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PMT17-02573 City of Menifee Permit No.: PMT17-02673 29714 HAUN RD. Type: Pool/Spa-Residential �A_Ccl_=O� MENIFEE,CA 92586 MENIFEE Date Issued: 0 712 512 01 7 PERMIT Site Address: 28690 MAHOGANY TRAIL WAY, Parcel Number: 333-690-030 MENIFEE,CA 92584 Construction Cost: $39,000.00 Existing Use: Proposed Use: Description of INGROUND POOL&SPA, 370 SF,WITH ROCK GROTTO&SLIDE Work: Owner Contractor SUSANNE VOHS QUALITY CUSTOM POOLS INC 28690 MAHOGANY TRAIL WAY 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 ON Amount ISI Swimming Pool/In-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 6.00 General Plan Maintenance Fee-Electrical 1 23.35 $525.35 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.rpl 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 perjurythat I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License law). Chapter!)(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 CS3 p Licensee No. _ 9 S$2.0 By my signature below I acknowledge that,except for my personal residence le— Expires 2sa 1-1 —E Signature Z b-t- :K� in which I must have resided for at least one year pdorto 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 ofthe following declarations:I licensed contractors.I understand that a copy ofthe applicable law,Section have and will maintain a certificate of consent ofself-insure for worker's 7044 ofthe 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 www.leginfii.ca.gov/caIaw.htmI.permit is issued. Policy# Date ,a'lhave and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 ofthe 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.1 have read this number are: application and the information I have provided is correct.I agree to comply Carrier Eu ergs{ N>tf oy%o A with all applicable city and county ordinances and state laws relating to 1 building construction.I authorize representatives ofthis city or county to Policy# CA i 0 n o Zi A 1 7 Expires /1 111 enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for ane-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT o I certify that in the performance ofthe 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 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_7 r Date a�_ mixture containing a hazardous material equal to or that the —c amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS dA Yes Q No 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($100,001)),IN occupant require a permit for the wnstrection 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 37060FTHEIABOR CODE,INTEREST,AND ATTORNEYS FEES forgufdelm CONSTRUCTION LENDING AGENCY Yes 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 ofthe work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) o Yes(2�1f0 OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guldeand the SCAQMD I hereby affirm under penalty of perjury that 1 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 hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 // Business and Professions Code).Any city or county that requires a permit to � 0 Date 3/6//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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRPJ 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 or',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 ofthe 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 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. ❑No EPA Lead-Safe Certified Firm is required for this project because: ❑I,as owner of the property am exclusively contracting with licensed contmCors 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. J�UILDING & SAFETY PERMIT/PLAN CH ECK APPLICATION Menifee DATE 7 2,9 1-1 PERMIT/PLAN CHECK NUMBER TYPE: ❑COMMERCIAL ❑RESIDENTIAL 0 MULTI-FAMILY ❑MOBILE HOME POOL/SPA ❑SIGN SUBTYPE: []ADDITION []ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL ❑NEW [-]PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 64nife e1 orjj Aq K)41, aN r0CI n ide PROJECTADDRESS X6 23t,90 Hqh a 01 Building & Safety Dept. ASSESSOR'S PARCEL NUMBER 333— LAD •o?Q LOT TRACT PROPERTY OWNER'S NAME UD a JUL 2 5 201? ADDRESS 2.136 O Makog oieoTr iReeeived PHONE 9S1 337 1-1 /1 EMAIL APPLICANT NAME ADDRESS 30138 M Aij PHONE QSI b72 9-132- EMAIL CONTRACTOR'SNAME der OWNERBUILDER? [_-]YESWX0 BUSINESS NAME OuiL CA4s4d Pool, irnc ADDRESS Ablay, a mot PHONE qrl b-)5 A +32 EMAIL CONTRACTOR'S STATE LIC NUMBER -7ggg20 LICENSE CLASSIFICATION CS3 - g VALUATION$ 39 . 000 SO FT 570 L SQ FT APPLICANT'S SIGNATURE DATE CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAIDAMOUNT AMOUNT -.+frf'J•V-� C„ty✓• O CASH O CHECK# O CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED 0 YES O 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 5'6•VL"i Fe o I D Its(z) 10. GmWSlid I Free Sta Ing p [over 3a 6, 3'6"Deep n TV Deep 0 Buildi g& afety Dept, Reef ReO Deck (2) 7'Spa U^c" J L 2 5 2017 +18" �ry�gy 9� New CanQeie New Uru '� 6 e 4�%�I y e d 1 Ill Poly Gm i'Sfi 96 UL 0 0 0 0 0 o w EVlstlng Cover Vohs Residence 28690 Mahoganey Trail Menifee, Ca 92585 951-337-1711 1 Pad Eqt p t r ITY OF MENIFE WILDING AND ETY DEP RTMENT PLAN APPROVAL ^1 1 TE 13'6" REVIEWED BY proval of these plans stall,of be construed tobeapermitbr, an violation previsions oft a federal,state or MIT I,of,any must be k on the re,alatfo and ordinance'. issetofa f jobsite until mpletion. Scale: 3/32" = 1 ft.