PMT16-01255 City of Menifee Permit No.: PMT16-01255
29714 HAUN RD.
'�ACCELA- MENIFEE, CA 92586 Type: Pool/Spa-Residential
MENIFEE Date Issued: 04/21/2016
PERMIT
Site Address: 25075 BONNET CIR, MENIFEE, CA 92584 Parcel Number: 339413-032
Construction Cost: $30,000.00
Existing Use: Proposed Use:
Description of INGROUND GUNITE POOL ONLY,424 SF
Work:
Owner Contractor
MAYA RESIDENCE QUALITY CUSTOM POOLS INC
25075 BONNET CIRCLE 30138 MARNE WAY
MENIFEE, CA 92584 MENIFEE, CA 92584
Applicant Phone:9516799732
HANNAH BARRETT License.Number: 795820
QUALITY CUSTOM POOLS INC
30138 MARNE WAY
MENIFEE, CA 92584
Fee Description gty Amount I$)
Swimming Pool/In-Ground Spa 1 467.00
Building Permit Issuance 1 27.00
GREEN FEE 1 2.00
SMIP RESIDENTIAL 1 4.00
General Plan Maintenance Fee-Electrical 1 23.35
$523.35
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_Pemit Templale.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who Contracts for the projects
with a licensed contractors)pursuant to the Contractors State License law).
I hereby affirm under penalty of perjury that I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I 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 pass C-53 (2o License No.T-7q 55 �2 m� By my signature below I acknowledge that,except for my personal residence
Expires Signature`�'�r^^ 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 Copy of the applicable law,Section
have and will maintain a certificate of Consent of self-insure for worker's 7044 of the Business and Professions Cade,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 wwwleainfo.ca.eov/calaw.html.
this permit is issued.
Policy# Date
(�>]have and will maintain workers compensation Insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance ofthe work for which —tr8y my signature below l 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 on the property owners behalf.I have read this
number are: application and the information I have provided is correct I agree to Comply
Carrier E"°-`-'-5�' �a�-�o � with all applicable city and County ordinances and state laws relating to
building construction.I authorize representatives ofthis city or countyto
Policy# IZ-AIb0a `Llot-j Expires / (� enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred --kk:nA �� ,-,w Date Ll L!
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
❑I certify that in the performance ofthe 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# G O 8 3gi
workers compensation laws ofCalifomia,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall,fg/rtthwith com ly witp h those provisions. Will the applicant or future building occupant handle hazardous material or
Applicant—Z-�'C/S�'f✓eG-/��`TC�e Date LI Ifp mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECUREWORKER'S COMPENSATION COVERAGE IS Dyes C'SNo
UNLAWFUL,AND SHALL 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,(100),IN occupant require a 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 forguidelines
CONSTRUCTION LENDING AGENCY Dyes C9*0
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet ofthe
lending agency for the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) o Yes VNo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that 1 am exempt from the permitting checklist I understand my requirements under the State of
California
Contractors License Law for the reason(s)indicated below by the Health al Safety Code,Section 25505 and 25534 concerning
hazardous
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hus material reporting.
Business and Professions Code).Any city or county that requires a permit to Cclts o 0 lz�y Date q 2f Y//
Construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED 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(RRP)
License Law(Chapter 9(commencing with 5ection 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 7031.5 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($500). managers who do the paint-disturbing work themselves or through their
❑I,as owner ofthe property,or my employee with wages as their sole employees.For more Information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(section 7044,Business and Professions 1-80D-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. D No EPA Lead-Safe Certified Finn is required forthis project because:
o I,as owner ofthe property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors State License Law does not apply to an owner of a Ifyour project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
� Menifee
DATE PERMIT/PLAN CHECK NUMBER O
TYPE: ❑COMMERCIAL ❑RESIDENTIAL MULTI-FAMILY ❑MOBILEHOME POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION [-]ELECTRICAL [-]MECHANICAL
❑NEW [-]PLUMBING ❑RE-ROOF-NUMBER OF SQUARES City at Menifee
Eit,"ding & safety Dept
DESCRIPTION OF WORK ?o 0
PROJECTADDRESS Z5 0'1 b .x%,�A CX Ct u Receive
ASSESSOR'S PARCEL NUMBER -141'77- LOT 9514 TRACT -
PROPERTY OWNER'S NAME )✓�q
ADDRESS eLr:?0—LS �joY�n CX
PHONE EMAIL
APPLICANT NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME L +vi Orr OWNER BUILDER? ❑YE&�j10
BUSINESSNAME i; sty IJ'
ADDRESS `6013$ h -,,CAY VXIL LI�JA
PHONE EMAIL ucvl ytorh o1S vU.ri2o)Y�, tJ
CONTRACTOR'S STATE LIC NUMBER -I°t rD%JU LICENSE CLASSIFICATION
VALUATION$ 3O 1 O 5 O D I SO FT t { Z S 4 L SQ FT
APPLICANT'S SIGNATURE b� �i� -��0 DATE D
DEPARTMENT DISTRIBUTION CITY OFENIFEE BUSINESS LI MCENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN aW, SMIP
INVOICE , �Jf� PAID AMOUNT
AMOUNT �,p✓'�JtJ O CASH C CHECK p O CREDIT CARD VISA/MC
WI
PLAN CHECK FEES PAIDAMOUNT OC45H OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES C NO
City of Menifee Building& Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
CITY OF MENIFEE
BUILDING AND SAFETY DE P TMENT 0.
Menie
PLAN APPROVAL Bullding&f afety Dept. U
APR 2 1 2016 U
REVIEWED BY I°
DATE "'� LL
eived L-
'Approval of these plans shall not a construed to b!a pefmlt for,or an 0
approval of,any violation of an provisions of the federal,state or city
regulations and ordinances. is set of approved plans must be kept on the
jobsite until completion.
En
12'9"
TV
424sf 6'
27 4"
30'
p mO-
0
gB�—S—►
Pool Equipment
(no gas line-no heater)
Pool Deck
1"UL Conduit
N 40
1
Existing Concrete
Maya Residence
25075 Bonnet Cr.
Menifee,Ca 92584
Scalk 6.6 in.1 Der ft,