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PMT17-01632 City of Menifee Permit No.: PMT17-01632 29714 HAUN RD. IrACCEU/ MENIFEE,CA 92586 Type: Pool/Spa -Residential MENIFEE Date Issued: 05/23/2017 PERMIT Site Address: 29529 PEBBLE CREEK CT, MENIFEE, CA Parcel Number: 333-550-042 92585 Construction Cost:' $35,000.00 Existing Use: Proposed Use: Description of INGROUND POOL&SPA 527 SQ FT Work: Owner Contractor EDWARD KRUEGER QUALITY CUSTOM POOLS INC 29529 PEBBLE CREEK CT 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 Oft( Amount(SI 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 $624.35 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 carded 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_Sldg_Penmit_Template.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 l 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 force and effect, the following reason: License Class Cr3 - Q License No. -7 q7-0 / By my signature below I acknowledge that,except for my personal residence Expires 2n1-) Signature in which l must have resided for at least one year priorto completion of improvements covered by this permit.I cannot Iegallysell 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 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 7D44 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.leeinfo.ca.eov/calaw.html. Policy g Date have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT I ection 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 numberare: application and the information I have provided is correct.I agree to comply Carrier Cuer¢s} N, -tfonoA with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy N CA 1 n n v ?-IA-1 Expires 7 11-1 enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ❑I certify that in the performance of the work for which this permit is issued, Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS 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 forthwith comp) with those provisions. Will the applicant or future building occupant handle hazardous material or Applicant O� Date T�I7 mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS r�Lq, (j Yes No UNLAWFUL,AND SHALL SUBIECFAN EMPLOYER TO CRIMINAL PENALTIES '"''WWill the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,00),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 hecoDistrict(SCtionor See permitting fro checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast A�irlin!p,_s CONSTRUCTION LENDING AGENCY Ayes`�J"" hereby affirm that under the penalty of perjurythere 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) Dyes(Nplb OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that l am exempt from the permitting checklist.I understand my requirements under the State of Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting. /Business and Professions Code).Any city or county that requires a permit to � oiJ pate 3/LJ17 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRP) License Law(Chapter9(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 compenor sation n for most beork that disturbs firms and comply with than Applicant fora permit subjects the applicant too civil penalty of not more required practices.This includes rental property owners and property than($SOD). 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( )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 1-8013-424LEAD(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. o No EPA Lead Safe Certified Firm is required for this project because: a 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.. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE5.1g•oen PERMIT/PLAN CHECK NUMBER f \TI- l—ol -5 TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME d° POOL/SPA 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 tiq q iob4 Cx.z�L tit. fC(�"�o ASSESSOR'S PARCEL NUMBER 333 -SS d-04-C .LOT Lf D, TRACT OWNER NAME City Of Menifee ADDRESS 2g5'1-q o�bb�L C,t•e C4. Suildin & Safe PHONE EMAIL APPLICANT NAME �Grr� F ADDRESS � PHONE vSi t,-jq EMAIL CONTRACTOR'S NAME �w.r„-k- OWNER BUILDER? O YES d NO BUSINESS NAME �.asSa e� \tic ADDRESS. o t3cL N.enn'v\c PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER 1-0 LICENSE CLASSIFICATION Dx _ VALUATION$ ?S, e a SO FT �O"' ` L SO FT APPLICANT'S SIGNATURE T If� ��i--" '^- DATE Z7- 1-� I AIL- idwL DEPARTMENT DISTRIBUTION ^( � ft CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN v' SMIP INVOICE AMOUNT .� PAID AMOUNT OCASH OCHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES C NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifeeus Inspection Request Line 951-246-6213 .13" )'Spa it I pool O 39051 HY' 19'1' ]-Deep N 3]' 3'6"Deep ln s NeapTendpcn,no scampae O concrete G'De p Peel \�1 B ech AR Rock Boulderhyp.l New TeMure Stamped Concrete O FvisitnB Cali Poem Krueger Residence 29529 Pebble Creek Ct. Menifee,Ca 92585 619-806-6181 t�,�;j�e. S'6"Wood fence Gity of De 1,1t gullal CITY OF MENIFEE MpY 2 .� '1 ❑ BU DING AND UNFETY DEPARTMENT V 51pnnl Q PL N APPROVAL 9m',nt VIEWED BY 5 17 Q DATE1 v Poly 6 1°sch<n co m Approval of these plans shall not be construed to be a permit for,or an approval of,any violation of a y provisions of the federal,state or city regulations and ordinances. T iis set of approved plans must be kept on the Scale: 0.09 in. oer ft.