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PMT18-03930 City of Menifee Permit No.: PMT18-03930 29714 HAUN RD. MENIFEE,CA 92586 Type: Pool/Spa-Residential MENIFEE MENIFEE Date Issued: 0 810 812 01 8 PERMIT Site Address: 29597 ARGYLE CIR, MENIFEE, CA 92584 Parcel Number: 364-360-039 Construction Cost: $25.000.00 Existing Use: Proposed Use: Description of INGROUND POOL&SPA,321 SO FT Work: Owner Contractor SEAN&JAMIE MILLER PACIFIC COAST POOLS INCORPORATED 29597 ARGYLE CIR 26499 JEFFERSON AVE UNIT E MENIFEE,CA 92584 MURRIETA, CA 92562 Applicant Phone:9512960199 BRANDY CORAL License Number: 852237 PACIFIC COAST POOLS INCORPORATED 26499 JEFFERSON AVE UNIT E MURRIETA, CA 92562 Fee Description Qty Amount($I 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 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_Pemrk Template.rpt Page 1 of 1 Brandy Coral-Premier Pools CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contacts for the projects 1 hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contactors State License Law). Chapbur9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractors State License Law for Professions Cod//ee��aan�nd my license is in full force and effect. the following reason: License Class Cs_ ) Ucanse No. By my signature below l acknowledge that,except for my personal residence Expires Signature ` aL� in which l must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DECLARATION 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 contactors.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 websge: by Section 3700 of the Labor Code,for the performance of work for which w .leeinfo.ca.eov/calaw.iztml. this permit is Issued. ww Polity# Date o l 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 o 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 polity owner or authorized to act on the property owners behalf.I have read this numberare:� j.( C �,�kip- application and the Information I have provided is correct.I agree to comply Carrier 1 W KL'r— with all appllcable city and county ordinances and state laws relating to //// �,rf�7 Q� building construction.I authorize representatives of this city or county to Policy#U"I WC�tY f 7Z1' 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($100)or less Date PROPERTY OWNER OR AUTHORIZED AGENT o i certify that in the performance of the work for which this permit is issued, ®�$S�/\/AL/1 Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# ' i"50 i�ij! workers compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION subject tofrkees compensation provisions of Section 3700 of the labor Code,Ishwit comply with those provisions. ��I� Will the applicant or future building occupant handle hazardous material or Applicant Oat. mixture containing a hazardous material equal to or greater that the 11 amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes a>'0O 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 permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management hecoDistrict(SCAionorm di permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Id aAirlQu CONSTRUCTION LENDING AGENCY DYes a*ko 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 I school? (Section 3097 Civil Code) Dyes o No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that l am exempt from the permitting checklist.I understand my requirements under the State of Contactors License Law for the reason(s)indicated below by the California H )55r Safety Code,Section 25505 and 25534 concerning hazardou to al reporting. chsiness and I have ionsplacedC next to the applicable item(s)(Section permit oyes o No — Businessand Professions Code).Any city or county that requires a permit to Date construct,after,improve,demolish or repair any structure,prior to 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 Contactors State EPA RENOVATION,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 contactors 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 pactices.This includes rental property 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.ena.eov/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). Code;The Contactors State License Law does not apply to an owner of ❑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 Firm is required for this project because: o I,as owner of the property am exclusively contacting with licensed contactors to construct the project(Section 7044,Business and Professions Code:The Contactors 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 RAP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O OL/SPA O SIGN SUBTYPE: O ADDITION 'ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NE}W,L�O PLUMBING 0 ROE-ROOF NUMBER OF SQUARES v DESCRIPTION OF WORK M I, SPo PROJECTADDRESS Ctrr,�(l,Q rjLVIC, ZIP ASSESSOR'S PARCEL NUMBER � � d o 0M LOT 130 TRACT OWNER NAME P�� �' A.V�U /"U ADDRESS( D-0,''L_j 0- `r, PHONE 'L S 1 -II� -k L ?{ EMAIL APPLICANT NAME -i' ADDRESS PHONE EMAIL CONTRACTOR'S NAME OWNER BUILDER? 0 YES BUSINESS NAME I ADDRESS nl�U�"SL/ICI PHONE f � EMAIL /1 CONTRACTOR'S STATE LIC NUMBER ^� LICENSE CLASSIFICATION E-�3 VALUATION$ ?j� SO FT //' L SQ FT APPLICANT'SSIGNATURE C—' DATE LJ O OTYSTAFFUSEONLY DEPARTMENT DISTRIBUTION ACCEPTED BY� CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL G�aa %$js GREEN SMIP OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building & Safety Department 129714 HaUn Rd., Menifee, CA 92586 (951)672-6777 www.cityofinenifee.us f -Ee� Dulvu MAM WITH STACK CONCRETE 12" RAISED SPA no PL PLANTER AREA / PLANTER AREA ONCRETE POOL AND SPA SH 2 1 3 I \ DEPTH ® NEu r r POD 6' T MILLER RESIDENCE PL NEW �1 6' MAX AC p0p1J50 WN CITY OF MENIF, EE BUILDING AND SAF TY DEPARTMEIGRIVE AY SIT or h PLAN APPROVAL