PMT17-02609 City of Menifee Permit No.: PMT17-02609
29714 HAUN RD.
'�1-ICCEL/> MENIFEE, CA 92586 Type: Pool/Spa-Residential
MENIFEE Date Issued: 07/26/2017
PERMIT
Site Address: 30417 WARM LODGE CT, MENIFEE, CA Parcel Number: 358-441-063
92584 Construction Cost: $36,000.00
Existing Use: Proposed Use:
Description of INGROUND SWIMMING POOL&SPA, ROCK WORK,6 L FT GAS LINE FOR BBQ
Work:
Owner Contractor
TIM&CLAUDIA MAUS R L J ENTERPRISES
30417 WARM LODGE CT 36499 CHERVIL WAY
MENIFEE,CA 92584 LAKE ELSINORE,CA 92532
Applicant Phone: 9092614516
LEE JOUGLARD License Number: 1007383
R L J ENTERPRISES
36499 CHERVIL WAY
LAKE ELSINORE,CA 92532
Fee Description 9 Amount lSl
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 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_Bldg_Permil_Templatesirt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe projects
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractors)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 Licen No. By mysignature below I acknowledge that,except for my personal residence
Expires -Signature in which 1 must have resided for at least one year prior to mmpletion of
improvements covered by this permit.I cannot legally sell 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
this permit is issued. www.leeinfo.ca.eov/calaw.htmL
Policy Jf Date
o I 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 carder and policy owner or authorized to act on the property owners behalf.I have read this
numberare: application and the information I have provided is correct.I agree to comply
Carrier with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy if Expires 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
�certlfy that in the performance of the work for which this permit is issued,
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If J
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensayon p isions of Section 3700 of the Labor
Code,l shall forth th comply yi fh th s provisions. Will the applicant or future building occupant handle hazardous material or
Applicant Ak Date mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE T CURE WORKER'S COMPENSATION COVERAGE IS o Yes )6'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($100,000),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 guide]' es
CONSTRUCTION LENDING AGENCY O Yes guide]*
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 bou dary of a school?
(Section 3097 Civil Code) o Yes V No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
1 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,Sectio 5 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5s ❑No hazardous materia porting. ^7
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,prior to its PROPER OWNER O U RIZED AGEM
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(RRP)
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
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.eoa.eov/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 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. O No EPA Lead-Safe Certified Firm is required for this project because:
❑1,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
PERMIT/PLANBUILDING & SAFETY PPLICATION
%lenifee
DATE PERMIT/PLAN CHECK NUMBER ? 1 1 / "V W
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME OLPOOL/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 e- u
l0 3 L �
PROJECT ADDRESS ' 1
ASSESSOR'S PARCEL NUMBER 55 LOT (07 TRACT
OWNER NAME
ADDRESS
PHONE C< J -L(n -1)593 EMAIL
APPLICANT NAME ('Q
ADDRESS 4G L D L53
PHONE 9n9 a6 I EMAIL
CONTRACTOR'S NAME OWNER BUILDER? O YES O NO
BUSINESS NAME
ADDRESSL_V__.A _Qh6rC_ 2—
PHONE _ 4 EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION E-
VALUATION $ LSQFT
APPLICANT'S SIGNATURE DATE 7-2( -17
DEPARTMENT DISTRIBUTION CITY QF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERLIYG FIRE GREEN SMIP V
INVOICE PAID AMOUNT n
AMOUNT ��• OCASH OCHECK# CREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES NO DL NUMBER NOTARIZED LETTER O YES 0 NO
City of Menifee Building 9, Scie ty Deportment 29714 Noun Rd. Menifee, CA 92585 951-572-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
6'VINYL FENCING
POOL EQUIPMENT T DIA. SPA RAISED '18"
I FAUX ACCENT ROCKS /
lr PLANTER AREA
� IC '
REEF STEP WITH
��► UMBRELLA SLEEVE
` 2 L.E.DILIGHTS POURED IN PLACE COPh
Y
PIA
` 6' BLOCK WALL
600 SOFT NEW CONCP.E E
. 3��u ca,s uNG
GRASS AREA
GRASS AREA
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EXISTI 14G COVE ZED PATIO
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