PMT16-02815 City of Menifee Permit No.: PMT16-02816
29714 HALIN RD.
<ACCIELA" MENIFEE,CA 92586 Type: Pool/Spa-Residential
MENIFEE Date Issued: 0812612016
P E R M I T
SiteAddress: 28818 DAKOTA HILLS CIR, MENIFEE, CA Parcel Number: 372-440-012
92585 Construction Cost: $30,000.00
Existing Use: Proposed Use:
Description of INGROLIND POOL&SPA 684 SQ FT.3'X 20 L FT CITY STANDARD RETAINING WALL
Work:
Owner Contractor
ALVIN&VAINO JENKINS
28818 DAKOTA HILLS CIR
MENIFEE,CA 92585
Applicant License Number:
ALVIN&VAINO JENKINS
28818 DAKOTA HILLS CIR
MENIFEE, CA 925B5
Phone:9512643946
Fee Description Ply. Amount($)
Swimming Poolifin-Ground Spa 1 467.00
Building Permit Issuance 1 27.00
Wall/Fence,standard 1 83.00
GREEN FEE 1 2.00
SMIP RESIDENTIAL 1 4.00
General Plan Maintenance Fee-Building 4.15
General Plan Maintenance Fee-Electrical 23.35
$610.50
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 buillding 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.
AABIdg2ermit-Template.ript Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or Improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to th a Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and pelam exempt fro c sure,n Contractor's State LicenseHw for
the following reason:c4 A
Professions Code and my license is in full force and effect. oln M -\ 6
License Class License No. By my signature below I acknowledge that,exoept for my personal residence
Expires_Signature in which I in ust 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 a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for woTkees 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 s bmitted or at the following websifte:
by Section 3700 of the Labor Code,for the performance of work for which I * f calaw.1 1.
this permit is issued. wAe mro.ca.
Policy# A-) Date
R,
I.,
- T
ci I have and will maintain worker's compensation insurance,as required by PROPERTY OWNE R AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which By my signatu low I certify to each of the following:I am the property
7N, t
this permit Is issued.My worker's compensation insurance carrier and policy owner or autholied to act an the property ownees behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
Carrier building construction.I authorize representatives of this city or county to
Policy# Expires enter the above id spection purpose,s.
(This section need not to be completed is the permit is for one-bundred Date
dollars($100)or less PROPERTY OWNERC)UTHORIZED AGENT
a I certify that in the performance of the work for which this permit Is issued,
I shall not emol any persons in any manner so as to become subject to the CITY BUSI #
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 37GO of the Labor
Code,I shall forthwith comply with those Provisions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
Applicant Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS oYes oNo
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 forguldelines
CONSTRUC11ON LENDING AGENCY ci Yes a 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) ci Yes a No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from the California Health&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 nextto the applicable item(s)(Section 7031.5 ciYes o No
Business and Professions Code).Any city or county that requires a permit to Date
construct,a Iter,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(RRPl
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
a nd the basis for the a Ileged 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 pena Ity of not more required practices.This includes renta I property owners and property
than($500). managerswho do the paint-disturbing work themselves or through their
n 1,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( I all of or( I portion of the work,and the structure is www.epa.goyllead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800424-LEAD(5323).
