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PMT18-02811 City of Menifee Permit No.: PMT18-02811 29714 HAUN RD. Type: Pool/Spa-Residential Afs MENIFEE, CA 92586 MENIFEE MENIFEE Date Issued: 06108/2018 PERMIT Site Address: 26050 SUNNY SIDE CT, MENIFEE, CA Parcel Number: 360-531-038 92584 Construction Cost: $25,000.00 Existing Use: Proposed Use: Description of IN GROUND POOL AND SPA 407 SQ FT Work: Owner Contractor CHRIS&MONICA FARRELL PACIFIC COAST POOLS INCORPORATED MENIFEE,CA 92584 26499 JEFFERSON AVE UNIT E MURRIETA,CA 92562 Applicant Phone:9512960199 PACIFIC COAST POOLS INCORPORATED License Number:852237 26499 JEFFERSON AVE UNIT E MURRIETA, CA 92562 Phone: 9512960199 Fee Description QtV Amount I81 Swimming Pool/In-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Electrical 1 23.35 $522.36 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_Templale.rpl Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe 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 D 1 am exempt from licensure underthe Cuntractors5tate License Law for Professions Code and my license is In full force and effect the following reason: License Class_' � Ucense No. L SZZ� By my signature below l acknowledge that,except formy personal residence Expires Signature — a in which I must have resided For at least one year priorto completion of Improvements covered by this permit.I cannot legal"ell 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 workers 7044 of the Business and Professions Code,is avallable 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.eov/calasv.ithnl. Policy 4 Date o I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 370D of the Labor Code,for the performance of the work for which a By my signature below l 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:,�1 C �,�f application and the information I have provided is correct.I agree to comply Carrier 1 tn.KA.K v1Uv�c- with all applicable city and county ordinances and state laws relating to //� p-7 2' c� building construction.I authorize representatives of this city or county to Policy# V"I LUL. l 0`D' Expires O enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred dollars($SOD)or less Date PROPERTY OWNER OR AUTHORIZED AGENT o I certify that in the performance of the work for which this permit is issued, ®�}S�/\l jL n I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# �'f i.J�1 j/ workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to th orkers compensation provisions of Section 3700 of the Labor Code,Ishal rthwitl comply with those provisions. mo, Will the applicant or future building occupant handle hazardous material or Applicant Date ��I / mixture containing a hazardous material equal to orgreater that the amounts specified an the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS a Yes efio— UNLAWFUL,AND SHALL SUBJECT 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($100,000),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 construction t(SCtionor modification permitting ro checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forCoast Airlines Qua CONSTRUCTION LENDING AGENCY oYes Wo 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/ f a school? (Section 3097 Civil Code) o Yes o Na OWNER BUILDER DECLARATIONS 1 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 H a) . Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7032.5 hazardou to al reporting. Business and Professions Code).Any city or county that requires a permit to oYes a No construct,alter,improve,demolish or repair any structure,prior to its Date Cr / issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRP) 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 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 ol,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). Cade,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 yearof 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 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 & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: (`J— �L PERMIT/PLAN CHECK NUMBER7 "'Sr — 20 PLANNING CASE NUMBER TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O OL/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 p PROJECTADDRESS "`1)51) &xr\ q L&q Cjl1 ZIP ASSESSOR'S PARCEL NUMBER _sL O 'rJ N -O�LOT�p I TRACT OWNER NAME CY eIC-� �.C./�^ Vy`C/.'l,�- (SU L'Ity of Menifee ADDRESS Z� ,v-7 �I//�� {�� ajl- lJ1 Building Dept. PHONE ����n-1 [ 3 ^ -p y�,,...�)EMAIL APPLICANTNAME ADDRESS PHONE EMAIL CONTRACTOR'S NAME ftUV 0 DOWNER BUILDER? O YES 0 NO BUSINESS NAME r ,,( /�, ADDRESS //��.. (��Y gccl '\ ' 4 qv\ may, PHONE yl-S\ 2"1 �o 01QL��-J-� 2EMAIL VA-� CONTRACTOR'S STATE LLICC NUMBER C� .J C-2- J ! LICENSE CLASSIFICATION C VALUATION$ SO FT L SO FT APPLICANT'S SIGNATURE --� DATE OTYSTAFFUSEONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL "Jo.� GREEN SMIP OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER OYES City of Menifee Building & Safety Department 129714 Haun Rd., Menifee,CA 92586 (951)672-6777 www.cityofinenifee.us ENIF E OF-SLOPE BASE OF SLOPE BASE OF SLOPE v :AREA PLANTER AREA 4n 3'6" DEPTH 4 3n 6' DEPTH 0714" REEF STEP 2 3 � 1 I PLANTER AREA 3 CONCRETE DECKING(OFF CONTRACT) 07 EXISTING CONCRETE DECKING AND PATIO COVER FARRELL RESIDENCE e. G�� ` _m%ri PN� Ire