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PMT18-02405 City of Menifee Permit No.: PMT18-02405 29714 HAUN RD. // MENIFEE, CA 92586 Type: Sign -Permanent MENIFEE MENIFEE Date Issued: 06/19/2018 PERMIT Site Address: 29015 NEWPORT RD, MENIFEE, CA Parcel Number: 364-390-001 92584 Construction Cost: $55,000.00 Existing Use: Proposed Use: Description of INSTALL(4) ILLUMINATED CHANNEL LETTER WALL SIGNS, (2)NON ILLUMINATED"WELCOME-- Work: SIGNS, (2) ILLUMINATED MENU BOARDS, (2) ILLUMINATED PRESELL BOARDS, (2) ILLUMINATED "ORDER HERE"CANOPY SIGNS, (1)NON ILLUMINATED CLEARANCE BAR,(1) ILLUMINATED DIRECTIONAL, (2) ILLUMINATED TENANT PANEL FOR EXISTING PYLON SIGNS AND(3) NON ILLUMINATED SINGLE FACE PIGMENTED ASS WINDOW BANNERS-NO ELECTRICAL Owner Contractor SCOTT WILKESON SUPERIOR ELECTRICAL ADVERTISING INC 3800 KILROY AIRPORT WAY STE 200 1700 W ANAHEIM LONG BEACH, CA 90806 LONG BEACH,CA 90813 Applicant Phone:5624953808 1700 W ANAHEIM License Number: 271598 LONG BEACH, CA 90813 Phone:5624953808 Fee Description QQrt Amount($) Sign Permit 7 286.00 Sign Permit 7 286.00 Building Permit Issuance 1 27.00 Additional Plan Review Building 210 210.00 GREEN FEE 1 3.00 SMIP COMMERCIAL 1 16.00 $828.00 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 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 forfefted. AA_Bldg_Pennit Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or Improves thereon,and who contracts for the projects under penalty of perjury that I am under provisions of I hereby affirm with a licensed contractor(s)pursuant to the Contractors State License Law). firm 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 my license is In full force and effect. the fallowing reason: License Class ( -T q License No. _G QA By my signature below 1 acknowledge that,except for m g g p y personal residence Expires 2 ZS' t 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:1 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 eusiness and Professions Cade,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 Cade,for the performance of work for which www.leeinfo.ci.eovtcalaw.html. this permit is issued. Policy# Date o I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the tabor Code,for the performance of the work for which ❑By my signature below 1 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 arre:I application and the Information I have provided is correct.I agree to comply Carrier LAL04-y with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# V4j2�772JJ01.y.� Expires j ` <<( 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 o I certify that in the performance of the work for which this permit is issued, 1 shall not emolav any persons In any manner so as to became 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 co pensatfon ovisions of Section 3700 of the Labor Code,I shall forthwith ly i! F se provisions. c� WIII the applicant or future building occupant handle hazardous material or a Applicant Date <2 `( l ' L� 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 15 ❑Yes ❑No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES WIII 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 forguidelines CONSTRUCTION LENDING AGENCY oYes oNo 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 o No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCACIMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractor's License Law for the reason(s)indicated below by the California Health al Safety Code,Section 25505 and 25534 concerning hazardous material reporting. checkmark(s)I have placed next to the applicable Rem(s)(Section 7031.5 ayes ❑No 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 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 Contractor's State EPA 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 licensure receiving compensation for most work that disturbs paint in a pre-1978 and the basis for the alleged exemption.Any violation of Section 7032.5 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($S00). managers who do the paint-disturbing work themselves or through their D 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,WIII do( )all of or( )portion of the work,and the structure is www.eoa.eov/lead or contact the National Lead Information Center at not Intended or offered for sale.(Section 7044,Business and Professions 1-800-4I4-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 because: o 1,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Cade: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 MENIFEE DATE: 4l-t PERMIT/PLAN CHECK NUMBER NTI?— PLANNING CASE NUMBER TYPE: J'COMMERCIAL 0 RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA XSIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK q L.1-"MI14-41b C0AN)1/.s.L- LA 47'P-jz- Vr 51611_]S Z - AAA tCLvM{/JrQT'4,0 ''JJ�LfoMF' (lGNrj Z iL—A\%Pw`-D M NV 4P.i>5 L Z 1CF.. uA41 NhT9b A9 A- fZL- &*R% 1 Z,- fu�m{NA I&M5 ( Mt ILJU1KIP93 CLAARAt-wA u.V,PAIN T0> OL CT 1(),1JA1-_V PROJECTADDRESS (I n{/S� IV�W��h+/�� ^,C , zip G1p�S \�- ASSESSOR'S PARCEL NUMBER ✓�"I' ' vy LOT TRACT OWNER NAME Ccq t).1tL-.�/--70/J://14,N/J/gC.4�15 U`7A LL/_. ADDRESS �00 (,LRV cRPdRY C.I� LO/.>s- -Ac t+ CA PHONE _ q5t �Z�j Z. EMAIL cortWtLiCE.So VS AoJ CO APPLICANT NAME4 A vij � ADDRESS P)-o I l qJ G1EY'l- J CA PHONE �Lcick (X?19 C)Q;�q EMAIL RIJr-APY`�7oN3 96AAIp.It- -CO/VU CONTRACTOR'S NAME OWNER BUILDER? O YES OrNO BUSINESS NAME CJJ 11 LLn'LLtCYYLIC/!'I— /4Q1/�/LTIS()- f 6, ADDRESS L 00 l)-J , ApA It§j/W ST- Lnt.J6- &AACti nnCA . Qc'B/3 PHONE 5(a 49s-J Iozl EMAIL 6A S.11 R1flL S/GAA-S. Cow CONTRACTOR'S STATE LIC NUMBER Z7(Sol LICENSE CLASSIFICATION C-G S VALUATION$ 5'zj, «)J5Q FT / (Q LSQFT(^ APPLICANT'S SIGNATURE_ C �'� DATE ,CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL GREEN SMIP OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE N NOTARIZED LETTER O YES O NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 , www.cityofinenifee.us City of Menifee Building Dept. r ENIF Ii4AY 1 6 2018 y. yy ayyiy�.