PMT14-02781 City of Menifee Permit No.: PMT14-02781
_ 29714 HAUN RD.MENIFEE, CA 92586 Type: Residential Alteration
CCtnl.,
MENIFEE Date Issued: 1 012 012 01 4
PERMIT
Site Address: 28613 WATERHOLE CANYON DR, Parcel Number: 340-240-015
MENIFEE, CA 92584 Construction Cost: $5,000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of REPLACE BATHTUB WITH JACUZZI WALK-IN TUB USING EXISTING PLUMBING AND FOOTPRINT,
Work: INSTALL 2 NEW DEDICATED 20 AMP CIRCUITS
Owner Contractor
MARVIN LANDON DI-LAR INDUSTRIAL SUPPLY INC
28613 WATERHOLE CANYON DRIVE 1541 PARKWAY LOOP STE E
MENIFEE, CA 92584 TUSTIN, CA 92780
Applicant Phone: 7145443100
GRANT HOFFMAN License Number: 326317
DI-LAR INDUSTRIAL SUPPLY INC DBA LJ HAUSNER CONS'
1541 PARKWAY LOOP STE E
TUSTIN, CA 92780
Fee Description Q_yt Amount($)
Building Permit Issuance 1 27.00
g' ap:
$149.00
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_BIdg_Permit_Template.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION
I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed
Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions
Professions Cod d my license is in full farce and effect. Code:The Contractor's License Law does not apply to an owner of a property
License Class (�_ License N , 2 V 3 who builds or improves thereon, and who contracts for the projects with a
Expires /-zt"�S Signature licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
❑ I am exempt from licensure under the Contractors'State License Law for the
❑ 1 hereby affirm under penalty of perjury one of the following declarations: following reason:
I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in
compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of
Section 3700 of the Labor Code, for the performance of work for which this improvements covered by this permit, I cannot legally sell a structure that I have
permit is issued.
# built as an owner-building if it has not been constructed in its entirety by licensed
Policy contractors. I understand that a copy of the applicable law, Section 7044 of the
pI have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is
section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:htti)'//Www.leoinfo.ca.goyLulaw.html.
permit is issued.My workers'compensation insurance carder and policy number are:
/- ��-Qf` ��0� Property Owner or Authorize gent
Carrier Date
Expires (7 -2 -�� Policy# �4 ZUV[ZS��1� I
❑ By my Signature below, I certify to each of the following: I am the property
Name of Agent Phone# owner or authorized to act on the property owner's behalf. I have read this
(This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply
one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building
construction.I authorize representatives of this city or county to enter the above-
El I certify that in the performance of the work for which this permit is issued,I identified property for the inspection purposes.
shall not employ any persons in any manner so as to become subject to the
workers'compensation laws of California, and agree that if I should become
subject to the workers'compensation provisions of Section 3700 of the Labor Property Owner or Authorized Agent Date
Code,I shall forthwith comply with those provisions.
Z O City Business License#
Date; Applicant;
WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING
($700,000), IN ADDITION TO THE COST OF COMPENSATION, (]YES OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES 'S�tNO EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY 1 �' SPECIFIED ON THE HAZARDOUS MATERIALS
I hereby affirm that under the penalty of perjury there is a construction lending
INFORMATION GUIDE?
agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE
3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address ><NO DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR
GUIDE LINES
OWNER BUILDER DECLARATIONS
I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME:
License Law for the reason(s)indicated below by the checkmark(s)I have placed ❑YES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable item(s)(Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A
,�
Any city or county that requires a permit to construct, alter, improve, demolish, NO SCHOOL?
or repair any structure, prior to 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 Contractor's Stale License Law(Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or ❑YES INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to :�<0 UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE, SECTION 25505 5533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MAT RIA PORTING.
compensation,will do( )all of or( ) porting of the work,and the structure is PROPERTY O AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF MENIFEE PLCK No: Permit o:
Lk
-O 1
29714 Haun Road Date: Date:
Menifee, CA 92586 10
Phone: (951)672-6777 Amount: Amount:
lLkotgg
Fax:(951)679-3843 Ck#: Ck W
Building Combination Permit
To Be Completed By Applicant
Legal Description: Planning Case: F: L: Rt: R
Prep e r O`� �.Addres Assessor's Parcel Number.
G/v �S
Projec enant Name: Unit* Floor#:
Name: nn Zv,r'1 ;}y1� l� Ph 6 _ /._163 Fax No. /
Property Address:•l L , /i) Mtq ' r� Unit Number Zip Code
92SA
Owner
Email Address: / pf� •�J� /
Name' %Z�-/JT ! (-4—I'Yll�}l�} P T 3 Fax No.
Applicant Addre 5 L 01_-s tqCGitf Unit Number Zip Cgdp�/ J
Email Address: J. W
Name: P ne o. Fax No.
