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PMT17-00391 City of Menifee Permit No.: PMT17-00391 29714 HAUN RD. Type: Pool/Spa -Residential <A-CCELj�>. MEN IFEE, CA 92586 0-9 V e` MENIFEE Date Issued: 02/10/2017 PERMIT Site Address: 26808 ELK CREEK CT, MENIFEE, CA Parcel Number: 338-343-027 92586 Construction Cost: $35,000.00 Existing Use: Proposed Use: Description of INGROUND 466 SQ FT GUNITE POOL&SPA Work: Owner Contractor DOMINIQUE CASTILLO QUALITY CUSTOM POOLS INC 26808 ELK CREEK CT 30138 MARNE WAY MENIFEE,CA 92586 - MENIFEE,CA 92584 Applicant Phone:9516799732 HANNAH BARRETT License Number:795820 QUALITY CUSTOM POOLS INC 30138 MARNE WAY MENIFEE,CA 92584 Fee Description Owl Amount Swimming Pool/In-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 GREEN FEE 1 2,00 SMIP RESIDENTIAL 1 5.00 General Plan Maintenance Fee-Electrical 1 23.35 $524.35 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_Pemit_Templatespi Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects 1 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!)(commencing with section 7000)of Division 3 of the Business and D I am exempt from licensure underthe Contractor's State License Law for Professions Code and my license is In full force and effect. the following reason: License Classes CSb-lb License No. -act S%t_n 6 m signature below I acknowledge exceptform y y g gy personal residence Expires l\�U i 11 Signatu4 112, 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 ❑I hereby affirm under penalty of perjury one of the fallowing 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.leginfic.ca.goy/calaw.litmi. is submitted this permit is issued. Policy# Date 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 Qatay my signature below I certify to each of the following:I am the property this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.1 have read this numberare: application and the information I have provided is correct.I agree to comply Carrier 47ija, ,sk cd1rr.... .( with all applicable city and county ordinances and state laws relating to e building construction.I authorize representatives of this city or county to Policy# tAI non 7-lq-I Expires -1�111-1 enter the above idenf d property for inspection purposes. (This section need not to be completed is the permit is for one-hundred z'1_/ Date dollars($100)or less PROPERTY OWNER Olt AUTHORIZED AGENT D I certify that in the performance of the work for which this permit is issued, I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# OG cri-A workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the labor Code,I shall rthwith com with those provisions. ,y / Will the applicant or future building occupant handle hazardous material or a Applicant TL/ .t��v� Date i-I I\l/1—1 mixture containing a hazardous material equal to or greater that the Tom— amounts sp ctfred on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS D Yes o 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 requires permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SC construction or odiee permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY D Yes CPO 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) ❑Yes 11Po OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning hazardous checkmark(s)I have placed next to the applicable Rem(s)(Section 7031.5 material reporting. �ereo No Business and Professions Code).Any city or county that requires a permit to Date 1f tc,�?�i construct,alter,Improve,demolish or repair any structure,prior to its PROPERTY OWN ORAUTHORIZED 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP) 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 Iicensure 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 fora permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their D I,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.eoa.eov/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 Contractors State License Law does not apply to an owner of 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. D No EPA Lead-Safe Certified Firm is required for this project because: D I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors 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. J BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION ....... Menifee 19�:zk DATE PERMIT/PLAN CHECK NUMBER M n 3 1 I TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME S OOL/SPA C SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK PROJECT ADDRESS ASSESSOR'S PARCEL NUMBER �, g �Da� LOT _ TRACT �' J OWNER NAME ADDRESS 'L(,£OB EII� Cr<.zv (X PHONE 'Ibo - r,;-l4 I UU-1 EMAIL APPLICANT NAME gnnal. Darr ADDRESS c I 1^ct.nx hla PHONE RS I - -7Li - gyZ-t EMAIL CONTRACTOR'S NAME ; OWNER BUILDER? O YESC-NO BUSINESS NAME u ,t (143r ?cel& Inc ADDRESS 3017, k. car PHONE DISI . Lc,-) . 4'I -S2 EMAIL CONTRACTOR'S STATE LIC NUMBER ;ggLo LICENSE CLASSIFICATION S VALUATION$ hjs / o c c SO FT 11(�(w S L SQ FT APPLICANT'S SIGNATURE DATE `- ' I o 1 -1 OTYSTAFF USE ONLY DEPARTMENT DISTRIBUTION CITY(j(j��P IIP BBUUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN �� SMIP DV V L c„J9 INVOICE PAID AMOUNT C AMOUNT • CASH CCHECKIY OCREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED C YES C NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building &Safety Department 29714 HDUn Rd. Menifee, CA 92586 951-672-6777 www.cityofineniiee.Lis Inspection Request Line 951-246-6213 Spa +12" New a Bench Concrete S" 5'6" 3'6" 466s' 3'6" Ught Light Bench Grass e Area New Concrete 56 Grass Area o ❑ Existing Patio Cover and Concrete ❑ o Existing Existing Concrete Concrete Existing Shed f� ZJ m0- z4' del Pool Castillo Residence Equipmen 26808 Elk Creek Ct. UTY OF MF_NiFiE Menifee, Ca 92584 BUILDING AND SAS ETY DEPARTMENT 760 574 1667 LAN APPROVAL RE EWED B , I AT r 'Approval of these plans sh al! ;r Fz(u strued to be a permit for,or an approval of,any violation of anipr„vlsions of the federal,state regulations and ordinances. Thfs set of approved plans must be ke fto%*Mouse — — Driveway — jobsiteuntil completion. 1 rich 01y gas Line 4 1"Sch 0 UL o-.i... n nn :.. ..,..a