2) monument faces only • -%Aetal face wilago cut out and backed with white plex? red -nnyl overlay 0 Use (2) exrsting metal faces • AT&T LTE 12:00 PM 1 l+ t kill N. I r� •yam .. �,e �% 1 N• .. .� .ou• � � ' ., - . .• Y�... T� •� .� r. uQr u M" nt• { _• Newport Search for a place or address