PMT16-03226 City of Menifee Permit No.: PMT16-03226
29714 HAUN RD. Type: Pool/Spa-Residential
<ACCEL:A—> MENIFEE,CA 92586
MENIFEE Date Issued: 09/3012016
P E R M I T
Site Address: 31589 TRAMORE CIR, MENIFEE, CA Parcel Number: 358-234-015
92584 Construction Cost: $30,000.00
Existing Use: Proposed Use:
Description of POOL&SPA 400 SQ FT,495 SCI FT ALUMAWOOD PATIO COVER WIELECTRICAL 1 FAN,2
Work: POSTILIGHTS, GAS/ELECTRIC LINE FOR BBQ& FIREPIT
Owner Contractor
JAMES KIRK A CUT ABOVE CONSTRUCTION POOLS&
31589 TRAMORE CIR LANDSCAPEINC
MENIFEE,CA 92584 26025 NEWPORT ROAD#A533
Applicant Phone:8007007754
CHRIS YOUNG License Number:672202
A CUT ABOVE CONSTRUCTION POOLS&LANDSCAPE INC
26025 NEWPORT ROAD#A533
MENIFEE,CA 92584
Fee Description PA Amount
Receptacle, Switch, Outlet&Fixture 3 126.00
Swimming Pool/In-Ground Spa 1 467.00
Plumbing Fixtures and Vents,Wures 1 116.00
Building Permit Issuance 1 27.00
Deck/Patio, non-standard 1 133.00
GREEN FEE 1 2.00
SMIP RESIDENTIAL 1 4.00
General Plan Maintenance Fee-Building 1 6.65
General Plan Maintenance Fee-Electrical 1 29.65
$911.30
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 builicling 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.B1dg_Pennit—TernpIate.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 contrador(s)pursuant to th e Contractors State Ucense Law).
Chapter9(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 form aftd-effect. the following mason;
n—Q, - cyl-\--
License Clast %-, /e"N o . V signature below I acknowledge that,except for my personal residence
Expii In which I m 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
WOE '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
this permit is issued. www.leginfo.ca.goy/calaw.litmi.
Policy# Date
ci I 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 a 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 ownees behalfi 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 identified property for Inspection purposes.
(This section need not to be completed is the permitL forime-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
ci I certify that in the performance of the work for which this permit is issued,
I sha 11 not employ a ny persons in any ma nner so as to become subject to the CITY BUSINESS LICENSE# 0.5 to 09
wor r's cc p V sationi s of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
so to hew k 5 an aIW provisions of Section 3700 of the Labor
Co 15 all fo ith c p provisions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
Ap Date amounts specified on the Hazardous Materials Information Guide?
WARNI -FAIL SE URE WORKE S COMPENSATION COVERAGE IS 0yes 0
UNLAWFUL,AN HALLS JECTANE LOYER TO CRIMINAL PENALTIES Will the 7inded use of the building by the applicant arfuture building
AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS($100,001)),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 o Yes 9-110
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) o Yes �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 C lifor if'"Itil& de,Section 25505 and 25534 concerning
Contractor's License Law for the reason1s)indicated below by the li:r�'odr 1. 1!
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 7us in ei �=epor-tf g
Businessand Professions Code).Any city oi county that requires a permitto FC 7,W Date9c�,o—/6
construct,alter,improve,demolish or repair any structure,prior to its PRISURTY OWNER15F AGEN
issuance,also requires the applicant for the permit to file a signed statement �,"R EDAGEN
that he or she is licensed pursuant to the provisions of the Contractor's State EPARENOVATION.11 AIRAND AINTING(RRP)
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Anir an inting(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 perm it subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($500)o managers who do the paint-disturbing work themselves or through their
n 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA�s Renovation Program visit:
compensation,will do( I all of or( )portion of the work,and the structure Is www.epa.gov/fead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees!or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.;
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. n No EPA Lead-Safe Cerrified Firm is required for this pmject became:
o 1,as owner of the property am exclusively contracting With licensed
contractors to construct the project(Section 7044,Business a nd Professions
Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
.- Menifee
DATE PERMIT/PLAN CHECK NUMBER
TYPE: 0 COMMERCIAL POESIDENTIAL 0MULTI-FAMILY OMOBILEHOME j<'POOL/SPA OSIGN
SUBTYPE: CADDITION OALTERATION ODEMOUTION OELECTRICAL OMECHANICAL
0 NEW 0 PLUMBING 0 RE-ROOF-NUMBER OF SQUARES_
�p
DESCIRIPTIOP OF WORK &&—,
-$Ok - �2- P(k-
PROJECTADDRESS
ASSESSOR'S PARCEL NUMBER 7,)IF59-Q-!�+015 LOT TRACT a9(42BAP
OWNERNAME 4g,(L
ADDRESS -Tk",Gvtv OL—
PHONE —1 EMAIL
APPLICANT NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME OWNERBUILDER? OYESONO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION $5 sQ Fr L SQ FT
APPLICANT'S SIGNATURE DATE
rcITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION Cal SMIP 14pl NIFEL HU51NESS LILENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE FGREEN
INVOICE I PAIDAMOUNT 0 CAS
AMOUNT I H OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# 0 CREDIT CARD VISAIMC
OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&5afety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6777
wwLv.cityofmenifee.Lis inspection Request Line 951-246-6213