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PMT18-01125 City of Menifee Permit No.: PMT18-01125 29714HAUNRD. Type: Pool/spa-Residential �CCELA? MENIFEE, CA 92586 MENIFEE Date Issued: 03/13/2018 PERMIT Site Address: 28841 RICHFIELD CIR,MENIFEE, CA Parcel Number: 372-440-017 92584 Construction Cost: $30,000.00 Existing Use: Proposed Use: Description of INGROUND POOL&SPA,503 SF Work: Owner Contractor JUDY GUGLIELMANA QUALITY CUSTOM POOLS INC 28841 RICHFIELD CIRCLE 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 QtV Amount f$1 Swimming Pool/In-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Electrical 1 23.35 $523.35 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_Permit Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION propertywho builds or improves thereon,and whocontracts forthe 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 D I am exempt from licensure underthe Contractors5tate License Lawfor Professions Code and my license is in full force and effect, the following reason: License Class CS3 - Q License No. -195$20 //..�� // By my signature below I acknowledge that,except formy personal residence Expires 2,o ITS Signature (i in which l must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit i cannot legallysell a structure that I have built as an owner-builder if it has not been constructed in Its entirety by D I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self-insure for workers 7044 of the Business and Professions Code,is available upon request when compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website: by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. www.leeinfn.ca.eov/calaw.html. Polity# Date have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which o By my signature below I certify to each of the following:I am the property this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: application and the information 1 have provided is correct.I agree to comply Carrier Cucre.S} Nm'tiort" with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# c.N z A n o 7-J'4-I Expires W J IJ$ enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($10D)or less PROPERTY OWNER OR AUTHORIZED AGENT o 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# workers compensation laws of California,and agree that if 1 should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,1 shall forthwith compp]]y]With those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant`l �l O Date mixture containing a hazardous material equal to orgreater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 E{ Yes Qflo UNLAWFUL,AND SHALLSUBJECTAN EMPLOYERTO CRIMINAL PENALTIES `"'WCVlill theintended 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 Districtconstruction or Seep chin from checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelin s CONSTRUCTION LENDING AGENCY �1Yes�lo I hereby affirm that under the penalty of perjurythere is a construction Will the proposed building or modified facility be withinlOOD 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) o Yes(2�90 OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that l am exempt from the permitting checklist.I understand my requirements underthe5tate of Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable Rem(s)(Section 7031.5 hazardous material reporting. Business and Professions Code).Any city or county that requires a permit to \*JO /1 Date 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 Contractors State EPA RENOVATION.REPAIR AND PAINTING fRRPJ 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 receiving compensation for most work that disturbs paint in apre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence compensor ationre for cility to work that -certffied firmsanicomre-197ply h than Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property ownersand property than($500). managers who do the paint-disturbing work themselves orthrough 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.aov/lead or contact the National Lead Information Center at not intended or offered forsale.(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.'. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY <> MOBILE HOME v�POOL/SPA O SIGN SUBTYPE: O ADDITION OALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK PROJECTADDRESS 2,c0b -il )K1 t.1ne�1A' \ X• ZIP a ASSESSOR'S PARCEL NUMBER J iac -LMb - Q''t 1 LOT , „�I#86CT OWNERNAME �(� �v ��vv` k�. Building DePt ADDRESS 2�iv Uv• 2�15 PHONE EMAIL (� s APPLICANT NAME e M ADDRESS PHONE 9 C t g--A R'l'hL EMAIL CONTRACTOR'S NAME OWNER BUILDER? O YES"0 BUSINESS NAME C 0� wC. ADDRESS p t— c&x e\e_ PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER -7v,59jZ LICENSE CLASSIFICATION VALUATION$ ,IjD j h-C9'0 SO FT 6133 L SO FT .r APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE Lz INVOICE TOTAL 50 GREEN C-9— SMIP OWNER BUILDER VERIFIED 0 YES 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 www.cityofmenifee.us NI- m T TI woom CM2 m City of Menifec- Building Dept. MAR 13 2018 Received B'6"Deep 1'e• Existing Back Patio Area .B. Reel Step Deck t12" 14 5._ � t�'oo15�3 s`f•� Bench Spa 5 Deep Pita Concrete Deck ° 0 Bench Deck+12" 3'6"DeeF Reel Step Guglielmana Residence 28841 Richfield Cr. g� Menifee, Ca 92584 Garage el i Pool Equipment Existing Driveway POLY Gas CITY OFMENIFEE I " 5eh 40 01- BUILDING AND SAFI PLAN APPROVAL REVIEWED BYA 1i 'APPmval of these Plana shall not bi approval of,any violation of any prom regulations and ordinances. This ad jobsite until coalpletion.