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PMT17-03137 City of Menifee Permit No. PMT17-03137 29714 HAUN RD. -kCCELA� MENIFEE,CA 92586 Type: Pool/Spa-Residential Sn1-1 MENIFEE Date Issued: 09106/2017 PERMIT Site Address: 28622 WOODCHESTER RD, MENIFEE, Parcel Number: 336-502-012 CA 92584 Construction Cost: $25,000.00 Existing Use: Proposed Use: Description of INGROUND POOL&SPA,495 SF,WITH SLIDE Work: Owner Contractor BRIAN MARTES ALOHA POOL&DESIGN INC 28622 WOODCHESTER ROAD 41083 SANDALWOOD CIRCLE STE I MENIFEE,CA 92584 MURRIETA, CA 92562 Applicant Phone:9514539728 MARK KLINGSPOON License Number.965927 ALOHA POOL&DESIGN INC 41083 SANDALWOOD CIRCLE.STE I MURRI ETA, CA 92562 Fee Description OOt Amount(El Swimming Pool/In-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Electrical 1 23.35 $622.35 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_BIdg_Permit_Template.rpl 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). Chapter!)(commencing with section 7000)of wision 3 ofthe Business and D I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is In full forcand effect. the following reason: License Class �S 3 Lice eNo. `7e-YJZ7 By my signature below l acknowledge that,except for my personal residence Expires Z� 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 DECIARATI have built as an owner-builder if it has not been constructed in its entirely by D l hereby affirm under pena lty of perjuW 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 Cade,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.goy/calaw.litmi.permit is issued. Policy fi 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 oBy my signature below I certify to each of the following:I am the property this permit is issued.My workers compensation insurance carrier and policyowner or authorized to act on the property owner's behalf.I have read this number are: application an the information I have provided is correct.I agree to comply with all appy hie city and county ordinances and state laws relating to Carrier building cans ruction.I authorize representatives of this city or county to Policy# Expires enter the abive identified property for inspection purposes. - (This section need not to be completed is the permit is for one-hundred j ---- dollars($300)or less Date WNER OR AUTHORIZED AGENT O certify that in the performance of the work for which this permit is issued, PROPER 4 shall notemolovJftrh' persons in any manner so as to become subject to the CITY BUSY LICENSE workers compensn laws of California,and agree that if I should become HAZARDOVVVVVVUS MATERIAL DECLARATION subjectto the wars compensation provisions of Section 3700 of the Labor Code,I shall faith comply with those provisions. Will the applicant or future building occupant handle hazardous material or Applicant Date 2 , mi#ure 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 d:No UNLAWFUL,MD SHALL SuaiECTAN 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($1(30,000),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(SCtionor adirlolonee fro South st IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Corguidast Aird',Qua Ines CONSTRUCTION LENDING AGENCY ❑Yes fdMo 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 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 checkli I understand my requirements underthe State of California Health Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reasons)indicated below by the e� hazard us mkt!T reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes to '.1 Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWlR OR AUTHORIZED AGENT issuance,also requires the applicant for the permitto file a signed statement 11 that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVAYLON,REPAIR AND PAINTING IRRP) License Law(Chapter9(commencing with Section 7000)of Division 3 of the v Business and Professions Code)or that he or she is exempt from licensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors receiving compensation for most work that disturbs paint in a pre-1978 and the basis for the alleged exemption.Any violation of Section 7031.56y th an Applicant for a permit subjects the applicant to a civil penalty of not more required pra or ctices. his includesity to be RRP-certified ownersrms and propermply ty required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves orthrough their n 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.eovAead 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 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 a re 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. D 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 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 & SAFETY PERMIT/PLAN CHECK APPLICATION sF Menifee DATE 01 v PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL C RESIDENTIAL O MULTI-FAMILY O MOBILE HOME OOL/SPA O SIGN SUBTYPE: C ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANIC6ky Of Menife O NEW O PLUMBING C RE-ROOF-NUMBER OF SQUARES Building& safety Opt. DESCRIPTION OF WORK SEP PROJECTADDRESS Tom' eive j ASSESSOR'S PARCEL NUMyB�E-Rp��t7� ��,0��, LOT TRACT OW / OWNER NAME Y •i I'V ADDRESS 2, ZZ .9 1-fC^ Y%(Z_ /2-0� ' 52 1 PHONE yQ �/Aq' j EMAIL APPLICANT NAME ADDRESS PHONE EMAIL CONTRACTOR'S NAME pC14— OWNER BUILDER? OYESAQ BUSINESS NAME G6 ADDRESS -s-17 2-- PHONE "J ' q EMAIL CONTRACTOR'S STATE LIC NUMBE %J501 LICENSE CLASSIFICATION VALUATION$ Z SQ FT C L SO FT APPLICANT'S SIGNATURE DATE / is DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT `� AMOUNT � CCASH CHHECK# CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT I 0CASH 0CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES C NO DL NUMBER NOTARIZED LETTER C YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinemfee.us Inspection Request Line 951-246-6213