PMT16-01405 City of Menifee Permit No.: PMT16-01405
29714 HAUN RD. Type: Pool/Spa-Residential
<ACCEI-A? MENIFEE,CA 92586
MENIFEE Date Issued: 0 510 3/2 01 6
PERMIT
Site Address: 29383 FALCON HILL DR, MENIFEE, CA Parcel Number: 340-411-045
92584 Construction Cost: $27,459.00
Existing Use: Proposed Use:
Description of INGROUND GUNITE POOL&SPA 230 SQ FT
Work:
Owner Contractor
DANIEL MABON PAUL BOGNER POOLS
29383 FALCON HILL DR 5045 VAN BUREN BLVD
MENIFEE,CA 92584 RIVERSIDE,CA 92503
Applicant Phone:9516885543
MIKE LANSING License Number:275843
PAUL BOGNER POOLS
5045 VAN BUREN BLVD
RIVERSIDE,CA 92503
Fee Description Qty, Amount l51
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 carded 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 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 Gass ���3 License No.
� By my signature below I acknowledge that,except for my personal residence
Expires� �Signature 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
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
❑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 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 www.Ieeinfo.ca.eov/calaw.htmL
this permit is issued.
Policy# Date
wi S.aave and ll maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,forthe performance of the work for which (3By my signature below l certify to each of the following:[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:1 /� application and the information I have provided is correct.I agree to comply
Carrier S/4� Ka Aid building
all applicable city and county ordinances and state laws relating to
/ building construction.I authorize representatives of this city or county to
Polity#,9��,?9�'�y Expires. AQ-3��50 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, 0,760
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# Q
workers compensation laws of California,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 forthwith cc p with se provisions. / Will the applicant or future building occupant handle hazardous material or a
37 mixture containing a hazardous material equal to or greaterthat the
Applicant Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER' COMPENSATION COVERAGE IS ❑Yes )4 No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND OVIL 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 Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY ❑Yes )f No
I hereby affirm that under the penalty of perjury there is a construction Will the 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 boundary of a school?
(Section 3097 Civil Code) o Yes PPNo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAOMD
I hereby affirm under penalty of perjury that 1 am exempt from the permitting checklist I understand my requirements under the State of
Contractors License Law for the reason(s)indicated below by the California Health al Safety Code,Section 25505 and 25534 concerning
hazardous material reporting.
chsiness and
I have placed next to the applicable item(s)(Section perms O� C�
Business and Professions Code).Any city or county that requires a permit to � Date J 3 If
construct,alter,Improve,demolish or repair any structure,priorto its PROPERTY OWNER OR AUTHORIZE 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 Section 70G0)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-certthed 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
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.epa.eoy/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 Contractors State License Law does not apply to an owner of a o 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 Certifiation 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 pmject because:
o I,as owner of the 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 If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
CITY ll 4,Jll' MEily` lll'EE PLCK No: P N 10 1 �(J�� �y
29714 Haun Road Date: Dal' :
Menifee, CA 92586 ho
Phone: (951)672-6777 Amount: Amo n b,,.,
Fax:(951)679-3843 Ck#: Ck#:
Building Combination Permit 5191. 6 q
To Be Completed By Applicant
Legal Description: G� Planning Case: F: L: Rt: R
r n I J,\ III ^ :J e s is r Nu er;
Project/Tenant Name: IV I ` Unit#: l� Floor#:
a i(�r /` J� y _ I _<7 OS Fax No.
�y
Property d re s: -1 " Y L t R l� O p — 1 6
Owner Unit Number Zi C
Email Address:
t C� ns�n 'WK 66q3 I gyp.AS< 7839
Applicant -\Ja r!y u,,�n I�cQ i�1"ers ids. Unit Number Zip C,Gc]e-����
Email Address: V L `�Cjc,
i Nyff Poo Is P9 N9 55-4 3 PV 677 -7 93
Contractor � ckh ' w I` I , I n f-` Ulf
l to ZipRZ S—DS
C or' it Business License o. \/ C R t of Cal ifornia�Lic%ose (NJo..IJ Classification: �l/(_,C�j-2
Number of Squares: j�'—� •.J
Square Footage
Description of Wor 1 ( i Cost of Work: a r�
Applicant's Signature Dale: Or r J
To Be Completed By City Staff Only
Indicate As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans which include: 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 8 Y:x 11)
Foundation Plan ❑ Structural Calculations
❑ ❑ Cross Section ❑ Plumbing Plan ❑ 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" Ld Retrofit' Revision to Existing 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 Spdnklered that apply: Coastal Zone
Completion:
Type(s): C of o YES or NO Noise Zone
Required? Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch. Review Board Landmark Comm. I 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/Safely I Permit Specialist City Planning I ayil Engineering EPWM-Admin I Transportation Mgml, I Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
(D%
U «) O y,
O N o O O
y�
(D 3 lu-
Ellw Q s
Y Va CC
5 L
Ini 2
Q F
U U -
Z Z
w w
•
7'-0" 10'-0" 13'-9"
E IST 5' OOD 90.65'
L? O
v O
N o F
�n u
CCLL
N C
X LU h
w n
a
❑ w LL
a �E w Q
u
U
O U..J U..
U Q W to
v LL_ O
Z Z Z
Lu Q
2'- x v I C7
w u. Z
o W�/ O p
v m
s,
Ln
- d
21
f9
i
5'-1" 6'_0" 23'-0" 24'-5°
EXIST 5' WOOD
Lj
❑ ❑
_n
5'-0" 5}' 1" EXISTING CONCRETE
x
r,.,
RESIDENCE
cc
cc CITY OF MENIFEE
BUILDING AND SAFETY DEPARTMENT
PLAN APPROVAL
I, EX07?�o 4 :0
REVIEWED BY ��11
DATE
'Approval of these plans shall no,be c;nstrued to be a permit for,or an
approval of,any violation of any provisions of the federal,state or city
regulations and ordinances, This set of approved plans must be kept on the
lobsite until rmmnlafinn