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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