PMT16-03668 City of Menifee Permit No.: PMT16-03668
29714 HAUN RD.
'�A—CC*!CA—> MENIFEE, CA 92586 Type: Pool/Spa-Residential
MENIFEE Date Issued: 11/10/2016
P E R M I T
Site Address: 29206 LIDO BAY DR, MENIFEE, CA Pamel Number: 333-451-035
92585 Construction Cost: $32,000.00
Existing Use: Proposed Use:
Description of INGROUND POOL AND SPA,420 SF,WITH U/G GAS FOR FUTURE BBQ AND FIRE PIT
Work:
Owner Contractor
ERIC HANNUM S C POOLS&LANDSCAPES INC
29206 LIDO BAY DRIVE 33975 SIDNEY CIRCLE
WINCHESTER, CA 92596
Applicant Phone: 9517572644
STEVE CURRIE License Number:758701
S C POOLS& LANDSCAPES INC
33975 SIDNEY CIRCLE
WINCHESTER, CA 92596
Fee Description Qtv Amount
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 5.00
General Plan Maintenance Fee-Electrical 1 23.35
$640.36
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 pe"it 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_PerrniLTempla1e.rpt Page 1 of I
CITY OF VIENIFEE
LICENSED DECLARKTION 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 ocintractor(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:
License License No. By my signature below I acknowledge that,except for my Personal residence
Expiresl v�aSlgn.t.`re 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
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 Profesisions 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/ca law.htm 1.
Policy# Date
o 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 o 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
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 purposets.
(This section need not to be completed is the perm it is for onAundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued,
I shall not em ploy any persons in any ma n ner so as to becom e su blect to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the warker's coal, ensati n ovisions of Sectiim PulD of the Labor
'0 'r
cirrp�e
Code,MI,.�bwft .p th. Will the applicant or future building occupant handle hazardous materialora
ki mixture containing a hazardous material equal to or greater that the
App nt amounti�peciflecl an the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION C�WR`APE'IS o Yes ci No
UNLAWFUL,AND SHALLSUBJECTAN EMPLOYER TO CRIMINAL PENALTIES Will the Intended use of the building bythe applicantor future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast A�r Quality Management District(SCAQMD)7 See permitting checklist
for guldeNpes
CONSTRUCTION LENDING AGENCY 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 bo�ndary of a school?
(Section 3097 Civil Code) uYes oNo
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
checkmark(s)I have placed next to the applicable ftem(s)(Section 7031.5 %wzardous material reporting.
Business and Professions Code).Any city or county that requires a permit to a as ci No Date
construct,alter,improve,demolish or repairany structure,priorto its PROPERTYOWNER OR AUTHORIZED AGENT
Issuance,also requires the applicantforthe permittofile a signed statement
that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING JRRP1
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 ficensure 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
than($500). required practices.This includes rental property owners and property
managers who do the paint-disturbing work themselves or through their
u 1,as owner of the propieft 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.gov/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
o An EPA Lead-Safe Certified Renovatorwill be responsible forthis 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. c No EPA Lead-Safe Certified Firm is required forthis 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.
& SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE Q PERMIT/PLAN CHECK NUMBER AOMLO
TYPE: OCO�MERCIAL O— RESIDENTIAL OMULTI-FAMILY OMOBILEHOME -- POOL/SPA OSIGN
SUBTYPE: OADDITION 0ALTERATION ODEMOLITION OELECTRICAL OMECHANICAL
CNEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES—
DESCRIPTION OF WORK -'�- S� ^ *11o,
city 01 sl;j��jDepl
pwilding &
PROJECTADDRESS Q'9 kc> ue�' I B
ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNER NAME G:IK� C�
ADDRESS
ONE S31 —1 GG 3 EMAIL
APPLICANT NAME
ADDRESS
PHONE EMAIL
CONTRACTOWS NAME OWNERBUILDER? 0YES'9kvO
BUSINESS NAMESC— PboLs 4- LAjvessr,ApF,:S
ADDRESS
PHONE 6� '5\--) 5--) EMAILC�T%we G�S� Rac'L--� Rf ��
CONTRACrOR'S STATE LIC NUMBER LICENSE CLASSIFICATION C —S
VALUATION$ bc> SQFT LS FT
DATE
APPLICANT'S SIGNATURE
&J'� — -
UTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN CD SMIP
INVOICE
AMOUNT jUQt),,15S rPAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
P
PLAN CHECK FEES PAIDAMOUNT 0 CASH 0 CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES 0 NO DLNUMBER NOTARIZED LETTER 0 YES 0 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
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REVIEW