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PMT15-03338
City of Menifee Permit No.: PMT15-03338 29714 HAUN RD. <A_CCELA> MENIFEE, CA 92586 Type: Residential Electrical MENIFEE Date Issued: 10/28/2015 PERMIT Site Address: 28851 W WORCESTER RD, MENIFEE, Parcel Number: 339-131-008 CA 92586 Construction Cost: $6,000.00 Existing Use: Proposed Use: Description of REPLACE EXISTING SHOWER WITH JACUZZI WALK-IN TUB USING EXISTING PLUMBING AND Work: FOOTPRINT, INSTALL 2 NEW DEDICATED 20A GFI CIRCUITS Owner Contractor ELDON RICHMOND DI-LAR INDUSTRIAL SUPPLY INC 28851 W WORCESTER ROAD 1541 PARKWAY LOOP STE E MENIFEE, CA 92586 TUSTIN, CA 92780 Applicant Phone: 7145443100 GRANT HOFFMAN License Number:326317 DI-LAR INDUSTRIAL SUPPLY INC 1541 PARKWAY LOOP STE E TUSTIN, CA 92780 Fee Description QtV Amount($1 Receptacle, Switch, Outlet&Fixture 2 121.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Electrical 1 6.05 $155.05 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.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ lam exempt from licensure under the Contractors'State License Law for the I hereby affirm under penalty or perjury that I am licensed under provisions of following reason: Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that, except for my personal residence in Professions Code and my license is in full force and effect. which I must have resided for at least one year prior to completion of License Class L3 License 1Joi 3 , ;1 improvements covered by this permit, I cannot legally sell a structure that I have Expires 46 l—3! Signature built as an owner-building if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application is submitted or at the following Web site: ❑ I hereby affirm under penalty of perjury one of the following declarations: submitted or t the htti)://www.leginfo.ca.-gov/calaw.html. site: I have and will maintain a certificate of consent of self-insure for workers' compensation,issued by the Director of Industrial Relations as provided for by Date Section 3700 of the Labor Code, for the performance of work for which this permit is issued. Property Owner or Authorized Agent Policy# ❑ By my Signature below, I certify to each of the following: I am the property d I have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read this section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comply permit is issued.My workers'compensation insurance carrier and policy number are: 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- Carrier identified property for the inspection purposes. Policy# 7 G j�(SExpires C7 - Z 3 l V Date Property Owner or Authorized Agent (This section need not be completed if the permit is for City Business License# one-hundred dollars($100)or less) ❑ I certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION shall not employ any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or a workers'compensation laws of California, and agree that if I should become mixture containing a hazardous material equal to or greater that the subject to the workers'compensation provisions of Section 3700 of the Labor amounts on the Hazardous Materials Information Guide? Code,I shall forjhu fth comply witKthose provisions. DYES "❑NO Applicant; iv `i /(Date; i C zv Will the intended use of the building by the applicant or future building occupant require a permit for the construction or modification from South WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guideli es SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND El YES NO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary,of a school? LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES ANO CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understand my requirements under the State of agency for the performance of the work which this permit is issued (Section California Health&Safety Code,Section 25505 and 25534 concerning 3097 Civil Code) hazardous material reporting. OWNER