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PMT16-00968 City of Menifee Permit No.: PMT16-00968 29714 HAUN RD. S4CCEL/4�. MENIFEE, CA 92586 Type: Pool/Spa-Residential MENIFEE Date Issued: 04/01/2016 PERMIT Site Address: 25810 WILDERNESS WAY, MENIFEE, CA Parcel Number: 358-521-003 92584 Construction Cost: $55,000.00 Existing Use: Proposed Use: Description of INGROUND POOL AND SPA WITH 50'U/G GAS LINE FOR FUTURE BBQ AND FIREPIT Work: Owner Contractor JAVIER NAVARRO 25810 WILDERNESS WAY MENIFEE,CA 92584 Applicant License Number: JAVIER NAVARRO 25810 WILDERNESS WAY MENIFEE, CA 92584 Phone:7604588000 Fee Description Div Amount IS) Swimming Pool/in-Ground Spa 1 467.00 Plumbing Fixtures and Vents,fixtures 1 116.00 Building Permit Issuance 1 27.00 GREEN FEE 1 3.00 SMIP RESIDENTIAL 1 8.00 General Plan Maintenance Fee-Electrical 1 23.35 $644.35 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 carded 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_Sldg_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 contractors)pursuant to the Contractors State License Law). 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 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 ❑I hereby affirm under penalty of perjury one of the fallowing 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 70"of the Business and Professions Code,is available upon request when compensation,issued bythe 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.leeinfo.ca.aov/calaw.html. this permit is issued. ^�,l-�_ Policy# r:^Vi"",^ Date ❑I have and will maintain worker's compensation insurance,as required by PR RTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which 5vBy 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 with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Polity# Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date Date dollars($100)or less E OWNER OR AUTHORIZED AGENT ❑I 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# worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject tc the worker's compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Will the applicant orfuture building occupant handle hazardous material or a Applicant 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 ❑No 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 or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)7 See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguldelines CONSTRUCTION LENDING AGENCY ❑Yes ❑No I hereby affirm that under the penalty of perjury there is a construction WIII 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) ❑Yes ❑No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD Permitting checklist.I understand my requirements underthe State of I hereby affirm under penalty of perjury that I am exempt from the Contractors 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 items)(Section 7031.5 Ayes ❑No Business and Professions Code).Any city ar 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 IRRPI 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 ).41,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.eoa.eov/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 because: a 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 Menifee Admmlk�— DATE ILP PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL • RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW nO PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WOR 00& 6 dlh9 & PROJECTADDRESS 2&910 DQ 12p1 ASSESSOR'S PARCEL NUMBER SOCA " .�9•.�1-�3 LOT TRACT OWNER NAME 1eL fk e cld IV ADDRESS /6 W1L&--PW0YJ W �FVe a4 PHONE 16u—V66- fi a EMAIL LTjwvw040 yttg io0. COP? APPLICANT NAME ADDRESS PHONE EMAIL CONTRACTOR'S NAME OWNER BUILDER? 4 YES ONO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ 0M ^ SOFT L SO FT APPLICANT'S SIGNATURE DATE 7'/' 2-0/6 DEPARTMENT DISTRIBUTION CITY OF MENIFEE IUIINE55 LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP ' INVOICE PAIDAMOUNT AMOUNT O CASH O CHECK W O CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O Y$ O NO DL NUMBER NOTARIZED LETTER O YES O NO c. City of&enifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92585 951-572-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 vv .............................. ............. ............................................------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Engineer pool for weight of Art Rock slide/waterfall&grotto ock slidelgrofto/wat4rfall 6' high (n exceed fence height) B w/quartzite 00 spy Engineer Engineer pool withi O 10' of slope 0 0 Top of slope 515 sf.192 pf. 3'6"to 7'0" Pebble interior 8'Seat wall w rtz veener veseats Fire pit w 43 sf.125 pf.raised 1 12' 12' or i w1quartzite veener 6 jets (By tt Reef step leeve =Law r1,018 sf. 'Soda Wash'decking 1w/double pour cantilever coping wn All drians to be run to curb core —�r to�relocal a AC 14 52'