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PMT18-03620 City of Menifee Permit No.: PMT18-03620 29714 HAUN RD. Type: Pool/Spa-Residential 1-°! al MENIFEE,CA 92586 MENIFEE MENIFEE Date Issued: 0 712 0/2 01 8 PERMIT Site Address: 31541 MELVIN ST, MENIFEE, CA92584 Parcel Number., 358-234-002 Construction Cost: $25,000.00 Existing Use: Proposed Use: Description of 693 SO FT POOL AND SPA WITH 1"UG GAS FOR FIRE PIT Work: Owner Contractor TER]&CORI COLE ALOHA POOL&DESIGN INC 31541 MELVIN STREET 41083 SANDALWOOD CIRCLE STE I MENIFEE, CA 92584 MURRIETA,CA 92562 Applicant Phone:9514539728 ALOHA POOL&DESIGN INC License Number.965927 41083 SANDALWOOD CIRCLE STE I MURRIETA,CA 92562 Phone: 9514539728 Fee Description P1 Amount f51 Swimming Pool/In-Ground Spa 1 467.00 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 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Electrical 1 23.35 $638.35 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 carded 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_Pernit_Templatespt 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 1 am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of i slon 3 ofthe Business and a I am exempt from licensing underthe Contractor's Slate License Law for Professions Code and my license is in full for: and effect, the following reason: License Class_ e5—�I-ce eNo. 5 -1Z 7 By my signature below 1 acknowledge that,except for my personal residence Expires /�Aq Signature In which l must have resided for at least one year priorto completion of WORKER%COMPENSATION DECLARATI improvements covered by this permit.I cannot legallysell a structure that i have built as an owner-builder If it has not been constructed in its entirety by o l hereby affirm under penalty of perjuv 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 7044 of the Business and Professions Cade,is available upon request when compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following websile: by Section 3700 of the labor Cade,for the performance of work for which ,,yn,,,v,leeinfo.ra.eov/ralaw.html. this permit is Issued. Policy 9 Date o I 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 .�y my signature below I certify to each of the fallowing:)am the property this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act an the property owners behalf.l have read this numberare: application anp the information I have provided is correct.I agree to comply Carrier with all appl ble city and county ordinances and state laws relating to building con ruction.I authorize representatives of this city or county to Policy 8 Expires enter the ab�jove identified property for inspection purposes.. (This section need not to be completed is the permit is for one-hundred dollars($100)or less DatePROPERWNER ORAUTHORIZED AGENT certify that in the performance of the work for which this permit is issued, I` I shall notemolov an persons in any mannerso as to becomesubject to the CITY BUSIry SS UCENSEq worke's compensa on laws Of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION subject to the won is compensation provisions of Section 370D of the Labor Code,I shall fdrth ith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date Z mixture containing a hazardous material equal to argreater that the y amounts specified on the Hazardous Materials Information Guide? WARNING:FAIL RE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes "a UNLAWFUL,kID SHALL SuB)ECTAN 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($10D,000),IN occupant require 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 LIBOR CODE,INTEREST,AND ATTORNEYS FEES forguid Ines CONSTRUCTION LENDING AGENCY Oyes =a 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 oFthe work which this permit is issued outer boundary of school? (Section 3097 Civil Code) oyes "a 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 checklistI understand my requirements underthe State of Contractor's License Law for the reason(s)indicated below by the California Health I Safety Code,Section 25505 and 25534 concerning us jl checkmark(s)I have placed next to the applicable item hazard m ten reporting. ayes �4?40� s)(Section 7031.5 Business and Professions Code).Any city or county that requires a permit to f; Date 7��/7 construct,alter,improve,demolish or repair any structure,prior to its pROPERNOWR OR AUTHORIZED AGENT issuance,also requires the applicant for the permit to file a signed statement II N that he or she is licensed pursuant to the provisions of the Contractor's State EPARENOVAYLON.REPAIR AND PAINTING IRRP) License Law(Chapter 9(commencing with Section 7000)of Division 3 of the v Business and Professions Cade)or that he or she is exempt from licensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors receiving compensation for most work that disturbs paint in a pre-1978 andApplina the ts for themitsdects th appyn. violation of Section of not o residence or childcare facility to be RRP-certified firms and comply with than Applicant fora permit subjects the applicant toacivil 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 al,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.eaa.gov/lead or contact the National Lead Informatlon Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-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 said 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 Z ' MENIFEE DATE: Zv 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 PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK fir: A %fyG O OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS O YES a%NO PROJECTADDRESS 3/��/l Al Fl_tth,, J �57 ZIP /L.T_,F ASSESSOR'S PARCEL NUMBER 3� CJ 23y 'OOZ LOT TRACT OWNER NAME ADDRESS /,� / ��uJ! y19 f�'I�/� t`Y� PHONE 6/lr —�i77 -7O y/ EMAIL /1 APPLICANT NAME G�Z sty ADDRESS PHONE EMAIL CONTRACTOR'S NAME J 6-y/y1-ff- O 6 OWNER BUILDER? O YES BUSINESS NAME �,./ ADDRESS �f/4v✓07�"�K.B7al.� G` J-d/Gd2�f�/k �''4' �y Z PHONE y3 2— q-2 Z-, EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION G '� VALUATION$ 2-J1 e2 O SO FT G 3 L SQ FT APPLICANT'S SIGNATURE DATE OTYSTAFFUSEONLY DEPARTMENTDISTRIBUTION I ACCEPTED BY: CITY OF MENIFEE BUSINESS UCENSE NUMBER BUILDING PLANNING ENGINEERING FIRES 2 INVOICE TOTAL t.Q �J J • -L� GREEN SMIP OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building &Safety Department 129714 Haun t*yr6$NRffljfG9 92586 (951)672-6777�,-_ www.cityofinenifee.us Building Dept. �1 JUL 2 0 2018 I' ENIF 9 Received Z. tp- TT ;S IDA- F SP A gA ,�y 0 PNO I G� P� R� \�ssha`o �s °yet a° ' w ��ai�onsaP`