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pmt18-05074 City of Menifee Permit No.: PMT18-05074 29714 HAUN RD. Type: Pool/Spa-Residential MENIFEE,CA 92586 MENIFEE MENIFEE Date Issued: 10/22/2018 PERMIT Site Address: 27958 HIDE AWAY CT, MENIFEE, CA Parcel Number: 333-370-040 92585 Construction Cost: $35,000.00 Existing Use: Proposed Use: Description of CONSTRUCTION OF INGROUND POOL&SPA 520 SQ FT Work: Owner Contractor DAVE TORRES S C POOLS&LANDSCAPES INC 27958 HIDEAWAY CT 33975 SIDNEY CIRCLE MENIFEE, CA 92585 WINCHESTER,CA 92596 Applicant Phone:9517572644 STEVE CURRIE License Number:758701 S C POOLS&LANDSCAPES INC 33975 SIDNEY CIRCLE WINCHESTER, CA 92596 Fee Description ON Amount IS) Swimming Pool/In-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 5.00 General Plan Maintenance Fee-Electrical 1 23.35 $524.35 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_Peank_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 State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and O 1 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 ,� cense No. � a7 By my signature below lacknowledge that,except for mypersonal residence Expir ' '4a Signature `t 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 o 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 vail 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 3700 of the Labor Code,for the performance of work for which this permit is issued. www.leginfo.ca.gov/calaw.htmi. Policy g 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 D By my signature below I certify to each of the following:I am the property this permit Is Issued.My worker's pensation 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 ss, 3�Z A�L'�V n}-fl with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy fl Expires 3 —22— V4, enter the above Identified property for inspection purposes. (This section need not to 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 emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE fl worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker' pensation provisions of Section 3700 of the Labor Copddf7ft h it or1, �h e isiins. Will the applicant or future building occupant handle hazardous material or mixture containing a hazardous material equal to or greater that the Applicant _ate 1 amoun specified on the Hazardous Materials Information Guide. WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS Dyes No UNLAWFUL,ANDSHALL SUBJECT 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 Ir Quality Management District(SCAOMD)7 See permitting checklist IN SECTION 3706 OFTHE LABOR CODE,INTEREST,AND ATTORNEYS FEES for gui lines CONSTRUCTION LENDING AGENCY DYes o I hereby affirm that under the penalty of perjury there is a construction Will tie 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 Bpundary of a school? (Section 3097 Civil Code) o Yes No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAOMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractor's License Law for the reasons)indicated below by the California Health&SafeststCocle,Section 25505 and 25534 concerning azar ous nre erial ring. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 D �c r�r� 1 Business and Professions Code).Any city or county that requires a permit to \ Date ID-- 1 construct,alter,improve,demolish or repair anystructure,prior to its PROPERTY OWNER OR A ORIZED 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 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 Cade)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($SOD). 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.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 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. O No EPA Lead-Safe Certified Firm is required for this project because: D I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's 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 MENIFEE DATE: /L' - 'Z'z — PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER \ TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME 'J POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK PROJECTADDRESS 4 - Wyk CT', ZIP v25g � ASSESSOR'S PARCEL NUMBER �?,S 3a _Md LOT -q? TRACT 30 Ot OWNER NAME ) y ADDRESS PHONE EMAIL n APPLICANT NAME j�`VE `�JrZP_I AD RESS PHONE EMAIL CONTRACTOR'S NAME OWNER BUILDER? O YES ONO USINESS NAMEIAJ ADD S h N jPQSIR • WIN u a 9lQ PHONE '_'7j S I 7 S-I - Z..Le 1-1 EMAIL CONTRACTOR'S STATE LIC NUMBER `J Sa-7 O LICENSE CLASSIFICATION VALUATION$ C <Yr_1 SO FT L SO FT APPLICANT'S SIGNATURE �zl� � DATE jC1rY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUS1ES ICENSENUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL 1 5 g4.JS� GREEN SMIP -0WNER BUILDER VERIFIED 0 YES O NO DRIVERS LICENSE# OC NOTARIZED LETTER O YES O NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofmenifee.us NIF