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PMT17-01515 City of Menifee Permit No.: PMT17-01515 29714 HAUN RD. �CCEO/ MENIFEE, CA 92586 Type: Pool/Spa-Residential MENIFEE Date Issued: 0511612017 PERMIT Site Address: 25851 PROSPECTOR CT, MENIFEE, CA Parcel Number: 358-522-053 92584 Construction Cost: $25,000.00 Existing Use: Proposed Use: Description of INGROUND POOL&SPA,350 SF,WITH 89 U/G GAS LINE FOR FUTURE BBQ&FIREPIT Work: Owner Contractor FRANCISCO JOVE A CUT ABOVE CONSTRUCTION POOLS & 25851 PROSPECTOR COURT LANDSCAPE INC MENIFEE,CA 92584 26025 NEWPORT ROAD#A533 Applicant Phone: 8007007754 CHRIS YOUNG License Number.672202 A CUT ABOVE CONSTRUCTION POOLS&LANDSCAPE INC 26025 NEWPORT ROAD#A533 MENIFEE,CA 92584 Fee Description Qtv Amount 1E1 Swimming Pool/In-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 Inspections not specified 116 116.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Building 1 5.80 General Plan Maintenance Fee-Electrical 1 23.35 $644.15 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_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 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 Contractor's State License Law for Professions Code a d my license is in full force and effect..J the following reason: License Ciao cer s o. W /�� By my signature below 1 acknowledge that,except for my personal residence Expires n 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 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.leeinfo.ca.gov/calaw.html. Policy# Date o 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 o 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 Carrier r s`t� li """V/ r �l building construction.I authorize representatives ofthis city orcountyto with all applicable city and county ordinances and state laws relating to Policy# t—� /1'7 716 Expires 4 enter the above identified property for inspection purposes. (This section need not to he completed is the permit rs for one-hundred dollars($100)or less Date PROPERTY 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# workers compensation laws of California,and agree that If I should become HAZARDOUS MATERIAL DECLARATION subject tot w ke9cO per lion provisions of5ection 3700 of the LaborCade,I sh fort wi l it ho provisions. �_,L, Will the applicant or future building occupant handle hazardous material Ora Applicant Data mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SE R ER'S COMPENSATION COVERAGE IS ❑Yes UNLAWFUL,AND SHALL SU EMPLOYER TO CRIMINAL PENALTIES Will thee iaded 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 for guidelines CONSTRUCTION LENDING AGENCY o Yes I hereby affirm that under the penalty of perjury there is a construction Will the roposed 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 o OWNER BUILDER DECLARATIONS I have re d 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 License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning hazardous at I rep H ng. chsiness and I have placed next to the applicable item(s)(Section permit oYes ( � - - / Business and Professions Code).Any city or county that requires apermitto (((( ✓✓ Date - I 1 J construct,alter,improve,demolish or repair any structure,prior to its PROPERTY WNER O ORIZED AGE T 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 REPAI ND PAINT G 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 preracto and the basis for the alleged exemption.Any violation of Section 7031.5 by residence orchildcarenfor mto ost eork tatdisubspai-certified firms nicomplywith th -1978 an Applicant fora permit subjects the applicant toacivil 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 o 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.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 ❑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 forthis 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 BUILDING & SAFETYPERMIT/PLAN CHECK APPLICATION f. t5a 0 Menifee DATE S- �� PERMIT/PLAN CHECK NUMBER Q — TYPE: O COMMERCIAL OC'A'ESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION 'ELECTRICAL O MECHANICAL O NEW WLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK ^LP LJ'1A-.?, a --Ir- n PROJECTADDRESS ZS �� PIwS c� a nitee 3 LOT TRACT Building 8 Safety Dept, ASSESSOR'S PARCEL NUMBERS �j '�p-1' (" �+ _ 9,A C OWNER NAME rye,01JLL �CD MAY 16 ADDRESS �yS�a 7t,�Lt/7_ l„��b�` C�' ci PHONE C �" LI�-37,,,," (�67/i( . A EMAIL ROGe'�� APPLICANT NAME (AZ(S you AlJ ADDRESS PHONE /� EMAIL CONTRACTOR'S NAME c4r A-abvlc� Pav OWNER BUILDER? OYES O BUSINESS NAME ADDRESS 2-I9DZ5- Ncu, P-D PHONE �5 l�Zt{��5� EMAIL / CONTRACTOR'S STATE LIC NUMBER (a [ZZ02 LICENSE CLASSIFICATION VALUATION $ 2 S C Q FT L SQ FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GRE ' SMIP INVOICE 5 PAIDAMOUNT AMOUNT OCASH 0CHECK# 0CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 1 OCASH 0CHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Naun Rd. Menifee, CA 92586951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213