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PMT18-04193 City of Menifee Permit No.: PMT18-04193 29714 HAUN RD. .. _. MENIFEE, CA 92586 Type: Pool/Spa-Residential MENIFEE MENIFEE Date Issued: 08/2412018 PERMIT Site Address: 29276 ELDORADO WAY, MENIFEE, CA Parcel Number: 351-281-002 92587 Construction Cost: $25,000.00 Existing Use: Proposed Use: Description of INGROUND POOL&SPA,429 SF,WITH WATERFALL Work: Owner Contractor JEANETTE& LANCE KELLY PACIFIC COAST POOLS INCORPORATED 29276 ELDORADO WAY 26499 JEFFERSON AVE UNIT E MENIFEE,CA 92587 MURRIETA, CA 92562 Applicant Phone:9512960199 BRANDY CORAL License Number 852237 PACIFIC COAST POOLS INCORPORATED 26499 JEFFERSON AVE UNIT E MURRIETA, CA 92562 Fee Description 01t 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 4.00 General Plan Maintenance Fee-Electrical 1 23.35 $522.35 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_Permft 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 D 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,s� c License No. 6slz'57 By my signature below l acknowledge that,except for my personal resldence Expires 2-1 1 y Signature in which I must have resided for at least one year prior to completion of Improvements covered bythis permit.I cannot legallysell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirely by a 1 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 webske: by Section 3700 of the labor Cade,for the performance of work for which www.le-Info.ca.aav/calaw.html.permit is Issued. Policy 4 Date — o 1 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 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 am: application and the information I have provided is correct,i agree to comply Carrier 011 tA.K)JK ylVva�,�-(� with all applicable city and county ordinances and state laws relating to pp � p 7 building construction.)authorize representatives of this city or county to Policy 0 LOL 0`32I 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 o I certify that in the performance of the work for which this permit Is issued, I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE g `) i workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject tot orkers compensation provisions of Section 3700 of the Labor Code,Ishat-f rthwft comply with those provisions. II� Will the applicant or future building occupant handle hazardous material or Applicant Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS D Yes evo— UNLAWFUL,AND SHALLSUBIECTAN 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 mpolfiration from South ADDITION TO THE COST Of COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District conttrction or See Permitting Soutist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airllnes Qua CONSTRUCTION LENDING AGENCY ❑Yes ;iz 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 cr No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that l 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 Californiala, Safety Code,Section 25505 and 25534 concerning hazardou reporting. checkmark(s)I have placed next to the appliable items)(Section 7031.5 o � rt r'—I Business and Professions Code).Any city or county that requires a permit to LJu Date construct,alter,Improve, applicantsh for hepeystro file a signeor d statement PROPERTY OWNER OR AUTHORIZED AGENT its 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(RRPI License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RAP)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 o 1,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). 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 Contractoes 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: S IP PERMIT/PLAN CHECK NUMBER GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: O COMMERCIAL O RESIDENTIAL Q MULTI-FAMILY O MOBILE HOME O POOL/SPA ®SIGN SUBTYPE: (E)ADDITION O ALTERATION ®DEMOLITION Q ELECTRICAL O MECHANICAL ONEW OPLUMBING ORE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK 6 I OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS O YES ONO PROIECTADDRESS ��-�G�'nQ L/�(+(��Lya�� I)j� ZIP ASSESSOR'S PARCEL NUMBER ' 'OOa' LOT TRACT City of Menifee OWNER NA/MEE .Q.. _ �.lX �Lo i, � Building Dept. ADDRESS A PHONE -]UV3 — j�� EMAIL APPLICANT NAME ADDRESS PHONE EMAIL CONTRACTOR'S NAME (:CMS `, U OWNERBUILDER? QYESONO BUSINESS NAME ADDRESS PHONE ZQ I EMAIL CONTRACTOR'S STATE LIC NUMBER AIZl3l LICENSE CLASSIFICATION > VALUATION$ L jlw SQ FT L SQ FT APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENTDISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING EIRE INVOICETOTAL .E�5 I GREEN SMIP OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE k NOTARIZED LETTER O YES O NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofm en ifee.us NIF SPA RAISED 12" PA ✓o FLAGSTONE COPING TEXTURED CONCRETE +12" PA �2 �. 1 NEW TEXTUR P ) PA PA 3.5' DEPTH i l i_- r 6' F• _ -� CAS o—GA h POOL EQUIPMENT KELLY RESIDENCE