PMT16-03445 City of Menifee Permit No.: PMT16-03445
< -6CEL- 29714 HAUN RD.
A- A--" MENIFEE, CA 92586 Type: Pool/Spa-Residential
MENIFEE Date Issued: 10120/2016
P E R M I T
Site Address: 29819 E LAKE CT, MENIFEE, CA 92586 Parcel Number: 338-343-018
Construction Cost: $45,000.00
Existing Use: Proposed Use:
Description of INGROUND POOL&SPA WITH GROTTO,430 SF
Work:
Owner Contractor
KELLY CRAWFORD QUALITY CUSTOM POOLS INC
29819 EAST LAKE COURT 30138 MARNE WAY
MENIFEE,CA 92586 MENIFEE, CA 92584
Applicant Phone:9516799732
JIM BARRETT License Number 795820
QUALITY CUSTOM POOLS INC
30138 MARNE WAY
MENIFEE, CA 92584
Fee Description QtV Amount is)
Swimming Pool/In-Ground Spa 1 467.00
Building Permit Issuance 1 27.00
GREEN FEE 1 2.00
SMIP RESIDENTIAL 1 6.00
General Plan Maintenance Fee-Electrical 1 23.35
$526.35
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_Perrnit-Ternplate.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).
Chapter!)(commeneing with section 7000)of Division 3 of the Business and o I am exempt from licensure underthe Contractoes State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class "I'll By my signature below I acknowledge that except for my personal residence
6_0t:> License No.
Expires I Signature '�� / — inwhich I must have resided for at least one year prior to completion of
er—_� improvements covered bythispermit.I cannot legally sell a structurethat I
WORKEWS 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.leginfo.ca.gov/calaw.htmi.
this permit is issued.
Date
Policy# PROPERTY OWNER OR AUTHORIZED AGENT
ci I have and will maintain worker's compensation insurance,as required by
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 owner's behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
Carrier with all applicable city and county ordinances and state laws relating to
building construction.I auth 'e representatives of this city or county to
Policy 9f::R &:�5 1HV_Expires Z�/_' entertheabove identifiecip cips for inspection purposes.
(This section need not to be completed is the permit is for one-hundred E�Date L(��):s
dollars($100)or less OPER :�NE�R �A�UrTIED AGFNT
o I certify that in the performance of the work for which this permit is issued, 2��LIC it
Ishallnotemplo any persons in any manner so as to become subject to the CITY BUSINES LICENSE#
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 fort wip wit th s rovisions. Will the applicant or future building occupant handle hazardous material or a
I mixture containing a hazardous material equal to or greater that the
WAppllcan�t7l_"7 7� Date amounts specified on the Hazardous Materials Information Guide7
A'R :FAILWU;RE KER'S COMPENSATION COVERAGE IS o Yes u No
UNLAWFUL,AND ILL SUBJECT AN EMPLOYER TO CRIMINAL PENALFIES 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
CONSTRUCTION LENDING AGEN oyes ONO
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) a Yes u 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 next to the applicable item(s)(Section 7031.5 aYes
Business and Professions Code).Any city or county that requires a permit to _)��
construct,alter,Improve,demolish or repair any structure,prior to its -ilk'_ —Date 7
:��OPER )�VN��TH di AGENT
issuance,also requires the applicant for the permit to file a signed staterneril' r Op�
P
that he or she is licensed pursuant to the provisions of the Contractor's State PARENOVAI-60 ,REPAIR AND PAINTING(RRPI
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 pena Ity of not mom required practices.This includes rental 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( I all of or I 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 1-800-424-LEAD(5323).
Code;The Contractor's State License Law does not applyto an owner of a 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:
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 project does not comply with EPA RAP rule please fill out the RRP
Acknowledgement.
