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PMT17-01526 City Of Menifee Permit No.: PMT17-01526 29714 HAUN RD. �-/-�CCEL/-> MENIFEE, CA 92586 Type: Pool/Spa-Residential MENIFEE Date Issued: 0511712017 PERMIT Site Address: 25343 JUNO ST, MENIFEE,CA 92586 Parcel Number: 339-361-023 Construction Cost: $50,000.00 Existing Use: Proposed Use: Description of INGROUND POOL&SPA 263 SQ FT Work: Owner Contractor RICARDO HERRERA TEMECULA VALLEY LANDSCAPE& 25343 JUNO ST CONSTRUCTION INC MENIFEE,CA 92586 27537 COMMERCE CENTER DRIVE Applicant Phone:9516930952 ERIC PLAIN License Number.738882 TEMECULA VALLEY LANDSCAPE&CONSTRUCTION INC 27537 COMMERCE CENTER DRIVE SUITE 101 TEMECULA, CA 92590 Fee Description ON Amount(S) 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_Pearit 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 and my license is in full force and effect. the following reason: License Class C—J 7 License No. By my signature below I acknowledge that,except for my personal residence Expires 7 -I - yam,Signatu 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 ❑1 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 w„hsv,leeinfo.ca.eov/calaw.html. this permit is issued. Policy# Date PROPERTY OWNER OR AUTHORIZED AGENT o I have and will maintain worker's 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 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 with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives ofthis city or county to Policy# Expires 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, ]shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# / worker's 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 Hftwith co I se provisions. Applicant 1 Date��—` Will the applican future buildin u mile hazardous material or a 2 17 mixture containing a hazardous terial equal to orgre erthatthe amounts specified on the H rdous Materials Infor ion Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes ❑No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended us 9T ing 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 LAB0R CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCNON LENDING AGENCY ❑Yes o No 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) o Yes o No 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 rements under the State of California Health&Safety Code ion 25505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hpattloys material repo checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 yes ❑No Business and Professions Code).Any city or county that requires a permit to � Oate construct,alter,improve,demolish or repair any structure,prior to its L PROPERTY OW R O 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. IR 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 paintan 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 ❑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-BOD-424-LEAD(5323). Code;The Contractor's 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 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. DATE PERMIT/PLAN CHECK NUMBER 1 / v T✓ov TYPE: [I COMMERCIAL ✓❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑✓ POOL/SPA []SIGN SUBTYPE: []ADDITION []ALTERATION []DEMOLITION ❑ELECTRICAL [—] MECHANICAL ❑NEW ❑PLUMBING El RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Swimming Pool&Spa PROJECT ADDRESS 25343 Juno St. Sun City, CA 92586 ASSESSOR'S PARCEL NUMBER 339-361-023 LOT -A-5 TRACT PROPERTY OWNER'S NAME Ricardo Herrera ADDRESS 25343 Juno St. Sun City, CA 92586 PHONE (951)295-6915 EMAIL APPLICANT NAME Eric Plain-Creative Pools&Landscape ADDRESS 27537 Commerce Center Dr. Ste. 101 Temecula, CA 92590 PHONE (951)693-0952 EMAIL creativepoolsandlandscape@gmail.com CONTRACTOR'S NAME Creative Pools&Landscape OWNER BUILDER? ❑YESQNO BUSINESS NAME Creative Pools&Landscape ADDRESS 27537 Commerce Center Dr. Ste. 101 Temecula,CA 92590 PHONE (951)693-0952 EMAIL creativepoolsandlandscape@gmail.com CONTRACTOR'S STATE LIC NUMBER 738882 LICENSE CLASSIFICATION C-53 VALUATION$ $50,000.00 SO FT 263 L SO FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION �7/ CITY OF MENIFEE BU 1I�/$�S IC NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP 1 INVOICE PAID AMOUNT AMOUNT •� 0CASH 0CHECK# 0CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER C YES O NO City of Menifee Building&Sufety Deportment 29714 Houn Rd. Menifee, CA 92596 951-o'72-6777 www.citVofinenifee.us Inspection Request Line 951-246-5213 wO� AV t"Jl Y 4. of `— 3t AO8ddV NV'%*` JVd34 u33dz GNV DNI M 18 333IN31N art h E ; FF an 1 i r, .9Z sA .O b jT ,8 77. ,LT 19Zr_ rn } w 1 .. I - 02 0 o N C2 T I ' � m 52' <, N O m O Q � 7' m r.