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PMT18-02263 City of Menifee Permit No.: PMT18-02263 29714 HAUN RD. Type: Pool/Spa-Residential 4ACCEL/-> MENIFEE, CA 92586 MENIFEE Date Issued: 0 510 812 01 8 PERMIT Site Address: 29542 MOUNT BACHELOR WAY, Parcel Number: 338-252-021 MENIFEE, CA 92586 Construction Cost: $30,000.00 Existing Use: Proposed Use: Description of INGROUND POOL&SPA, 300 SF WITH 3 POOL LIGHTS Work: Owner Contractor LEE ADAME A CUT ABOVE CONSTRUCTION POOLS& 29542 MOUNT BACHELOR WAY LANDSCAPE INC MENIFEE,CA 92586 26025 NEWPORT ROAD#A533 Applicant Phone: 9512447754 CHRIS YOUNG License Number:672202 A CUT ABOVE CONSTRUCTION POOLS&LANDSCAPE INC 26025 NEWPORT ROAD#A533 MENIFEE,CA 92584 Fee Description Ott Amount($1 Swimming Pool/ln-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 $523.36 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. 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 a 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 — ' apse G-7 22'J Z_ By my signature below I acknowledge that,except formy personal residence Expires Z O Signature J in which I 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 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 following website: by Section 3700 of the Labor Code,for the performance of work for which www.leeinfo.ca.aov/calaw.html, this permit is issued. Policy 9 Date a 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 ❑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.1 agree to comply Cartier (l`$1`� �V with all applicable city and county ordinances and state laws relating to l building construction.I authorize representatives of this city or county to Policyg Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permi is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ❑1 certify that in the performance of the work for which this permit is issued, ��ry_ ( _n�'' I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE g 0"�/L/ worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's mpensation provisions of Section 3700 of the Labor Code,1 shall fort wit co p�y wit t le provisions. G? Will the applicant or future building occupant handle hazardous material or a Applicant ate 2 O mixture containing a hazardous material equal to orgreater that the amount pecified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE KER'S MPENSATION COVERAGE IS oYes No UNLAWFUL,AND SHALL SUBIE PLOYER TO CRIMINAL PENALTIES Will the intendeduse 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 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines , CONSTRUCTION LENDING AGENCY o 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 00 OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Seaton 25505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hazardous m . I repo Ai g. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ayes _ �'I, Business and Professions Code).Any city or county that requires a permit:to Date / Z construct,alter,improve,demolish or repair any structure,prior to its PROPER NER OR AU �T 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 REP RAN PAINT G RRP License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repa aiming(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 o I,as owner of the property,or my employee with wages as their sale 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). Code;The Contractor's State License Law does not apply to an owner of a 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 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 RRP ® Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE JIIItilYilIIIIllr. A U& DATE: �j'��"� PERMIT/PLAN CHECK NUMBER ?j' PLANNING CASE NUMBER TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL CI MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK S PROJECTADDRESS Z. <5 � [I7 041rj d r=kjffZ9CV. ZIP 77 � ASSESSOR'S PARCEL NUMBER / -Q� LOT TRACT OWNER NAME t r✓f�Iv I -S City of Menifee uI ing Dept. ADDRESS S U�{,�/j �/fG�CZ.U� PHONE `"/�I"' /� �� EMAIL MAY 0 8 2018 C APPLICANT NAME I & VwKb Received ADDRESS PHONE EMAIL CONTRACTOR'S NAME jj CVO Lf S POLO) rS OWNER BUILDER? O YESA5NO BUSINESS NAME c ff/zf 5 YbU^jL,:, ADDRESS L&O-Z-S' N PHONE RS ITT EMAIL CONTRACTOR'S STATE LIC NUMBER 69 l Z LICENSE CLASSIFICATION ems`j VALUATION$ So FT _ L SQ FT APPLICANT'S SIGNATURE DATE �U�_�[`� CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION ACC EDB L/]_ CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL 5 GREEN a - SMIP OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER C7 YES O NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6770�1. www.cityofinenifee.us . ENIFE `lF