CITY OF MENIFEE PLCK No: Permit No:
(::iy of Menifee 11..R -0-11,,L Ms
29714 Haun Road 13UII-�,ing & Safety Dep Pate: Date:
Menifee, CA 92586
Phone: (951)672-6777 �)CT 2 0 2016 Amount: Amount:
��5 --2�
Fax:(951)679-3843 Ck#: Ck#:
Received
Building Combination Permit
To Be CompleW By Applicant
Legal Description: Planning Case: F: L Rt R
Property Address: Assessor's Parcel Number.
'ag,�e 3a;lA - -,514 0 1 F,
Project/Tenant Name: I Unit#: I Floor#."
Name: ne No. Fax No.
,V*,- U 4 1 P9 9-1S,;3;S -U�j I
Property Address: Unit Number Zip Cocj!�e
Owner /Q ic�47 Ig --ep,
Email Address:
Name'. 1p��e No. Fax=No
Applicant Address: Unit Number Zip Code
Email Address:
Name, Phone No. Fa
Dl,� ,�4 /!�4-1:1 �i-7 -9 Z-21 -W`22-1
Contractor Address: CIN� I Zip C
State
--z4\ C-i 7vt;,
Qontractor's City uusine.,�Litinse No. Cirmtractor's City State of California License No. Classification,-p
4 Squares--
Square Footage --7'
Description of Work: Cost of Work*$
Applicanfs Signature Date:
To Be Completed By City Staff Only
Indicate As R-Received or NIA-Not Applicable
5 Completes sets,.Tr.11y—d----sioned,drawn to sale plans which include: 1 set of documents which include
[] Ttle Sheet 0 Elevations Electrical Plan Geo Tech/Soils Report(on cd only)
I-I Plot/Site Plan 0 Roof Plan Mechanical Plan Title24 Energy(on 8%x11)
Structural Calculations
El Foundation Plan El Cross Section Plumbing Plan Single Line diagram for else.services over-400 AMP
0 Floor Plan [I Structural Framing Plan&Details Shoring Plan Sound Report-Residential
Class Code: Indicate New Construction Alteration* Addition* Means/Methods
Work Type Repair- Retrofir ReWon to ExIdng Pitartir Required? YES NO
I H El H
Proposed Building Use(s): I Existing Building Use(s):
#Buildings: #Units: #Stori a: I ill the Building Have a Basement? Y of N
Bldg.Code Occupancy Group Indicate Indicate if Indicate all ��Geo-tectu Haz.Zone
At Project Cc sirclion Sprinklered YES or NO
Completion: n I that apply. ----�Coastal Zone
Type(s): Cofq Noise Zone
lRe ? YES or NO 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 Elec.Vehicle Chargerl Landmark Seismic Retrofit I Special case:oidg.
Official Approval
Expedite Project(s): Child Care City Project Green Building I I Landmarkl I Affordable Housing
For Staff Use Only
Building/Safety I Permit bpeciali5t I L;ity Flanning I C,=11Eog`maRng + �PWM-Aclmm I I ransportation Milml. R
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
pla
pla
9 Spa r4l
ArtRock
+12" Boulders
Spa Cascade
6'h Grotto
Cocktail Table
Reaf Step
Grass Area 0 pla
'k I
of M gin fa
I & SaWy Dept.
New Concrete Aturna Cover
10'x12'Solid 2 ) 2016
Color to Me-,,
Trftn on the House
e Ned
D 0 0
kliz"
Existing Concrete Aluma Cover
15'x42'Solid
Color to Match
Trim an the House C
V
Ono
000
Crawford Residence
29819 East Lake Ct.
Menifee, Ca 92586
951-533-4946
CITY OF M IFEE
BUILD G AND SAFETY DEPARTMENT
APPROVAL
REVIE BY
all not be coni 10 lie a permit for,or an
f i
plans t
110
"ApPTOVal,cif th "I e p provisions Of t il. 'state city
W
eS
approval of,afff Ocilai of t of approy, I I lai mo be kept on the
lhl$
regulations and ordinances. Ibis t of appro
jobsite until completion.