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PMT17-04561 City of Menifee Permit No.: PMT17-04661 29714 HAUN RD. Type: Pool/spa•Residential '�CCEL/-> MENIFEE, CA 92586 MENIFEE Date Issued: 1 2/2 712 01 7 PERMIT site Address: 25297 HIGH PLAINS CT, MENIFEE, CA Parcel Number: 358-490-016 92584 Construction Cost: $46,000.00 Existing Use: Proposed Use: Description of POOL,SPA&FIREPIT Work: 380L FT U/G GAS LINE FOR FIRE PIT Owner Contractor LARRY&STEPHANIE LUNA MAJESTIC POOL CONSTRUCTION 25297 HIGH PLAINS COURT 31566 RAILROAD CANYON ROAD STE 2#106 Applicant Phone: 9514456384 OBIE RODRIGUEZ License Number:889638 MAJESTIC POOL CONSTRUCTION 31566 RAILROAD CANYON ROAD STE 2#106 CANYON LAKE, CA 92587 Phone: 9514456384 Fee Description city Amount Swimming Pool/In-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 Inspections not specified 116 116.00 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 6.00 General Plan Maintenance Fee-Electrical 1 23.35 $641.35 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 carded 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_Penni 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 ❑I am exempt from licensure under the Contractor's State License Law for Professions Code andm license is in full force and effect. CJ''n z the following reason: License Classy L � License No. � ( 1•'f' J8 By my signature below I acknowledge that,except for my personal residence Expires U Z Signature—W- in which l must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legallysell a structure that 1 WORKER'S COMPENSATION DEtlA1LAT1ON 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" www.leeinfo.ca.eov/calaw.html. Gis/js5�.. ( f o `-z� Polity K / / 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 D By my signature below l 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 e ��(' with all applicable city and county ordinances and state laws relating to Carrier (�/--�j py 7 Q �t building construction.I authorize representatives of this city or county to PollcyK /�j r905 /^-L(/�Expires 2U �u 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 o I certify that in the performance of the work for which this permit is issued, I shall not employ any persons in any manner so as to become subject tothe CITY BUSINESS LICENSE workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,Is hall I with comply it those provisions. y Will the applicant or future building occupant handle hazardous material or Applicant L Date 2D { mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNIN :FAILURE TO SECUREWORKER'S COMPENSATIO4 COV RAGE IS ciYes nNo UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FIN ES UP 7O ONE HUNDRED THOUSAND DOLLARS($10D,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(SCAQMO)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguideltnes CONSTRUCTION LENDING AGENCY ciYes ciNo 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 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 material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes D No 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 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPI 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 pre-1978 and the basis for the alleged exemption.Any violation of Section 703L5 by residence or childcare facility to be RRP-certified firms and comply with an Applicant for a permit subjects the applicant to a evil penalty of not more required practices.This includes rental property owners and property than($SOD). managers who do the paint-disturbing work themselves or through their ci 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 I )portion of the work,and the structure is www.eva.gov/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 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: 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. PERMIT/PLANBUILDING & SAFETY . . • Menifee DATE: z71,7 7-7 PERMIT/PLAN CHECK NUMBER TtA-r TYPE:IF 0 COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME OOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBINGd 0 RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK y s g flleL J�// PROIECTADDRESS f5_L `1 l 1116111,, g1ns c /wlimjL'°e ZIP IZ76Y ASSESSOR'S PARCEL NUMBER 3 -C``�•�1`i' LOT v~� TRACT 'T� •`- OWNER NAME4QIPI� �� /( [111* ADDRESS 25-29 '/177lp�fX1lIS C 64 92'6 PHONE � /�I(� 0/ 9� EMAIL APPLICANT NAMEzg&ff1e / ADDRESS j /�/ ,/ `'L2� ,s��' / �y� ��]�7p//y co PHONE 7� `7`'1"V �G17 EMAIL rr7//Cr�"r/'^"`�//�-�Z'/� - OG�/��• CONTRACTOR'S NAME 0 l..I/ �y- /, 7�- h OWNER BUILDER? O YES NO BUSINESS NAME /C L CB S/ "let"V �Lp °�7 /®�j ADDRESS f1(f �/' ��I �� l /44 0 l`i`k " PHONE 7511 u✓(l7 QpQ�p x EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION G 5, 3 VALUATION$ FT L SO FT APPLICANT'S SIGNATURE DATE Z CITY STAFF USE ONLY _ DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE cu_ PERMIT FEE Ul� I 35 SMIP (,e C'a GREEN If z •tram r N CHECK FEE INVOICETOTALR BUILDER VERIFIED C YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofmenifee.us