PMT18-03935 City of Menifee Permit No.: PMT18-03935
�` , 29714 HAUN RD.
/`1iF MENIFEE,CA 92586 Type: Pool/Spa -Residential
MENIFEE MENIFEE Date Issued: 0810812018
PERMIT
Site Address: 29223 GUAVA ST, MENIFEE, CA 92586 Parcel Number: 333-623-005
Construction Cost: $45,000.00
Existing Use: Proposed Use:
Description of INGROUND POOL&SPA 536 SQ FT
Work:
Owner Contractor
CHRIS&STEPHANIE CASSADY METROPOLITAN POOL BUILDERS INC
29223 GUAVA ST 2318 S VINEYARD AVE STE A
MENIFEE, CA 92584 ONTARIO, CA 91761
Applicant Phone:9099476474
RON GRIJALVA License Number: 816057
METROPOLITAN POOL BUILDERS INC
2318 S VINEYARD AVE STE A
ONTARIO, CA 91761
Fee Description QQrt Amount 1$1
Swimming Pool/In-Ground Spa 1 467.00
Building Permit Issuance 1 27.00
GREEN FEE 1 2.00
SMIP RESIDENTIAL 1 6.00
General Plan Maintenance Fee-Electrical 1 23.35
$525.35
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 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_Template.rpl Page 1 of 1 .
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
with a licensed contractor(s)pursuantto the Contractors State License law).
I hereby affirm under penalty of perjurythat I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑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:
rrf
License Class L Lic ns No. 1 By my signature below I acknowledge that,except for my personal residence
Expires ) �( Sign ur ' ` 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 DE TION 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 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 following webslte:
by Section 3700 of the Labor Code,for the performance of work for which
this permit is issued. ww w .leeinfo.ca.Rov/calaw.html.
Policy# VGA W0q ry D I Date
D 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 ❑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 on the property owners behalf.I have read this
number are: t, /� application and the information I have provided is correct.I agree to comply
V•A"nM1'-0u-,'`�.Yl� _{Li� with all applicable city and county ordinances and state laws relating to
carrier // /1 building construction.I authorize representatives of this city or county to
Policy#F U 022 N"L T Expires � �O 1 enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is far one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT Date
❑I certify that in the performance of the work for which this permit is issued, D 11 I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# 1
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, all fa ith com y wit hose provisions. Will the applicant or future building occupant handle hazardous material or a
Q o d mixture containing a hazardous material equal to or greater that the
App/liy nt , ( Date o o U amounts spe�fled on the Hazardous Materials Information Guide?
WARNING• AILURE TO SECURE WORKER'S COMPENSATION C ERAGE IS ❑Yes q.Wo
UN L,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
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 V46
1 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 boun��da/ry of a school?
(Section 3097 Civil Code) ❑Yes O,wO
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjurythat I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the ha ardotls material r yorting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 escfi No
Business and Professions Code).Any city or county that requires a permit to Date D 0 b
construct,alter,improve,demolish or repair any structure,prior to its p PERTY OWNER OR - HORI EDAGENT
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 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 orthrough their
❑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( )portion of the work,and the structure is www.epa.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).
Code;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 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. ❑No EPA Lead-Safe Certified Firm is required for this project because:
❑1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
1Codde: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
L� a�+h I-e �`.G. >ap -
Acknowledgement.
' n 44.V L,-nvol s
BUILDING &< SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: $ PERMIT/PLAN CHECK NUMBER
� // PLANNING CASE NUMBER /
TYPE: O COMMERCIAL (/RESIDENTIAL O MULTI-FAMILY O MOBILE HOME %POOL/SPA 0 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 :5�) 17, tDIA 1
PROJECTADDRESS fR_�L--�� �� J ZIP Ra 5 S [p
ASSESSOR'S PARCEL NUMBER ' ! — �/��� LOT TRACT �) +
OWNER NAME !j
ADDRESS
/�0���p t/ I `
PHONE -IJ 0I W — `G EMAIL btu IWt4j J Qf -' I t•/'�
APPLICANT NAME J I `ZIYyV
ADDRESS q3 It S { 417
PHONE kQ q W O_ b o5 `1 EMAIL
CONTRACTOR'S NAME Q 6 I � O
46 r WNER BUILDER? OYES NO
BUSINESS NAME
ADDRESS � 1,
PHONE A n)- 4 pp 0 — Vy sj q EMAIL
CONTRACTOR'S STATE LIC NUMBER 0 Q1j 7 ( ' LICENSE CLASSIFICATION �! 3
VALUATION$ D!��D yp�SQ�p L SQ FT
APPLICANT'S SIGNATURE "' ' DATE p
DEPARTMENT DISTRIBUTION ACCEPTED CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE n'419.01
INVOICETOTAL 3S GREEN
SMIP
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES O NO
City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
www.cityofmenifee.us
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