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PMT18-00002 City of Menifee Permit No.: PMT18-00002 29714 HAUN RD. <rnCCELAI�. MENIFEE, CA 92586 Type: Pool/Spa-Residential MENIFEE Date Issued: 0110 2/2 01 8 PERMIT Site Address: 31912 WHITFIELD ST, MENIFEE, CA Parcel Number: 360-660-028 92584 Construction Cost: $45,000.00 Existing Use: Proposed Use: Description of INGROUND POOL&SPA,400 SF,WITH 1 POOL LIGHT, 1 SPA LIGHT Work: Owner Contractor ANDY RUIZ CAL/PACIFIC POOLS&SPAS INC 31912 WHITFIELD STREET 17024 VAN BUREN BLVD STE C MENIFEE, CA 92584 RIVERSIDE, CA 92504 Applicant Phone:9517762002 GARY SOPER License Number:652876 CAL/PACIFIC POOLS&SPAS INC 17024 VAN BUREN BLVD STE C RIVERSIDE,CA 92504 Fee Description Qtv Amount ISl 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 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_aldg_Permit Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that I am under provisions of Chapter9(commencing with section 7000)of Division 3 of the Business and D 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 fallowing reason: a License Class '? --titan By my signature below I acknowledge that,except for my personal residence Expires Signa 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 DECLA 101 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.leeinfo.ca.eov/calaw.html. Policy g Date (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 �crary my signature below I 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 r"-C d2/TGr /L/blz� with all applicable city and county ordinances and state laws relating to huild' gconstractl I authorize representatives of this city or county to Policy tf5 Z•a C_ /IS q'7. 7 Expires Y- a3 ^/\ mart heaboveidentifie�rty for inspection purposes. (This section need not to be completed is the permit is for one-hundred - Date dollars($100)or less PROPeR-TY-OWNE R AUTHORIZED AGENT 0I certify that in the performance of the work for which this permit is issued, I shall not e� erws o C In nner so as to become subject to the CITY BUSINESS LICENSE N worker's co io laws of Califomia,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subje the orker's compensation p isions of Section 3700 of the Labor C/o�1 ,I shall forth�wi h comply wit ose provisions. WIII the applicant or future building occupant handle hazardous material or a /@plicaa Date ` 1- 0 mixture containing a hazardous material equal to or greater that the amounts sia9zified on the Hazardous Materials Information Guide? WARNINGLEA RE TO SE[��RE WORKER'S COMPENSATION COVERAGE IS ❑Yes No UNU�ANOSHIk B1ECr 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 Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for gufdeI' CONSTRUCTION LENDING AGENCY 0 Yes % 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) 0 Yes 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 CaPF!F7 25505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hacheckmark(s)I have placed next to the applicable items)(Section 7031.5 Business and Professions Code).Any city or county that requires a permit to DY Date construct,alter,improve,demolish or repair any structure,prior to its PROPER NE ORAUT ED 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 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 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.eaa.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). Cade,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. D No EPA Lead-Safe Certified Firm is required for this project because: 0 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 RAP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE: /- Z / U PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL ESIDENTIAL 0 MULTI-FAMILY O MOBILE HOME ' IrOOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION C ELECTRICAL O MECi 9 Dept. EW O PLUMBING0 RE-ROOF NUMBER OFSQUARES DESCRIPTION OF WORK L/� ESL �S/ JAN 0 2 2018 v PROJECTADDRESS �/ `�/Z (/f�j�/%Je/,5Z-,o7 J T ZIP ASSESSOR'S PARCEL NUMBER 3dCG 660- 02-� LOT Y3 TRACT 34,?-�/ OWNERNAME V/� 11 jets/ 'Y- /VLTCo4'f ADDRESS 31 Cj J L 44✓ / S-7 • �c�G/ -r PHONE 1 —7/c3 -9,5r y EMAIL , APPLICANT NAME ADDRESS /70 W Al �T�G Jidc� Ji b PHONE 25l-7? EMAIL CONTRACTOR'S NAME A&- 5%7,/6,C OWNER BUILDER? O YES, BUSINESS NAME i&LqL �, 1,147/-of p, ADDRESS 170 � V /(S & 6�>O -4,1 fZ � q- /�,/-6 � PHONE /�f1--2-7// // �-Larsti / ) /EMAIL CONTRACTOR'S STATE LIC NUMBER D �i �7(. LICENSE CLASSIFICATION lS-3 VALUATION$ Ys; bb5 FT 41D LSO FT APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: . ,n CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE 'M----- PERMIT FEE VJ SMIP — GREEN PLAN CHECK FEE INVOICETOTAL 5 OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES 0 NO City of Menifee Building&Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofmenIfee.us � / % // k■ ') { -_) 00 00 ` 2,- 2 v 00 9 ) s § _ §|_ § £ e �j f / S s \ 9 / k in ƒ / § x � x } \ \ N co e / k sa od V § - ° 2 ° }\\\ � .v [ ..................................................... u ........... ...... .............. §§k ° + \/ }L))