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PMT18-04514 City of Menifee Permit No.: PMT18-04514 29714 HAUN RD. ® � MENIFEE, CA 92586 Type: Pool/Spa -Residential MENIFEE MENIFEE Date Issued: 0 911 712 01 8 PERMIT Site Address: 29262 GRANDE VISTA AVE, MENIFEE, Parcel Number: 340-542-001 CA 92584 Construction Cost: $24,000.00 Existing Use: Proposed Use: Description of INGROUND POOL&SPA, 390 SO FT Work: Owner Contractor FREDDIE GONZALES R L J ENTERPRISES 29262 GRANDE VISTA AVE 36499 CHERVIL WAY MENIFEE, CA 92584 LAKE ELSINORE, CA 92532 Applicant Phone: 9092614516 LEE JOUGLARD License Number: 1007383 R L J ENTERPRISES 36499 CHERVIL WAY LAKE ELSINORE,CA 92532 Fee Description Qtv Amount($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 carved 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_Pennit 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 penaltyof perjurythat I am under provisions of with a licensed contractor(s)pursuant to 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 Umnse law for Professions Code and my license is In full force and effect. the following reason: License Class G4,1 Ucem NoNo.. � By my signature below l acknowledge that,except formy personal residence Expires Q-.50�9 Signature `7 v in which l must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permfl.I cannot legallysell a structure that I have built as an owner-builder if it has not been constructed in its entirety by in 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 worker's 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 370D of the Labor Cade,for the performance of work for which this permit is issued. tvsvw.leeinfo.ca.eov/calaw.html. Policy If Date o I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the tabor Code,for the performance of the work for which o By my signature below l certify to each of the foilowing: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 stale laws relating to building construction.I authorize representatives of this city or county to Polity 9 Expires 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 ,Xkertify that in the performance of the work for which this permit is issued, p3� LLL�� Ishailnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE it workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers cam enjjaatm �provisions of5ection 3700 of the Labor Code,I shall forth th mmp�r4rith 6se provisions. Will the applicant or future building occupant handle hazardous material or Applicant / —Date 6 '��— mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE4 ECURE WORKER'S COMPENSATION COVERAGE IS Dyes 'ONO UNLAWFUL,AND SHALLSUBIECT 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($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 Duality Management District construction SCAQruction ormo modification checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airlines Qua CONSTRUCTION LENDING AGENCY Dyes ?Li No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 10DO feet of the lending agency for the performance of the work which this permit Is issued outer boundary of a school? (Section 3097 Civil Code) 0 Yes J5 No OWNER BUILDER DECLARATIONS I have read the Hazardous Material information Guide and the SCAOMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjurythat I am exempt from the California Health&Safety Code,5ecti 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardous material,eporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 {Yes o R Business and Professions Code).Any city or county that requires a permit to Date construct,alter,Improve,demolish or repair any structure,prior to its PROPERTY OWNERS IITHORIZED AGENT issuance,also requires the applicant far 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 70315 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 property owners and property than($500). managers who do the paint-disturbing work themselves or through their ol,as owner of the property,or my employee with wages as their sole employees.For more information about EPKs 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 Contractor's State License Law does not apply to an owner of a aAn 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 bull[or improved far the purpose of sale. D No EPA Lead-Safe Certified Firm is required for this project because: 01,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 Lee — kLJ &� Acknowledgement. �� 4=._ . w aciY." 1opTLA BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE r PERMIT/PLAN CHECK NUMBER P 'Q PLANNING CASE NUMBER COMMERCIAL *RESIDENTIAL CMULTI-FAMILY OMOBILEHOME POOL/SPA OSIGN YPE: O ADDITION C ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK e PROJECT ADDRESS 2a L�7. 4rrj iQAP 11) as ZIP 2,1�g ASSESSOR'S PARCEL NUMBER V-f0-S ;'OO' LOT 35 TRACT OWNER NAME ] ADDRESS Z(q S` PHONE g 5 (--J"j s- 64-4; EMAIL APPLICANT NAME ADDRESS PHONE EMAIL CONTRACTOR'S NAME ,S 60 s r- OWNER BUILDER? OYES XNO BUSINESS NAME ADDRESS I b -Q Ure9 L Q9 PHONE q21 d43 l q-S 1 6 EMAIL CONTRACTOR'S STATE LIC NUMBER IQ:)-? LICENSE CLASSIFICATION VALUATION$ ,714 000 SQ LSQFT APPLICANT'S SIGNATURE DATE - OTYSTAFFUSEONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CCITY0 ENIF_ EEBU$UJE$$yyCENSE NUMBER BUILDING PLANNING ENGINEERING FIRE 3 sl �JI/+I l INVOICE TOTAL I G= 3.S GREEN I SMIP I L . 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 - 1TY OP www.cityofinenifee.us #10 6'WOOD FENCE AT P/L 12" ,,RAISED +12' +6' a REEF c EP g 0' +12" IT, +6" 0 MANUFACTURED FLAGSTONE P/A 9' S" 3 WOOD FENCE AT P/L 0 SKIMMER LEVEL LOT F i0 9 1 POOL EQUIPMENT A ESS m c 0 w c c v C_ �— -G — d Z � Hss m D Z