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PMT18-02424 City of Menifee Permit No.: PMT18-02424 29714 HAUN RD. MENIFEE, CA 92586 Type: Sign-Permanent MENIFEE Date Issued: 0611712018 PERMIT Site Address: 26100 NEWPORT RD, MENIFEE,CA Parcel Number: 338-160-014 92584 construction Cost: $10,300.00 Existing Use: Proposed Use: Description of INSTALL ONE WALL SIGN READING CARLS JR WITH STAR LOGO.REFACE EXISTING MONUMENT Work: AND DIRECTIONAL SIGNS Owner Contractor SUN CITY, LLC NATIONAL SIGN&MARKETING CORPORATION 30242 ESPERANZA 13580 5TH STREET RANCHO SANTA MARGARITA,CA 92668 CHINO,CA 91710 Applicant Phone:9092877366 NATIONAL SIGN&MARKETING CORPORATION License Number.745030 13580 5TH STREET CHINO,CA 91710 Fee Description Qy. Amount($l Sign Permit 1 190.00 Building Permit Issuance 1 27.00 Inspections not specified 129 129.07 GREEN FEE 1 1.00 $347.07 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 Templale.rpl Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that I am under provisions of Chapter9(commencing with section 70G0)of Division 3 of the Business and O I am exempt from licensure under the Contractors 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 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 o 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 workers 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.leainfo.ca.eov/calaw.html_ this permit is issued. Policy 4 Date PROPERTY OWNER OR AUTHORIZED AGENT ❑I have and will maintain workers compensation insurance,as required by section 3700 of the Labor 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 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 With all applicable city and county ordinances and state laws relating to Carrier N//.� //7 C� //�_ building construction.I authorize representatives of this city or county to Policy a l NN1 C-I b Expires�L&—yq 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 employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE M 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 sha tw th comply ith those provisions. Will the applicant or future building occupant handle hazardous material or a I� mixture containing a hazardous material equal to or greater that the Applicant Date amounts�specified on the Hazardous Materials Information Guide? WARNING:F U SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes A No UNLAWFUL,AND LL 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(SCACMDl?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guides CONSTRUCTION LENDING AGENCY ❑Yes ❑No 1 hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 2000 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) ❑Yes 9-N0 OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAOMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazard aterial reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes I J:� Business and Professions Code).Any city or county that requires a permit to Date �7 4L construct,alter,improve,demolish or repair any structure,prior to its PROPE 0 NER R 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 RENOVATIO EPAIR 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 required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their o 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( )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 70",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. 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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION 4 � "Menifee DATE: PERMIT/PLAN CHECK NUMBER T1q - Z l// TYPE: COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK 1ns1G1 OOe- Cl WCLk1 Sr T1 -RCOAM', "C(xrl's ,3r-.i1 `\V) S too • �eE cQ exist° n rn t cA(���e 'pcy�al s�° hs PROJECTADDRESS NZPU;CY�y"�, 1�a o ZIP ASSESSOR'S PARCEL NUMBER 7j J(�j 1�0©O 1 IL� LOT '3 TRACT OWNER NAME SJV( C1 �� t ADDRESS . " Mg PHONE ,C)9- g EMAIL 010_,_,� APPLICANTNAME hvvi, A lj ADDRESS ��j''j( �ih n` c ���n CA PHONE �qO9� �L�1- �O9'� EMAIL 4cfana @ V)S O- c am CONTRACTOR'S NAME r C.. - 1� GaVC IQ- OW.NER WNER BUILDER? 'M/YES ONO BUSINESS NAME °MG ADDRESS Ro5�1� �1,,• Ch\Y1C� J �� �c PHONE ( ) C�O�-, l ,�"1 EMAIL \'C lCL @ , I me d CCh1 CONTRACTOR'S STATE LIC NUMBER �l� rj(' ,�� LICENSE CLASSIFICATION VALUATION$ (7 Q SO FT 1�j(,Q 4� 'cb L SO FT APPLICANT'S SIGNATURE `-ram" DATE CITY 5 DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER (� BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: 0s � PERMIT FEE LJY7 C SMIP GREEN / PLAN CHECK FEE INVOICE TOTAL OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityofmenifee.us 44 &MARKETING CORPORATION May 16,2018 To Whom it may concern: The following agent or employee,Kim sergeant of National Sign & Marketing Corporation is authorized to sign for and obtain building, electrical and/or sign permits on our behalf for any project in the state of California. National Sign and Marketing Corporation understands that the signature below is valid for 12 months from the above date or upon receiving a written document canceling such authorization of the persons listed above. The undersigned, as an officer of National Sign and Marketing Corporation has read and understands the above statements as they pertain to the issuance of permits by the State of California and the State Contractor's License Board. By: John J. Kane, President & Chief Executive Officer National Sign &Marketing Corporation A California Licensed Contractor License No. 745030 C-45, C-10, B dca CONTRACTORS STATE LICENSE BOARD ^" ACTIVE LICENSE _ , ., 745030 R,CORP a NATIONAL SIGN & MARKETING CORPORATION ^o C10 C45 Idn F.v+m,oa 01/31/2020 www.csib.ca.gov 13580 Fifth Street a Chino o CA o 91710-5112 P.O.Box 2409 u Chino a CA a 91708-2409 - 909.591.4742 Fax 909.591.9792