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PMT18-04469 City of Menifee Permit No.: PMT18-04469 29714 HAUN RD. MENIFEE, CA 92586 Type: Pool/Spa -Residential MENIFEE MENIFEE Date Issued: 0 911 3/2 01 8 PERMIT Site Address: 25373 WATER WHEEL CT, MENIFEE, CA Parcel Number: 358-422-004 92584 construction Cost: $38.000.00 Existing Use: Proposed Use: Description of INGROUND POOL&SPA,WITH TWO CITY STD BLOCK WALL REPAIRS FOR EQUIPMENT Work: ACCESS, 5'x 2.5 L FT Owner Contractor WILLIAM &KYM NORD 25373 WATER WHEEL COURT MENIFEE, CA 92584 Applicant License Number. MENIFEE, CA Fee Description Qty Amount 1S1 Swimming PooUln-Ground Spa 1 467.00 Building Permit Issuance 1 27.00 Wall/Fence,standard 1 83.00 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 5.00 General Plan Maintenance Fee-Building 1 4.15 General Plan Maintenance Fee-Electrical 1 23.35 $611.50 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 staled,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 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 contractors)pursuant to the Contractors State License Law). 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: License Class License No. By my signature below I acknowledge that,except for my personal residence Expires 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 certlficate 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 www.leginfo-ca-gov/calaw.htmi.permit is issued. Policy# 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 owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply with all applicable city and county ordinances and state laws relating to Carrier building construction.I authorize representatives of this city or county to Policy# Expires enter the ab. ve Identified p aperty for inspection purpose . (This section need not to be completed Is the permit is for one-hundred L ' e dollars($100)or less Date PROP TY OWNER UTHORIZED AGENT ❑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 CX BUSINESS LICENSE# workers 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 comply with those provisions. Will the applicant or future building occupant handle hazardous material or a 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 15 D Yes ❑No 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 3706 OF THE L occupant require a permit for the construction or modification from South IN SECTION ADDITION 7 F THEST LABOR CODE,INTEREST,AND ATTORNEYS FEES COMPENSATION,DAMAGES AS PROVIDED FOR Coast.Air Quality Management District(SCAQMD)7 See permitting checklist for guidelines CONSTRUCTION LENDING AGENCY D Yes ❑No 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) ❑Yes ❑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 Contractors 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 Items)(Section 7031.5 hazardous material reporting. Dyes ❑No Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,prior to 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 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 Iicensure 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 ❑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.eoa.aov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-80OA24-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a D 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 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: PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MEC�(�}fCA[Menifee O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES BUilding Dept. DESCRIPTION OF WORK (/!f ivl, .� SEP PROJECTADDRESS bvh?-Z'L. ZIP V@ ASSESSOR'S PARCEL NUMBER -Ltaa-('Yglj LOT TRACT r OWNER NAME Arlalo.? Q ADDRESS /�•�537 /✓/ i?�� Wh2�c- PHONE -6 2-6 EMAIL /GL1,4,-sA1J_, tea? (L • ' APPLICANT NAME `11,C114" /Og ADDRESS PHONE + EMAIL CONTRACTOR'S NAME OWNER BUILDER? -gXES O NO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ SQ FT L SQ FT APPLICANT'S SIGNATURE DATE /� U DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL I GREEN SMIP OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE N NOTARIZED LETTER C YES O NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofinenifee.us ' » e NIF FOOTING OPTION "A" FOOTING OPTION "B" #4 HORIZONTAL REBAR (USE BOND BEAM BLOCK) 6"OR 8" BLOCK "H" rrHr. HEIGHT FROM TOP #4 HORIZONTAL AT 3211 MAX. O.C. HEIGHT FROM TOP OF FOOTING (USE BOND BEAM BLOCK) OF FOOTING SEE TABLE SEETABLE"B" FOR REBAR SIZE FOR REBAR SIZE AND SPACING AND SPACING LOCAWRMMINCEN OFCEW IIOCAiE RF9AR IN CENTER OF MEW FINISH GRADE (1)-#4 REBAR =IIII CONTINUOUS = c 12" 1O" (2)-#4 REBAR IIII= ifee IIII= i ng Dept. --- =_IIII CONTINUOUS IIII= -IIII REVERSE _ =111�1111 13 20`18 DIRECTION OF W" W" HOOK ON EVERY (F�I" WIDTH) OTHER REBAR SEETABLE"A" (ETINGWIDT, �reiv SEETABLE"B , e ALL FOOTINGS ADJACENT TO TABLE „A•, SLOPES BEAT LEAST 5'TO TABLE "B" DAYLIGHTT AS SHOWN BELOW. uHn .rWrr VERTICAL VERTICAL REINFORCEMENT r.H rr rrWa REINFORCEMENT 3' 17" #4 @ 48"O.C. 3' 19" #4 @ 48" O.C. 4' 20" #4 @ 48" O.C. 4' 22" #4 @ 48" O.C. 5' 23" #4 @ 48" O.C. s<q,'§( 5' 29" #4 @ 48" O.C. 6' 29" #4 @ 24" O.C. BoFoM F 6' 34" #4 @ 24" O.C. FOOTING SMIN. NOTES: CHECK WITH THE BUILDING DEPARTMENT TO 1)THIS DESIGN DOES NOT ALLOW GRADE DIFFERENTIALS OF VERIFY IF A BUILDING PERMIT IS REQUIRED ._ MORE THAN 6"ON OPPOSING SIDES OF THE WALL THIS IS WHEN A PERMIT IS REQUIRED,THE FOLLOWING NOT A RETAINING WALL. 2)FENCE HEIGHTS ARE REGULATED—CONSULT ZONING INSPECTIONS ARE REQUIRED: 1)FOOTI ornv-t,nr rewr..