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PMT17-01364 City of Menifee Permit No.: PMT17-01364 29714 HAUN RD. Type: Pool/Spa-Residential <A-CCIE1/-> MENIFEE,CA 92586 MENIFEE Date Issued' 05/01/2017 PERMIT Site Address: 29038 SHORECLIFF CIR, MENIFEE, CA Parcel Number: 333-542-018 92585 Construction Cost: $45,000.00 Existing Use: Proposed Use: Description of INGROUND POOUSPA 451 SO FT Work: Owner Contractor MICHAEL&MARTINA LECHUGA TAYLOR MADE POOLS INC 29038 SHORECLIFF CIRCLE 18795 OAK VIEW WAY MENIFEE,CA 92585 LAKE ELSINORE,CA 92530 Applicant License Number:795053 GEORGE BOUILLON TAYLOR MADE POOLS INC 18795 OAK VIEW WAY LAKE ELSINORE, CA 92530 Fee Description aty Amount(SI Swimming Pool/In-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 6.00 General Plan Maintenance Fee-Electrical 1 23.35 $525.35 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 staled,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_Template.rpt Page 1 of 1 I 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 oY,p Jm exempt from licensure under the Contra ors State License Law for Professions Code and my license is in full force and a ct. the following reason: License Classy J 3 License �� By my signature below I acknowledge that,except for my personal residence Expires — r 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 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 this permit is issued. www.leginfo.ca.gov/calaw.litm]. Policy# Date ❑I 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 0 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.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 building construction.I authorize representatives of this city or county to Policy# Expires enter the above identified property for inspection purposes. (This section need not to he completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ,44ertifythat in the performance of the work forwhich this permit is issued, shall not employ any persons in any mannerso as to become subject to the CITY BUSINESS LICENSE# workers Compensation laws o's aliforma,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker to ensatipn provisions ecJimt 3700 oft the La or Code,I shall forth mply wit se pro i i e. Will the applicant or future building occupant handle hazardous material or a Applicant ate 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 A& UNLAWFUL,AND SHALL SUBIECTAN 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)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY OYes Po 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 outer boundary of a school? (Section 3097 Civil Code) 0 Yes (4(No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist. n erstand my requir ender the State of I hereby affirm under penalty of perjury that I am exempt from the California Health Code,Sectlo dhd 25534 o�e 'inj Contractors License Law for the reason(s)indicated below by the hazardous ma eport' checkmark(s)I have placed next to the applicable item(s)(Section 7031.5s Business and Professions Code).Any city or county that requires a permitto - Date construct,alter,improve,demolish or repair any structure,prior to its p ERN OWNE6 OR ALMORIZED 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 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 0 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( I portion of the work,and the structure is www.epa.xoy/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 property who,through employees'or persona l effort,builds or improves the D An EPA Lead-Safe Certified Renovator will he responsiblefarthispyoject 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 Finn is required for this project because: 01,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. SAFETYBUILDING & PERMIT/PLANAPPLICATION 't= Menifee (�DATE 3 / PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION 0 ELECTRICAL CI MECHANICAL Pe-NEW // O PLUMBING O RE-ROOF-NUMBER SQUAW DESCRIPTION OF WORK PROJECTADDRESS /�� /�✓E�+/� G'//�jG, �2-Jg� ASSESSOR'S PARCEL NUMBER LOT ✓ TRACT OWNER NAME ADDRESS C/!oG PHONE 1�S/��e��7��L/ AIL Ci 6-M6nff0 ng Bfety Dept. APPLICANT NAME ccs<- ADDRESS Y 0 1 2017 PHONE EMAIL ace j ," `f; CONTRACTOR'S NAME �/� �/P/�,� lj1/� OWNER BUILDER? 0 YESO BUSINESS NAME ADDRESS PHONE I�J�/- ��-T �O / r� EMAIL ? CONTRACTOR'S STATE LIC NUMBER _��,/yj LICENSE CLASSIFICATION VALUATION$ / V/ �� Sq FT 9 L SQ FT II,, f APPLICANT'S SIGNATURE F" DATE 20 I1 aan r AFFUSEONLY DEPARTMENT DISTRIBUTION �J O� CITY OF MMEENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN ✓• SMIP .01)1 INVOICE r PAID AMOUNT AMOUNT L✓7 ' 0CASH 0CHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES 0 NO DLNUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.eityofinenifee.us inspection Request Line 951-246-6213 CITY OF MEN BUILDING At PLAN APPRO ! REVIEWED B' o) "Approval o,any vi pla _ approval of,any violati 1y regulations and ordina m jobsite until completio ,,j, •g m v 1'L 3 _j a� QF O fu. , c L CJ Ln O Z LLr1 W V 3 o � c 0 _ — U) N pp 42 J 'S U C v N � 10 N � �3 ! —e— NOTE: BONG BEAM PER TABLE 9' & LARGER SPA AIR-LINE N0. 1 & DETAIL 112. '-�' 2' 2 MAY BE LOOPED INTO SPA BOND c> �:-- r _ -- BEAM. MAINTAIN x o 1 = i < I (2) #3 x i (4 3 BARS LEVEL TO 1' OLR. TO REINF. < ^� B• BARS. --- W/ GROU rn I #15 FELT o f Tuiry x ai aeac in 1 MIN. CLR �._•