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PMT16-02181 City of Menifee Permit No.: PMT16-02181 29714 HAUN RD. r �ACCELA. MENIFEE, CA 92586 Type: Pool/Spa-Residential MENIFEE Date Issued: 0711 2/2 01 6 PERMIT Site Address: 29766 GARDEN GROVE DR, MENIFEE, Parcel Number: 333-680-040 CA 92584 Construction Cost: $30,000.00 Existing Use: Proposed Use: Description of INSTALL GUNITE POOL AND SPA Work: Owner Contractor GUITERRF7 QUALITY CUSTOM POOLS INC 29766 GARDEN GROVE DR 30138 MARNE WAY MENIFEE, CA 92584 MENIFEE,CA 92584 Applicant Phone: 9516799732 JIM BARRETT License Number:795820 QUALITY CUSTOM POOL 30138 MARNE WAY , CA Phone: 9512325756 Fee Description Qtv Amount IS1 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_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 cantractor(s)pursuant to the Contractors State License law). I hereby affirm under penalty of perjury that I am under provisions of Chapters(commencing with section 7000)of Division 3 of the Business and D i am exempt from licensure under the Contractor's State License Law for Professions Code and myclicense Is in full force and effect. the following reason: License Class CS S'- u License No.-19 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 priorto completion of improvements covered by this permit.I cannot legally sell a structure that 1 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 a 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.leeinfo.ca.eov/calaw.html. this permit is issued. Polity# Date /'p have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which �By my signature below I certify to each of the following:I am the property this permit is issued.My worker's compensation Insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier EO e. rr SF N4ti aria._it with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# CA 10 oo'yl or"I Expires 'I �11 enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred �_ _ -'6 Date i Q- dollars($100)or less PROPERTY OW NER OR AUTHORIZED AGENT o I certify that in the performance of the work for which this permit is issued, I shall not emoloy any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# O a c3 1 3$ worker's compensation laws of California,and agree that If I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant ( /�`� - r Date ((/ mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yew No 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($100,000),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 for guid�el.i[p�es CONSTRUCTION LENDING AGENCY o YesVD'N0 1 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) 0 Yes -Alo OWNER BUILDER DECLARATIONS I have—read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the reason(s)indicated below by the California Health al Safety Cade,Section 25505 and 25534 concerning ardous material reporting. checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 � ❑No Business and Professions Code).Any city or county that requires a permit to , �Q,j Date 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRP) License Law(Chapter 9(commencing with Section 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 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.eoa.eov/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 Contractor's 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 Certification 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 project 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 Contractor's 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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION y Dept. JUL 12 2016 Menifee appPiwPini DATE T 1 I' I V PERMIT/PLAN CHECK NUMBER 1 Y i 1 - 6 TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME `POOL/SPA O SIGN SUBTYPE: O ADDITION CI ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Ltn PROJECTADDRESS '1,AgL.L Car C-rpov //�� ASSESSOR'S PARCEL NUMBER �3� U0 044 QT TRACT OWNERNAME Lut'�evra.1 ADDRESS Ich-%isu C7oL,r PHONE R &1- ie'1 1 -%%o'1^ EMAIL APPLICANT NAME H ay.na,v, "arr➢i'� ADDRESS 9a 138' PHONE a151 -)IALn- u `L7 EMAIL CONTRACTOR'S NAME OWNER BUILDER? O YES.CA0 BUSINESSNAME �V.a�1r1- L' sT'o+., @001.6 ADDRESS 9a 13 9 da.r r%A W PHONE L)CL- 'L51- ' 5-75'G EMAIL CONTRACTOR'S STATE LIC NUMBER "1 `i S *o 2. O LICENSE CLASSIFICATION C' S - VALUATION$ 30J000 SOFT 4904 L SO,FT APPLICANT'S SIGNAT DATE —1 11 �/ CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION I/�� CITY OF MENIILEELE eUSINE55 LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE IN SMIP oO v� + `� INVOICE 15w(� . �� PAIDAMOUNT AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0CASH OCHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O 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 city of Menitee Building 81 Safety Dept. JUL 12 2016 5'6"Vinyl Feria � •n aeek.8' 0e kw PaIwG 6' Eence + Bend ;i4 T(/ 5'6"CMU Wa l 5'6"Vinyl Fence 16'4" 35' 14'11"— se•o y sorep Pti 4 — --—————————————— -----------�Y--------- - --- ------1 , 1 1/2"Poly Gas ' I 1"$ch 40 UL ' 1 ' 1 I EaleWg[encem 1 1 I ' 1 ' 1 ' 1 1 1 ' 1 I 1 1 Gutierrez Residence 1 29766 Garden Grove Dr. ' Menifee, Ca 92584 1 951.691-3679 1 i 1 1 1 r 1 1 1 1 1 I 1 CITY OF Mri EE nl BUILDIfu;; AND FETY DEPARI IV ENT 1T Pt!�N APPROVAL 1 1 REVIEWED BY �- ' DATE *Appro4ddmjpWshal1 not beco tap ipipllltb►,oran approval iA aeptioM m of any provisions of t billil 1,WEe or city regulations and ordinances. This set of approved plans must be kept on the lhsite until completion.