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PMT18-04045 City of Menifee Permit No.: PMT18-04045 29714 HAUN RD. Type: Residential Electrical ,* MENIFEE, CA 92586 MENIFEE MENIFEE Datelssued: 08/15/2018 PERMIT Site Address: 26319 RIM CREEK PATH,MENIFEE, CA Parcel Number: 360-671-006 92584 Construction Cost: $1.000.00 Existing Use: Proposed Use: Description of INSTALL 100 L FT ELECTRICAL CONDUIT FOR 20 AMP SUB-PANEL FOR ABOVE GROUND SPA Work: Owner Contractor JOSHUA STOREIM 26319 RIM CREEK PATH MENIFEE, CA 92584 Applicant License Number: JOSHUA STOREIM 26319 RIM CREEK PATH MENIFEE, CA 92584 Phone:9515436178 Fee Description OQt r� Amount(S) Receptacle,Switch,Outlet&Fixture 1 116.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Electrical 1 5.80 $149.80 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 I hereby affirm under penalty of perjurythat I am under provisions of with a licensed contractor(s)pursuantto the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: License Class License No. By my signature below I acknowledge that,except for my personal residence Expires Signature in which I 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 ❑I hereby affirm under penalty of perjury 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.le info ca. ov calaw.html. this permit is issued. Policy# Date ❑I have and will maintain workers compensation insurance,as required by PROPERTY OWN OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which &4 my signature below I 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 owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to building constr ction.I authorize representatives of this city or county to Policy# Expires enter the abov identified property for inspection purposes.[/ (� (This section need not be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT o I certify that in the performance of the work for which this permit is issued, I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date mixture containing a hazardous material equal to or greater that the amounts 31eciffed on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ' No UNLAWFUL,AND SHALLSUBIECTAN EMPLOYERTO CRIMINAL PENALTIES Will the intended use of the building bythe applicant orfuture 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 District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guider es CONSTRUCTION LENDING AGENCY ❑Yes b5No 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 bou ary of a 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 Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning h33��ardous aterial reporting. checkmark(s)I have placed next to the applicable items)(Section 7031.5 L(yes ❑ /(� Business and Professions Code).Any city or county that requires a permit to Date 0 �/ f construct,alter,improve,demolish or repair any structure,prior to its PROPER O N R 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 Contractors 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 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-certiried 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 owners and 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( I 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 1-800-424-LEAD(5323). Code;The Contractors 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: ,�I,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 LY MENIFEE DATE: 1V )� PERMIT/PLAN CHECK NUMBER M O�D / PLANNING CASE NUMBER TYPE: C)COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION C)DEMOLITION VELECTRICAL O MECHANICAL O NEW 'O/ PLUMBING O RE-ROOF NUMBER OF SQUARES JJ DESCRIPTION OF WORK CCP T GET (, [L-T r?- I c-A c D a^-/ E o k- )\) G w .S w S PA PROIECTADDRESS 2 63l A f2 n C LCe I< ?N c0 .JnC,JI�EC,C;>. ZIP ct Z ASSESSOR'S PARCEL NUMBER 11 nb� I�VY(PLOT 14 TRACT OWNER NAME Jos AC ADDRESS Z-V3l `I t2IM �11..EC «C PHONE EMAIL -jcSs"J _. -c('L-C l nCrVA- I)✓ , c_ APPLICANT NAME ADDRESS PHONE ` EMAIL CONTRACTOR'S NAME\\J C> 0,II,_ M ) L)c OWNER BUILDER? O YES (Dd BUSINESSNAME UJI C COO./II d( C(z(Lm cLK[[ ELf-LT2lc.. L- p ADDRESS Z t, V �/ .,p U\/'� C 6 A l 'J1 UI/ LOOt4 ^C, PHONE o� p EMAIL C--(G-CT/J ry2r� - CONTRACTOR'S STATE LIC NUMBER ' O) �SZ Z- LICENSE CLASSIFICATION I� VALUATION$ -0 a a SO FT L SO FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION ACCEPTED BYG CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL GREEN SMIP OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZEDLETTER O YES O City of Menifee Building &Safety Department 129714 Haun Rd., Menifee,CA 92586 (951)672-6777 www.cityofmenifee.us NIF PLOT/SITE PLAN REAR PROPERTY LINE S ' O3w7, AS' 1 14 S City of Menifee CA 51 Building Dept. AUG 15 2018 -So Received Received P � U � J ] U J � F � pu LLJ z ® W COD LO s WLU LLJ 4 a w w o w LJLW tn J u w $ V � 1 ` J � r V� 1 FRONT PROPERTY LINE Property Owners Nome Jos ),JA S-j-0 k N1 Property Address 1 ��� �f (t� Ccc� 1L �/ � !�1 (✓ r✓�l [� (4-9 Z, S Y City of Menifee Building&Safety Department 29714 Haun Rd.Menifee,CA 92586 951-677-672-677 wwwcityofinenifee.us i-- w s �r O sd a • 0 t • Swim-Pro F-1325 `l ] V d Standard Features • Sterling Silver Acrylic Shall • Dimensions:93"W x 151"L x 51'H l • • 1.600 Gallon Water Capacity ' • 2 x 6.0 BHP Eliminator High PertormanceTM Pump• 240v Op.Vol-LAW • 23 Exclusive Candy Cane Jets Ya • 2 swim Spa Jet system:11 I City of Menifee gow � • 27"Stainless Steel Exercise Bar Building Dept. Floor Mounted Swim Lane Marker • Fitness Anchors•Tether-Anchors AUG5 201p Y-Pillows•Gate Valves•Floor Drain IUU H e e 100 Sq.Ft.Bio-Clean FilterTM with eir �/ �p � Multi-Colored LED Spa Lighting PCei �(�I %g Ilk Whisper Power Unit'"'Equipment with Neo 1500 Control Received Thermo-ShieldTM Side Panel and Thermo•Layer Floor with ABS Liner o WhlsperHotTM 5.5 kW Titanium Heater _ Pressure Treated Cabinet Frame• Cabinet Accessible Drain Valve Cal Preferred-Hodmontal with Vertical Trim Cabinet Panels , available in Smoke and Mist 06 • 5"to 3"Spa Cover available In Gray or Slate Premium Options A swim spa is great for the whole family)You can fit up to Exclusive Adjustable Therapy System Plus- 1l people in this giant tub for your entertainment] Furthermore, Pro-Trainer System^' you can use it to teach kids how to swim,and elders can use it LED Dual Hydro-Streamers-with Valve for daily cardiovascular exercise. Pure SllkTM Ozonator with Mamie Injector System and Mixing Chamber • Wi-Fi Module • Freedom-Sound System Bluetaoth,Powered Subwoofer and(4)Speakers WWW.CALSPAS.COM GRAND ON CONSUMER AFFAI CHOOSE THE #7 RANKED SPA'