PMT18-03892 City of Menifee Permit No.: PMT18-03892
29714 HAUN RD.
j MENIFEE, CA 92586 Type: Pool/Spa - Residential
MENIFEE MENIFEE Date Issued: 08/07/2018
PERMIT
Site Address: 29204 ABELIA GLEN ST, MENIFEE, CA Parcel Number: 333-623-014
92584 Construction Cost: $25,000.00
Existing Use: Proposed Use:
Description of INGROUND POOL&SPA, 520 SF
Work:
Owner Contractor
JULIO ROMERO ALOHA POOL&DESIGN INC
29204 ABELIA GLEN STREET 41083 SANDALWOOD CIRCLE STE I
MENIFEE, CA 92584 MURRIETA, CA 92562
Applicant Phone:9514539728
MARK KLINGSPOON License Number.965927
ALOHA POOL&DESIGN INC
41083 SANDALWOOD CIRCLE STE I
MURRIETA, CA 92562
Fee Description ON Amount f$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
$522.36
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_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
1 hereby affirm under penalty of perjury that 1 am under provisions of with a licensed contractors)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of 91vislon 3 of the Business and o 1 am exempt from Iicensure under the Contractor's State License Law for
Professions Code and my license Is in full forc and effect. the following reason:
License Class If 'ce a No. `I c—s—1 z 7 By my signature below I acknowledge that,except for my personal residence
Expires A 01 Signature in which I must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legallysell a structure that I
WORKER'S COMPENSATION DECLARA71
r have built as an owner-builder if it has not been constructed in its entirety by
o I hereby affirm under penalty of perju 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 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 www.leeinfasa:eovkalaw.htmi.
this permit is issued.
PolicyP Date
a 1 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 y my signature below l certify to each of the following:I am the property
this permit is issued.My worker's compensation insurance carrier and policy caner or authorized to act on the property owners behalf.I have read this
number are: application Linformationtion I have provided is correct.I agree to comply
Carrier withallappcounty ordinances and state laws relating to
hullding coorize representatives of this city ar county to
PolicyR Expires enter the aroperty for inspection purposes..(This section need not to he completed is the permit is for one-hundred _ Date4�/
dollars($100)or less PROPERI, WNER OR AUTHORIZED AGENT /
\7 certify that in the performance of the work for which this permit is issued, 1
I shall not emolov a persons in any manner so as to become subject to the CITY BUS S LICENSE N
workers mrimensa on laws ofCal(fornia,and agree that if l should become HAZARDOUS MATERIAL DECLARATION
subject to the wor rs compensation provisions of Section 3700 of the Labor
Code,I shall fr]rth ith compiywith those provisions. Will the applicant or future building occupant handle hazardous material or
'Z mixture containing a hazardous material equal to or greater that the
Applicant Date r amounts specified on the Hazardous Materials Information Guide?
WARNING:FAIL RE TO SECURE WORKER'S COMPENSATION COVERAGE 15 o Yes "o
UNLAWFUL,Jk0U 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($10D,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(SCtionor See permitting from
checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Corguld ast Air7Qua
CONSTRUCTION LENDING AGENCY oyes arNo
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility he within 1000 feet of the
lending agency for the performance of the work which this permit Is Issued outer boundary of school?
(Section 3097 Civil Code) 0 Yes "o
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAOMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklis.I understand my requirements under the State of
Contractor reasons)Indicated License Law for the reaso indicated below by the CalLfonnh Health Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable items)(Section 7031.5 hazard us on teHif l reporting.
oyes )6-No
construct,alter,
Professions demolish
em).An or repair
air any structure,
uct re,priorres a permit to Date
construct,alter,Improve, applicant
the permit
ermit to
a signed to PROPERTY OWNER OR AUTHORIZED AGENT
ts
Issuance,also requires the applicant for the permitto fileasigned statement I
that he or she is licensed pursuant to the provisions of the Contractors State EPA RE_ NOS REPAIR AND PAINTING IRRPI
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 Cade)orthat 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 properly owners and property
than($500). managers who do the paint-disturbing work themselves or through their
o 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.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a oAn 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 a re 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 Firm is required for this project bemuse:
a 1,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: 7 l r] PERMIT/PLAN CHECK NUMBER
PLANNING CASE NUMBER
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME OOL/SPA O SIGN
SUBTYPE: O ADDITION 'ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK �,0�-
PROJECTADDRESS _ Z g ZU �t} j�. G Ge ZIP I �-
ASSESSOR'S PARCEL NUMBERj3-1.�a3' b14 LOT TRACT
OWNER NAME npl
'
ADDRESS Wilding Dept.
PHONE ,g' '— EMAIL AUG 0 7 2018
APPLICANT NAME
a
vuu
ADDRESS Rece
PHONE EMAIL
CONTRACTOR'S NAME OWNER BUILDER? O YES 0
BUSINESS NAME
ADDRESS I�NJif
PHONE y�7 3- �j-7ZV' EMAIL
CONTRACTOR'S STATE LIC NUMBER 52�6`2?.7 LICENSE CLASSIFICATION
VALUATION$ Q � FT G � L SQ FT
APPLICANT'S sIGNATGR DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENG NEERING FIRE
INVOICE TOTAL GREEN SMIP _
OWNER BUILDER VERIFIED 0 YES 0 NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
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www.cityofinenifee.us
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CITY OF MENIFEE
BUILDING AND SAFETY DEPARTMENT
PLAN APPROVAL
RE
REVIEWED BY
'Approval of these plans shall not be construed to be a permit for,or an
approval of,any violation of any provisions of the federal,state or
*" V
rtgulafions and ordinances. This set of approved Oars mu$ *I ff
Site until completion. f I