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PMT17-01063 City of Menifee Permit No.: PMT17-01063 29714 HAUN RD. �CCEEAI--. MENIFEE,CA 92586 Type: Pool/Spa-Residential ro...,,.:.e aMr..... MENIFEE Date Issued: 04/11/2017 PERMIT Site Address: 26413 MILENA DR, MENIFEE, CA 92584 Parcel Number: 360-611-003 Construction Cost: $30,000.00 Existing Use: Proposed Use: Description of INGROUND POOL&SPA, 570 SF,WITH 25'U/G GAS LINE FOR FIRE PIT Work: Owner Contractor ROJAS RESIDENCE QUALITY CUSTOM POOLS INC 26413 MILENA DRIVE 30138 MARNE WAY MENIFEE, CA 92584 MENIFEE, CA 92584 Applicant Phone:9516799732 HANNAH BARRETT License Number.795820 QUALITY CUSTOM POOLS INC 30138 MARNE WAY MENIFEE, CA 92584 Fee Description Oat Amount I51 Swimming Pool/In-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 Inspections not specified 116 116.00 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Electrical 1 23.35 $639.35 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_Pemilt_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects 1 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 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 CS3 Q Licens/e No. 'TgS$2.O By mysignature below l acknowledge that,except formypersonal residence Expires 201-1 Signature in 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 D 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.leelnfo.ca.eov/calaw.html. this permit is issued. . Policy# Date 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 D 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 1 have read this number are: application and the information I have provided is correct.I agree to comply Carrier Eucre.S4 Na.tforte-A with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Polity# C.<!too o ZI A-1 Expires 77/1 /]-1 enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($300)or less PROPERTY OWNER OR AUTHORIZED AGENT D 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# 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,l shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or Applicant`- O pate _ 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 rl1Yes cj�No UNLAWFUL,AND SHALL SUB1ECfAN EMPLOYERTO 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,DOD),IN occupant requires permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management hecoDistrict(SCAQM tionor See Permitting from checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air s CONSTRUCTION LENDING AGENCY �'es=o I hereby affirm that underthe 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 CNVo 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 Ucense 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. Business and Professions Code).Any city or county that requires a permit to � D (J v�'r,! Date_3�L construct,after,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 IRRPI License Law(Chapter9(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 Ucensure 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.7his includes rental property owners and property than($S00). managers who do the paint-disturbing work themselves or through their ❑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.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 Contractors State License Law does not apply to an owner of a O 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 If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement.., SAFETYBUILDING & • APPLICATION Menifee DATE PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME COOL/SPA O 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 Clty of Men"Be PROJECTADDRESS 2ioyl 224 1D,. UIIdIFI 8= pt. ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME ADDRESS ReGP''v�'' PHONE qs-l. 31y pqy I EMAIL APPLICANT NAME r ADDRESS PHONE EMAIL CONTRACTOR'S NAME OWNER BUILDER? O YES Q.00 BUSINESS NAME ADDRESS , r W PHONE 9T1 6-15 r,`7-52_ EMAIL CONTRACTOR'S STATE LIC NUMBER '1gS�1-'r LICENSE CLASSIFICATION L ` . VALUATION$ Sp , p birz, SO FT S-J p L SQ FT APPLICANT'S SIGNATURE—t— k, \- DATE `i I • DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT �Mr �, AMOUNT % • LGJ O CASH OCHECKq CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH 0 CHECK 0 ON CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZEDLETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 WWW.Citypfinenifee.us Inspection Request Line 951-245-6213 City of Menifee Building & Safely Dept. APR 1 1 2017 Fjeceived CIT O ENIFEE B ILDING A 1FETY DEPARTMENT LAN APPROVAL REVIEWED BY� 1 *Approval of these plans shall not be construed to be a permit for,or an approval of,any violation of any provisions of the federal,state or city regulations and ordinances. This set of approved plans must be kept on if jnbsite until completion. D D M 0 o e e Ryas RwWanm m.wvrmws W413 Nie.D, Menifee, Ca 92 N 951-31"-0 l swoop k� 1