Loading...
PMT18-04149 City of Menifee Permit No.: PMT18-04149 29714 HAUN RD. T e: Pool/Spa a-Residential h,. 'r MENIFEE. CA 92586 yp p MENIFEE MENIFEE Date Issued: 08/22/2018 PERMIT Site Address: 28434 STORMY SKIES CIR, MENIFEE, Parcel Number: 333-581-015 CA 92585 Construction Cost: $25,000.00 Existing Use: Proposed Use: Description of INGROUND SWIMMING POOL ONLY 336 SO FT, NO HEATER Work: Owner Contractor WILLIAM BREGLIO BLUERIDGE POOLS 28434 STORMY SKIES CIR 30097 SWAN POINT DRIVE MENIFEE, CA 92585 CANYON LAKE, CA 92587 Applicant Phone;9517600152 ROB BEECH License Number:825370 BLUERIDGE POOLS 30097 SWAN POINT DRIVE CANYON LAKE, CA 92587 Fee Description pty Amount(S) 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 $522.35 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 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 I am under provisions of with a licensed contractors)pursuant to the Contractors State License Law). Chapter!)(commencing with section 7000)of Division 3 of the Business and 01 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: License[lass 5 3 e�rr<r, rise tj o. '�2S 370 By my signature below lacknowledge that,except for my personal residence Expires /G 31 /`� Signature//�3 J"/1 '1^�`� in which l must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION 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 D I hereby affirm under penalty of perjury one of the fallowing 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 by Section 3700 of the Labor Code,for the performance of work for which this application is submitted car at the following wehsile; this permit is issued. wsvw.leeinfo.ca eov/calavv.html. Policy# 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 aBy my signature below l 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 owner's 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 stale laws relating to building construction.I authorize representatives of this city or county to Policy Expires 1�- 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 -VI certify that in the performance of the work for which this permit i5 issued, I shall not emolov 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 Sectfan 3700 of the labor Code,I shall to t f h o�plywith those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant i Date / mixture containing a hazardous material equal to orgreater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION OVERAGEIS oyes ONO UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the buildin AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN g by the applicant or future building ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist forguidellnes CONSTRUCTION LENDING AGENCY oyes ONO I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within IBM feet of the lending agencyfor the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) Oyes ONO 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 Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 255D5 and 25534 concerning checkmark(s)I have placed next to the applicable itemis)(Section 7031.S hazardous material reporting. Business and Professions Code).Any city or county that requires a permit to OYes ONo construct,alter,improve,demolish or repair any structure,prior to its Date issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING QUIP) 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 Rcensure receiving compensation for most work that disturbs paint in pre-1978 and the casts or the alleged exemption.itsthapplicant violation it Section of not by residence or childcare facility to be RRP-certified firms and comply with than Applicant fora permit subjects the applicant taacivtl penalty of not more required practices.This includes rental property owners and property than($S00). p p y managers who do the pain[-disturbing work themselves or through their ❑1,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 1-800-424-LEAD(5323). Code,The Contractors State License Law does not apply to an owner of a D 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. D No EPA Lead-Safe Certified Firm is required for this project because: O 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 Lawdoes 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: c6 PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL XRESIDENTIAL O MULTI-FAMILY O MOBILE HOME Xq00 SPA O SIGN SUBTYPE: 'O ADDITION O ALTERATION O DEMOLITION 0 ELECTRICAL O MECHANICAL Y4 NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK f t11CJ\V'� Ol '�,�j�w1 PROJECT ADDRESS �CV�7\'G ZIP ASSESSOR'S PARCEL NUMBER 33-5SI" I �/ LOT TRACT OWNER NAMEP'41N. ADDRESS Z- x ' NI LC �/ PHONE 4'!, f 640 EMAIL APPLICANT NAMEkah Qf-� !g e_ee ADDRESS (`jG SL.J><b Af rr PHONE U 1 7LC'Q EMAIL 611jaTI Q Q 6MAI I Qo'- CONTRACTOR'S NAME jj OWNER BUILDER? O YES-,TNO BUSINESS NAME , ADDRESS J- /A j PHONE 61 '7(�'(�j Gl5 `3.. EMAIL 0j PAJ CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION l VALUATION$ 2 _C'z��C� SQ FT 33.E L SQ FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL � GREEN 1 SMIP OWNER BUILDER VERIFIED O YES O No DRIVERS LICENSE# NOTARIZED LETTER 0 YES 0 NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 G, o www.cityofinenifee.us le MENIFEE