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PMT17-02958 City of Menifee Permit No.: PMT17-02958 29714 HAUN RD. SAG A'31 MENIFEE,CA 92586 Type: Pool/Spa -Residential MENIFEE Date Issued: 08/21/2017 PERMIT Site Address: 25366 GANT CT, MENIFEE, CA 92584 Parcel Number: 358-422-020 Construction Cost: $39,000.00 Existing Use: Proposed Use: Description of INGROUND GUNITE POOL&SPA 548 SQ FT Work: Owner Contractor JASON KNAPP QUALITY CUSTOM POOLS INC 25366 GANT CT 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 QV Amount It) 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 $525.35 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA_Bldg_Pennit Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that 1 am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and u I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License-Class—CS-3 9—Licensee No. -I-9 S$-2-0 -- - �s�/ By my signature below I acknowledge that,except for my personal residence Expires 2.n 1-s Signature / Y ex>4 in which l must have resided for at least one year prior-to completion 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 websfte: by Section 3700 ofthe Labor Code,for the performance of work for which www.leRinfio.m.goy/cala%v.htmL permit is issued. Policy It Date 1-94 have and will maintain worker as OWNER OR AUTHORIZED AGENT s compensation Insurance, required by - section 3700 of the 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 owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier EuerLS! 0NIr"ttertp.A 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# C.V 10 0 a 7-19 7-1 Expires /I /I-t 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 in 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 If worker's 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 compLlyyLl with those provisions. Will the applicant or future building occupant handle hazardous material or Applicant` hO� Date�— 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 15 �p,Yes QIo 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 forg"Ideliqles CONSTRUCTION LENDING AGENCY dyes C !o I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility he within 1000 feet of the lending agency forthe performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) ❑Yes C pvo 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 Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed nett to the applicable item hazardous material reporting. s)(Section 7031.5 Business and Professions Code).Any city or county that requires a permit to �eD �/, Date 3// 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRPI License Law(Chapter9(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 most work that disturbs paint in apre-1978 ma for and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare receiving compensation forfacili mo be RRP-certified firms and comply with than Applicant fora permit subjects the applicant too civil penalty of not mom required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their u I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.epa.eoy/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code,The Contractor's State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. in No EPA Lead-Safe Certified Firm is required for this project bemuse: in I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement.'. DATEQ ga j PERMIT/PLAN CHECK NUMBER ! 3 TYPE: []COMMERCIAL ❑RESIDENTIAL []MULTI-FAMILY []MOBILE HOME -0OL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL ❑NEW [-]PLUMBING [:]RE-ROOF-NUMBEROFSQUARES DESCRIPTION OF WORK G 17p 1 PROJECTADDRESS 2S6 L -i ASSESSOR'S PARCEL NUMBER J'D' L�T� .4 LOT S$ TRACT I ' PROPERTY OWNER'S NAME ADDRESS 2'S 3 4 C a. PHONE jOc� 23y OLM(o EMAIL APPLICANT NAME ADDRESS PHONE OIS 1 G-70L EMAIL CONTRACTOR'S NAME'J Ow, �q,rr OWNERBUILDERP ❑YE 0 BUSINESS NAME ADDRESS '-30) t-AgI'v U J PHONE 0,S I Qc-1 Q 9l—1 2,Z- EMAIL CONTRACTOR'S STATE LIC NUMBER S l6 r7 LICENSE CLASSIFICATION VALUATION$ Sol c-CSC SO FT ICJ-( L SQ FT APPLICANT'S SIGNATURf�C ��-��-��:. ti ��� DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN C�%— SMIP INVOICE -PAID AMOUNT AMOUNT 'CASH ''-CHECK IE =%CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER C. YES '0 NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-5213 6'6'Vmyl Fence p/a p/a Sun Deck p/a +tT' of Menifee V/a Building Gn & t Sate y DeAt' AUG 21 20TI p/a Receive Shallow End 56aps Cocktail Tablew/W�p Steps Around Bench S Q _ Reef Step N p/a Ben TeAure Stamped Conc ete CIT F MENIFE ILDING AND SAFETY DEPARTMENT ..r PLAN APPROVAL ExlAing Aluma Cover REVIEWED By _ QATI: ��ry 'Approval of these plans by censtrueo c)be a aermit for,or an approval of,any violation o ny proals:ont of chi`ed:ral,state o Dap Residence a regulations and ordihances This set of approved plans must I key eGant Ct. jobsite until completion. Menifee, Ca. 92584 909-239-0446 O Side Yard , 3 n Pay Gass Una 3'Son 40 Side Yard le: 3/32" 1 ft.