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PMT18-01160 City of Menifee Permit No.: PMT18-01160 29714 HAUN RD. Type: PoollSpa-Residential �!- CCIl MENIFEE, CA 92586 MENIFEE Date Issued: 03/1612018 PERMIT Site Address: 29801 FAR SHORE DR, MENIFEE, CA Parcel Number: 333-700-006 92585 Construction Cost: $58,000.00 Existing Use: Proposed Use: Description of INGROUND POOL&SPA WITH GROTTO WATERFALL Work: Owner Contractor CARLOS BRAVO MAJESTIC POOL CONSTRUCTION 29801 FAR SHORE DRIVE 31566 RAILROAD CANYON ROAD MENIFEE, CA 92585 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 Fee Description gty Amount fSl 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 $628.35 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_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 70DD)of Division 3 of the Business and o I am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: License Class G S3 License No. S 6 /O(/o By my signature below I acknowledge that,except for my personal residence Expires Z — ZO(!Signature in which l must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I 0lherehy affirm under penalty ofperjuryone of the following declarations:) have built as an owner-builder if it has not been constructed in its entirety by 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 compensation,issued by the Director of Industrial Relations as provided for 7044 of the Business and Professions Code,is available upon request when by Section 3700 of the Labor Code,for the performance of work for which this application is submitted or at the following website: this permit is issued. www.leeinfo ca eavycalaw hurl. Policy It — Date have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT /sdliItion 3700 of the Labor Code,for the performance of the work for which 0 By my signature below I 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.1 agree to comply Carrier_ SI -(7usJ L-D with all applicable city and county ordinances and state laws relating to Polity#o1 � Y£�O�f� building construction.I authorize representatives ofthis city or county to ( Expires_ 4 enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred dollars($100)or less Date _01 certify that in the performance of the work for which this permit is issued, PROPERTY OWNER OR AUTHORIZED AGENT I shall not emolov 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 become subject to the workers comSs of Section 3700 of Lobar HAZARDOUS MATERIAL DECLARATION Code,I shall f ncco rions. Will the applicant or future building occupant handle hazardous material ora Applicant Date ( mixture containing a hazardous material equal to or greater that the amounts�'sp&ecifred on the Hazardous Materials Information Guide? WARNING:FAILURETO SECMPENSATION COVERAGEIIs 0Yesd(NoUNLAWFUL,AND SHALL SUR TO CRIMINAL PENALTIES /\4 AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN Will the int nded use of the building by the applicant or future building ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist lines CONSTRUCTION LENDING AGENCY OYes forguld�,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) 0 Yes a(No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that l 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 checkmark(s)I have placed next to the applicable Rem(s)(Section 70315 h ardous material reporting. Business and Professions Code).Any city or countythat requires a permit to construct,alter,Improve,demolish or repair any structure,prior to its / Date-3-2 issuance,also requires the applicant for the permit to file a signed statement PR N ORAUTH IZE GENT that he orshe is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AN AINTING(RRP) Ucense Law(Chapter9(commencing with Section 7000)of Division 3 ofthe Business and Professions Code)or that he or she is exempt from licensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensation for most work that disturbs paint in a pre-1978 an Applicant for a perm it subjects the applicant to a civil penalty of not more residence or childcare facility to be RRP-certified firms and comply with than($500). required practices.This includes rental property owners and property managers who do the paint-disturbing work themselves or through their 01,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.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 property who,through employees'or personal effort,builds or improves the 0 An EPA Lead-Safe Certified Renovator will be responsible for this project 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 completion,the Owner-Builder will have the burden of proving that it was Firm Certification No.: ' not built or improved for the purpose of sale. 0 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 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. MENIFEE ., t DATE: `� _ 1 / PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: 0 COMMERCIAL 0 RESIDENTIAL 0 MULTI-FAMILY 0 MOBILE HOME POOL/SPA O SIGN SUBTYPE: 0 ADDITION C ALTERATION O DEMOLITION O ELECTRICAL 0 MECHANICAL O NEW O PLUMBING 0 RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK O OIL S S 6L A - � vo nJ4'-P,1 ice+ PROJECTADDRESS 2—iV-01 / � ZIP 92_5`0 r ASSESSOR'S PARCEL NUMBER 333- '7C.b-(fXjLO LOT TRACT City of en ee OWNER NAME C4 v ' Building Dept. ADDRESS S'4 PHONE /611 S 716 5v EMAIL Received APPLICANT NAME 015ldc- O/,'�/�iV� Z ecei V ADDRESS 1 f70 PHONE l�,j kOO O// Z__ EMAIL Q % e. C " CJoIS• COS-, v CONTRACTOR'S NAME rr /OWNER BUILDER? O YES ^ 0 BUSINESS NAME ^c5^Tl L 0 c'(.._ a 1Y 4' --C�-+ ADDRESS PHONE EMAIL CONTRACTOR'S STATE ��LIJJCNUMBER "?Lf LICENSE CLASSIFICATION 4f VALUATION$ tij d CI 6 SO FT `f �p 3 L SO FT APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL I 5a g GREEN 3- SMIP OWNER BUILDER VERIFIED C YES 0 NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofmenifee.us n ENIFE