PMT18-03726 City of Menifee Permit No.: PMT18-03726
29714 HAUN RD.11
1 MENIFEE, CA 92586 Type: Pool/Spa-Residential
MENIFEE MENIFEE Date Issued: 07/3012018
PfERMIT
Site Address: 26270 BRIARWOOD,MENIFEE, CA Parcel Number: 360-671-046
92584 Construction Cost: $25,000.00
Existing Use: Proposed Use:
Description of INSTALL 474 SQ FT POOL AND SPA WITH 4 LIGHTS. UG GAS FOR FIREPIT
Work:
Owner Contractor
KIM&DREW STALLARD PACIFIC COAST POOLS INCORPORATED
26270 BRIARWOOD 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 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
$638.35
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 slated,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_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).
Chapters(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 1,�� Ucense No. UJZ.Z 3� 1 By my signature below l acknowledge that,except for my personal residence
Expires y�� E Signature -`L. a.�¢. 1`-� inwhich l musthave resided foratleastoneyear priorto 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
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 consentofself-insure forwarker'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 wvr,,y,leeinfo.ca.eov/calaw.hunl.
this permit Is issued.
Policy 0 Date-
0 1 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 o By my signature below I 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:,/1� �.{ application and the information I have provided is correct.I agree to comply
Carrier I r/s.KkK VI//kil l- with all applicable city and county ordinances and state laws relating to
VRtI/� �y building construction.l authorize representatives of this city or county to
+Policy It JOV75`d l Expires O 1Y 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 1 certify that in the performance of the work for which this permit is issued, � �/h�.1L f1
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSER `/js, 0qw
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
CAode,lshal rthwit comply with those provisions. ��II� Will the applicant or future building occupant handle hazardous material or
mixture containing a hazardous material equal to c rgreater that the
pplicant Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑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 requires permit for the construction or modification from South
IN SE ADDITION THE COST LABONIPENS,INTEREST,
ADATTOGES AS ROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECf10N 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelineess
CONSTRUCTION LENDING AGENCY aYes oleo
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility he within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer boundd faschnol?
(Section 3097 Civil Code) o 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 1 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 . rSafety Code,Section 25505 and 25534 concerning
hazardou to al reporting.
chsiness and
I have placed next to the applicable item(s)(Section permit OYes ❑Na b �-I� —
BusinessandProfessionsCade).Any city or county that requirrsapermit to Date
construct,alter,improve,demolish or repair any structure,priorto its PROPERTY 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP)
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 paintinapre-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
than
antfor a permit subjects the applicant to civil penalty of not more required practices.This includes rental property owners and property
thann($5$500). P P Y
managers who do the paint-disturbing work themselves or through their
a I,as owner of the property,or my employee with wages as their sale employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )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 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. a 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
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: _ 30— PERMIT/PLAN CHECK NUMBER b '
PLANNING CASE NUMBER
TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME q_P( fi /SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING ORE-ROOF UMBER OFSQUARES
DESCRIPTION OF WORK C�, v( " P`,.'
O� 1.1�` �`/'� /'�7j?/ (/(�(�(, '� ZIP
PROJECT ADDRESS cl� 1
ASSESSOR'S PARCEL
��NUMBER 3lpO ' (40 OL4(0 LOT TRACT
OWNER NAME tl M �•,�U) S 'j-a
ADDRESS R u /O
PHONE 0 3_3 U EMAIL
APPLICANT NAME \
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAM 00 �.� OWNER BUILDER? O YES O NO
BUSINESS NAME
ADDRESS czLOL/1�j09 �'\ �J
PHONE 9S/ C�"L/0 0 L q /•� 2EMMAIIL
CONTRACTOR'S STATE LIC NUMBER SS Z 2 J / LICENSE CLASSIFICATION
VALUATION$ a'l OD� SO FT T7 97 L SO FT
APPLICANT'S SIGNATURE DATE
�CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: Y OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING GINEERING FIRE Cff
INVOICETOTAL GREEN SMIP
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
G\TY py
www.cityofinenifee.us �
MENIFEE
SPA RAISED +18" WITH LEDGERSTONE
FACE AND 24" SPILLWAY LENGTH
18" RAISED BOND BEAM WITH
LEDGERSTONE FACE
6'VINYL FEN E SKIMMER A
QO
1. N +18"$t 6'VINYL
+18"RAISED + FENCE
DECKING 6
.............. ............
7"
0
5 .
FULL DRAINAGE SYSTEM 8
2"
6"
ao
18" RAISED BOND BEAM WITH rC T
LEDGERSTONE FACE BI
0 ol
REEF STEP
3CM TRAVERTINE COPING
............................ .................ti
.......... (D
-4
GRAVEL
FULL DRAINAGE SYSTEM GRAVEL
CONCRETE
CIO
C.0 QR
O
PROPOSED FIREPIT 12" TALL,
PREMIER TO PROVIDE GAS
a'X/IKIVI ccnirec