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PMT16-02988 Cfty of Menifee Permit No. PMT16-02988 29714 HAUN RD. Type: Pool/Spa-Residential <A-CCELA.' MEN]FEE,CA 92586 MENIFEE Date Issued: 09/0812016 P E R M I T Site Address: 30272 RUSTLER WAY, MENIFEE, CA Parcel Number: 358-510-004 92584 Construction Cost: $44,600.00 Existing Use: Proposed Use: Description of INGROUND POOL&SPA,440 SF,WITH 50'U/G GAS LINE FOR FUTURE BBQ Work: Owner Contractor RICHARD&JULIE PICONKE CAL/PACIFIC POOLS&SPAS INC 30272 RUSTLER WAY 17130 VAN BUREN BLVD STE 47 MENIFEE, CA 92584 RIVERSIDE, CA 92504 Applicant Phone: 9517762002 GARY SOPER License Number.652876 CAL/PACIFIC POOLS&SPAS INC 17130 VAN BUREN BLVD STE 47 RIVERSIDE, CA 92504 Fee Description City Amount f$ 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 6.00 General Plan Maintenance Fee-Building 1 5.80 $623.80 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_BIdg_PennuLTernpIate.rpt 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 the Contractors State License Law). Chapterg(commencing with section 7000)of Division 3 of the Business and o 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: UcenseClass_ Cr-) UcenseNo. 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 I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by n I hereby affirm under pena ItV 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 workees 7044 of the Business and Professions Code,is available upon request when com pensation,issued by the Director of Industria I Relations as provided for this applicat! issubmitte o the following website: by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. www.!g�alaw.ht Policy# PR )PERTY OWI49'OR AU )6h ve and will maintain worker's compensation Insurance,as required by _____9 )eT.w 1 ce�R"ED AGENT )e ow I certify to each of the following:I am the property section 3700 of the Labor Code,for the performance of the work for which this permit is issued.My workees compensation insurance carrier and policy owner or authorized to act an the property owner's behalf.I have read this num her 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 -rl" building construction.I authorize representatives of this city or county to enter the above identified property for inspection purposes. Policy# Expires. -?—/ (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWN ER OR AUTHORIZED AGENT o I certify that in the performance of the work for which this permit is issued, Ishallnotemplo any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If workees compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the wodMescompensation provisions of Section 3700 of the Labor Code,'sh 11 provurons. Will the applicant or future building occupant handle hazardous material or a �,—&7!!�� mixture containing a hazardous material equal to or greater that the Applicant Date "cified on the Hazardous Materials Information Guide? amoun WARNING:F VIRE TO SECURE WORKER'S COMPENSATION COVERAGE IS Dyes 0 DS� UNLAWFUL, D$HALL 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 Ma nagement District(SCAQM D)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guld�ijes CONSTRUCTION LENDING AGENCY a Yes rb I hereby affirm that under the penalty of perjury there Is a construction Will the proposed building or mod ified 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) 0yes OWNER BUILDER DECLARATIONS I have rYd the Hazardous Material Information Guide and the SCAQMD pPrmP ecklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exam pt from the California Health&�e , ection 25505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hazardo erial report checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 uYes 5:;% 6 16 Business and Professions Code).Any city or county that requires a permit to �r� Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER.O�RIZED 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 IIRRP) 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 exem ption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and com ply with an Applicant for a permit subjects the applica nt to a civil pena Ity of not more required practices.This includes renta I property owners and property than($500). managers who do the paint-disturbing work themselves or through their o 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( )all of or( )portion of the work,and the structure is www.epa.goy/lead or contact the National Lead Inforniation Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code,The Contractoes State License Law does not apply to an owner of a u 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 pmject because: a 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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE 09/08/2016 PERMIT/PLAN CHECK NUMBER TYPE: El COMMERCIAL RESIDENTIAL [-]MULTI-FAMILY EIMOBILEHOME FZ]POOL/SPA EISIGN SUBTYPE: F]ADDITION []ALTERATION []DEMOLITION F]ELEcrRiCAL []MECHANICAL ONEWEIPLUMBING [:1 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 44OSq FtGunite Pool and Spa Lk) 50' C1 r-las f,&t&MA-R PROJECTADDRESS 30272RustlerWay 0615BL4 ASSESSOR'S PARCEL NUMBER 358-510-004 LOT 27 citylIRAWnUft — 3,-,iOng & Safety Bept. PROPERTY OWNER'S NAME Richard and Julie Piconke ADDRESS 30272RustlerWay SEP a 8 2016 PHONE (951)522-1516 EMAIL e In,P i ve d APPLICANT NAME Pacific Pools and Patios ADDRESS 17024 Van Buren Blvd Ste C Riverside Ca 92504 PHONE (951)776-2002 EMAIL CONTRACTOR'S NAME PacificPools and Patios OWNERBUILDER? OYESZNO BUSINESSNAME Pacific Pools and Patios ADDRESS 17024 Van Buren Blvd Ste C Riverside Ca 92504 PHONE (951)776-2002 EMAIL CONTRACTOR'S STATE LIC NUMBER 652876 LICENSE CLASSIFICATION C53 VALUATION$ $44,600.00 SO FT 440 L SQ FT APPLICANT'S SIGNATURE DATE -A DEPARTMENT DISTRIBUTION OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE I AMOUNT UaS- PAIDAMOUNT 0 CASH 0 CHEOK# OCREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0 CASH 0 CHECK# OCREDITCARD VISA/MC [OWNER BUILDER VERIFIED 0 YES 0 No CIL NUMBER NOTARIZED LETTER 0 YES C NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofmenifee.us Inspection Request Line 951-246-6213 JERRY PROVANSAL 1339 SAVANNAH LANE CAPLSBAD,CA92011 CELL:760.212.5685 E-MAiL:JJPROVANSAL@AOL.COM September 1, 2016 city of Menifee Building & Safety Dept. Audie Murphy Ranch HOA SEP 0 8 2016 Design Review—30272 Rustler Way—Pool , spa and decking only Received Approved with the following conditions- • The Owner will provide adequate drainage from the rear of the lot to the street while meeting all local codes. • Any new trees will be planted at least 10 feet apart and 3 feet from any fence line. • All bare soil will be covered with mulch,plantings or bardscape to control erosion from wind and water. • No changes will be made to any existing walls or fencing. • The Owner is solely responsible to monitor and control any noise issues that may arise from the use of the pool or pool equipment. JerTy Provansal Design Reviewer Pacific pools and Patios (E)5'6-H VINYL 6 PLANTERAREA FENCE @ PIL L (2)12"SHEER ALL DECKING,MASONRY,STEPS.DRAINS, DESCENTINATER MASTIC,AND EQUIPOTENTIAL DECK BONDING, PLANTERAREA FEATURES BY OWNER 26'5" 6-DEEP 0. 3 'DEEP 15-6"- PLANTER AREA SPA RAISED 12"WITH STACKEDSTONE EXTERIOR PLANTER AREA (N)CONCRETE DECKING (N)CONCRETE STEP STONES _D_D - --------------- ........... ........ FQIA-P� (E)CONCRETE PAD PLANTER AREA ............... D REMOTE PAD .............