--- REGULATIONS BEFORE BEGINNING CONSTRUCTION. � STTEEEULIINPLLACE AND SUPPORTED 3"ABOVE AN LL 3)NO WATER COURSE OR NATURAL DRAINAGE SHA BE CITY 1v MOM OF THE SURROUNDING EARTH/DIRT. OBSTRUCTED. E I AR AND 4)GROUT ONLY THE CELLS CONTAINING REBAR. THIS WALL BUILDI � �r �R P 1• �I�PRIOR IS NOT DESIGNED FOR ALL CELLS TO BE GROUTED. PLAN�'r1M7rAP'TEOUT 5)ALL REBAR TO BE ASTM SPEC.A615,GRADE 40 MINIMUM. R GROUT IS PLACED-PRIOR TO ANY 6)ALL REBAR LAP SPLICES TO BE 2411 MINIMUM. DECORATIVE CAP PLACEMENT. 7)ALL MASONRY UNITS TO BE ASTM C-90 GRADE N. B)REBAR TO BE CENTERED IN MASONRY CELLS. WESTERN RIVERSIDE COUNTY CODE UNIFORMITY PROG@*1 *SEE PAGE 2 FOR ADDITIONAL INFORMATION* I&I CITY OF MENIFEE DISCLAIMER: fth e plansALTERNATE DESIGNS MAY BE POSSIBLE anWHEN PROVIDED WITH AN ENGINEEREDand rdin �9spt� p �n� I e tL ANALYSIS. USE OF THIS STANDARD DESIGN co letion. MqdWWSA IS AT THE USER'S RISK AND CARRIES NO IMPLIED OR INFERRED GUARANTEE AGAINST (951 FAILURE OR DEFECTS. 11 FAX(951)6793843 1 y 4/2014 1 Www.CTTYOFMENIFEE.US I PAGE 1 0F2 REBAR PLACEMENT ILLUSTRATION FOOTING OPTION B 10 (TYPICAL) ALL REBAR SPLICES 24" MIN. OVERLAP ga (TYPICAU ONLY CELLS AND BOND BEAM COURSES WITH REBAR TO BE GROUTED (DO N_SOUL)GROUT ENTIRE WALL-USE GROUT STOP MESH AS APPROPRIATE) wW q pa FOOTING OPTION A ' fTYPICAI) s ALL REBAR SHALL HAVE A MINIMUM OF 3"CONCRETE COVER AT FOOTINGS i S DESIGN PARAMETERS: WESTERN txmElxsloEcouNn n coeuNlrownrrrPRoGwAM ACTIVE SOIL PRESSURE(PSF) =30 "`-"' CITY OF MENIFEE !ASSIVE.SOIL BEAR[NG(PSF) =150 BUILDING DEPARTMENT (;OEFFICIENT OF FRICTION, - =0'25 ENIRE ' ALLOWABLE SOIL BEARING;(PSF) =-1500 WIND=60MPH,EXPO$WREC.. - i' FREESTANDING BLOCK WALL SEISMIC: - NA=13,NV=1.6,Z=0.4,SOIL PROFILE=SO (951)6728777 29714 HAUN ROAD,MENIFEE,CA 92586 -- :---- -- - FAX(951)679.3843 -1 2/24/2014- - WWW.CRYOFMENIFEE.US 1 PAGE20F2, - We,William and Kym Nord grant permission to secure permits for our owner builder pool project at 25373 Water Wheel in Menifee, to Mark Brownlee a thi at 18. is allows us to continue with our daily workwhile securing our permits. William Nord: Date: Kym Nord: Date:-4WOl See Attached Notarized Document Dated city of Menifee Building Dept. SEP 13 2018 Received CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of. L�m1a } On before me, 1D��4 —D nl�rlti� JAWn t t11,11C [ I (Here insert name a uue o e o J I personally appeared ( NJud Dric) ll Ab rAr��,t�ir� who proved to me on the bagis of satisfactory evidence to be the person(s) whose name(s) is/afe-subscribed to the within instrument and acknowledged to me that he/she/#iey executed the same in his/her/their authorized capacity(ies), and that by his/her/t4eirsignature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. SOLANGE N.TAMBWE y COMM.tl2203119 F= NPlery PYEIc•Oeri y /aalOEOOUaW NTY \� MY Comcmm FxPins Jun.29,a0a1 w ry ublic S nature (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Thisformcomplieswith current California statutes regardingnotary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT Jneeded,should be completed and attached to the document Acbrowledgments from other states may be completedfor daomnents beingsent to that state so long ` as the wording does not require the California notary to violate California notary 1i f kmv. (TUe or scdption of attached document) • State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment • Date of notarization must be the date that the signer(s)personally appeared which (Title or description of attached document continued) must also be the same daze the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her Number of Pages Document Date — —� commission followed by a comma and then your title(notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural fom s by crossing off incorrect forms(i.e. helsheldwy,—is/ere)or circling the correct forms.Failure to correctly indicate this ❑ Individual (a) information may lead to rejection of document recording. ❑ Corporate Officer • The notary seal impression must be clear and photogmphically reproducible. Impression must not cover text or lines. If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document Other Indicate title or type of attached document,number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). 2015 Version www.NotaryClasses.com 800-873-9865 • Securely attach this document to the signed document with a staple. fAOMddV NVId -- (INV ONIC-i i19 JAIN31N JO Ail-f-) n 18 8� ll, /1 ' P w rn i N F C t