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PMT17-02854 City of Menifee Permit No.: PMT17-02854 29714 HAUN RD. "lICCELA--�' MENIFEE, CA 92586 Type: Pool/Spa -Residential MENIFEE Date Issued: 08/14/2017 PERMIT Site Address: 25668 BUFFALO CIR, MENIFEE, CA Parcel Number: 358-502-012 92584 Construction Cost: $45,000.00 Existing Use: Proposed Use: Description of INGROUND POOL&SPA,500 SF Work: Owner Contractor PHIL DENNIS POSEIDON POOL AND SPA CONSTRUCTION INC 25668 BUFFALO CIRCLE 48415 PECHANGA RD MENIFEE,CA 92584 BLDG H STE 804 Applicant Phone:9512862198 CHAD PRIEST License Number: 1008129 POSEIDON POOL AND SPA CONSTRUCTION INC 48415 PECHANGA RD TEMECULA, CA 92592 Fee Description Oft Amount($ 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 $525.36 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. AP._Bidg_Pennit_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 perjurythat 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 ❑I am exempt from licensure under the Contractor's State License Law for Professions Code and my license Is in full farce and effect c., the following reason: License Class Z f 3 Uc e No. IZ--yo l z / By my signature below I acknowledge that,except for my personal residence Expires Z-0 Signature AZ2K in which 1 must have resided for at least one year prior to completion of improvements covered bythis permit.I cannot legallysell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by ❑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 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 this permit is issued. WWW.Ieginfo.ca.gov/calaw.htmi. Policy If Date D I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below 1 certify to each of the following:I am the property this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's 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 of this city or county to Policy N 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($10 less PROPERTY OWNER OR AUTHORIZED AGENT ertifythat 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# 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 fo t r, Z p ywith those provisions. �,�/J, /y> Will the applicant or future building occupant handle hazardous material or a Applicant Date U' < / - 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 ❑No UNLAWFUL,AND SHALL SUBJECT AN 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 Airant Quality Management District(SC construction or See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY o Yes ❑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 ❑No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjurythat I am exempt from the permitting checklist.I understand my requirements under the State of Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning hazardous material reporting. checkmark(s)I have placed nextto the applicable item(s)(Section 7031.5 DYes ❑No Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,priarto 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRPI License Law(Chapter 9(commencing with Section 7D00)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 Iicensure 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 ❑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 Contractor's 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 for this project because: ❑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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Mer'c.- DATE 9`/V PERMIT/PLAN CHECK NUMBER 5 TYPE: C COMMERCIAL keRESIDENTIAL C MULTI-FAMILY 0 MOBILE HOME 'POOL/SPA :J;SIGN SUBTYPE: O ADDITION —ALTERATION O DEMOLITION — ELECTRICAL O MECHANICAL A( NEnW/ O PLUMBING O RE-ROOF-NUMBER OF SQUARES s DESCRIPTION OF WORK Iveu/ /N lC7C.Y>d ` 1�;�'Zl� ✓ PROJECTADDRESS ZSl�loB ✓� L� ��``� tiU�( r' (� �tQ ASSESSOR'S PARCEL NUMBERj� -�` �a- LOT TRACT City of Menifee OWNERNAME Al ADDRESS ,.,q PHONE / EMAIL Received APPLICANT NAME _ 'JY I QOIN o A ez t -0 Rf� ce /� ADDRESS ��if'Llp�GU C.14-� Z 'Z•S //� PHONE '.S�'S � �5' /EMAIL Pi"��¢a+%l4So%✓ CJr1 iI� • Z&,ec CONTRACTOR'S NAME D SG!L�c9/�-/ OWNER BUILDER? C YES`.ENO BUSINESS NAME � p r 6 /OcYLJ ��ac•`� ADDRESS PHONE 75 V3 EMAIL CONTRACTOR'S STATE LIC NUMBER /a� fg!Z 9 LICENSE CLASSIFICATION VALUATION$ —eSea . 9 cd SO FT j 00 LSO FT —7 APPLICANT'S SIGNATURE DATE( DEPARTMENT DISTRIBUTION 11 ,w, CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP W AMOUNT PAIDAMOUNT ?l L.� J-J UCASH CHECK# '�> , CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT <%CASH %CHECK# i%CREDIT CARD VISA/MC OWNERBUILDER VERIFIED C3YES O NO DL NUMBER NOTARIZED LETTER O YES 0 NO 9 S77 wow✓.�i�yofn;e,:ljee.Lis 1;759ec(i0r7 fiet7U-_'5t Line Down"^dope 2-1 Down slope p• .u^ " MEP Phil Dei Co( — ® 25668 m Menife4 13 562-2F m pdennis IN E PLAIN REVIEWED nromeance to structural details p Tod L.Laher,R.C.E.67656 ti P i Engineering,inc. a 4eWRS shall l- ,precedence mr contr.-Iz site pl2 ti ZW VA BTU HEATER 425 VARIAE A T FIL PUMP p 9E5 SQ FT L FIL ER 30/2 h pPNEL 1 1/2 hp wurc'roll pump P