PMT18-02342 City of Menifee Permit No.: PMT18-02342
29714 HAUN RD. Type: Pool/Spa-Residential
rACCEL/_> MENIFEE,CA 92586
MENIFEE Date Issued: 0 5111/2 01 8
PERMIT
Site Address: 29549 LONGSHIP DR, MENIFEE, CA Parcel Number: 333-763-006
92584 Construction Cost: $25,000.00
Existing Use: Proposed Use:
Description of POOL&SPA 372 SQ FT. UG GAS LINE FOR FIREPIT.
Work:
Owner Contractor
NICK STEARNS PACIFIC COAST POOLS INCORPORATED
25949 LONGSHIP DRIVE 26499 JEFFERSON AVE UNIT E
MURRIETA,CA 92562
Applicant Phone:9512960199
PACIFIC COAST POOLS INCORPORATED License Number:852237
26499 JEFFERSON AVE UNIT E
MURRIETA, CA 92562
Fee Description Qtv Amount f$)
Swimming Pool/in-Ground Spa 1 467.00
Plumbing Fixtures and Vents,fixtures 1 116.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Electrical 1 23.35
$634.36
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 carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise staled,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_Bidg_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 cantractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and a 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 f✓ 3 Lice se No. '2'>y Z23 By my signature below I acknowledge that,except for my personal residence
Expires 'S — �6 ' `�Signature in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legailysell a structure that 1
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 fallowing 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 this permit is issued. www leeinfo.ca.eov/calaw.html.
!�
Policy N f•t A <.74q Date
D 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 a 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 ('R1�6 U-}f—G1 12 G with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy4 —I A' DD b� Expires — �� ��j_ 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 Al1THORRED AGENT
a 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 g
worker's compensation laws of California,and agree that if I should become , HAZARDOUS MATERIAL DECLARATION
subject to the v� rkers compensation pro -�ions of5ection 3A�the /�Code,1 shall fare with comply Eh rhos pr6visions. Will the applicant or future building occupant handle hazardous material or a
Applicant �' Date rJ mixture containing a hazardous material equal to orgreaterthat the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAI U E TO SECURE WORKER'S COMPENSATION COVERAGE IS n Yes dNo
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 1$200,000),IN occupant requires permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District cons(SCtionor modification
permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES fo Coast
Airllnes
Qua
CONSTRUCTION LENDING AGENCY 0Yes &6
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 outerbourl6aryof aschool?
(Section 3097 Civil Cade) D Yes amo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAOMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State 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 items)(Section 7031.5 hazards Is material repo ing. rr�
Business and Professions Code).Any city or county that requires a permit to ayes No Date 15 {
construct,alter,improve,demolish or repair any structure,priorto its PROPS 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(RRP1
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
D 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.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 Renova(or will be respggsible fortfys project
property who,through employees'or personal effort,builds or improves the J l/L I
property provided that the improvements are not intended or offered for Certified Firm Name: OS E Q tZ}t
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:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Cade: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.
BUILDINGAPPLICATION
Y V
Menifee
DATE PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME e-POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK I I-I I X 31 - Sit
PROJECTADDRESS )-cT57L9 Lon, 5�-ykt, Or
ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNER NAME
ADDRESS e-1 " 1 Q2 '
PHONE Q�l `O `4 - Z JZ'� (,^., EMAIL Q L c -
APPLICANT NAME f JQ W� l l,J I,'S S-aV I/LLL.
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME OWNER BUILDER? O YES O NO
BUSINESS NAME G -er �� h . p6(
ADDRESS SU � I `.> ` `J(N\ l Q
PHONE "T� I �� (p ` l� EMAIL
CONTRACTOR'S STATE LIC NUMBER %�J ZZ��� LICENSE CLASSIFICATION
VALUATION$ (o SO FT I L SO FT G
APPLICANT'S SIGNATURE C DATE /� O
CiTY STAFF USE ONLY —T-7
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEER FIRE I GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT I I OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Deportment 29714 Haun Rd. Menifee, CA 925813,&Avt96�f.
www.cityofinenifee.us inspection Request Line 951-246-6213
MAY 1 12018
RPneived
PLANTER AREA
PLANTER AREA 3CM
BROOMED GREY 7,
CONCRETE DECKING /
SKIT
ih 5
DEPTH' p' 4" 5'6" DEPTH
I REEF STEP
STC
/ PEE
E
BROOMED GREY CONCRETE DECKIN _ 892
-------------------
EXISTING CA ROOM
8)1<e01
H
; E 9
STEARNS RESIDENCE 3y
c
Eli
3•
1.5"
3/4"
ELEI
G 1�
E '
S