PMT17-02470 City of Menifee Permit No.: PMT17-02470
29714 HAUN RD. Tye: Pool/Spa -Residential
<-�CCEL/-> M ENIFEE, CA 92586
MENIFEE Date Issued:
07/14/2017
PERMIT
Site Address: 28118 MILLSTREAM CT, MENIFEE, CA Parcel Number: 333-612-018
92584 Construction Cost: $35,000.00
Existing Use: Proposed Use:
Description of INSTALL GUNITE POOL AND SPA
Work:
Owner Contractor
JOE SOLANO QUALITY CUSTOM POOLS INC
28118 MILLSTREAM 30138 MARNE WAY
MENIFEE, CA 92584 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 1El
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_eldg_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 o I am exempt from Iicensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class Cs 3 - Q License No. -19 S g2 0
By my signature below I acknowledge that,except for my personal residence
Expires 2.o 1-) Signature in which l must have resided for at least one year priorto completion of
improvements covered bythis 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 s„A,rr.teeinfo.ca.eov/calaw.html.
this permit is issued.
Policy# Date
,.al 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 l 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 1 agree to comply
Carrier Eu-rr.sir NwIril no.A with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# CA 1ano 7_197 Expires 7 11 /1-1 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
o 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#
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 9/�e75 Date1_ 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 C%Yes(�J)l0o
UNLAWFUL,AND SHALLSUBJECT AN EMPLOYERTO 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 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 forgufdelin s
CONSTRUCTION LENDING AGENCY Vas=0
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) 0 Yes C 90
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
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 � D � Date C/L//7
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 IRRPI
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 for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($Soo). managers who do the paint-dfsturbing work themselves or through their
o 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.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-BOD-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an ownerofa ❑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. ❑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.,.
SAFETY PERMIT/PLAN CHECK APPLICATION
'Aenifee
DATE 1 IH 17 PERMIT/PLAN CHECK NUMBER yn r 1 - b2%410
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O 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 u
PROJECTADDRESS 2%114 I`H �J
ASSESSOR'S PARCEL NUMBER ?Z3 -�1Z-�� [/ LOT �S/ TRACT I ��
OWNER NAME Jai. Solatia
ADDRESS
PHONE qsl 323 11112. EMAIL
APPLICANT NAME �R n n0L.6 e)grre,(+
ADDRESS 3o131 Arlit, IN
PHONE EMAIL
CONTRACTOR'S NAME din, Riyrf-4OWNER BUILDER? O YES NO
BUSINESS NAME i,,
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER 79C'3 ZO LICENSE CLASSIFICATION CS-3_B
VALUATION$ 3S , O D—O � SQ FT L SO FT
APPLICANT'S SIGNATURE / '"--� DATE •i /T
DEPARTMENT DISTRIBUTION [ — CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN w SMIP ^S•
INVOICE `' PAIDAMOUNT O AMOUNT �2`F• OCASH JCHECKp CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.citvofinenifee.us Inspection Request Line 951-246-6213
City of Menitee
6'b"Wood Fence Building & Safety D
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CITY OF MdNA*E37 z, IH, 2 �-
BUILDING AND SAFETY DEPARTMENT
PLAN APPROVAL l
6'Block Wall Pool Equipment
REVIEWED BY
DATE
'Approval of these pi s shall not be constr k.
Existing Planter E ul.p NMI of,any violat n of any provisions the federal,state or city
re.-ulations and ordina ces. is set o approve plans must be kept on the New walkway
omplet F ng Planter
E ng Plarder
E#sting Walkway
EAsting D,Weway
E ng Ranier
New Crass Area New 2'wade IE!: 3/32" = 1 ft.
omeway Mention