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PMT18-03590 City of Menifee Permit No.: PMT18-03590 29714 HAUN RD. MENIFEE,CA 9258E Type: Pool/Spa -Residential MENIFEE MENIFEE Date Issued: 0711 912 01 8 PERMIT Site Address: 29531 WINDING BROOK DR, MENIFEE, Parcel Number: 340-250-057 CA 92584 Construction Cost: $20,000.00 Existing Use: Proposed Use: Description of INGROUND POOUSPA,50 SF Work: Owner Contractor PATRICK&CAROL WYATT PACIFIC COAST POOLS INCORPORATED 29531 WINDING BROOK DRIVE 26499 JEFFERSON AVE UNIT E MENIFEE, CA 92584 MURRIETA, CA 92562 Applicant phone:9512960199 BRANDI CAROL License Number:852237 PACIFIC COAST POOLS INCORPORATED 26499 JEFFERSON AVE UNITE MURRIETA, CA 92562 Fee Description D1t rr Amount($1 Swimming Pool/In-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 3.00 General Plan Maintenance Fee-Electrical 1 23.35 $621.35 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 buiiiding 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 BIdg_Permit_Template.rpt 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), Chapter!)(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the ContractolsState License Law for Professions Code and my license is In full force and effect. the following reason: Ucense Class CIS—Z,) License No. UJZ.2�� By my signature below l acknowledge that,except for my personal residence Expires 2-/1cr Signature - aCA'lr�— 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 legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by a 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 fallowing webshe: by Section 3700 of the Labor Code,for the performance of work for which www.Jeglnfo.ca.gov/caIaw.ht!M11.permit is issued. ml Policy If Date o 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 o By my signature below l certify to each of the following:I am the property this permit is issued.My workers compensation insurance carder and policy owner or authorized to act an the property owners behalf.I have read this number are:��1� application and the information I have provided is correct,t agree to comply Carrier I W "ram UIV�s�- with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy R URwC 1�,D I Expires O 1 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 ❑I certify that in the performance of the work for which this permit Is issued, Sr/�(�L/1 I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# ®�a'l�. 0W workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to th orkers compensation provisions of5ection 3700 of the Labor [Aode,Ishal-f rthwit comply with those provisions. �II� Will the applicant or future building occupant handle hazardous material or Date mixture containing a hazardous material equal to or greater that the pplicant amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS a Yes UNLAWFUL,AND SHALLSUBIECTAN EMPLOYERTO CRIMINAL PENALTIES Wlllthe intended use ofthe building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,0o0),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 coct(SCAQVI tionor See permitting from checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forst Ai.r nes Qua CONSTRUCTION LENDING AGENCY oYes ;i 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) ❑Yes o No 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 California H Contractors License Law for the reason(s)indicated below by the a) .'Safety Code,Section 25505 and 25534 concerning hazacdou to al reporting. chsiness and I have placed next to the applicable item(s)(Section permit oyes o No Business and Professions[ode).Any city or county that requires apermit to Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER ORAUTHORIZEDAGENT 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 IRRPI 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 lirensure receiving compensation for most work that disturbs paint In a pre-1978 and the basis for the alleged exemption.Any violation of5ection 7031.5 by residence or childcare facility to be RRP-certified firms and comply with an Applicant fora 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 a 1,as owner of the properly,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 thestructure 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 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: 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 - - - - -- - - - -- _ _1A DATE: _ — PERMIT/PLAN CHECK NUMBER GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O' OOL/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 OCCUPANCY GROUP CONSTRUCTION VTIY�PE SPRINKLERS O YES ONO PROJECTADDR /ESS ��53 \K) c,y L �t u�� ZIP ASSESSOR'S PARCEL NUMBER �, ��o�...CJ � LOT TRACT Of Menefee OWNER NAME 2�/I 'iLcayuN 'UJ• +J - Building Dep . ADDRESS 3 1 ' n &c � V JUL II 9 2 PHONE ��tI1Z2 l9 O�j,� EMAIL APPLICANT NAME ADDRESS PHONE EMAIL / CONTRACTOR'S NAME OWNER BUILDER? OYES 090 BUSINESSNAME 17(LQ ,0 �L1-S ADDRESS (,) G (-!'VC✓5C%V� CV� PHONE , , "l�l -D�.IL W l EMAIL G - • C�Y , C CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION C VALUATION$ Zli ��SQQ(/ FT L SQ FT APPLICANT'S SIGNATURE L J- v DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: �7 CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE J INVOICE TOTAL OS GREEN SMIP 3 OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE it NOTARIZED LETTER O YES O. NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 - Gfr'oa www.cityofinenifee.us MENIFEE'; 4-18" SQUARE TRAVERTINE STEP PADS TRAVERTINE VERSAILLES PATTERN PA' -a,5", t3' IJ 31' 3" a. 5 5 ' EXISTING CALIFORNIA ROOM, i TWO EXISTING COLUMNS "I WATT RESIDENCE l; N CITY OF MENIFEE BUILDING AND SAFETY DEPARTMENT PLAN APPROVAL REVIEWED BY (_YJfO9� 11 lolls j DATE 'Apicm al of:here af�ns e` 11=ot be rAn 'rued to be a pe mit for.or an G appro,.a,v:.any vloiaaon-of any pr,, iskns of the federal,state or city regulations and ordinances. This set of approved plans must be kept on the Bho*Mdo jobsite until completion. PARAMOUNT PV3 INFLOOR. CLEANING SYSTEM POOL