PMT18-02811 City of Menifee Permit No.: PMT18-02811
29714 HAUN RD.
Type: Pool/Spa-Residential
Afs MENIFEE, CA 92586
MENIFEE MENIFEE Date Issued: 06108/2018
PERMIT
Site Address: 26050 SUNNY SIDE CT, MENIFEE, CA Parcel Number: 360-531-038
92584 Construction Cost: $25,000.00
Existing Use: Proposed Use:
Description of IN GROUND POOL AND SPA 407 SQ FT
Work:
Owner Contractor
CHRIS&MONICA FARRELL PACIFIC COAST POOLS INCORPORATED
MENIFEE,CA 92584 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 QtV Amount I81
Swimming Pool/In-Ground Spa 1 467.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 4.00
General Plan Maintenance Fee-Electrical 1 23.35
$522.36
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 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_Templale.rpl Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe 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).
Chapter9(commencing with section 7000)of Division 3 of the Business and D 1 am exempt from licensure underthe Cuntractors5tate License Law for
Professions Code and my license is In full force and effect the following reason:
License Class_' � Ucense No.
L SZZ� By my signature below l acknowledge that,except formy personal residence
Expires Signature — a in which I must have resided For at least one year priorto completion of
Improvements covered by this permit.I cannot legal"ell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
o 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 avallable 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/calasv.ithnl.
Policy 4 Date
o I have and will maintain workers compensation insurance,as required by
PROPERTY OWNER OR AUTHORIZED AGENT
section 370D 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 on the property owners behalf.I have read this
number are:,�1 C �,�f application and the information I have provided is correct.I agree to comply
Carrier 1 tn.KA.K v1Uv�c- with all applicable city and county ordinances and state laws relating to
//� p-7 2' c� building construction.I authorize representatives of this city or county to
Policy# V"I LUL. l 0`D' Expires O enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred
dollars($SOD)or less Date
PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued, ®�}S�/\l jL n
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# �'f i.J�1 j/
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to th orkers compensation provisions of Section 3700 of the Labor
Code,Ishal rthwitl comply with those provisions. mo, Will the applicant or future building occupant handle hazardous material or
Applicant Date ��I / mixture containing a hazardous material equal to orgreater that the
amounts specified an the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS a Yes
efio—
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
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District construction
t(SCtionor modification
permitting ro checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forCoast
Airlines
Qua
CONSTRUCTION LENDING AGENCY oYes Wo
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/ f a school?
(Section 3097 Civil Code) o Yes o Na
OWNER BUILDER DECLARATIONS 1 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 a) . Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7032.5 hazardou to al reporting.
Business and Professions Code).Any city or county that requires a permit to oYes a No
construct,alter,improve,demolish or repair any structure,prior to its Date Cr /
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 IRRP)
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
ol,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).
Cade,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 yearof 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:
O 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 comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: (`J— �L PERMIT/PLAN CHECK NUMBER7 "'Sr — 20
PLANNING CASE NUMBER
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O OL/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 p
PROJECTADDRESS "`1)51) &xr\ q L&q Cjl1 ZIP
ASSESSOR'S PARCEL NUMBER _sL O 'rJ N -O�LOT�p I TRACT
OWNER NAME CY eIC-� �.C./�^ Vy`C/.'l,�-
(SU
L'Ity of Menifee
ADDRESS Z� ,v-7 �I//�� {�� ajl- lJ1 Building Dept.
PHONE ����n-1 [ 3 ^ -p y�,,...�)EMAIL
APPLICANTNAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME ftUV 0 DOWNER BUILDER? O YES 0 NO
BUSINESS NAME r ,,( /�,
ADDRESS //��.. (��Y gccl '\ ' 4 qv\ may,
PHONE yl-S\ 2"1 �o 01QL��-J-� 2EMAIL VA-�
CONTRACTOR'S STATE LLICC NUMBER C� .J C-2- J ! LICENSE CLASSIFICATION C
VALUATION$ SO FT L SO FT
APPLICANT'S SIGNATURE --� DATE
OTYSTAFFUSEONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICETOTAL "Jo.� GREEN SMIP
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER OYES
City of Menifee Building & Safety Department 129714 Haun Rd., Menifee,CA 92586 (951)672-6777
www.cityofinenifee.us
ENIF
E OF-SLOPE BASE OF SLOPE BASE OF SLOPE v
:AREA
PLANTER AREA
4n 3'6" DEPTH 4 3n 6' DEPTH 0714"
REEF STEP
2 3 �
1 I PLANTER AREA
3
CONCRETE DECKING(OFF CONTRACT)
07
EXISTING CONCRETE DECKING AND PATIO COVER
FARRELL RESIDENCE
e.
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