PMT17-01709 City of Menifee Permit No.: PMT17-01709
29714 HAUN RD. Type: Pool/Spa -Residential
<-ICCELA? MENIFEE, CA 92586
6-11 ,14141 '" MENIFEE Date Issued:
05/31/2017
PERMIT
Site Address: 29016 SMOOTH SAILING CT, MENIFEE, Parcel Number: 333-523-004
CA 92585 Construction Cost: $35.000.00
Existing Use: Proposed Use:
Description of INGROUND SWIMMING POOL 371 SQ FT, NO SPA, NO GAS
Work:
Owner Contractor
DAVE&MEDEA MARR MAJESTIC POOL CONSTRUCTION
29016 SMOOTH SAILING CT 31566 RAILROAD CANYON ROAD
MENIFEE, CA 92585 STE 2#106
Applicant Phone:9514456384
OBIE RODRIGUEZ License Number:889638
MAJESTIC POOL CONSTRUCTION
31566 RAILROAD CANYON ROAD
STE 2#106
CANYON LAKE, CA 92587
Fee Description Ott 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_Permit_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 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 ❑1 am exempt from licensure underthe Contractor's State License Law for
Professions Code and my license is in full force and effect. G the following reason:
License Class GS3 License No. Fs�y63 a By my signature below I acknowledge that,except for my personal residence
Expires / — 20/9 Signature in which 1 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 OECIARATION 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 workers 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 Cade,for the performance of work for which www.leoinfo.ca.epv/calaw.html.
this permit is issued.
Policy# Date
I have and will maintain worker p tbn Insurance,as required by s com ensa PROPERTY OWNER OR AUTHORIZED AGENT
se ion 3700 of the Labor Code,for the performance of the work for which ' ❑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 owners behalf.I have read this
number are: � application and the information I have provided is correct.I agree to comply
Carrier .S'IY6Sf__ 45110 with all applicable city and county ordinances and state laws relating to
/ building construction.I authorize representatives of this city or county to
Policy#41 S���C17 .'_� Expires `T — 2Y 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,
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers comp ation rot'sions of Section 3700 of the Labor
Code,I sh ry t co pl) ith t provisions. Will the applicant or future building occupant handle hazardous material or a
Applican ate 3/ mixture containing a hazardous material equal to orgreaterthat the
amounts sp}cified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORI(� 'S CO PENSATION COVERAGE 15 0 Yes qMa
UNLAWFUL,AND SHALL SUBJECTAN( PLOY TO CRIMINAL PENALTIES Wlllthe intended use of[he 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 guidell
yles
CONSTRUCNON LENDING AGENCY ❑Yes No
I hereby affirm that under the penalty of perjury there is a construction Will th 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 bou dary of a school?
(Section 3097 Civil Code) ❑Yes FNo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
j permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from the
Contractors License Law for the reason aro
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 h,(azdus in I reporting. d
Business and Professions Code).Any city or county that requires a permit to es o J .��
construct,alter,improve,demolish or repair any structure,prior to Its Date/PR NER OR HORIZ 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 R PAIR AINTING RRP
License Law(Chapter 9(commencingwith 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
❑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.ena.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-900-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a 0 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. 0 No EPA Lead-Safe Certified Firm is required for this project because:
❑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.
.1
BUILDING & SAFETY PERMIT/PLAN APPLICATION
...ic
.Menifee
DATE PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME POOL/SPA 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 0 C_ -j 'D Sw'A
PROJECTADDRESS 7-9,114 JAf-"7}1036'
ASSESSOR'S PARCEL NUMBER ) ;5�?3'91014 LOT ���� TRACT
OWNER NAME �y /�/}✓G3' V" A�IG�B74
ADDRESS y/ O/G Gy-
PHONE 9jl 5S5_3 - 5_7f3 EMAIL
APPLICANT NAME (3/� �OtJANWL�
ADDRESS16 6 9a 7
PHONE g,r/ ��j' (O3�J EMAIL 061-C 6 rjJl7G 6 +
CONTRACTOR'S NAME OWNER BUILDER? O YES NO
BUSINESS NAME ^ L%52) G C�NC/��/�✓
ADDRESS S
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION G .�
VALUATIONS L SO FT
APPLICANT'S SIGNATURE DATE S7
DEPARTMENT DISTRIBUTION CITY OF M;EF$I1�JJ:SS310ENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP II''((��``/!f✓✓1�7VV1\
INVOICE 9J PAIDAMOUNT
AMOUNT 0CASH 0CHECK# 0CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0 CHECK If 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZED LETTER O YES 0 NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-5213
Property Line 6'High Yard is Flat no slopes
Fencing
Go
CRBB+12" Existing plants and
trees
RBB+6" 00
12"Sheer Descent ----/
Water Feature
Swimming Pool ° °
i--6 30'T'
1 Existing Concrete
Baja Step
o °
New concrete
decking 200 sq feet
.I+
° °
° ° 1
.d e ► Dave and Medea Marr
�./ 29016 Smooth Sailing Ct
qa Menifee Ca 92584 /
5 951-553-5793
ml Equipment
)Gas Line LOLL L' (.6rvONir TJ�OVG�f/ 4'777G
_ctrical only
Majestic Pool Construction
31566 Railroad Canyon Rd.
Suite 2 #106
Canyon Lake Ca 92587
951-445-6384
C53-889638
KElectrical Run 1 inch E
conduit through attic.
Access T G