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PMT18-02801 City of Menifee Permit No.: PMT18-02801 29714 HAUN RD. jk MENIFEE, CA 92586 Type: Residential Electrical MENIFEE MENIFEE Date Issued: 06/0812018 PERMIT Site Address: 25305 WILD VIEW RD, MENIFEE,CA Parcel Number: 358-460-017 92584 Construction Cost: $1,600.00 Existing Use: Proposed Use: Description of INSTALL 140 L FT OF 1 1/4"ELECTRICAL CONDUIT, 140 L FT OF 1"ELECTRICAL CONDUIT& Work: WIRING FOR FUTURE SPA, 149 L FT OF 1 1/2"POLY GAS LINE FOR FUTURE POOL, Owner Contractor HEATHER STANBERRY ALOHA INC 25305 WILD VIEW ROAD 23437 SILVER STRIKE DR MENIFEE, CA 92584 CANYON LAKE,CA 92587 Applicant Phone:8889087856 ALOHA INC License Number:893491 23437 SILVER STRIKE DR CANYON LAKE,CA 92587 Phone:8889087856 Fee Description Qtv Amount f$1 Receptacle, Switch, Outlet&Fixture 1 116.00 Plumbing Fixtures and Vents,fixtures 1 116.00 Building Permit Issuance 1 27.00 GREEN FEE 1 0.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 0.00 General Plan Maintenance Fee-Plumbing 1 5.80 General Plan Maintenance Fee- Electrical 1 5.80 $271.60 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 amWrprovisio with a licensed contractors)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Divi ❑I am exempt from licensure under the Contractors State License Law for Professions Code aand my license is in full force athe following reason: License Class Y=' Lic By my signature below I acknowledge that,except for my personal residence Expireaz I Signaturein which I must have resided for at least one year prior to completion of \� V 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 ❑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 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.gov/calaw.html. Policy# _ Date \O I have and will maintain worker's compensaton 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 1 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: appilotion and the information I have pmvided is correct.I agree to comply Carrier �C`#LS with all applicable city and county ordinances and state laws relating to ��[� building construction.I authorize representatives of this city or county to Policy4w 103<S4_13 apires. cJJ zo� 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 ❑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# worker's 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 c mply with those provisions. WIII the applicant or future building occupant handle hazardous material or a Applicant � C z. Date mixtureamounts containing a hazardous material equal to or cation thatGuide? ? he amountst�specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION VERAGE 15 o Yes Iu No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER 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_THELABOR CODE,.INTEREST,.AND.ATTORNEYS FEES forguidelines ----- - '�--"'{"- ---- -- 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 10DD feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Cade) D Yes XNo 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 checklilvunderstand my requirements under the State of Contractors License Law for the reason(s)Indicated below by the California Health Safety Co ,Section 255DS and 25534 concerning checkmark(s)I have placed next to the applicable Rem(s)(Section 7031.5 hazardous mat al reports Business and Professions Code).Any city or county that requires a permit to AIVes ❑No / Date construct,alter,improve,demolish or repair any structure,prior to its PROPO WE1fORAUTRbI1IZeD 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(ARP) 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 fora permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($SOO). managers who do the paint-disturbing work themselves or through their ❑1,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.aov/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 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. ❑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 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. BUILDING l PERMIT/PLAN CHECK APPLICATION jr ate•+.__-...�_.--_._ Menifee DATE:06/08/2018 PERMIT/PLAN CHECK NUMBER 1 wme5� b2 o I, TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA :O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK Electrical / Future Pool Gas Line install and Electrical for Spa PROJECTADDRESS 25305 Wild View Rd. ZIP 92584 ASSESSOR'S PARCEL NUMBER ? O '4Lg6 '01, LOT TRACT OWNER NAME Heather Stanberry (D ADDRESS 25305 Wild View Rd. Menifee, CA 92584 PHONE 760-846-4854 EMAIL alohalandscape@outlook.com APPLICANT NAME Gilbert Jacobo Jr. i3 CO ADDRESS 31790 Scott Rd. Winchester, CA 92596 PHONE 909-565-0263 EMAIL alohalandscape@outlook.com CONTRACTOR'S NAME Aloha Landscape OWNER BUILDER? O YES O NO BUSINESS NAME Aloha Landscape ADDRESS 23437 Silver Strike Dr. Canyon Lake, CA 92587 PHONE 951-764-3577 EMAIL alohalandscape@outlook.com CONTRACTOR'S STATE LIC NUMBER S9 91117 LICENSE CLASSIFICATION B VALUATION$ 1600.00 JCL FT LSQFT 140 In.ft. APPLICANT'S SIGNATURE DATE 06/08/2018 DEPARTMENT DISTRIBUTION P�. 1 CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING E GINEERING FIRE ACCEPTED BY: PERMITFEE �-jo ,tot�- SMIP 1, 17D GREEN �- PLAN CHECK FEE INVOICE TOTAL OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Naun Rd. 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