PMT17-02557 City of Menifee Permit No.: PMT17-02557
29714 HAUN RD.
-ACCEL/-> MENIFEE, CA 92586 Type: Sign-Permanent
MENIFEE Date Issued: 07/24/2017
PERMIT
Site Address: 29121 NEWPORT RD, Suite#1, Parcel Number: 364-390-004
MENIFEE,CA 92584 Construction Cost: $23,000.00
Existing Use: Proposed Use:
Description of INSTALL 3 ILLUMINATED(LED)WALL SIGNS FOR"MENIFEE LAKES DENTAL GROUP"
Work:
Owner Contractor
NEWMARK MERRILL COMPANIES ELECTRO-LITE SIGNS INC
427 COLLEGE BLBD SUITE K 9155 ARCHIBALD AVENUE
OCEANSIDE,CA 92057 SUITE 303
Applicant Phone: 9099453555
SUSAN BROWN License Number. 514745
ELECTRO-LITE SIGNS INC
9155 ARCHIBALD AVENUE
SUITE 303
RANCHO CUCAMONGA, CA 91730
Fee Description gty Amount(5)
Sign Permit 3 190.00
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 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_Permit_Template.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 contactor(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 Ilcensure under the Contractor's State License Law for
Professions Code and my license is In full force and effect. the following reason:
License Class License No. By my signature below I acknowledge that,except for my personal residence
Expires=tom-Signature � �n.�lTt.d1�- 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 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 wwwle=info.ca.eov/calaw.html.
this permit Is issued. .
Policy# Date
IRTgave 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 in By my signature below I certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
Carrier O[/LlbI with all applicable city and county ordinances and state laws relating to
`' building construction.I authorize representatives of this city or county to
Policy# �L.15 'SLZ42�9 Expires I1—'?71- 1'I 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 AUTHORIZEDAGENT
o I certify that in the performance of the work for which this permit is issued,
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
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 forthwith comply with those provisions. ..Will the applicant or future building occupant handle hazardous material or a
Applicant Date�k-i'1 mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS 0 Yes yrNo
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(SCAO,MD)7 See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY o Yes sa'No
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) 0 Yes eTNo
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
California Health&Safety Code,Section 25505 and 25534 concerning
Contactors License Law for the reason(s)Indicated below by the hazardous material reporting.
checkmark(s)I have placed nextto the applicable item(s)(Section 7031.5 DYPS o
Business and Professions Code).Any city or county that requires a permit to 4� 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 Contactors State EPA RENOVATION.REPAIR AND PAINTING RENOVATION.REPAIR AND PAINTING(RRPI
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 Iicensure 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
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 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. 0 No EPA Lead-Safe Certified Firm is required for this project because:
0 1,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 out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE 7 PERMIT/PLAN CHECK NUMBER T /-o;
TYPE: ❑COMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA VfSIGN
SUBTYPE: ❑ADDITION []ALTERATION ❑DEMOLITION ErELECTRICAL El MECHANICAL
❑NEW ❑PLUMBING [I RE-ROOF-NUMBER OF SQUARES rr�� /I
DESCRIPTION OF WORK 1 'j S y l"`^�Vl`T< 1..4, ?.0hd G
L
PROJECT ADDRESS o2% 10 N b✓-�- S+-,. ,4<- #
ASSESSOR'S PARCEL NUMBER 0 +OO LOT TRACT
PROPERTY OWNER'S NAME 11 l C6 W Cv
� 4 ADDRESS "� U Yd S(c I {-,
PHONE 769 - q2;7,-- 4-74-(o EMAIL 0. L Mgfrj Ll ryL
APPLICANT NAME 5U,S pt4 6 k A ►4S
ADDRESS Q A;- o-
PHONE qnq EMAIL 6 -S 4N,S W A'DL•
CONTRACTOR'S NAME vj VL. OWNERBUILDER? ❑YES❑NO
BUSINESS NAME
ADDRESS Ct L bu,
PHONE gZa - Q4AI5'-3(1�yD� EMAIL f,1-54l 6N5,C) Aw, •6ofv".-
CONTRACTOR'S STATE LIC NUMBER Zf-7 44t; LICENSE CLASSIFICATION
VALUATION$ a.'3� Mo SOFT
^S,l G�S� �6 L SO FT
APPLICANT'S SIGNATUREOry13 w w v--- DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN ' SMIP
INVOICE PA OID AMOUNT
AMOUNT OCASH CHECK# 0CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT OCASH 0 CHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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Page 1 of 3
Subj: RE: Pacific Dental-Elevations
Date: 7/20/2017 2:40:55 P.M. Pacific Daylight Time
From: acowan(g)newmarkmerrill.com
To: els4signs cDaol.com
Approved. See the attached. Will that suffice for Landlord approval?
Thanks,
Andrew Cowan
NewMark Merrill Companies
427 College Boulevard, Suite K
Oceanside, CA 92057
Cell (858) 922-4746
'eelebrIig
20 YW,6
C 0 M I A N 1 ! 6
1997 t0 701
From: els4signs@aol.com [mailto:els4signs@aol.com]
Sent: Thursday, July 20, 2017 8:11 AM
To: Jae Chung
Cc: Michael Mendez
Subject: Fwd: Pacific Dental - Elevations
Good morning Jae, Michael, and Andrew, I have a meeting with Pacific dental services today and wanted to see If
I can get an update on these sign drawings sent 6-29. Any information would be appreciated,
Thank you, Ken Brown
---Original Message—
From: Els4signs <Els4signs()aol.com>
To:jchung <ichung(o)newmarkmerrill.com>
Cc: mmendez <mmendez(a)newmarkmemll.com>; acowan <acowan(a)newmarkmerrill.com>
Sent: Thu, Jun 29, 2017 9:52 am
Subject: Re: FW: Pacific Dental-Elevations
Hello Jae, Michael. and Andrew, Attached are the electrical sign drawings for Pacific Dental services located
in the Shoppes at the Lakes center in Menifee. Can you please review these drawings and let me know if you
have any concerns. PDS prefers the backer panel look similar to the Chipotle example in the sign criteria. I am
also attaching photos of a few signs we have done with the panels. I look forward to your feed back.
Thank you, Ken Brown
Ken Brown
Electro-Lite Signs
9155 Archibald Ave.#303
Rancho Cucamonga, Ca. 91730
909-945-3555 els4signs(cDaol.com
In a message dated 5/8/2017 3:57:41 P.M. Pacific Daylight Time, ichunganewmarkmerrill.com writes:
Sunday, July 23, 2017 AOL: Els4signs