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PMT18-03145 City of Menifee Permit No.: PMT18-03145 29714 Type: Pool/Spa-Residential �� MENIFEEEE,, CA 92586 C 92 MENIFEE MENIFEE Date Issued: 06/22/2018 PERMIT Site Address: 31229 SOUTHAMPTON CT, MENIFEE, Parcel Number: 372-301-002 CA 92584 Construction Cost: $29,000.00 Existing Use: Proposed Use: Description of NEW GUNITE 345 SO FT POOL AND 50 SQ FT SPA WITH ONE ELECTRICAL STUB Work: Owner Contractor KYLE&RACHEL ROYCE MR CARLOS POOLS AND CONSTRUCTION INC 31229 SOUTHAMPTON COURT 978 NORTH AMEILA AVE MENIFEE, CA 92584 SAN DIMAS, CA 91773 Applicant Phone:6263328731 MR CARLOS POOLS AND CONSTRUCTION INC License Number: 385622 978 NORTH AMEILAAVE SAN DIMAS, CA 91773 Phone:6263328731 Fee Description 0 X Amount ISI Receptacle, Switch,Outlet&Fixture 1 116.00 Swimming Pool/In-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 GREEN FEE 1 0.00 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 0.00 SMIP RESIDENTIAL 1 4.00 General Plan Maintenance Fee-Electrical 1 29.15 $645.15 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_Pennit_Template.rpt Page 1 of 1 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 1 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 ❑1 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 C�3 License No. -�)- By my signature below I acknowledge that,except for my personal residence Expires 6 X / Signature in which I 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 ' ❑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,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/caiaw.html. Policy 4 Date ,%I 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 ❑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 am: � � � n�s t—' I �1 application and the information I have provided is correct.I agree to comply Cartier �V-ru�.z Oyu YtrJL' with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy M 14 Co C9 4-(q Expires Ole It c( 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 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 g worker's compensation laws of California,and agree that if I should become •HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forthwith co pl ith those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant QJ ate `�/ (f mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECU ORKER'S COMPENSATION COVERAGE IS ❑Yes ONO 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(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑Yes allo 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) o Yes afNa 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&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 oYes a i � ate T�/L construct,alter,improve,demolish or repair any structure,signets its PROPERTY OWNER OR T ORIZED 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.RE AND PAINTING(RRPI 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 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.eav/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 property who,through employees'or personal effort,builds or improves the o An EPA Lead-Safe Certified Renovator will be responsible for this project 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: o I,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 APPLICATION Menifee DATE:6/22/18 PERMIT/PLAN CHECK NUMBER TYPE: C COMMERCIAL D RESIDENTIAL `J MULTI-FAMILY C MOBILE HOME i POOL/SPA r SIGN SUBTYPE: O ADDITION O ALTERATION C DEMOLITION O ELECTRICAL O MECHANICAL * NEW C PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK Build new gunite pool and spa, plus one electrical stub. Pool is 345 sq. ft. and spa is 50 sq. ft. PROJECT ADDRESS 31229 Southampton Ct., Menifee ZIP 92584 ASSESSOR'S PARCEL NUMBER 372-301-002 ✓ LOT 50 TRACT 28582 OWNER NAME Kyle & Rachel Royce ADDRESS 31229 Southampton Ct., Menifee, CA 92584 PHONE 951-323-0946 EMAIL diane.mrcarlospools@gmail.com APPLICANT NAME Diane Johnson, Mr. Carlos Pools & Construction ADDRESS 978 N. Amelia Ave., San Dimas, CA 91773 PHONE 909-227-1874 diane.mrcarlospools@gmaii.com EMAIL p @gmail.com CONTRACTOR'S NAME Mr. Carlos Pools & Construction OWNER BUILDER? O YES O NO BUSINESS NAME Same as above .\fe ADDRESS 978 N_ Amelia Ave., San Dimas, CA 91773 Cm Q.W_Va PHONE 626-332-8731 EMAIL mrcarlos@verzon.net 18 CONTRACTOR'S STATE LIC NUMBER 385622 LICENSE CLASSIFICATION C-53 6 VALUATION$ 29,000 SQ FT 395 (pool &spa) ` �� Q LSQ FT APPLICANT'S SIGNATURE JI I(JJ�Iy'j VIJ1iJ DATE 6/22/18 CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE a OP ACCEPTED BY:�� l L. - PERMIT FEE �1.� �--i, SMIP GREEN PLAN CHECK FEE INVOICE TOTAL OWNER BUILDER VERIFIED OYES NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES C NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 WWW.Cityafinenifee.uS WALL LINE E UIPOTENTIAL BONDING WIREH 4 CLAMPS TO THE GRID 73' 0 T au i g 5' 38' 3pl H DEPTH:6'U° \ O 5' POOL AIAR / PATIO SLAB _ (EXISTING) DOOR ALARM 5' z c 13' O o � kaa � 91 6° z I D i C) o RESIDENCE i m (EXISTING) EI i ©i city eU��oNG FN/FFF p�Nq ppRO��Sq p� RFV�4V4SbBir �FpgRTMFNT