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PMT18-01659 City of Menifee Permit No.: PMT18-01659 29714 HAUN RD. Type: Pool/Spa-Residential MENIFEE,CA 92586 Goan-,wwa Wi—, MENIFEE Date Issued: 0 4/1 212 01 8 PERMIT Site Address: 29533 CAMINO CRISTAL, MENIFEE,CA Parcel Number: 340-030-001 92584 Construction Cost: $38,000.00 Existing Use: Proposed Use: Description of INGROUND POOL&SPA,410 SF,WITH U/G GAS LINES FOR FIRE PIT AND BBQ Work: Owner Contractor DAVID&SONJA JOHNSON PARADISE POOLS AND DESIGNS INC 29533 CAMINO CRISTAL 43064 BLACKDEER LOOP#E MENIFEE,CA 92584 TEMECULA,CA 92590 Applicant Phone:9512961961 MIKE STEPHENSON License Number.943481 PARADISE POOLS AND DESIGNS INC 43064 BLACKDEER LOOP#E TEMECULA,CA 92590 Fee Description Oft Amount fEl 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 5.00 General Plan Maintenance Fee-Building 1 5.80 General Plan Maintenance Fee-Electrical 1 23.35 $646.15 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 staled,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 f 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 70001 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 fume and effect. ppyy qq the fallowing reason: License Class_ C__ 3 License No. -Ty O L 9 g gexcept -7�-c S n � By my signature below I acknowledge that, for my personal residence Expires ,{�1-•� Signatbre—N ✓�1^'" In which l 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 DECLARATION have built as an owner-builder If It has not been constructed in its entirety by ® in 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.leginfo.ca.aov/calaw.html. Policy# Date o 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 ❑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: f( f(_� application and the information I have provided Is correct.I agree to comply Carrier yp)1i1n—Q with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# !R)5r[.r�3b;Lbf7 Expires J"�y`� 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# 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,I shall forthwith co p y with those provisions. Will the applicant or future building occupant handle hazardous material or a Applica# Date 1 ,04 40 mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? E WORKER'S COMPENSATION COVERAGE 15 a Yes ❑NoWARNING:FAILU S UNLAWFUL,AND ECT 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($100,1100),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 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airlines Qua CONSTRUCTION LENDING AGENCY ❑Yes ❑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 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 Item(s)(Section 7031.5 hazardous material reporting. Business and Professions Code).Any city or county that requires a permit to OYes o No construct,alter,improve,demolish or repair any structure,prior to its Date 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(RRPI 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]!censure 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.epa.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 ❑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: D 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 RAP rule please fill out the RRP Acknowledgement ♦ s • ♦ ♦ • • NIllr) I� DATE: PERMIT/PLAN CHECK NUMBER 1 TYPE: O COMMERCIAL V<ESIDENTIAL O MULTI-FAMILY O MOBILE HOME V1<0OL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES pool and spa DESCRIPTION OF WORK PROJECTADDRESS 29533 Camino Cristal ZIP 92584 ASSESSOR'S PARCEL NUMBER 3400300C1 LOT TRACT OWNER NAME Johnson, Dave & Sonja ADDRESS 29533 Camino Cristal Menifee City of Menifee PHONE 951-219-00671 EMAIL Building Dept. APPLICANT NAME Mike Stephenson .APR 12 2018 ADDRESS 43064 Blackdeer Loop Temecula f PHONE 951-296-1961 EMAIL Received CONTRACrOR'S NAME Paradise Pools & Designs OWNER BUILDER? O YES ONO/ BUSINESS NAME Same ° ADDRESS 43064 Blackdeer Loop Temeula 92590 PHONE 951-296-1961 EMAIL info@poolsbyparadise.com CONTRACTOR'S STATE LIC NUMBER 943481 LICENSE CLASSIFICATION C53 VALUATION$ 38,000.00 Q FT 410 L SQ FT APPLICANT'S SIGNATUR DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: 1 A 1 ^ • \ PERMIT FEE Le` LP ,`e) SMIP \•Y GREEN a - PLAN CHECK FEE INVOICE TOTAL OWNER BUILDER VERIFIED OYES 0 NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES O NO City of f0enife-Building&Safety Department 29714 Houn Rd. Menifee,CA 92586 951-572-6777 wwww.cityofinemfee.Lis Seat Bench 01 I +12" raised bond y \ beam with stone face ,; , b� --- ---- g'--------- Fire pit +12" •--a . - --- - - 18" / Future - Reef Seat Grass 9°. 1 `1 Future Grass 1 Existing Concrete ew Concrete •'y -_ -_ - - -----138 ---- ---------- -.-' "Alumawooc[patio cover"I o RC; ;