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PMT16-00991 City of Menifee Permit No.: PMT16-00991 29714 HAUN RD. �ACCELA— MENIFEE, CA 92586 Type: Pool/Spa -Residential MENIFEE Date Issued: 04/04I2016 PERMIT Site Address: 27003 EMERALD COVE CT, MENIFEE, Parcel Number: 333-471-034 CA 92585 Construction Cost: $32,590.00 Existing Use: Proposed Use: Description of INGROUND GUNITE POOL&SPA, 116 L FT GAS/ELECTRIC LINE FIREPIT& BBQ Work: Owner Contractor JAMES&MICHELLE HARADA PAUL BOGNER POOLS 27003 EMERALD COVE CT 5045 VAN BUREN BLVD MENIFEE, CA 92585 RIVERSIDE, CA 92503 Applicant Phone: 9516885543 MIKE LANSING License Number:275843 PAUL BOGNER POOLS 5045 VAN BUREN BLVD RIVERSIDE, CA 92503 Fee Description Oft( Amount lSl Swimming Pool/In-Ground Spa 1 467.00 Plumbing Fixtures and Vents,fixtures 1 116.00 Building Permit Issuance 1 27.00 Inspections not specified 116 116.00 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 5.00 General Plan Maintenance Fee-Electrical 1 23.35 $756.35 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_BItlLPemrit_Templale.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ lam exempt from licensure under the Contractors'State License Law forth, 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 it Professions Codg�and mglicense is in full force and eR ct which I must have resided for at least one year prior to completion o License Class `, Licens No. .5 Improvements covered by this permit,I cannot legally sell a structure that I hav, -�� bulk as an owner-building If it has not been constructed In its entirety by licensee F�cpires — Signature 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 t: submitted or at the following Web site: ❑ 1 hereby affirm under penalty of perjury one of the following declarations: htto,/Avww.leginfo.m.gov/mlaw.htmi. I have and will maintain a certificate of consent 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 or Authorized Agent Policy# pBy my Signature below, I certify to each of the following: I am the propert• I 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 Cade, for the performance of the work for which this application and the information I have provided is cared I agree to compl- permit rs fssued.My wo�rkers'co/mpensation insurance certier and policy number are: with all applicable city and county ordinances and stale laws relating to bulldinl Xk r•'co construction.I authorize representatives of this city or county to enter the above Cartier � IdenMe pro a for thsi4pection purposes. Policy#9�Z90.RoG.!/!5 Expires ,�2-1-�� Date Properly •wnerorAuthorlzedA ent Al IJ91 (This section need not be completed if the permit is for City Business License If oyg 5 io 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 employ any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or a 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 forthwith comply with those provisions. DYES ❑NO Applicant; Date:/ -- / 'f`Ge Will the intended use of the building by the applicant or future building occupant require a permit for the construction at modification from South WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND AYES ❑NO 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 outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a school? LABOR CODE,INTEREST,AND ATTORNEYS FEES DYES ❑NO 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 State 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) hazardous material reporting. OWNER BUILDER DECLARATIONS DYES ❑NO 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,after,improve, demolish, EPA RENOVATION.REPAIR AND PAINTING fRRPI 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 EPNs Renovation Program visit: roe www.epa.gov/lead or contact the National Lead Information Center at ❑ I, as owner of the p p rly, 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 State License Law does not apply to an owner of a property ❑An EPA Lead-Safe CerOfled 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 Finn 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 Firm Cerifficallm No.: purpose of sale). ❑ I, as owner of the property an exclusively contracting with licensed EI No EPA Lead-Safe Certified Firm 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 Acknowledgement CITY OF MlliNLLJl'lU1L' PLCK No: it I I 29714 Haun Road Date: Date: Menifee,.CA 92586 Phone: (951 )672-6777 Amount: Amo 5(0.3 Fax:(951)679-3843 Ck#: Ck#: Building Combination Permit S 3l—lctS To Be Completed By Applicant Des 'ptio �n I 1_ L . Plpnning Case: F: L: - Rt: R Prope Address: 'K nn Assessor's Parcel Number. ,Q-7 3 R�fYwu-c.l 3-y-71 -D3,-4 -o Project/Tenant Name: Unit#: Floor#: Name S: (2m-c Jn 1 I ra_d one"° , - OS 1 I Fax No. Property Ad5ess Owner I n Unit Number Zip Code L l� p Email Address: Name: - Phone No. M% ^� Applicant Address: C1.)1 1.� krM iVd• i Unit Number - ZipCode�2S� Email Address: ��ir p Cl� !! p /`-cry C7 0 ame:All ROQ Pon1 ` f Np 5 5"1 � t �O O b � O 3 Contractor A dyers +� . �r-s i d-e� �l�O'S I to Zjp bode t'1 J-S O ont ctor's City Business License No. Contractor's ity State of California License No. Classification: /� _e b 12 I I 1 l Number of Squares: Square Footage LA1 f. I Description of Wor �( ro I .S — C Cost of Work:$32 59 0 1 o r Applicant's Signature Date: T°Be Co eted ByCiLy Staf#Only .. .. - Indicate -Received or N/A-Not Applicable 5 Completes sets of fully dimensioned,drawn to sale plans which incl de: 1 set of documents which include ❑ Title Sheet ❑ Elevations - ❑ Electrical Plan ❑ Geo Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on B%x 11) ❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Calculations ❑ Single Line diagram for elec.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration' Addition" Means/Methods Work Type: Repair' Retrofit' Revision to Using Permit' Required? YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: #Stories: Will the Building Have a Basement? Y of N Bldg. Code Occupancy Group Indicate Indicate if YES or NO Indicate all Geo-tech.Haz.Zone At Project Construction Sprinklered that apply: Coastal Zone Completion: Type(s): C Of O Noise Zone Required? YES or NO q Listed on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Commiss Arch. Review Board Landmark Comm. Planning Comm.Zoning Administrator Fee Exempt: - City Project Elec.Vehicle Charger Landmark Seismic Retrofit special Case:Bldg, Official Approval Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing For Staff Use Only Building/Safety I Permit Specialist I City Planning Civil Engineering EPWM-Admin Transportation Mgmt. I Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY EXISTING 5' WOO!' FENCE 97.05' 1. � a ~i..i-. .a.v•l yL •l ........ O 110 IIrL :. i•••? •y[P�•,�/Jj�/S'� a .[(.3. • _ .. 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