PMT18-01837 City of Menifee Permit No.: PMT18-01837
29714 HAUN RD.
�CCEU MENIFEE, CA 92586 Type: Sign-Permanent
MENIFEE Date Issued: 04/20/2018
PERMIT
Site Address: 29826 HAUN RD, MENIFEE, CA 92586 Parcel Number: 336-380-002
Construction Cost: $8,365.00
Existing Use: Proposed Use:
Description of REPLACEMENT OF 2 PYLON SIGNS ON EXISTING MONUMENT-NO ELECTICAL MODIFICATIONS
Work:
Owner Contractor
HUB ENTERPRISES,A CA LIMITED PARTNERSHIP JONES SIGN CO INC
29826 HAUN RD 1711 SCHEURING ROAD
MENIFEE, CA 92586 DEPERE,WI 54115
Applicant Phone: 9209836700
JONES SIGN CO INC License Number: 959771
1711 SCHEURING ROAD
DEPERE, CA 54115
Phone: 9209836700
Fee Description city Amount($)
Building Permit Issuance 1 27.00
Inspections not specified 129 129.07
GREEN FEE 1 1.00
General Plan Maintenance Fee-Building 1 6.45
$163.52
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 contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and :i I am exempt from licensure under the Contractors State License Law for
Professions Code and(may license is in full force and effect. the following reason:
License Class G'-C s Lic nse No. j f r I By my signature below I acknowledge that,except form` � C g p y personal residence
Expires 3L- 1 Signature a: 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
,AT 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
by Section 3700 of the Labor Code,for the performance of work for which this application is submitted or at the following website:
this permit is issued. :w:v.leeinio.ca.�ov/calaw.html.
Policy tt 83 v V i
Date
)q 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 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: II -- application and the information I have provided is correct.I agree to comply
Carrier i �Y7 it yL1 W- J with all applicable city and county ordinances and state laws relating to
u , building construction.I authorize representatives of this city or county to
Policy k �3 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 Date
PROPERTY OWNER OR AUTHORIZED AGENT
I certify 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 9
worker's 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 fo hwit l'comply wiittb.those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant �l�C� 1 —1_ Date 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 ❑Yes Al
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 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 o Yes )(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) o Yes 'No
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&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting.
Yesi�`u No /i
Business and Professions Code).Any city or county that requires a permit to (` -,y �/ ,
h �' �— . 7- 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(RRP)
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 than($500). required practices.This includes rental property owners and property
managers who do the paint-disturbing work themselves or through their
❑I,as owner of the property,or my employee with wageo{tyeaMen(fee employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,a� ; t� jt. v.'v..w.epa.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business an rc essions 1-800-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owne of,a �,
property who,through employees'or personal effort,buildsAp�__ 9 tali o An EPA Lead-Safe Certified Renovator will be responsible for this project
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 roe Firm Certification No.:
not built or improved for the purpose of salesalomve
y'" o No EPA Lead-Safe Certified Firm is required for this project because:
o 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 out the RRP
Acknowledgement.
APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK
r
I I
Menifee
DATE:4/20/18 PERMIT/PLAN CHECK NUMBER Iv B l�s I
TYPE: C: COMMERCIAL C RESIDENTIAL MULTI-FAMILY MOBILE HOME C% POOL/SPA of SIGN
SUBTYPE: ADDITION `:: ALTERATION `::>DEMOLITION ELECTRICAL C= MECHANICAL
NEW 0 PLUMBING - RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK Tenant Panel Replacement for Pylon Sign
PROJECTADDRESS Haun Road Zip
ASSESSOR'S PARCEL NUMBER 336380002 LOT TRACT
OWNER NAME HUB Enterprises, A California Limited Partnership
ADDRESS 29826 Haun Road
PHONE 9512441985 EMAIL kcorvin@jonessign.com
APPLICANT NAME Jones Sign
ADDRESS 9025 Balboa Ave, Ste 150
PHONE 858 465 7378 EMAIL kcorvin@jonessign.com
CONTRACTOR'S NAME Jones Sign OWNER BUILDER? 0 YES NO
BUSINESS NAME Jones Sign
ADDRESS 9025 Balboa Ave, Ste 150
PHONE 858 465 7378 EMAIL
CONTRACTOR'S STATE LIC NUMBER 959771 LICENSE CLASSIFICATION C-45
VALUATION$ '?36 5 SQ FT 70 sq ft L SQ FT
APPLICANT'S SIGNATURE � DATE 4/20/18
DEPARTMENT DISTRIBUTION CITY OF ACCEPTED BY: MENIFP E BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE f
PERMIT FEE I SMIP �— "" GREEN
PLAN CHECK FEE INVOICE TOTAL
OWNER BUILDER VERIFIED YES NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES NO
City of e
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951aIj9d1r1@2Dept.
www.cityofmenifee.us
APR 2 0 2018
Received