PMT17-02572 City of Menifee Permit No.: PMT17-02572
29714 HAUN RD. Type: Pool/Spa -Residential
'ACCEL/? MENIFEE, CA 92586
MENIFEE Date Issued:
0712512017
PERMIT
Site Address: 26440 VELIA CT, MENIFEE, CA 92584 Parcel Number: 360-611-010
Construction Cost: $38,000.00
Existing Use: Proposed Use:
Description of INGROUND POOL&SPA,395 SF,WITH GROTTO&SLIDE, U/G GAS LINE FOR FIRE PIT
Work:
Owner Contractor
JOSH HUNTER QUALITY CUSTOM POOLS INC
26440 VELIA COURT 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 f$1
Swimming Pool/In-Ground Spa 1 467.00
Plumbing Fixtures and Vents,fixtures 1 116.00
Building Permit Issuance 1 27.00
GREEN FEE 1 2.00
SMIP RESIDENTIAL 1 5.00
General Plan Maintenance Fee-Electrical 1 23.35
$640.35
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg_Permit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from Iicensure under the Contractor's State License Law far
Professions Code and my license is in full force and effect the following reason;
License Class 12.53 - Q oLic�ense/e No. -f9S$ZO By my signature below l acknowledge that,except for my personal residence
Expires 2s I-) Signature ! [ �L rn/ in which I must have resided for at least one year priorto completion of
improvements covered by this permit.I cannot legallysell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder Ifit 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 Cade,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.IeRinlo.ca.gov/calaw.html.permit is issued.
Policy# Date
have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 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.1 have read this
number are: applintion and the information 1 have provided is correct.I agree to comply
Carrier Gu-r"s N tiono.7( with all applicable city and county ordinances and state laws relating to
1 building construction.I authorize representatives of this city or county to
Policy# CA noo 7-14-1 Expires `7/1 /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,
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 compensation provisions of Section 3700 of the Labor
Code,I shall forthwith compll With those provisions. Will the applicant or future building occupant handle hazardous material or
Applicant` �+Qc�� Date 3 1.4n moure nts specified
iedong a hazardous materialalequal to Information Guide?
the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 dA yes �14o
UNLAWFUL,AND SHALL SUBJECTAN 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)7 See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES frguideln s
CONSTRUCTION LENDING AGENCY e alo 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) ayes(2�00
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist I understand my requirements under the State of
I hereby affirm under penalty of perjurythat I am exempt from the
California
Contractor ha
s License Law for the reason(s)indicated below by the HealthalSafety Code,Section 25505 and 25539 concerning
hazardous
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 �yzardous material reporting. /
Business and Professions Cade).Any city or county that requires a permit to \*lD Date
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWN ER 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 fRRPI
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 Cade)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 Applimnt for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves or through their
o 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.epa.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-80D-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. n No EPA Lead-Safe Certified Firm is required for this project because:
o I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.'.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Z�-
Menifee
DATE '7 2S PERMIT/PLAN CHECK NUMBER
TYPE: [I COMMERCIAL ❑RESIDENTIAL MULTI-FAMILY ❑MOBILEHOME POOL/SPA [_]SIGN
SUBTYPE: []ADDITION ❑ALTERATION []DEMOLITION ❑ELECTRICAL ❑MECHANICAL
[—]NEW []PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK C UniFc 1 v�tF'I, r'di'1-o
PROJECTADDRESS 2-(e440 C*
ASSE550R'S PARCEL NUMBER LOT TRACT
PROPERTY OWNER'S NAME �uti-�,r �J City of Menifee
BtIpiding & safety Dept.
ADDRESS yy
PHONE SSl L1g3 117.2 EMAIL a
APPLICANT NAME rr Received
ADDRESS 301a13
PHONE 9Sj (n-1q Gt— '$Z EMAIL
CONTRACTOR'S NAME ,pgrY OWNER BUILDER? ❑YES 0
BUSINESS NAME
ADDRESS L.J
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER -jq,Sg2,O LICENSE CLASSIFICATION C.S
VALUATION$ <{ SQ FT S93 L SO FT
APPLICANT'S SIGNATURE DATE /
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN QIL- SMIP 5
INVOICE O, PAID AMOUNT D
AMOUNT OCASH OCHECKM OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECKH OCREDITCARD VISA/Mc
OWNER BUILDER VERIFIED OYES NO DL NUMBER NOTARIZED LETTER O YES NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
Accent Boulder
+12"RBB Property Line
w/Ledger stone Veneer 6'Wooden(Fence
i
Planter
Planter
Pool Equlpt
7'
Grass
24'
Cliff Grotto/Waterfall/Watersllde
12'wzs'hz6'slide
10'3 r
City 001,19nifee
B ilding & afety pt.
-Planter— _ Accent Boulder JUL 5 201
Fire Pit /1
j �
Grass r
Ezist'g Concrete Patio
-y New Concrete Walkway
O
5'
New RV
Concrete Pad Name: HUNTER, JOSH & AMANDA
Address: 26440 YNINCOF NMWIMifee
Cell Phone: (951�%AbAND SAFETY DEPARTMENT
Work: (951) 493
E-Mail: josh@lucVpAftAPPROVAL
REVIEWED B -�"�-" " `
DATE
Underground &E Run
'Approval of these plans shall nut be construed to he a perm11
t for,or an
approval of,any violation of any provisions of the ederal,stiteordty
regulations and ordinances. This set of approved lens m fu kept on the
Concrete jobsite until completion.
G E Meters
Scale: 3/32" = 1 ft.