Contractor Addreel PIQAKu,�t �crd� t atyT r .-� sr�leA zip cp�e2
onr-Tr�(q)y Jt uJIB License No. Contractor's Cl ty Slate af-Cjellfo is license No. Classification:
Number of Squares::
Square Footage ) •Gpy zC'/�✓�1 y' t✓ ( (.:tyt CS
Description of Wo ;g " 6t9 I r ��22 I Cost of Work:$ -- L i ,
Applicant's Signature ` Ca,vl,rh y., t tvi ate:
To Be Completed By City Staff Only.
Indicate As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans which include: 1 set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Goo Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on B%x 11)
❑
Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑
❑ SinnglegleCalculations
Line
Structural diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan d Details ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate1-1 New Construction Alteration' Addition' Means/Methods
Work Type Repair* Retrofit' Revision to Existing Permit' Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: #Stories: Will the Building Have a Basement? Y of N
Bldg.Code Occupancy Group Indicate Indicate if YES or NO Indipte all Geo-tech.Haz.Zone
At Project Construction Sprinklered that apply: Coastal Zone
Completion: Type(s): C of O Noise Zone
Required? YES or NO Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator
Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit pea ase:Ring.
Official Approval
Expedite Project(s): Child Care City Project Green Building I Landmark Affordable Housing
For Staff Use Only
Bulldin Safe Permit Specialist City P arming Civil Engineering EPWM-Admen Transponahon Mgmt, Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
22- j ~
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(71 ;Y OF MENIFEE
BUILDING AND SAFETY DEPARTMENT
PLAN APPROVAL
REVIEWED BY O
DATE
*Approval of these plans shall not be construed to be a permit for,or an
\ approval of,any violation of any provisions of the federal,state or city
regulations and ordinances. This set of approved plans must be kept on the
jobsite until completion.
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.1QS',E1ZZf. � I
COMBINATION WHIRLPOOL PUREAIR SOAI(ING BATH
Outer Dimensions 52"Lx 2953"Wx x927H
(yx(1N)x(H) 1321mm W x99 Lx 753mm mmH '
Drain Location Lett Hand/Right Hand
Bath Wright(empty) 2201be(100 kg) 2031be(92 kg) 1021bs(83 kg) 761 Ibs Q3 kg)
Total Weight/ 780 the/75 otfit'
Floor Loading 354 kg 1366 kg/m' ..
Operating Gallonage(min-max) 55((min)163(max)U.S.Gals
2081 mun)I238(max)L
A-Overflow Height 31.60"(800mm)
B-Drain Rough4n(Side Wall) 10.75"(273mm)
C-Drain Rough-In(Back Wall) 13,3B"(34omm)
D-Drain Shoe Length 8.00"(203mm)
E-Rlm Height 2"(61mm)
F-Deck Wall 4"(102ri 'Deck width reflects indicated area only.
G-Service Access Dimensions See Illustration Below
H-Overall Height 36,50'(927mm)
Water Heater 189 E
Capacity
(Minimum Recommended) 50 Gallons( )
Electrical Sp¢clflcitions a aPower Requirem P9
Blower 120V S,Oq,60Hx,500W Moloc AO.W Heale NA 120V,MA.6041z,50aV AA.,6rOW Heafer NA
Puri(Ozone) 120V,>.OA,60Hz/1120V,.25A,60YIz) 12aV,7AA,60H'tl(120V,.25A,60Hz) NA Nq
Heafer 120V, 12.5A.60H;1.5kW 120V,12.5A,60Hz, I SeN NA NA
Li9M1t 120V,1.6A fiOHz NA NA NA
GFCI.protested cloosite TNo d¢dI¢a[¢d10V.20A.60Y One dedicated 120V,20A,60Hz One dedicated 120V,20A,62Hz NA
MEW
Combination Left-Hand Model Illustrated
Top Drain/Overflow
10.75"(B) Heater _
4"(F)' Blower
overflow
Spout ro ._....__ ---- PVmp/ _
Coltl— (C) Motor
5g25 rc_y 31.50"(A)
Hot— �--- 20,27'
Hand ti
Held 29.63" —
Drain Bottom
Service Access(G), Service Access(G), Dian ' 8,0"(D)
5,75"x 13.5" 22.0"x 13.5"
10.75"(B)
2.0"(E)
27.25"--.I
fY 22.0"—-1
r
Door —42.75" F
16,62"
12.87" ......_
36.5"
(H) I I� 17.63" 33.84"
14.0" IY_28.63
14
Front End 1. Cress Section
2013 Jacuzzi Luxury Bath - For additional Information call Customer Service 800-288-4002 www-jacozzic n,1 ecsmcab'pecs
Refer to Installation Instructions included vnlh fixture before beginning installation. Please coneml Product availability and sp cirr bons before commencing with any Installation work
PRODUCT SPECIFICATIONS AND AVAILABILITY ARE SUBJECT TO CHANGE VAT F OUT NOTICE. LX64000