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PMT17-02941 City of Menifee Permit No.: PMT17-02941 29714 HAUN RD. -ACCEll-^' MENIFEE, CA 92586 Type: Pool/3pa-Residential " MENIFEE Date Issued: 08/18/2017 PERMIT Site Address: 29208 GUAVA ST, MENIFEE, CA 92584 Parcel Number: 333-622-009 Construction Cost: $30.000.00 Existing Use: Proposed Use: Description of INSTALL GUNITE POOL&SPA 500 SOFT GAS TO FUTURE BBQ&FIRE PIT Work: Owner Contractor CHERYLJONES NATURESCAPE POOLS INC 29208 GUAVA ST 19120 STERLING HILL LN MENIFEE,CA 92584 PERRIS, CA 92570 Applicant Phone: 9513787978 DAVID SALEM License Number: 887072 NATURESCAPE POOLS INC 19120 STERLING HILL LN PERRIS, CA 92570 Fee Description Oft Amount IS7 Swimming Pool/In-Ground Spa 1 46T00 Plumbing Fixtures and Vents, fixtures 2 116.00 Building Permit Issuance 1 27.00 Inspections not specified 116 116.00 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Electrical 1 23.35 $756.35 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_81dg 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 Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: " sue License Class �- ...) L'icgnse�o. 151- -7672- By my signature below lacknowledge that,except for my personal residence Expires Signature in which I must have resided for at least one year prior to 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 ❑1 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 Code,for the performance of work for which this permit is issued. www.lealnfo.ca.¢av/calaw.html. Policy# Date ❑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 carrier and policy owner or authorized to act on the property owners beha if.I have read this number are: 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 Polley# 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 �rlffce y that in the performance of the work for which this permit Is issued, I'not emolov 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 bor Code,I shall forthwith comply those provisions. Will the applicant or future building occupant handle hazardous material or a ��✓t f mixture containing a hazardous material equal to or greater that the Applicant 1 U /9_1_,✓� Date T. amounts E�c'rfied on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION C VERA E IS ❑Yes q'fJo 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 forguideves CONSTRUCTION LENDING AGENCY ❑yes IX01 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 boun ary of a school? (Section 3097 Civil Code) ❑Yes 0 OWNER BUILDER DECLARATIONS Ihave red Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the Permitting chec unde and m uirements under the State of California th& fety de, ctin25505 and 25534 concerning Contractors License Law for the reason(s)Indicated below by the r hazardous eria po ng checkmark(s)I have glared next to the applicable item(s)(Section 7031.5 oyes �r]`P�j Business and Professions Code).Any city or county that requires a permit to J Date construct,alter,Improve,demolish or repair any structure,priorto its PROPERTY OW i OR A IZED 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(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 far 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 ❑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 ❑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 provingthat it was not built or improved for the purpose of sale. ❑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. PLAN CHECK APPLICATION AUG 18 2017 Menifee DATE PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL O RESIDENTIAL ON MULTI-FAMILY O MOBILE HOME s POOL/SPA 0 SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION 'O ELECTRICAL O MECHANICAL EW O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK yy� ?-; (�l , -, ri PROJECTADDRESS 0 40 .4 d ASSESSOR'S PARCEL NUMBER ✓ 4 73 1[ZZ� (� b 1 LOT TRACT I �j lb OWNER NAME L `�� G s✓ � ADDRESSl,� SJ AN(�] PHONE 1 �( 2-� b bSF� EMAIL APPLICANT NAME /'f�(" `— c 1p c-E ADDRESS IL6 PHONE /S� �j`��' 749 7 EMAIL CONTRACTOR'S NAME OWNER BUILDER? 0 YES ONO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER d &'7 @? `L LICENSE CLASSIFICATION VALUATION $ FT �-6(1� L SO,FT p APPLICANT'S SIGNATURE �'� DATEEll I V a DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER ��(( BUILDING PLANNING ENGINEERING FIRE GREEN •TL SMIP INVOICE I[ PAID AMOUNT (, r. AMOUNT +� CASH OCHECK# JCREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT o CASH (:)CHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES 0 NO :1 UPSLOPE EWjRETALINING F :1 UPSLOPE A UPSLOPE 'S"TSNEW WALL 52LFR'g"NON RETAINING �(2'SHOWING) _- r____,_____. ram--- --------- _ _ ------------ SF EW CONCRETE DECKING SED BOND BEAM 60 SF " PIP STONE VENEER i ELEVATION+18" JO SLOPE I I __- �_-..-_.___ "STEPS-PIP CONCRETE DECKING `�_�—_ ••____ SF `` �.—..._....—._y-.___. ------------------------------------------ ECK E ATION i r Q I 4' ro :KING LL DOOR MUST HAVE LARMS THAT MEET TATE AND COUNTY ODES POOLISPA EQUIPMENT ---- ARIABLE SPEED POOL SPA PUMP p00 SF CART FILTER e OOK BTU HEATER d HP WF SHEER PUMP mo_ •1 HP SPA BOOSTER PUMP Elo= (LIGHTS GFI PROTECTED I�SPA NOTE-8 EXTRA JETS 3