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PMT17-00703 City of Menifee Permit No.: PMT17-00703 29714 HAUN RD. Type: Pool/Spa-Residential 'rjkCCELA? MENIFEE,CA 92586 MENIFEE Date Issued: 03/08/2017 PERMIT Site Address: 28646 MAHOGANY TRAIL WAY, Parcel Number: 333-690-028 MENIFEE, CA 92584 Construction Cost: $25.000.00 Existing Use: Proposed Use: Description of INGROUND POOL&SPA 291 SQ FT Work: Owner Contractor KEITH&CHRISTINA ERICSON PACIFIC COAST POOLS INCORPORATED 28646 MAHOGANY TRAIL WAY 26499 JEFFERSON AVE UNIT E MENIFEE, CA 92584 MURRIETA, CA 92562 Applicant Phone:9512960199 BRANDY CORAL License Number:852237 PACIFIC COAST POOLS INCORPORATED 26499 JEFFERSON AVE UNIT E MURRIETA,CA 92562 Fee Description Qtv Amount(SI Swimming Pool/In-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Electrical 1 23.35 $522.35 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 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_Pennit_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 am exempt from licensure under the Contractor's State License Law for Professions Code and m license is in full force and effect. the following reason: License Class G License No. OF> By my signature below 1 acknowledge that,except for my personal residence Expires Signature in which I must have resided for at least one year priorto completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that 1 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: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 worker's 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 iy�y ay. .ca, pv calaw.html. this permit is issued. —7 Policy p Date ❑I have and will maintain worker's compensation Insurance,as required by PROP 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 worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this number are: `t7 application and the information I have provided is correct.I agree to comply Carrier �('�1. with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives ofthis city or county to Policy A %A--WA-7U-15C2A Expires q1 L-I�g, enter the above Identified property for inspection purposes. (This section need not to be completed Is the permit Is for one-hundred r� Date 1--) dollars($100)or less PROPE TY OWNER OR AUTHORIZED AGENT ❑1 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 p workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shall ficirttWAlacomply with those provisions. � —� Will the applicant or future building occupant handle hazardous material or mixture containing a hazardous material equal to or greater that the Applicant Date amounts spgofted on the Hazardous Materials Information Guide? WARNING:FAIL RE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes EYNo 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 or See permitting checklist IN SECDON 37060E THE LABOR[ODE,INTEREST,AND ATTORNEYS FEES forguldeli CONSTRUCTION LENDING AGENCY ❑Yes ❑No 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 bounpifof a school? (Section 3097 Civil Code) ❑Yes ❑ o OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that 1 am exempt from the permitting check' .I understand my requirements under the State of Contractor's License Law for the reason(s)indicated below by the California H &Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous materi rting. Business and Professions Code).Any city or county that requires a permit to ❑Yes ❑Now(7 Date construct,alter,Improve,demolish or repair any structure,prior to its PROPERTY OWNE 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(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-certifled 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 ❑1,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 property who,through employees'or personal effort,builds or improves the ❑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 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: ❑I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions _ Code: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 & SAFETYPERMIT/PLANAPPLICATION 'r.p_Fe City of Menifeo Menifee 3ultding & Safety Dept. �— DATE MAR 0,8 2017 PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME Z-vbOL/SPA O SIGN y-ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK PROJECT ADDRESS ASSESSOR'S PARCEL NUMBER ✓ J � LOT TRACT OWNER NAME UAn �- a ADDRESS /,, PHONE JJ -' Oq- l Uq2- J EMAIL APPLICANT NAME ADDRESS UTA PHONE EMAIL CONTRACTOR'S NAME OWNER BUILDER? O YES O NO BUSINESS NAME QifgmWjr f c>1 ADDRESS rr11 PHONE �q� �� (.Q cj++ EMAIL J Va .�✓ A, •�I , CONTRACTOR'S STATE LIC NUMBER J�!'� LICENSE CLASSIFICATION VALUATION$ �� V `� SO FT L SQ FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION �� CIT'OF N�6%1y)F(F��B SIIJ NE$S�LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN ' SMIP / ✓/\V�,(I/• INVOICE ?JS PAID AMOUNT �, AMOUNT O CASH CHECK# 0 CREDITCARD VISA/MC L N CHECK FEES PAID AMOUNT O CASH CHECKp O CREDIT CARD VISA/MC UILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of 11lenifee Building&Safety Deportment 29714`Ioun Rd. Menifee. CAI 92686 951-672-6777 wavw.citvof^%?nifee.us Inspection Request line 9S1-46-6273 3:)tl3 3NO1S aNtl d01 3jtld 3NO1S aNtl d01 3NIiZi3/�tl2li Wa£ 3NI1213Atl2i1 lltlM W lltlM a3SItl2i „HT �£ a3SItl21 „8T "A , Hid a 5 ,bZ w , ££ „ 3atld3NO1S " a3)i:)tliS „8T+ tldS WOMB AMM '9M)i 3a 3132I:)N0:)i-i aS b9b'T ; O ' , „ 33NMIS321 NOSJII13 " 3