PMT16-00064 City of Menifee Permit No.: PMT16-00064
_ 29714 HAUN RD.
�ACCELA? MENIFEE, CA 9258E Type: Pool/Spa-Residential
MENIFEE Date Issued:
01I08/2016
PERMIT
Site Address: 31484 CORDERRO LN, MENIFEE, CA Parcel Number: 372-410-003
92584 Construction Cost $25,000.00
Existing Use: Proposed Use:
Description of INGROUND POOL&SPA W/ROCK WATERSLIDE,459 SO FT
Work:
Owner Contractor
JEFF&TRACY HOFFMAN ZIER POOLS INC
31484 CORDERRO LN 321 SUNBIRD COURT
MENIFEE,CA 92584 SAN MARCOS, CA 92069
Applicant Phone:7606729850
BRANDY CORAL License Number.996589
ZIER POOLS INC
321 SUNBIRD COURT
SAN MARCOS, CA 92069
Fee Description OQl Amount fbl
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_Pennil_Template.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ 1 am exempt from licensure under the Contractors'State License Law for th
I hereby affirm under penalty or perjury that I am licensed under provisions of following reason:
Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that, except for my personal residence I
Professions Code a d t I nse is in full force and effect. q which I must have resided for at least one year prior to completion c
License CI ss License No. C I f i11� ,/ Improvements covered by this permit, I cannot legally sell a structure that I hav
Expires - (7'( Signature �f built as an owner-building if it has not been constructed In Its entirety by license
contractors. I understand that a copy of the applicable law, Section 7044 of th
WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application i
submitted or at the following Web site:
❑ I hereby affirm under penalty i perjury one the following declarations: hfto://www.leginfo.m.ciov/mlaw.html.
I have and will maintain a certificate of consentt of self-insure for workers'
compensation,issued by the Director of Industrial Relations as provided for by Date
Section 3700 of the Labor Code, for the performance of work for which this
permit is issued. Property Owner orAuthodzed Agent
Policy# ❑ By my Signature below, I certify to each of the following: I am the proped
❑ 1 have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read thi
section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comp)
permit is issued.Myworkers'compensation insurance carder and policy number are: with all applicable city and county ordinances and state laws relating to buildin
/� construction.I authorize representatives of this city or county to enter the above
Carrier—Z&p.VU�0 I identified property for the inspection purposes.
Policy# I (0 bh `I,O� UI I o�Expires �I Ir Date
Property Owner or Authorized Agent
(This section need not be completed if the permit is for City Business License#
one-hundred dollars($100)or less)
HAZARDOUS MATERIAL DECLARATION
❑ 1 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 Will the applicant or future building occupant handle hazardous material or e
workers' compensation laws of California,and agree that if I should become mixture containing a hazardous material equal to or greater that the
subject to the workers'compensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide?
Code,I shall 'h comply with those provisions. DYES ❑NO
I r,
Applicant; Date; 1 — I Will the intended use of the building by the applicant or future building
occupant require a permit for the construction or modification from South
WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklis,
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES ❑W
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the oute
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a school?
LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES 2-I40'
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understand my requirements under the Slate of
agency for the performance of the work which this permit is issued (Section California Health&Safety Code,Section 25505 and 25534 concerning
3097 Civil Code) hazardgmk m eriat reporting.
OWNER BUILDER DECLARATIONS �( — �•
❑Y 0
I hereby affirm under penalty of perjury that I am exempt from the Contractor's �� Date
License Law for the reason(s)Indicated below by the checkmark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT
next to the applicable item(s)(Section 7031.5.Business and Professions Code:
Any city or county that requires a permit to construct, alter, improve, demolish, EPA RENOVATION.REPAIR AND PAINTING(RRP)
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 The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
provisions of the Contractor's State License Law (Chapter 9 (commencing with receiving compensation for most work that disturbs paint in a pre-1978
Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with
she is exempt from licensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their
a civil penalty of not more than($500).) employees.For more Information about EPA's Renovation Program visit:
www.epa.govAead or contact the National Lead Information Center at
❑ I, as owner of the property, or my employees with wages as their sole 1-800-424-LEAD(5323).
compensation,will do( )all of or( )porting of the work,and the structure is
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's Stale License Law does not apply to an owner of a property ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however, Certified Firm Name:
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 Finn Certification No.:
purpose of sale).
❑ 1, as owner of the property an exclusively contracting with licensed ❑No EPA Lead-Safe Certified Finn is required for this project because:
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractor's License Law does not apply to an owner of a property
who builds or improves thereon, and who contracts for the projects with a
licensed contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP
Aoknowlerinement
BUILDING & SAFETY PERM IT/PLAN CHECK APPLICATION coma
21,
Menifee
DATE PERMIT/PLAN CHECK NUMBER M
TYPE: O COMMERCIAL cam+ RESIDENTIAL O MULTI-FAMILY O MOBILE HOME C'POOL/SPA SIGN
SUBTYPE: OADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
0"NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK i,-6k
PROJECTADDRESS y'Y` q Q
ASSESSOR'S PARCEL NUMBER �t21^�c`11 V LOT 0 D TRACT '✓�� ( D
OWNER NAME JkP CT
ADDRESS ?j 1L{CS
PHONE EMAIL
APPLICANT NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME OWNER BUILDER? OYES C—',NO
BUSINESS NAME V I
ADDRESS ) 4-C._ -11
PHONE G_�S�s - L4 1LI � EMAIL
/
CONTRACTOR'S STATE LIC NUMBER H US-&I LICENSE CLASSIFICATION
VALUATION$ �S�Doo SOFT q51 LSO FT
APPLICANT'S SIGNATURE ""�� DATE
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION (' /p CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN I SMIP `
INVOICE ^] PAIDAMOUNT O
AMOUNT Q" O CASH CHECK# OCREDRCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# 0CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
'r' `r DEPTH: PERIMETE
J ETYDEPARTMENT PLAN RE I ED EST TOTAL GALLONS: SPILLWAY
VAL CDNt1rm21noetos rat detak RAISEDHEIGHT:12" SKIMMER:
RETURNSS jets TILE:grout
ocher,R.C.E.67656 INTERIOR MATERIALpebble
n�ineedng,Inc. SPECIAL:
s ha o e paacedenca over conflicts Wd ata ple". NOTES:
PLUMBING
t hall not be,onstr,:-d to be a permit for,or an RETURNS4 SKIMMER:
m o ny;:rovisir;,o of the federal,state or city POOL MAIN DRAINS2 SPA MAIN
ices. T set of approved plans must AWMADE ROCK SLIDE CLEANING SYSTEI*entair vac; HEADS:_
• VAC LINES:dedicated ROBOT VA
6' HIGH 8' LONG WATER FEATURESn/m rock slide SPA SPILL
LIGHTS IN POOL:3 led color LIGHTS IN
CATION TOTAL PIPE:
SPECIAL:
NOTES:
DECK
DECK TYPEconcrete ELEVATIOI
TOTAL DECK SQFT750' PERIMETE
RAISED BEAM30'of 12" LIP STYLE
MATERIAL 1:stack stone MATERIAL
SPECIAL:
NOTES:
---------------------------------
EQUIPMENT
0 POOL PUMPPentair VS 2ND PUMP
FILTRATION:Pentair cartridge FILTER S12
HEATER:pentair master temp INLINE:_
TIMER:easy touch GAS:_
SPECIALic 40 intelichlor
NOTES:
r
12
o �e
PROPER
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