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PMT18-01023 City of Menifee Permit No.: PMT18-01023 29714 HAUN RD. Type: Pool/Spa-Residential �CxEL/� MENIFEE, CA 92586 `...,.,.:Fra-t—' MENIFEE Date Issued: 03/07/2018 PERMIT Site Address: 30714 GOLDEN POND PL, MENIFEE, CA Parcel Number: 360-432-008 92584 Construction Cost: $20,000.00 Existing Use: Proposed Use: Description of INGROUND POOL&SPA 420 SQ FT Work: Owner Contractor ZACH&ALMA OLGUIN PACIFIC COAST POOLS INCORPORATED 30714 GOLDEN POND PL 26499 JEFFERSON AVE UNIT E MENIFEE,CA 92584 MURRIETA, CA 92552 Applicant Phone:9512960199 CORDIN LUNDQUIST License Number: 852237 PACIFIC COAST POOLS INCORPORATED 26499 JEFFERSON AVE UNIT E MURRIETA, CA 92562 Fee Description Amount fbl Swimming Pool/In-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 3.00 General Plan Maintenance Fee- Electrical 1 23.35 $521.36 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 canied 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_Bldrr_Permit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects 1 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 License No. BS 7 7 By my signature below I acknowledge that,except for my personal residence Expires 5� 1!11lr7 Signature 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 thereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section cave 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 www.leeinfo.ca.eov/calaw.html. this permit is issued. i Policy# Date 'KI have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which 0 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 �LL. j,Ar�C✓ �i t2Z A W D ( (YS r ;`1 with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# .,A�Q 0(,,V la OQ Expires( t enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred dollars($100)or less Date PROPERTY OWNER OR AUTHORIZED AGENT V,I certify 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# 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 fo hwith ccf0JY with those provisions. `7 Will the applicant or future building occupant handle hazardous material or Applicant Date J��( ,4, mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE T SECURE WORKER'S COMPENSATION COVERAGE 15 ❑Yes ,14 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($100,00D),IN occupant require permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SC ion or See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑Yes Vo 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 19,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 Contractor's License Law for the reason(s)indicated below by the California Health al Safety Code,Section 25505 and 25534 concerning hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes o 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 p Ol RAUTHORI2ED 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 fRRPI 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 far most work that disturbs pain[in apre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facilitytobeork that RRP-certified and comply with than Applicant fora permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners andproperty than($500). managers who do the paint-disturbing work themselves or through their 01,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.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 0 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: 0 1,as owner of the property am exclusively contracting with licensed contractors 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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: 3 I PERMIT/PLAN CHECK NUMBER l7-c��oa3 PLANNING CASE NUMBER TYPE: O COMMERCIAL )(RESIDENTIAL O MULTI-FAMILY O MOBILE HOME POOL/SPA O SIGN SUBTYPE: O ADDITION 0 ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL I NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK PROJECTADDRESS � ZIP ASSESSOR'S PARCEL NUMBER �J' p'�� LOT TRACT OWNER NAME jcA t,VN -I I\ ADDRESS I o Qpn � . PHONE C? 5 1 - � I % - EMAIL APPLICANT NAME c Orx" ,n Lw- ADDRESS PHONE - ZC1 (o- 0 EMAIL CONTRACTOR'S NAME OWNER BUILDER? O YES NO BUSINESS NAME ADDRESS PHONE 2 H y, EMAIL Dk- %<4 ® tn. van CONTRACTOR'S STATE LIC NUMBER CO) E; 7_7'Z,--+ LICENSE CLASSIFICATION VALUATION$ � 2-0 0� 0 SQ FT -c) L SQ FT APPLICANT'S SIGNATURE DATETYSTAFFUSEONLY -- DEPARTMENT DISTRIBUTION ACCEPTED CITY O,);MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE ��GG//�- U35eA-3 INVOICE TOTAL 65a 3� GREEN t � SMIP 3 �' OWNER BUILDER VERIFIED OYES 'O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 _ GH6 www.cityofmenifee.us ( ZNIFEi 2- ` 12" RAISED BOND BEAM FULL LENGTH 12" RAISED SEATING OF BACKWALL WITH A 18" SHEER WALL TO MATCH POOL a PLANTER AREA PLANTER AREA ti ti BENCH .. 3 . 0 i 28, POO 6'DEPTH 3'6' EPTH m T 1500 TOTAL SO FT (� 6 OOMED GREY CONCRETE DECKING 3 2 fn Cn 18„ w SPILL' 6" 31611 (7 1500 TOTAL SQ Ff ROOMED GREY CONCRETE DECKING W EXISTING CA ROO 9ti 3 OLGUIN RESIDENCE 1.5" CITY OF MENIFEE UNE BUILDING AND SAFETY DEPARTMENT PLAN APPROVAL�' � (� �/ 3/4"