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PMT15-01586 i I F City of Menifee Permit No.: PMT16-01686 29714 HAUN RD, MENIFEE, CA 92586 Type: Pool/Spa-Residential MENIFEE Date Issued: 06/11/2015 { i PERMIT Site Address: 29054 SHORECLIFF CIR, MENIFEE, CA Parcel Number: 333-542-014 92585 Construction Cost: $30,000.00 Existing Use: Proposed Use: Description of INGROUND GUNITE POOL&SPA WITH GAS STUB FOR FUTURE BBQ Work: Owner Contractor KEVIN PEARSON CAL/PACIFIC POOLS&SPAS INC 29054 SHORECLIFF CIRCLE 17940 VAN BUREN BLVD STE 47 MENIFEE, CA 92585 RIVERSIDE, CA 92508 Applicant Phone: 9517762002 GARY SOPER License Number: 652876 CAL/PACIFIC POOLS&SPAS INC 17940 VAN BUREN BLVD STE 47 RIVERSIDE, CA 92508 Fee Description GQtyt Amount v m fioof/ID= r and SD Building Permit Issuance 1 27.00 SMIP RESIDENTIAL 1 4.00 $500.00 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 I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions Professions Code and my license is in full force Ind t effect. Code:The Contractor's License Law does not apply to an owner of a property License Class � 2C? License No. who builds or improves thereon, and who contracts for the projects with a Expires 9 3r 1 + Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ lam exempt from licensure under the Contractors'Stale License Law for the ❑ 1 hereby affirm under penalty of perjury one of the following declarations: following reason: I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that,except for my personal residence in compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of Section 3700 of the Labor Code, for the performance of work for which this improvements covered by this permit, I cannot legally sell a structure that I have permit is issued. built as an owner-building if it has not been constructed in its entirety by licensed Policy# contractors. I understand that a copy of the applicable law, Section 7044 of the i I have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is ((section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:hill//www Ieoinfo ce gov/calaw html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier ��T( Property Owner or Authorized Agent Date EG✓s�/T� Expires �,�3�/ 6 Policy# -f Jii — 1623 (2 ) )�* / my Signature below, I certify to each of the following: I am the property Name of Agent Phone# /owner or authorized to act on the property owner's behalf. I have read this (This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to enter the above- �l certify that in the performance of the work for which this permit is issued,I iden'fi property don purposes. /shall not employ any persons in any manner so as to become subject to the G 11_1}.� workers'compensation laws of California, a if I should become subject to the workers'compensation provisi of Section 3 e Labor Pr p-.Ry Owner rAtif nzed Agent Date Code, I shall forthwith comply with those p ion . / //� S City Business License# Date; Cs Applice WARNING: FAILUR TO SECURE W RKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERA S UNLAWFUL, SHALL SUBJECT AN EMPLOYER TO C IPAr- ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING ($100,000), IN ADDITION TO THE COST OF COMPENSATION, AYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES El NO EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE? agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE 3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address ❑NO DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME: License Law for the reason(s)indicated below by the checkmark(s)I have placed DYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable item(s)(Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A Any city or county that requires a permit to construct, alter, improve, demolish, ❑NO SCHOOL? or repair any structure, prior to its 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 Contractor's State License Law(Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL Section 7000)of Division 3 of the Business and Professions Code)or that he or DYES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL ikEPORTING. compensation,will do( )all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion,the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). APPLICATION& SAFETY PERMIT/PLAN CHECK J'S Menifee DATE �// /� PERMIT/PLAN CHECK NUMBER M'D.5 - S TYPE: C; COMMERCIAL O RESIDENTIAL :' MULTI-FAMILY ') MOBILE HOME .1'%POOL/SPA O SIGN SUBTYPE: O ADDITION 0 ALTERATION :) DEMOLITION C) ELECTRICAL 0 MECHANICAL ZNEW )PLUMBING 0RRE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 1 7 ! A6 is vV1 r5- aD V -S 'fe- C 101Q,* PROJECTADDRESS )-Ra C/tzLE" ASSESSOR'S PARCEL NUMBER 333 " S`f`Z -b/ f LOT t C q TRACT 6 6 Cf OWNER NAME w / 6-,�vyv 01.111(fing & Safety Dept. ADDRESS '� 0 Slr/ �ITVIA.�CuBC(L� Cl�LG� PHONE M- 11 EMAIL JUN 1 1 2015 r APPLICANT NAME (Q'G/ / G e0!/S 6 t/C�T /J /�wd /Jltle%GfJam' ADDRESS 17OL(f V� /a(/ �C/ /L G ��% Y Ay PHONE �'Y/- 7CY�'LoO�- EMAIL CONTRACTOR'S NAME nA6 /SCGS �fI' D) OWNERBUILDER? % YES NO BUSINESS NAME its I ADDRESS PHONE �$'�--f`7�Ci- >,b)i EMAIL CONTRACTOR'S STATE LIC NUMBER 63,z76 LICENSE CLASSIFICATION JP'3 VALUATION$ �ry DOb Y7 LSQFT APPLICANT'S SIGNATURE DATE G - DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE AMOUNT PAIDAMOUNT ,; CASH t%CHECK# ':)CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT JCASH i%CHECK# 01CREDITCARD VISA/MC OWNER BUILDER VERIFIED ?YES `% NO DL NUMBER NOTARIZED LETTER t YES 0 NO City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 um+'^'mwn^'-^"^^^'-`.".,.._.. _ . v.�. . .v . v v■V M■ ■M ■ f.l�■V\7 - -. 5'6"H WOOD FENCE @ PIL i"H WOOD FENCE @ PIL Cn 12"SHEER DESCENT SPA RAISED 18"WISTACKED WATER FEATURE 12"SHEER DESCENT STONE EXTERIOR WATER FEATURE +18"ELEV 12"SHEER DESCENT , \ 2 WATER FEATURE CD +18"ELEV / N 6? O1 6'DEEP 5'6"H WOO'i 3'6"DEEP —1 Q 1 ' \ I 42"H BLOCK EQUIP / WALL BY OTHERS I O 17' 3 400.000 BTU HEATER 2HP VARIABLE SPEED PUMP 425 SO FT CART FILTER G 30 AMP PANEL 0 � n ALL DECKING,MASONRY,STEPS,DRAINS,MASTIC,AND EQUIPOTENTIAL DECK BONDING,BY OWNER STUB GAS AND GFI •w)Igaldwo9'Iju isgol 3Bauul TgdFu a R3snw sued anoidde o ias sI q� arp q I p yl saweulpio pue su ,i n8a, idde ueao'iXj!twpd ayo�Q@ SodF3gbA�dl�gi��1�3 ��enoaddy* TO HAVE WORKING ALARMS 31VO (Q 1, A8 U M MAR (1 lVAOaddd NVId V 1N3Wllitld3® A131vs aNd Minns 331IN3W 30 AID KEVIN PEARSON AND SHANEN SKINNER RESIDENCE - ONE STORY HOUSE 29054 SHORECLIFF CIRCLE - MENIFEE 92585 (951) 672-9132 TBMB 838 G-6 APN # 333-542-014 LOT 169 OF TRACT # 32664