Code;The Contractoes State License Law does not apply to an owner of a a An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employeee 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. a No EPA Lead-Safe Certified Firm Is required for this project because:
ci 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 pmject does not comply with EPA RRP rule please fill out the RRP
Acknowledgement
"Menifee
DATE PERMIT/PLAN CHECK NUMBER Ffl-f 1(0- 0 9,91
TYPE: OCOMMERCIAL * RESIDENTIAL CMULTI-FAMILY OMOBILEHOME * POOL/SPA OSIGN
SUBTYPE: OADDITION OALTERATION ODEMOLITION O- ELECTRICAL OMECHANICAL
ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK _-ZA;d�rvA4d P011
PROJEcTADDRESS 2,PY1F e!!�JOZ�z- /7-/r///5 tf5;�,f
ASSESSOR'S PARCEL NUMBER LOT TRACT
-�7
OWNER NAME
ADDRESS .2.P.Ple
PHONE r;�jV�) .4(/- EMAIL
APPLICANT NAME IMIWAJ
ADDRESS
PHONE EMAIL 46;vl��;vs_ 11L�vr�V J(;P yl,416. Llo/vt
CONTRACTOR'S NAME OWNER BUILDER? *YES 0 NO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$_2D,60D.Ign 694 L SO FT
APPLICANT'S SIGNATURE
A ,sk ,
DEPARTMENT DISTRIBUTION to "F MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN] SMIPIZPTCIT
INVOICE ��I PAIDAMOUNT
LANT0 CASH 0 CHECK# OCREDITCARD VISA/MC
MOU
PLAN CHECK FEES PAIDAMOUNT 0 CASH 0 CHECK# OCREDITCARD VISA/MC
OWNER 13UILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92596 951-672-6771
www.cityofmcnifee.us Inspection Request Line 951-246-6213
TYPEI: 6" TOE 1?�'Cik5 '0 TYPE 2: 6" HE L f
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— #4 HORIZ ATTOP COURSE #4 HORIZ ATTOP COURSE
—#4 HO.�ONTA-REBAR AT 24"ON CENTER —#4 HORIZ AT 24"ON CENTER
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GRADE [m
M—Imalffn
T---f X-BARS
T
mi. -Z 16'
BUI D MENT � li,
P - — VA "K" 131-*4 2 441 "KI", 7,9ARS
Z-BARS- HORIZONTAL
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REVIEWE�Dlf DATL
TYPE 1: 6" TOE
X BARS Y BARS ZBARS I.K"
PPmv4x4&0nSSt Ofarm"W"KI IDTH) (KEY DEPTH)
ar proval olf any Mation a P nrAi=*kivjnq?)f wf@dad, �ordtv 69-- #4 @ 16" N4 32" #4 @ 11" 301,
SLO VING GRADE 4--1"I f5 MIR 4 #4 @ 16" N4 16" 04 12"
Q101WimanCeS ;�O 25..
re;ulatimipt —Tj�� FjOVI dPIdIAA!HJ5t Aeptaigoit: #4 @ 32" 94 @ 2" 94 32" 11..
jusite ung:W*tim. Up to 3--0" MIR iso 04 @ 32" #4 @ 32" #4 32" 1..
5 1 to 6.-o.. 24" 41" *4 @ 24- #4 @ 32" 04 24" 1.,
LEVEL GRADE 4 1 to 5..0.. MIR 361. #4 @ 24" #4 @ 24" #4 @ 24" 7"
AT TOP OF WALL 3 MIR 24- �j 2 2� 1 !� 1 �4 @ 3� I'R 1
�4 a 32
�P- MIR 21" 4
TYPE 2: 6" HEEL
GRADE -14" l.. X BARS Y BARS ZBARS -K--
CONDITION (WALL HEIGHT) (12"BLOCK) (FOOTING WIDTH) (KEY DEPTH)
5'�I"to .-1.. 14" 391, #4 @ 16" 94 @ 32" #4 @ 12-� 21"
SLOPING GRADE 4--1" to skm On MIR 29'k_ 94 @ 16" 94 @ Is" 94 @ 12" 22"
AT TOP OF WALL 3--1"to 4--0" MIR 2� #4 32" #4 32" #4 @ 32" i sv�
(2:1 M A X) Up to 3'.0" MIR tan 94 32" #4 32" #4 @ 32" 1..
5-I"to S.-0.1 24" l3k- 04 @ 24" 94 @ 32" 94 @ 24' 18..
LEVEL GRADE 4--l"lo 5m=Omm MIR 26--� #4 0 24" 94 24" #4 @ 24" 13"
AT TOP OF WALL 1 10 4 0 MIR 311" 11 ;3� 04
3;2��
;;7 R
MIR �F 32
P to 3. , 1 2; 14
MIR NOT REQUIRED
*SEEPAGE 2 FOR ADDMONAL INFORMATION' WB:gm�RrvEntsiDE CouNTY Com UNiFoRmrrY PRoGRAm
CITY OF MENIFEE
DISCLAIMER: BUILDINGDEPARTMENT
ALTERNATE RETAINING WALL DESIGNS MAY ENIFE
BE POSSIBLE WHEN PROVIDED WITH AN
ENGINEERED ANALYSIS. USE OF THIS RETAINING WALLS
STANDARD DESIGN IS AT THE USER'S RISK
AND CARRIES NO IMPLIED OR INFERRED
GUARANTEE AGAINST FAILURE OR DEFECTS. 0951)6-72-6777 29714 HALIN ROAD,MENIFEE,CA 92586
1 FAx(951)679-3843 Z/�/2014 1 V/VVVV.CTfYOFMENIFEE.US I PAGE I OF 2
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AUG
Received
41
POOL
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paA
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corgormanm et*
Todd L.Lacher,R.C.E.67666
Pool Enginw- In
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W&5 e plan. 6 P,
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?A/JTL,
CITY OF MENIFEE
BUILDING AND SAF
PLAN APPROVAL
;2—P 616-1A,
IJA, �,LL 112.