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PMT18-03277 City of Menifee Permit No.: PMT18-03277 29714 HAUN RD. ® MENIFEE,CA 9258E Type: Pool/Spa-Residential MENIFEE MENIFEE Date Issued: 06/29/2018 PERMIT Site Address: 27134 REDRIVER DR, MENIFEE,CA Parcel Number: 335-481-013 92585 Construction Cost: $25,000.00 Existing Use: Proposed Use: Description of 355 SQ FT POOL AND SPA WITH 3 LIGHTS Work: Owner Contractor MUHAMMAD&MAHASEN ABUFARHA PACIFIC COAST POOLS INCORPORATED 27134 REDRIVER DRIVE 26499 JEFFERSON AVE UNIT E MENIFEE, CA 92585 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($1 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 $522.35 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_Permi[ Template.rpt Page 1 of 1 Brandy Coral-Premier Pools CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjurythat I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). Chapters(commencing with section 7000)of Division 3 of the Business and a I am exempt from Iicensure under the Contractors state License Law for Professions Code and my license is in full force and effect. �f the following reason: Ucense Class CIS3 fe License No. UJcZ2Z I By my signature below l acknowledge that,except for my personal residence Expires 24 1 Y Signature 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 a I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that copy of the applicable law,Section have and will maintain a certificate of consent of self-insure forworkees 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.leeinfo.ca.eov/calaw.html. Policy If 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 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 owner's behalf.1 have read this number are:�l1� C1,� application and the information I have provided is correct.I agree to comply �Carrier I W with all applicable city and county ordinances and state laws relating to �/q (ji]zS � �r building construction.I authorize representatives of this city or county to Polity R Vvl���tY /7Zr I Expires O enter the above identified property for inspection purposes. (This section need not to he completed is the permit is for one-hundred dollars($100)or less Date PROPERTY OWNER OR AUTHORIZED AGENT o I certify that in the performance of the work for which this permit Is Issued, �G/Sl�L/t I shall not employ any persons ® in any manner so as to become subject to the CITY BUSINESS LICENSE 150W worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject tot orker's compensation provisions of Section 3700 of the Labor Code,Ishal f rthwit comply with those provisions. I� Will the applicant or future building occupant handle hazardous material or Applicant Date � mixture containing a hazardous material equal to orgreater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 a Yes ea. UNLAWFUL,AND SHALL SUBIECTAN 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 hecoDistrict(SCtionor See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airllnes Qua CONSTRUCTION LENDING AGENCY oYes ;i 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 Prof a school? (Section 3097 Civil Code) a Yes o No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAOMD I hereby affirm under penalty of perjurythatlam 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 H a)e . c Safety Code,Section 25505 and 25534 concerning hazard ou to al reporting- chsiness k(s)I have glared next to the applicable item(s)(Section 7031.5 permit >� u ayes ❑No Business and Professions Code).Any city or county that requires permit to Date construct,alter,improve,demolish or repair any structure,priorto its 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRPI License Law(Chapter 9(commencing with Section 700D)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 ownersand property than($500). managers who do the paint-disturbing work themselves or through their a 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.eoa.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 71)44,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 Frm is required for this project because: o 1,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 A DATE: UL�U1 (, �j PERMIT/PLAN CHECK NUMBER GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME OOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBIINGG O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK OCCUPANCY GROUP I CONSTRUCTION TYPE SPRINKLERS O YES O NO PROJECT ADDRESS 0�1 K-P-d y k yu Y JU 1 �L UL�\fUR UT�` ASSESSOR'S PARCEL NUMBER 3�.,j4(Z� LOT I,TR,A,�CT OWNER NAME i(I�,V'AtY�LI,W �5 !v' Va I1 a,V f�k - — ADDRESS V* PHONE IJI FL'-I- $� EMAIL APPLICANT NAME ao ADDRESS PHONE EMAIL CONTRACTOR'S NAME L A,V ;�6 8" " ' OWNER BUILDER? OYES NO BUSINESS NAME ADDRESS - U,V V PHONE C 1 2 EMAIL CONTRACTOR'S STATE LIC NUMBER tS ZZ J_7 LICENSE CLASSIFICATION VALUATION$ DDID SO,FT L SO FT f APPLICANT'S SIGNATURE DATE OTYSTAFFUSEONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENISINEERING FIRE INVOICETOTAL 22.E GREEN SMIP OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER YES O NO City of Menifee Building & Safety Department 129714 Haun Rd. Menif e, CA 92586 (951)672-6*�7 www.cityofinenifee.us Ity of Uenifee Building Dept. JUN 2 9 2018 Received 6' TALL BLOCK WALL 6'TALL BLOCK WA e PLANTER AREA v u>.. PLANTER AREA 2 D o —30' m 6' DEPTH 3 2 m 3'6"hEPT :,� V e A 3 REEF STEP OP 500 SQ FT BROOMED GREY CONCRETE DECKING L-7 a+ 1 D rn - z c; E OS Ile; vne 3 AS PEA 04" ja�o� �e� °s G a°,��ye\�e f Ll � � •PQQtOya�o1 a°Y oA�°aoo�" J � D � vS rn G r;