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PMT18-01012 City of Menifee Permit No.. PMT18-01012 29714 HAUN RD. �CCEL17l. MENIFEE, CA 92586 Type: Pool/Spa-Residential MENIFEE Date Issued: 03/07/2018 PERMIT Site Address: 31529 BRENTWORTH ST,MENIFEE,CA Parcel Number: 372-440-024 92584 Construction Cost: $30.000.00 Existing Use: Proposed Use: Description of INGROUND GUNITE POOL&SPA 525 SQ FT Work: Owner Contractor DARREN PRUITT INNOVATION POOLS 31529 BRENTWORTH ST P 0 BOX 890905 MENIFEE,CA 925B4 TEMECULA, CA 92589 Applicant Phone:6194543062 KEVIN MURPHY License Number. 1033171 INNOVATION POOLS P 0 BOX 890905 TEMECULA,CA 92589 Fee Description gty Amount Ibl Swimming Pool/In-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Electrical 1 23.35 $623.36 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 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. Ak8Idg_Pernit Template.rpt Page 1 of 1 CITY OF MENIFEE [have ICENSED 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). hereby affirm under penalty of perjury that I am under provisions of hapteA(commenting with section 7000)of Division 3 of the Business and 0I am exempt from licensure under the Contractor's State License Law for rofessions Co a ann j m license is in full force and effect. Z ) 1 the following reason: icense Clas �-r J Uce s No. Q '7 f l By my signature below I acknowledge that,except for my personal residence xpires �d ( 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 ORKER'S COMPENSATION OECLARATI N have bolt[as an owner-builder if it has not been constructed in its entirety by I hereby affirm under penalty of perjury one of the fallowing declarations:I licensed contractors.I understand that a copy of the applicable law,Section and will maintain a certificate of consent of self-insure for workers 7044 of the Business and Professions Code,is available upon request when ompensation,issued by the Director of Industrial Relations as provided for this application Is submitted or at the following website: y Section 3700 of the Labor Code,for the performance of work for whichwww.leeinfp.ca.eov/calaw.html. his permit is issued.olicy# Date 1 have and will maintain workers compensation insurance,as required byPROPERTY OWNER OR AlTHORIZED AGENT ection 3700 of the Labor Code,for the performance of the work for which a By my signature below I certify to each of the following:I am the property his permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this umber are: application and the Information 1 have provided is correct.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# Expires enter the above identified property for inspection purposes. (This section need not to he completed is the permit is for one-hundred Date dolls -($S00)or less PROPERTY OWNER OR AUTHORIZED AGENT I certifythat 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 to the CITY BUSINESS LICENSE# workers compensation laws of California,and agree that if I should becomeIRTY ZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Cade,I shall o hwith co ly with those provisions. p_ ll the applicant or future building occupant handle hazardous material ors Applicant Date vture containing a hazardous material equal to or greater that the ounts spa fled on the Hazardous Materials Information Guide? WARNIN :FAILURE TJ SECURE WORKER'S COMPENSATION[OVERAGE ISes UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIESl the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),INupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FORst Air Quali Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEESguidelf CONSTRUCTION LENDING AGENCY es No I hereby affirm that under the penalty of perjury there is a constructionl the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issueder hound of a school? (Section 3097 Civil Code) es o OWNER BUILDER DECLARATIONS ve read the Hazardous Material Information Guide and the SCAQMD mitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the ifornia Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reasons)indicated below by the rdous material reporting. checkmark(s)I have placed next to the applicable items)(Section 70315 Business and Professions Code).Any city or county that requires a permit tor construct,alter,improve,demolish or repair any structure,prior to itsRT oDateissuance,also requires the applicant for the permit to file a signed statementPERTY OW R OR AUTHORIZED AGENT f that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVAT N,REPAIR AND PAINTING(RRP) 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 Iicensure 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 he 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 0500). 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.eoa.Roy/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 0 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. ❑No EPA Lead-Safe Certified Firm is required forthis 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 RII out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: / PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME &'POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NE/W O PLyU—MBBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK l- j /V q14W . PROJECTADDRESS ( �� lz N�✓V b(Z �� ZIP Z,5 ASSESSOR'S PARCEL NUMBER LOT SRO TRACT OWNER NAME ADDRESS PHONE q;5-1 EMAIL APPLICANTNAME ADDRESS PHONE e f r� �y _ / EMAIL CONTRACTOR'S NAME NQ V JAI(OJV DD Z OWNER BUILDER? O YES O'NO �� (( BUSINESS NAME q� ADDRESS U �/ '6 /��, � V� D ^ ,� PHONE qj j -Y/1 D '2�" I L�2 �EMAIL /vL I� ��'" �d CONTRACTOR'S STATE LIC NUMBER /D J ( / LICENSE CLASSIFICATION VALUATION$ GC) 6 SQ FT L SO FT `� APPLICANT'S SIGNATURE DATE / DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE tt ^ INVOICETOTAL 5 J� GREEN O( � SMIP OWNER BUILDER VERIFIED OYES 0 NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES C NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofmenifee.us ENIFE` i t BUILDING AND .. PLAN APPROVE Oe REVIEWEMIr_ -Approval of these plans approval of,any violation regulations and ordinancE don' johsite unfit comple