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PMT18-04515 City of Menifee Permit No.: PMT18-04615 29714 HAUN RD. _. _.. MENIFEE,CA 92586 Type: Pool/Spa-Residential ,ViENIFEE MENIFEE Date Issued: 0911712018 PERMIT Site Address: 31436 DAYBREAK CT,MENIFEE,CA Parcel Number: 372-402-013 92584 Construction Cost: $19,000.00 Existing Use: Proposed Use: Description of INGROUND SWIMMING POOL ONLY, 392 SO FT Work: Owner Contractor YING JIANG R L J ENTERPRISES 31436 DAYBREAK CT 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 city Amount is) Swimming Pool/in-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 3.00 General Plan Maintenance Fee-Electrical 1 23.35 $521.35 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of enors 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_Permg_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 contractor(s)pursuant to the Contractors Stale License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and D 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_ G43 U No. 1 ' rr11 mns -{ By my signature below I acknowledge that,except for my personal residence Expires "t—.5-Q A a Signature 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 legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by D 1 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 welodle: by Section 3700 of the Labor Cade,for the performance of work for which rn�vleeinfo.ca.eov/calaw.html. this permit is issued. Policyti Date D l have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Cade,for the performance of the work for which D By 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 an the property owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carder with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy 4 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 �s �.i�cerllfy that in the performance or the work for which this permit is issued, p3�� / I shall not emolav any persons in any manner so as to become subject to the CITY BUSINESS LICENSER ✓ LLL worker's compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION subject to the workers companjjatio �pprevisions of Section 370D of the Labor Code,I shall for th camp)an Gse provisions. Will the applicant or future building occupant handle hazardous material or Applicant / Date 6 ^41— mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILUREretECURE WORKER'S COMPENSATION COVERAGE IS ayes Z5 No UNLAWFUL,AND SHALLSUBIECr 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 requires 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 far guidelines CONSTRUCTION LENDING AGENCY oyes I)ONo I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 100D 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) ❑yes Xs 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 ContrayarRrmunse Law for or the peson(s)indry that I azt exempt by rom California Health&5afety Co de,Secti 2SS05 and 25534 concerning Contractors License Law forthe reason(s)indicated below by the hazardous material,epartfng. checkmark(s)I have placed next to the applicable Item(s)(Section 7031.S zYes D N Business and Professions Cade).Any city or county that requires a permit to N Date construct,alter,Improve,demolish or repair any structure,prior to its pROPERTYOWNER9 11THORREDAGENT 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 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 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.S by residence or childcare facility to be RAP-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($500J. managers who do the paint-disturbing work themselves or through their D1,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 I-BOD-424-LEAD(5323). Cade;The Contractors 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 Certifia0on 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: D 1,as owner of the property am exdusively contracting with licensed contactors 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 rill out the RAP Lee vt`v"wz-at _ as LT !\^ Acknowledgement. tK.- .Ja C is- %&IwA BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: PERMIT/PLAN CHECK NUMBER ' PLANNING CASE NUMBER TYPE: O COMMERCIAL O[11ESIDENTIAL O MULTI-FAMILY O MOBILE HOME P POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION 0 ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK 5 rn LtS PROJECT ADDRESS _ 31.3 J, ��/�jlr1Pr- C,1-. ZIP Q21�y8+� ASSESSOR'S PARCEL NUMBER 0'F72 • LOT TRACT OWNER NAME ADDRESS Q U P LS PHONE &d Z EMAIL APPLICANT NAME ADDRESS PHONE EMAIL CONTRACTOR'S NAME i "'11 OWNER BUILDER? O YES �CNO BUSINESS NAME !C S {PUUI ADDRESS 3 V I-�%C� l�iG- 7J-5:3 61- PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER CX» 3 LICENSE CLASSIFICATION C-S3 VALUATION$ FT .3 ct a- L SQ FT APPLICANT'S SIGNATURE i DATE W�STAFFUSEONLY AL DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIFE 15 `✓ INVOICETOTAL -35� GREEN 1 SMIP 3� OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE It NOTARIZED LETTER () YES O NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofmenifee.us NIF WITH POURED CAP TO MATCH POOL AND LEDGER VENEER PLANTER AREE 5p-. s O l POOL DEPTH 37 TO 6`6' 19,911, LT, LT, POURED IN PLACE COPIN EXISTING ALUMAti°OOD PATIO IO COVER N Mtt1 •�� tU l�.sTlt7 �cx�t5 � 'L. SAW CUT INSTALL APPROVED DOOR ALARMS ON ANY DOORS LEADING TO POOL AREA O POOL EQUIPr dENTt YING JIANG &TRAVIS BRADY p� 31436 DAYBREAK CT: ------ MENIFEE, 92584 _ v 951-230-1602 m a ' u saw , Tay 3osi FOUR SEASONS POOL CONSTRUCTION s 909-261-4516, C53-1007383 `a is SL SL 0 s ss' � GAS METER -.,.._ ELECT. PANEL Iz