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PMT18-02425 City of Menifee Permit No.: PMT18-02425 29714 HAUN RD. 'ACCEL/-> MENIFEE, CA 92586 Type: Pool/Spa -Residential MENIFEE Date Issued: 0 511 7/2 01 8 PERMIT Site Address: 29276 ELDORADO WAY, MENIFEE,CA Parcel Number: 351-281-002 92584 Construction Cost: $25,000.00 Existing Use: Proposed Use: Description of UNDERGROUND 599 SQ.FOOT POOL AND SPA WITH UG GAS TO FIREPIT Work: Owner Contractor LANCE&JEANETTE KELLY PACIFIC COAST POOLS INCORPORATED 29276 ELDORADO LANE 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 Phone:9512960199 Fee Description City Amount IS1 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 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Electrical 1 23.35 $633.35 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 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_Bldg_Permit Templale.rpl Page 1 of 1 Brandy Coral-Premier Pools 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)pursuant to the Contractors State License Law). Chapters(commencing with section 7000)of Division 3 of the Business and D I am exempt from licensure under the Contractors State License Law for Professions Cod//gg,ssan�and my license is in full force and effect the following reason: License Class L.. J� License No. By mysignature below l acknowledge that,except for my Personal residence Expires Z�l�' Signature'% a 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 legally sell 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 worker's 7044 of the Business and Professions Code,8 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 Polity it Date - o l 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 l 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 an 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 PII IA, "sue yIV�/�- with all applicable city and county ordinances and state laws relating to pp �L�r p� building construction.I authorize representatives of this city or county to Policy ILA,_ �7D1 Expires O 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 a I certify that in the performance of the work for which this permit is Issued, o�js�nl jl n I shall not employ any.persons in any manner so as to become subject to the CITY BUSINESS LICENSE# v'J ow workers compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION subject to t orkers compensation provisions of Section 3700 of the Labor Code,lshal-f rthwit compiywith those provisions. II� Will the applicant or future building occupant handle hazardous material or 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 o Yes 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 mpdifiotion 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 forguldefineess CONSTRUCTION LENDING AGENCY o Yes r . 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 bound fa school? (Section 3097 Civil Code) o Yes o 140 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 Contractors License Law for the reason(s)indicated below by the California H al . Safety Code,Section 25505 and 25534 concerning checkma rk(s)I have placed next to the applicable item(s)(Section 7031.5 hazardou to al reporting. Business and Professions Code).Any city or county that requires a permit to oyes o No construct alter,improve,demolish or repair any structure,prior to its Date ,Issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRP1 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 lcensure receiving compensation for most work that disturbs paint inapre-1978 andthecastsfor the allegedexemption.Any violation it Section of not by residence or childcare facility to be RRP-certified firms and comply with than Applicant fora permit subjects the applicent toacivil penalty of not more required prectices.This includes rental property owners and property than($S00). managers who do the paint-disturbing work themselves or through their o 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( I portion of the work,and the structure is www.epa.gay/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 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 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. D No EPA Lead-Safe Certified Firm is required for this project because: a 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 complywith EPA RRP rule please fill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE ••• :: �,� 1,I IrLUIIJG 4 aa:➢ DATE: I I11 t b PERMIT/PLAN CHECK NUMBER Is _D2 PLANNING CASE NUMBER TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME P-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 "J�o 1 PROJECTADDRESS 2- 1�•�� i -A-ILD W(I-� ZIP ASSESSOR'S PARCEL NUMBER 35I ' 2St1 - DO2-LOT TRACT OWNERNAME UtVICQ v..l'l.o,?;LZ \c4-I,I. ADDRESS aJq 21 L( CbJY_ F _ OG" PHONE - UC) 1 9LQ<�- EMAIL APPLICANT NAME ,hn 11'4 co czvl_" ADDRESS PHONE EMAIL CONTRACTOR'S NAME uQ Y DLX ;�cS pa OWNERBUILDER? O YES &NO BUSINESS NAME ADDRESS G-. PHONE ��( 2G(Lp (jlGl 1 EMAIL [,p (t7 GLS - Loy''- CONTRACTOR'S STATE LIICC7N,UMBER ��jZ.z3-1 LICENSE CLASSIFICATION CS VALUATION$ Z v�� SQ FT 6 1 1 L SQ FT APPLICANT'S SIGNATURE DATE v DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL M , ' GREEN .W SMIP .QD OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE N NOTARIZED LETTER O YES O NO ifee City of Menifee Building & Safety Department 129714 Haun Rd., Mom@ (951)672-6777 G.n oe www.cityofinenifee.us MAY 17 2019 MENI EE eceu ed ' JE SERVICE 6�'V /EL WITH POOL 18" RAIS JE FACE \y�oo ,e �� DESCEN 1 g" c� POOL LIGHT 3'6" DEPT II'll m ^' ti COVER 2 1 1 RE STEP� T DEPTH -12"SUNKEN'•. 2 CONCRETE DECKING 1 2 �. ----- -------- ------'-----'-" II EXISTING PATIO COVER CONCRETE DECKING G a Fill i � 0 E m 30 KELLY RESIDENCE E) U4u W� 4 O O �O m CITY OF MENIFEE B BLOCK wgLL BUILDING AND SAFETY DEPARTMENT m