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PMT17-00494 City of Menifee Permit No.: PMT17-00494 29714 HAUN RD. Type: Pool/Spa-Residential <ACCELJ MENIFEE, CA02586 MENIFEE Date Issued: 02117/2017 PERMIT She Address: 27315 STONE HURST DR, MENIFEE, CA Parcel Number: 333-420-011 92585 Construction Cost: $30,000.00 Existing Use: Proposed Use: Description of INGROUND GUNITE POOL&SPA 345 SQ FT Work: Owner Contractor CHRISTOPHER&KATHRYN BOYKIN QUALITY CUSTOM POOLS INC 27315 STONEHURST DR 30138 MARNE WAY MENIFEE,CA 92585 MENIFEE,CA 92584 Applicant Phone:9516799732 HANNAH BARRETT License Number:795820 QUALITY CUSTOM POOLS INC 30138 MARNE WAY MENIFEE,CA 92584 Fee Description Cltv Amount tEl Swimming Pool/In-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Electrical 1 23.35 $523.35 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_Permit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION propertywho 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). 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 farce and effect. the following reason: License Class (:S"b 6 License No.'T015 rii\2U�� By my signature below I acknowledge that,except for my personal residence Expires I I •�0 1 7 5ignature��fl`I in which I must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legallysell a structure that I WORKER'S 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 ,,y,�,w.leeinfa.ca.eov/calaw.html. this permit is issued. Policy 8 Date 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 workers 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 l)�r' V✓. 1 building construction.I authorize representatives of this city or county to Policy# t-AL 00021 r%-1 Expires —1 en r the above Ldentif dpropertty for inspectionpurposes. (This section need not to be completed is the permit is f0 one-hundred Jn l``[ ., Date 2• 1'1 I J� dollars($100)or less PROPERTY OWNER OR AUTHORIZED certify that in the performance of the work for which this permit is issued, [; i /`Sf shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS UCENSE N 007,7% 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 forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date mixture containing a hazardous material equal to or greater that the amounts s ecified on the Hazardous Materials Information Guide. WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS 0 Yes la 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($300,000),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 for guidelines CONSTRUCTION LENDING AGENCY oYes dq'No 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) o Yes �Tlo 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 California Health Contractors License Law for the reason(s)indicated below by the Jk Safety Code,Section 25505 and 25534 concerning hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 es/ o No q �� �J� Business and Professions Code).Any city or county that requires a permit to C' �M/A-1/n.✓Jl7 Date 'L• I q •I q construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED 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(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 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 01,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.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 Contractors State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project propertywho,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: g)l,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. BUILDING : SAFETY PERMIT/.PERMIT/PLAN CHECK APPLICATION `Menifee DATE •L, %-D, I-i PERMIT/PLAN CHECK NUMBER O —rn LIqLf TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME POOL(/,SPCA O 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 PROJECTADDRESS , L�1-/� r• ASSESSOR'S PARCEL NUMBER "/'J��Tp♦O (I LOT TRACT OWNER NAME Qj IGV ADDRESS IL-1-1,L $-'arse urSf Pr PHONE gSi•63(a- LALLIL\ EMAIL APPLICANTNAME ADDRESSt3 ck PHONE JCL,; l��'1°� eb-L3�1. EMAIL CONTRACTOR'S NAME),f, OWNER BUILDER? O YE BUSINESS NAME o L ADDRESS 160t-1 NA-ok- q Q-.Ci PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER tigSgtio LICENSE CLASSIFICATION - {j VALUATION$ 3o Poo SQ FT '/f f� L SQ FT APPLICANT'S SIGNATURE 'P DATE Z-A7'/7 OTYSTAFFUSEONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT O AMOUNT' O CASH OCHECK# CREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT OCASH OCHECKB OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building ee Sofety Department 29714 Houn Rd. Menifee, CA 92586 951-6 72-6777 www.cityof nenifeaus Inspection Request Line 951-246-6213 City of Menitee t Property line FEB 17 2017 _ Existing 6'CMII Wall er J- q' 1r2"Ran BB 36' 6' +12" Existing Concrete Spa 2 + m SR-n-Spin 3'6" fr Open Spillway Ste a (wm Spa � ❑ ❑ ❑ ❑ td 6'6"Wootl fence Reef Step Existing Patio Cover Mnch and Concrete O O New Concrete Existing patio Cover me Concrete T Boykin Residence 27315 Stone Hurst Dr. Menifee, Ca 92585 Pool quipm n[ L 1 I Y F M L l'e r l c ': 951-536-4241 \ BUILDI AND SA,i L I f L'LPAf-11 ,f t lv, PLAN APPR VAL N w nc nate REVIEWED BY DA 'Approval of these plans shall not be constru d to be a permit for,or an approval of,any violation of any provisions o the federal,state or city regulations and ordinances. This set of appr ed plans must be kept on the jobsite until completion. now 11/2"Pol 1"Sch 40 I Scale: 0.09 in. Der ft.