The URL can be used to link to this page

PMT17-03719 City of Menifee Permit No.: PMT17-03719 29714 HAUN RD. <A—CCEL/-> MENIFEE,CA 92586 Type: Pool/Spa-Residential ""' MENIFEE Date Issued: 1 0/1 612 01 7 PERMIT Site Address: 32550 HALEBLIAN RD, MENIFEE, CA Parcel Number: 372-120-008 92584 Construction Cost: $50,000.00 Existing Use: Proposed Use: Description of INGROUND POOL&SPA,596 SF Work: Owner Contractor CHAD&MICHELLE FOUNTAIN , 32550 HALEBLIAN ROAD MENIFEE, CA 92594 Applicant License Number: CHAD&MICHELLE FOUNTAIN 32550 HALEBLIAN ROAD MENIFEE, CA 92584 Phone:9515450577 Fee Description Qtv Amount IEl Swimming Pool/in-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 7.00 General Plan Maintenance Fee-Electrical 1 23.35 $526.35 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 carved 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)pursuantto the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from icensure under the Contractors State License Law for Professions Code and my license Is in full force and effect. the following reason: License Class License No. . By my signature below I acknowledge 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 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 ❑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 l www. i o.ca. ov calaw.html. this permit is issued. Policy# Date ❑I have and will maintain worker's compensation insurance,as required by ORTY OWNER OR AUTHO I ZED AGENT section 3700 of the Labor Code,for the performance of the work forwhich ❑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.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 buildin construction.I authorize representatives of this city or county to Policy# Expires mer above identified property for inspection pu os s. (This section need not to be completed Is the permit Is for one-hundred l dollars($100)or less Date �-KROFTERTY OWNER OR AUTHORIZED AGENT ❑I certffythat 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 subjectto the CITY BUSINESS LICENSE# workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subjectto the workers compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant 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 IS ❑Yes ❑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 IN SECTION 3 06 OF T T LABOR CODE,INTEREST, DAMAGES ATTORNEYS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑Yes ❑No 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) ❑Yes ❑No 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 California Health&Safety Code,Section 25505 and 25534 concerning Contractor's License Law for the reason(s)indicted below by the hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes ❑No 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 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 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 ❑I,as owner of the property,or my employee with wages as theirsole 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.xov/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 completion,the Owner-Builder will have the burden of proving that it was Firm Certification No.: not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm Is required for this project bemuse: ,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 RAP rule please fill out the RRP Acknowledgement. SAFETYBUILDING & PERMIT/PLAN DATE: Q I I Q I PERMIT/PLAN CHECK NUMBER TYPE: Q COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME Q.POOL/SPA OSIGN SUBTYPE: ^ADDITION O ALTERATION :)DEMOLITION C!ELECTRICAL J I�IIANICAL en es O NEW PLUMBING O RE-ROOF NUMBER OF SQUARES 6WIdinD & Safety DESCRIPTION OF WORK W 2DOI 0 CA ; PROJECTADDRESS L2C5Sb 44alebhL'qVl Rd , ASSESSOR'S PARCEL L�NUMBER /3��Z�nf2�v000B 1n LOT TRACT ' OWNER NAME C/ IGIOI / Mph✓1 fl' ff, Tb L{ i 1-NI ADDRESS /� --5 D N401 OII&IY1 M- 11^,, ! 'l'A(f' I,,{� PHONE �161 �C5()b� { EMAIL bw)o `J vkltclA APPLICANT NAME Chad /M I CI(e +:�U n fn l Y'l ADDRESS3��z77 r�yya,, l—e'7lol�c� v► �.P. I 6j �I PHONE CJI Cf V'� I� EMAIL . . W I01AS �IAY Jl VtS I N` CONTRACTOR'S NAME OWNER BUILDER? YES C NO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ SO FT E55 L SO FT � APPLICANT'S SIGNATURE DATE a"STAFF USEONLY DEPARTMENT DISTRIBUTION ACCEPTE BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER D BUILDING PLANNING ENGINEERING FIRE PERMIT FEE SMIP _ GREEN -- PLAN CHECK FEE INVOICE TOTAL OWNER BUILDER VERIFIED O YES 0 NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO -i