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PMT18-02530 City of Menifee Permit No.: PMT18-02530 29714 HAUN RD. �ACCEL/k� MENIFEE,CA 92586 Type: Pool/Spa -Residential MENIFEE Date Issued: 0 5/2412 01 8 PERMIT Site Address: 28706 WOODCHESTER WAY, MENIFEE, Parcel Number: 336-502-005 CA 92584 Construction Cost: $17,000.00 Existing Use: Proposed Use: Description of NEW POOL 12X24 IN GROUND VYNIL LINED, 1 LIGHT&EQUIPMENT Work: Owner Contractor SHANE SCOTT SECARD POOLS 28706 WOODCHESTER WAY 9292 NINTH ST MENIFEE, CA 92584 RANCHO CUCAMONGA, CA 91730 Applicant Phone:9099804407 RICARDO JOYA License Number:233403 SECARD POOLS 9292 NINTH ST RANCHO CUCAMONGA, CA 91730 Fee Description OQt Amount(S) Swimming Pool/ln-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 3.00 General Plan Maintenance Fee-Electrical 1 23.35 $521.35 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 contractors)pursuant to the Contractors State License Law). Chapter9(commencing with section 7G00)of Division 3 of the Business and a am exempt from Iicensure under the Contractor's State Ucense Law for Professions Code and my license is in full force and effect. the following reason: License Clas G— Lice By my signature below I acknowledge that,except for my personal residence Expires 0 O 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 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 70"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.leeinfo.ca.gov/calaw.html. Policy# Date ❑1 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 o 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 w with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy#S,OL) O223fZ Expires 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 PROPERTY OWNER OR AUTHORIZED AGENT 01 certify that 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# worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the w er's co P rovisions of Section 3700 of the bor Code,I sh orth it case i rovisions. Will the applicant or future building occupant handle hazardous material or a Appli nt r5 lZic mixture containing a hazardous material equal to or greater that the Date amounts sp5swed on the Hazardous Materials Information Guide? WARNING:FAILURE T E E WORKER'S COMPENSATIO COVERAGE IS a Yes o UNLAWFUL,ANDSHALLS BIECT AN EMPLOYERTO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),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 forguidelinS� CONSTRUCTION LENDING AGENCY oYes dNo 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 bound of a school? (Section 3097 Civil Code) ❑Yes 0fio 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 reason(s)Indicated below by the California Health&Safety Code,S;cti 5 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous er ep rti Business and Professions Code).Any city or county that requires a permit to esate construct,alter,improve,demolish or repair any structure,prior to Its PROPER R OR Alfa 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.REPAI 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 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($500). managers who do the paint-disturbing work themselves or through their o 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPXs Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.epa.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-80D-424-LEAD(5323). Code;The Contractor's State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. o No EPA Lead-Safe Certified Firm is required for this project because: o I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: 5.W2f2 PERMIT/PLAN CHECK NUMBER ?N/�V 9 'S - O27030" PLANNING CASE NUMBER TYPE: O.COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME WPOOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECFRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK W 12 / La —_ M E et-rF. U PROJECTADDRESS a$�]Q(Q ��[)�-/{� � Lt1V ZIP Z ASSESSOR'S PARCEL NUMBER 6(p- 50Z_COS 5 LOT SO TRACT OWNER NAME U SCQrr ADDRESS PHONE (In) 3X-3/}?e EMAIL APPLICANT NAME ADDRESS 2 t Y. I2_AkCq0 CVCA440& 4A G4 - 71730 PHONE �% n) 47`7-0F�-73 EMAIL T' CONTRACTOR'S NAME 5aCAQb S 2 OWNER BUILDER? O YES W9O BUSINESS NAME 15— L- S roc, ADDRESS w PHONE �010R�9IO-(o-7*4 EMAIL CONTRACTOR'S STATE LIC NUMBER '233 0S LICENSE CLASSIFICATION G �3 VALUATION$ 00 SO FT L SO FT APPLICANT'S SIGNATURE / DATE LS Z ZS DEPARTMENT DISTRIBUTION ACCEPTED BY: CITYOF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL F GREEN SMIP OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER YES NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 �+. www.cityofmenifee.us .tAENIFEE+101, .i 0 to 41 Ct ) UEP H O lQ f SH411o�1 " 71 fl S" oil ooR approial o of the a sans shall i f 9-j0 appro:alot.any ioationofan WEooD Q — regulations and i antes.Th �„r rtt T jobsite unfil Co n. i a87occ bJoo�,fc of Men fee Ay CE) I Building Dept. MAY 2 4 2018 Received I ' booa— IV ucE wl C-ATVSSLP Ciost.4Ga Set_ LrtTwm4ct (3 4'"wms) r C,rb CE I�AQAGE- E.l.Ec. C P^QF L, I CE L7RiV 6 Wr4v