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PMT17-01239 City of Menifee Permit No.: PMT17-01239 29714 HAUN RD. Type: Pool/Spa -Residential <ACCEL/-> MENIFEE,CA 92586 MENIFEE Date Issued: 04/21/2017 PERMIT Site Address: 29373 COTTAGE CT, MENIFEE,CA Parcel Number: 333-501-013 92584 Construction Cost: $50,000.00 Existing Use: Proposed Use: Description of INSTALL INGROUND SWIMMING POOL WITH HEATED SPA Work: Owner Contractor LORENZO PEREZ LUXURY CREATIONS POOLS&SPAS 29373 COTTAGE CT 28140 EAST DR MENIFEE,CA 92584 MENIFEE, CA 92587 Applicant Phone: 9513220978 ANDRES SMITH License Number.969597 LUXURY CREATIONS POOLS&SPAS 28140 EAST DR MENIFEE, CA 92587 Fee Description Qty, Amount 1E1 Swimming Pool/in-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 7.00 General Plan Maintenance Fee-Electrical 1 23.35 $526.35 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_Permil_Template.rpt Page 1 of 1 CITY OF MENIFEE rProfes,i,ns RATION property who builds or improves thereon,and who contracts for the projects with a licensed contractors)pursuant to the Contractors State License Law). der penalty of perjury that I am under provisions of o I am exem t from licensure under the Contractors State License Law for ncing with section 7000)of Division 3 of the Business and Pfessonsnd my license is in full force and effect the following reason: License Class Licensef No. 96 rl' Z 7 By mysignature below I acknowledge that,except for my personal residence Expires y'2y— �� Signature�Ek---�� S in which l must have resided for at least one year priorto 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 forworkers 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.leginfo.ca.eov/calaw.html. this permit is issued. Date Policy g PROPERTY OWNER OR AUTHORIZED AGENT lrl�ave 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 I certify to each of the following:I am the property insurance carrier and polity owner or authorized to act on the property owners behalf.I have read this this permit is issued.My workers compensation number are: application and the information I have provided is correct.I agree to comply �r �' with all applicable city and county ordinances and state laws relating to 5 ( L Carrier //""77 `' �j building construction.l authorize representatives of this city or county to Policy# g7/9/Expires =2i"�'7 '�O 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 ❑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 If 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 shall foyhwith comply wi those visions. Will the applicant or future building occupant handle hazardous material or a mixture containing a hazardous material equal to or greater that the Applim- Date ClIV117 amounts spec d on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes kleo UNLAWFUL,AND SHALL SUBJECT AN EMPLOYERTO CRIMINAL PENALTIES Will the intended use ofthe building bythe applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit far the construction or modification from South ADDITION TO THE COSTOF 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 for guidelines CONSTRUCTION LENDING AGENCY ❑Yes ( 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 out boundary of a school? (Section 3097 Civil Code) es ❑No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of hereby ar Contractor's License Law for the reason s at am below by the California Health&Safety Code,Section 25505 and 25534 concerning ( ) hazardous material re sting. checkmark(s)I have placed next to the applicable items)(Section 7031.5 oYes D No Business and Professions Code).Any city or county that requires a permitta G. Date construct,alter,Improve,demolish or repair any structure,prior to its P OPERTY OWNER OR THORIZED 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(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 of5ection 7031.5 by residence or childcare facility to be RRP-certified fines 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 ❑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.eoa.9ov/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 ❑An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improvesthe 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: 0 1,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 • FETY PERMIT/PLAN CHECK APPLICATION — `Aenifee DATE G PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL *ESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: ,ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK J&Wel &L PROJECTADDRESS 7" 1 2 rr,� ASSESSOR'S PARCEL NUMBER 333' 5b1 - 3 LOT LA `� TRACT V I Q� 5" J OWNER NAME ADDRESS 291,j L'p� i PHONE �h// ,��1�-�j/jp�j EMAIL APPLICANT NAME ADDRESS PHONE A6 EMAIL CONTRACTOR'S NAME OWNER BUILDER? O YES O NO BUSINESS NAME ADDRESS D -e / Z a- PHONE (/ Sl 2j�2—Q�� EMAIL ply n-7r✓hf o,,,7 CONTRACTOR'S STATE LIC NUMBER % 9S 9 7 LICENSE CLASSIFICATION —S3 - 7 VALUATION $ K SO FT L SQ FT / APPLICANT'S SIGNATURE, _ DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION n( - CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GLEN SItIIP INVOICE C� Qr PAIDAMOUNT AMOUNT 5J • +• OCASH OCHECK# OCREDIT CARD VISVMC PLAN CHECK FEES PAIDAMDUNT OCASH OCHECK# 0CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City Okkipg fgtonifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586951-672-6777 Bullding & Safely Dept. www.cityofmenifee.us Inspection Request-Line 951-246-6213 APR 2 1 2017 Received - loud SE X -OZ LL I L N � 1 L- o . a i � J L I cu j a