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PMT16-02516 City of Menifee Permit No.: PMT16-02516 29714 HAUN RD. �ACCELI? MENIFEE,CA 92586 Type: Pool/Spa-Residential MENIFEE Date Issued: 08/04/2016 PERMIT Site Address: 27021 HALF MOON BAY DR, MENIFEE, Parcel Number: 333- 41-004 CA 92585 Construction Cost: $27,882.00 Existing Use: Proposed Use: Description of INGROUND POOL ONLY, 596 SF,WITH 63' U/G GAS LINE TO 2 FIREBOWLS AND FIRE PIT,WITH Work: STUB FOR FUTURE POOL HEATER Owner Contractor PAUL&CRISSY MIRABELLA PAUL BOGNER POOLS 27021 HALF MOON BAY DRIVE 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 O0t Amount 1$1 Swimming Pool/In-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 Inspections not specified 116 116.00 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Building 1 5.80 General Plan Maintenance Fee-Electrical 1 23.35 $645.15 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. 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 contrector(s)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 lass ��3 License No. By my signature below I acknowledge that,except for my personal residence Expires/D-�/ti 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 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 fallowing 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 Cade,for the performance of work for which www.Ieeinfo.ca.esy/calaw.htm1. this permit is issued. Policy It Date ave and will maintain workers 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 l 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:f rr application and the information I have provided is coffecL I agree to comply Carrier Sher.rlr.� with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy g9,t�14e2CJ/S Expires �_'i��0 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 ❑I certify that in the performance of the work for which this permit is issued, OO�� 7Q�C� I shall not employ any persons in any manner so as to became subject to the CITY BUSINESS LICENSE M 07 77✓ Q 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 co I with se provisions. Will the applicant or future building occupant handle hazardous material or a q / mixture containing a hazardous material equal to or greater that the Applicantl� Date ✓ 37 amounts specified an the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKE 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 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 guidelines CONSTRUCTION LENDING AGENCY DYes )fNo 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 �'No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist 1 understand my requirements under the State of California Health al Safety Code,Section 25505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5Bus DYe construct, and Professions Code).Any or rep r county that requires to its permit to R-v _12 Date construct,alter,improve,demolish or repair any structure,signets 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 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 sale 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 ❑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 1,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. (CA /l ll V..9F M1LNllll'1L E PLCK No: Permit No: 29714 Haun Road of Menifee Menifee, CA 92586 3uild'ing & Safety DePIMP - Pate: Date: Phone: (951)672-6777 AUG p 4 2,,B Amount: Amount: Fax:(951)679-3843 Ck#: Ck#: Building Combination Permif eCeeve `Tr S To Be Completed By Applicant Legal Description. Planning Case: F: L: Rt: R P,�-7 02 Address,.�al f- M DO n Ass sor's Pa`fell Nu r:l Project/Tenant Name:n I11 Crl S � Ir Unit fit: '1 Floor#: aw 4 Name:O I—I S I t_ I orte No. 0- 14y I Ci Fax No. Property d 1� PJ Unit Nlumber b Cod Owner b21 bo-, moon get., D-r' . s� Email Address: Mn I ..ns�ne S5L(3 a Nn.l��Fs '7R3 Applicant ! ^ ��r,� Unit Number Zip Col o � Email Address: fl.t 1 l..t 1 I'� (i� "(cjeas-0 e: L nu Poo I S ATVAg ssu 'T 'T tR� 7%39 Contractor qsJJ; !gn -EesC ` 9 \/ leyvwrsic�r, o Cor6a otBusiness License No. Zip-¢jyd�� Con)[ay�o ' 'y$t of California License No. Classification: Number of Squares: Square Footage 459 / _ S' Description of Work: l„ .�l.P , 1 L� Po U l � n fC o I i r Cost of Work:$)� Q g 2 Applicant's Signature 'W 1 4N Date: O To.Be Completed By City Staff Only Indicate As R-Received or N/A-Nat 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 B`A x 11) ❑ Foundation Plan ❑ Cross Section ❑ Structural Calculations ❑ 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' Retrofit* Revision to Existing Pefmif 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 if Indicate allNGeo-tech. Haz.Zone Indicate YES or NOAt Project Construction prinklered that apply: Coastal Zone Completion: Type(s); C of o Noise Zone Re uired7 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 I Elec.Vehicle Chargerl Landmark Seismic Retrofit special case:Bldg. Official Approval Expedite Project(s): Child Cafe City Project Green Building Landmark Affordable Housing For Staff Use Only Building/Safety I Permit Specialist City Planning Civil Engineering EPWM-Admin Transpodation Mgml. Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY .•... _� i Y 146.72' ' Y Imo_ a 30"I.D. GAS FIRE PIT 43 w GAS FIRE BOWL Dy_11" 0. :� • ;> GAS FIRE BOWL EX 4 J-BOX FOR 1 POOL LIGHT STUB GAS LINE FOR FUTURE HEAL EX 5' BLOCK EMOVE EX BLOCK FOR ACCESS OWNER TO REBUILD AND DISPOSE .r 2" PEC GAS LINE (IRON IN GARAGE