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PMT18-03425 City of Menifee Permit No.: PMT18-03425 29714 HAUN RD. A�,0 MENIFEE, CA 92586 Type: Pool/Spa -Residential MENIFEE MENIFEE Date Issued: 07/09/2018 PERMIT Site Address: 30207 LAKEPORT ST, MENIFEE,CA Parcel Number: 360-421-010 92584 Construction Cost: $25,000.00 Existing Use: Proposed Use: Description of INSTALL 310 SO FT POOL WITH 2 LIGHTS Work: Owner Contractor JEFF&CHERYL SPURGIN PACIFIC COAST POOLS INCORPORATED 30207 LAKEPORT STREET 26499 JEFFERSON AVE UNIT E MENIFEE, CA 92584 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 Oft r Amount W Swimming PooUln-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_Permit_Template.rpt Page 1 of 1 Brandy Coral-Premier Pools CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts far 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). Chapters(commencing with section 7000)of Division 3 of the Business and O 1 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: Ucense Class 1,�� License No. ZZ�� By my signature below l acknowledge that,except for my personal residence Expires 2-1 IV Signature a 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 1 hereby affirm under penalty of perjury one of the following declaration:) 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 „�,sv.Ieeinfo.ca.eav/calaw.lrtml. this permit is Issued. Policy g 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 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 1 V+.�� with all applicable city and county ordinances and state laws relating to /� /,��(� cy building construction.Iauthorize representatives of this city or county to Poliryg AUJOt�75`dl Expires O enterthe above Identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred dollars($10D)or less Date PROPERTY OWNER OR AUTHORIZED AGENT ,I certify that in the performance of the work for which this permit is Issued, s�f�(1L/1 Ishallnotem ®� olov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE g `5;50gW worker's compensation laws of California,and agree that if I should became HAZARDOUS MATERIAL DECLARATION subject to t orker's compensation provisions of Section 3700 of the Labor Code,I at f rthwtt comply with those provisions. f) I WIII the applicant or future building occupant handlebazardous material or a Dateqf � mixture containing a hazardous material equal to orgreater that the -I Applicant amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS a Yes 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 requires permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Airrequire Management District construction Ctionor See permitting from checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality ne CONSTRUCTION LENDING AGENCY ,Yes cfN0 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 "fa school? (Section 3097 Civil Code) ❑Yes ❑No 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 H a)t . Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardou to al reporting. Business and Professions Code).Any city or county that requires a permit to oYes ❑No n � rt f1—('] AUTHORIZED Date LJ� construct,alter,Improve,demolisher repair ermit to file,sign otts PROPERTY OWNERORAUTHORIZEDAGENT 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(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 licensum 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<erOried firms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.T"his includes rental property ownersand property than($500). managers who do the paint-disturbing work themselves or through their ,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( 1 all of or( )portion of the work,and the structure is www.ena.eov/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 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: a1,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 If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE ( U1 b PERMIT/PLAN CHECK NUMBER r6` GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME POOL/SPA OSIGN SUBTYPE: ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL ONEW OPLUMBING ORE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK OCCUPANCY GROUP �/COnNSTrRUUC1TIONTYPE SPRINKKLLEERSOYES ONO PROJECTADDRESS 3� �Q,y„'�I�a� ''1 ) ZIP ``2-� ASSESSOR'S PARCEL NUMBER 300- L-R2' —yIQOT TRACT OWNER NAME �,IV ADDRESS PHONE a��- 32� -ua�� EMAIL APPLICANT NAME V L ADDRESS PHONE AJ EMAIL CONTRACTOR'S NAME XS OWNER BUILDER? ()YES BUSINESS NAME City of Menifee Building Dept. ADDRESS PHONE \I 2nU -0\,!jn EMAIL /` e CONTRACTOR'S STATE LIC NUMBER �SZ ,�7 LICENSE CLASSIFICATION 1, Ive VALUATION$ SQ FT �,V L SQ FT APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING LAELNEERING FIRE INVOICETOTAL "I4L ,59 GREEN SMIP OWNER BUILDER VERIFIED OYES 0 NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES O NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofinen ifee.us 12" RAISED BOND BEAM WITH LEDGERSTONE PLANTER AREA �^ P NTER AREA SKIMMER AND LANTER AREA '15' DEPTH �� 22' GRASS AREA 3'6"DEPTH EXISTING REE STEP C TRAVERTINE -- G ------------ 17 EXISTING 00 EXISTING BALCONY EXISTING CONCRETE EXISTING 1'k SPURGIN RESIDENCE cv � POOL EQUIP CC(`�Jv- :: G ANC SPF� —1 6C\W\NppKO sN 4P\- .(�" --� EXISTING P C