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PMT17-04385 City of Menifee Permit No.: PMT17-04385 29714 HAUN RD. <ACCEll MENIFEE,CA 92586 Type: Residential Addition MENIFEE Date Issued: 1211212017 PERMIT Site Address: 32864 SEATTLE SLEW CIR, MENIFEE, Parcel Number: 372-320-040 CA 92584 Construction Cost: $25,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of IN GROUND POOL/SPA WITH 3 LIGHTS AND GROTTO Work: Owner Contractor JOE FENT ALOHA POOL&DESIGN INC 32864 SEATTLE SLEW 41083 SANDALWOOD CIRCLE STE I MENIFEE,CA 92584 MURRIETA,CA 92562 Applicant Phone:9514539728 41083 SANDALWOOD CIRCLE STE I License Number.965927 MURRIETA, CA 92562 Phone: 9514539728 Fee Description ,gty Amount($) 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 $522.35 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 B)dg_Pe"it_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 contractors)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of ivision 3 ofthe Business and D 1 am exempt from[!censure under the Contractor's State License Law for Professions Code and my license is in full forc19and effect. the following reason: License Class f 57 3 'ce eNo. fG5T107 By my signature below l acknowledge that,except formy Personal residence Expires L Signature in which l must have resided for at least one year priorin completion of WORKER'S COMPENSATION DECLARATIO improvements covered by this permit.I cannot legally sell a structure that 1 have built as an owner-builder if it has not been constmcted in its entirety by a I hereby affirm under penalty of perjuj one ofthe following declarations:) licensed contractors.I understand that a copy oftheapplicable 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 websile: by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. www.leghsfo.ca.eov/calaw.html. Policy# Date o 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 �y my signature below 1 certify to each of the following:I am the property this permit is issued.My workers compensation insurance carrier and polity owner or authorized to act on the property owner's behalf.I have read this number are: application arrif the information I have provided is correct.I agree to comply Carrier with all applirptile city and county ordinances and stale laws relating to huildingcon ruction.I authorize representatives of this city or county to Policy 14 Expires enter the cabI've identified property for inspection purposes. - (This section need not to be completed is the permit is for one-hundred Date_3Li / dollars($100)or less PROPERiy !INNER OR AUTHORIZED AGENT '/ \97 certify that in the performance of the work for which this permit is issued, J f shall not employ an persons in any manner so as to become subject to the CITY BUS S LICENSE It workers compensa on laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subjecttothewor es compensation provisions of Section 3700 of the Labor Code,I shall f9rth ith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date Z mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAIL RE TO SECURE WORKER'S COMPENSATION COVERAGE Is o Yes Q:No UNLAWFUL,JVD SHALL SUBJECTAN 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($500,000),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(SCAQM D)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguid%ines CONSTRUCTION LENDING AGENCY ❑Yes aS'ivo 1 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) oYes "0 OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD hereby affirm under penalty of perjury that l am exempt from the permitting checklis.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 hazard us m terl I reporting. checkmark(s)1 have placed nett to the applicable item(s)(Section 7031.5 oyes Fw140 conBusstruct,alter, Professions demolish Any or reai county ucthat requires,prior a permit to /f Date construct,alter,improve,demolish or repairany structure,prior to its PROPERTY OWNER ORAIITHORIZEOAGENT issuance,also requires the applicant for the permit to file a signed statement II / that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVAYLON.REPAIRAND PAINTING lRRPI License Law(Chapter9(commencing with Section 7000)of Division 3 of the v 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 then Applicant fora permitsubjecisthe applicant toacivil penalty of not more required practices.This includes rental property ownersand property than($500). managers who do the paint-disturbing work themselves or through their a 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.epa.gov/lead or contact the National Lead Information Center at not intended or offered for safe.(Section 7044,Business and Professions 1-800-424-LEAD(5323). - Code;The Contactors State License Law does not apply to an owner of a 0An 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 issold within one year of Firm Certifrration No completion,the Owner-Builder will have the burden of proving that itwas not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because: o I,as owner of the property am exclusively contacting with licensed contactors to construct the project(Section 7044,Business and Professions Code:The Contactors 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. •f BUILDING I SAFETY PERMIT/PLAN Y • l APPLICATION x^ ( DATE: PERMIT/PLAN CHECK NUMBE 'J C7 TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME OL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL ONEW OPLUMBING y0O�RE-ROOF NUMBER OFSQU RES DESCRIPTION OF WORK PROJECTADDRESS �LFS'G� ^S2�,T` �� /�'�c.�� ZIP L {, ASSESSOR'S PARCEL NUMBER �� v� •3ab 'b"(u0T TRACT OWNER NAME ADDRESS rcL rj Ic �.,7 PHONE -3 6-7--Pj6 e 9 EMAIL APPLICANT NAME ADDRESS PHONE EMAIL CONTRACTOR'S NAME OWNER BUILDER? 0 YES�1B BUSINESS NAME ADDRESS �Q�� s�y✓(Jf{ ._ op Gr/1 S% J d/� PHONE S � �/ ZS� _.�-G�� // EMAIL /' � CONTRACTOR'S STATE lLICNUMB R �f�J�`?�L7 LICENSE CLASSIFICATION `"' � VALUATION $ SO FT L SQ FT APPLICANT'S SIGNATURE DATE L CITY STAFF USE ONLY I DEPARTMENT DISTRIBUTION V ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER le BUILDING PLANNING ENGINEERING FIRE OIL PERMIT FEE �aa, �� SMIP GREEN PLAN CHECKFEE INVOICE TOTAL OWNER BUILDERVERIFIED OYES O NO DRIVERS LICENSEN NOTARIZED LETTER O YES O NO City of Men'rfee Building Dept. DEC Received .. . iL i - ) I o3 � f 5 r \ 4c r ^