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PMT18-00895 City of Menifee Permit No.: PMT18-00895 29714 HAUN RD. Type: Pool/Spa-Residential 4!-�CCELA�- MENIFEE, CA 92586 MENIFEE Date Issued: 03/01/2018 PERMIT Site Address: 27982 HIDE AWAY CT, MENIFEE, CA Parcel Number: 333-370-042 92585 Construction Cost: $54,600.00 Existing Use: Proposed Use: Description of INGROUND POOL& SPA, 622 SF,2 POOL LIGHTS, 1 SPA LIGHT,WITH ROCK WATER SLIDE Work: Owner Contractor JUAN&ANGELICA MARCELINO CAL/PACIFIC POOLS&SPAS INC 27982 HIDE AWAY COURT 17024 VAN BUREN BLVD STE C MENIFEE, CA 92585 RIVERSIDE,CA 92504 Applicant Phone:9517762002 DAVID BRENNER License Number:652876 CAL/PACIFIC POOLS&SPAS INC 17024 VAN BUREN BLVD STE C RIVERSIDE, CA 92504 Fee Description (3ty Amount($) Swimming Pool/In-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 GREEN FEE 1 3.00 SMIP RESIDENTIAL 1 8.00 General Plan Maintenance Fee-Electrical 1 23.35 $528.35 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_Permit_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 o 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 following reason: License Class L 5'.3 Ucense No. 5 s,7CP g m signature below I acknowledge that,except for m �) y y g g p y personal residence Expires : ' .3/ Signature /cif-P� 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 1 WORKER'S COMPENSATION DECLARATION 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 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 fallowing 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. Polity#_(,Y—`fig' 1Q a. Date ❑I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER ORAUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which in By 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 5 c C- n- -e /L,-7-- ✓y with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy 71 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($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ❑I certify that in the performance of the work for which this permit is issued, I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE p worker's compensation laws of California,and agree that If I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shall fo ' h co with those provisions. Will the applicant or future building occupant handle hazardous material or a mixture containing a hazardous material equal to or greater that the Applicant Date . amounts specified on the Hazardous Materials-information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 o Yes o No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($SOD,000),IN occupant requires permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCtionor Seemodification permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY o Yes o 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) ❑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 Contractor's License Law for the reasons)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 items)(Section 7031.5 Oyes ❑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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRP) 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 apre-3978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be work that disturbsified p i and comply with than 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 o 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). 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. o No EPA Lead-Safe Certified Firm Is required for this project because: o 1,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. • will M�I�ife� DATE: �1� PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA OSIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICANYCOMMBOWML O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES Building Dept. DESCRIPTION OF WORK ,?�Ov' (, � Svc PROJECTADDRESS 2-79sra 14101 Received ASSESSOR'S PARCEL NUMBER .3 3 3 70 V�-Z r LOT TRACT 3 O pf OWNER NAME /V/u i u' C!ct( �17/1-4LCrg ADDRESS / �7 2I PHONE 7 EMAIL APPLICANT NAME J7�vi yCOr•..tVC,n..� (�/1.Cl/=cC� L. .S n, o ADDRESS 1 7 �}nJ �(� r3-q/ C_(/ ), 7 PHONE �,f� )� ) 7(o^ boo EMAIL /I[-GlRcv b S I //Vr-o E Go CONTRACTOR'S NAME C It4IL r_55 Geg (,.4- �,�/ OWNERBUILDER? OYES NO BUSINESS NAME ©/�.C-(/may y/Gv y✓ -7e'o ADDRESS C9 ESL. Vn� (� �, - t PHONE '�2 S' a c, � EMAIL CONTRACTOR'S STATE LIC NUMBER 7w LICENSE CLASSIFICATION�7C VALUATION $ -;- ¢/Co v v co S FT & )__ a L SO FT % ('07 APPLICANT'S SIGNATURE DATE 3 / CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIBS PERMIT FEE SMIP GREEN PLAN CHECK FEE INVOICE TOTAL 5 OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO i: �; d. ?II�`oo ^•'LSlrk. ' ',Lf3 .� ,�'r_'itri -�, -L r ,_v. I = 2_. , J 5,iJ 5'6"H WOOD FENCE G P/L in in EXISTING WATER FALL +1S g"N 1 5 26' 10" T 18" 18"SPILL WAY a N T6"deep i4D 6'd +0 umbrella sleeve 33''1' all decking,masonry,steps, drains,mastic,equipotential deck banding and rock work is by others p 27' 11" �9'• H2 vO O o � FUTURE PATIO COVER BY OTHERS All exits from house to pool to have working alarms it I �I I �I B Mr. Juan & Mrs. Angelica Marcelino Required 5AWNT5..d —y removal by customer 27982 Hide Away Ct. Menifee Ca. (951) 313-8036 a APN # 333-370-042-5 s LOT 94 OF TRACT # 30705-4 -i H1.