PMT17-03758 City of Menifee Permit No. PMT17-03758
29714 HAUN RD.
�-JC LA. MENIFEE, CA 92586 Type: Sign-Permanent
MENIFEE Date Issued:
10I19I2017
PERMIT
Site Address: 26050 MENIFEE RD, MENIFEE, CA 92586 Parcel Number: 331-260-017
Construction Cost: $4,200.00
Existing Use: Proposed Use:
Description of INSTALL ILLUMINATED CHANNEL LETTER SIGNS, ONE"ARCO"LETTERS,TWO ARCO SYMBOLS,
Work: 8 ILLUMINATED FUEL DISPENSER VALENCES
Owner Contractor
FRANK HADDADIN DONCO&SONS INC
3458 WEBSTER AVE 4582 E EISENHOWER CIR
PERRIS, CA 92571 ANAHEIM, CA 92807
Applicant Phone:7142540099
EDDIE VIDALES License Number:435616
DONCO&SONS INC
4582 E EISENHOWER CIR
ANAHEIM, CA 92807
Fee Description gtv Amount 151
Sign Permit 11 382.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Building 1 19.10
$429.10
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 building operations being carded on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise staled,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 perjurythat I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑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 l 1 z7 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
Improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DEC T 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 www.IeR1nfo.ca.Rov/caIaw.htmL
this permit is issued.
Policy R Date
16'j.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 ❑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
Carrier Glyn' with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy p 1g c� '(� Expires ��"- ( — ( V 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
I1 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 If
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensatio rovisions of Section 3700 of the Labor
Code,I shall forthw' in ry with tho a provisions. Will the applicant or future building occupant handle hazardous material or a
1 _ mixture containing a hazardous material equal to or greater that the
Applica Date amounts sp led on the Hazardous Materials Information Guide?
WA LURE CURE WORKER'S COMPENSATION OVERAGE IS ❑Yes
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($300,000),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 guideliny
CONSTRUCTION LENDING AGENCY ❑Yes .dNo
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 bo of a school?
(Section 3097 Civil Code) ❑Yes Np
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 hour the permitting checklist.I underst my requirements under the State of
California Health&Safety Code, ection 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the hazardou I porting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5
Business and Professions Code).Any city or county that requires a permit to Date/!� �—
construct,alter,improve,demolish or repair any structure,prior to its PADpERTY O N HORIZED AGENT
Issuance,also requires the applicant for the permit to file a signed statement v'
that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENCVATION.REPAIR AND PAINTING IRRPI
License Law(Chapter 9(commencing with Section 7D00)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
❑I,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 ❑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. ❑No EPA Lead-Safe Certified Firm is required for this project bemuse:
❑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
DATE: — PERMIT/PLAN CHECK NUMBER -
TYPE: OMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA OSIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK "
i ` 1 1. O
cg-) ( LLI�dN 715 V �- L J
PROJECT ADDRESS {MeVJ,ri}
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ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNER NAME FQI� ` Ayj
ADDRESS - w0 \ -' - /�Y ew I 8u ;Illy of
lltllnB a , fee
PHONE �'�l - �9Lf- .�/`i? EMAIL i L ✓YI C e f.
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APPLICANT NAME
ADDRESS l (T12-
PHONE _�qc e5 EMAIL �QkD/A- ttS C.,-)-C_._Vn
CONTRACTOR'S NAME i
r L ` rVS /J C OWNER BUILDER4 OYES AD
BUSINESS NAME
ADDRESS Z E7-- • C cr
PHONE 7Ly- 779— OO9j 1 EMAIL SL-4W\CL2 p3C r C.
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION �/ O
VALUATION $ L ZU SO FT L SO FT
APPLICANT'S SIGNATURE DATE /
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTIO ACCEPTED BY: CITY OF MENIFEE qBUSINESS LICENSE NUMBER
I�BUILDING PLANNING ENGINEERING FIRE I
PERMIT FEE O SMIP .je GREEN '-
LOWNER
CHECK FEE INVOICE TOTAL L�. 10
BUILDER VERIFIED 0 YES 0 NO DRIVERS LICENSE# NOTARIZED LETTER YES NO