BUILDER DECLARATIONS ❑YES C1,rNO 17 I hereby affirm under penalty of perjury that I am exempt from the Contractor's i/ — Date � License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT next to the applicable item(s)(Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, EPA RENOVATION, REPAIR AND PAINTING(RRP) 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 The EPA Renovation,Repair and Painting(RRP)Rule requires contractors provisions of the Contractor's State License Law(Chapter 9 (commencing with receiving compensation for most work that disturbs paint in a pre-1978 Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with she is exempt from Iicensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their a civil penalty of not more than($500).) employees.For more information about EPA's Renovation Program visit: www.epa.gov/lead or contact the National Lead Information Center at ❑ 1, as owner of the property, or my employees with wages as their sole 1-800-424-LEAD(5323). compensation,will do( )all of or( )porting of the work, and the structure is 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 ❑An EPA Lead-Safe Certified Renovator will be responsible for this project who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, Certified Firm Name: 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). Firm Certification No.: ❑ I, as owner of the property an exclusively contracting with licensed ❑No EPA Lead-Safe Certified Firm is required for this project because: contractors to construct the project(Section 7044, Business and Professions Code:The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP Arknnw1PdnP.mPnt i BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Gr, � : Menifee DATE JO (a�lis PERMIT/PLAN CHECK NUMBER — 3 TYPE: C'COMMERCIAL C: RESIDENTIAL C: MULTI-FAMILY 0 MOBILE HOME % POOL/SPA `SIGN SUBTYPE: C)ADDITION %ALTERATION 0 DEMOLITION ELECTRICAL C MECHANICAL O NEW ): PLUMBING C] RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK �� �• LL �\\rip' ^u< I�H'-+t ZZ� t�A Ljz PROJECTADDRESS 60: (.t;'(:/He's/e ASSESSOR'S PARCEL /NUMBER LOT TRACT OWNER NAME ADDRESS ��>r'f�r (s.'• ���l�i �fI< �� C� G% � S u 9I` �e�J �; PHONE "(� .� " 1 vC� EMAIL ( APPLICANT NAME Cl l l'i ?'VJ ADDRESS aC 'i;-I.t;'�i2� C'() off/(eJ�I �y 7-L aaJluaw Jo Al;- PHONE ! 7 " �`f- 3 EMAIL LL CONTRACTOR'S NAME �- j/ ZC. " (�;Q)Z '-„ y'r. C✓ OWNER BUILDER? C YES `JNO BUSINESS NAME ADDRESS / / l%�)�1��?;c+ Cyr (� f ! t�.Sr PHONE �l7 - `5 EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION /3 :,c" _ VALUATION$ (!� SQ FT �J /S L SQ FT APPLICANT'S SIGNATURE DATE C l —e l DEPARTMENT DISTRIBUTION T_'� NIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP 1� INVOICE AMOUNT O� PAID AMOUNT �S CASH CHECK# CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT r'CASH .'CHECK# CREDIT CARD VISA/MC OWNER BUILDER VERIFIED '10 YES 0 NO DL NUMBER NOTARIZED LETTER !0 YES u NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 COMBINATION jj WHIRLPOOL j PURE AIR 5�' G BATH Outer Dimensions 52'L x 29.53'L'/x 3650'H Q f1 ( (L)x(1Tq x cn 1321mm L x 753mm bV:t 927mm H CT 2.8 l IsJ�A Crain Locat cn - Laft Hand/Right Hard Bath Weight(ampty) 2201bs(I CO kg) 203lbs(92 kg) 182lbs(83 kg) 161 Ib!,f3 rc�q) 0 Total Weight 1 760 ibs/75 lbs/ft' Floor Loading 354 kg/366 kg/m1 Operating Galbnage(min-max) I 55(min)163(max)U.S.Gals F 208L(min)1238(max)L A-Overflow Height 31.50'(80Cmm) B-Drain Rough-In(Side'A'all) 10.75"(273mm) C-Drain Rough-In(Back Wall) 13.38'(340nm) D-Drain Shoe Length 8.00'(203mm) E-Rim Height 2'(51 mm) F-Dec.'s Width' 4"(102mm) 'Deck width reflects indicated area only. G-Service Access Dimensions See Illustration Below H-Overall Height / �'•� 36.50'(927mm) Water Healer Capacity (Minimum Recommended) i 50 Gallons(189 L) Electrical Specifications Device Power Requirements I Slower / 120V,5.0A,60Hz,500W Motor,600W Heater A 120V.5.OA,50Hz,500W Motor,600W Heater NA Pump/hlotor(Ozone) ( 12OV,7.OA,60Hz/(120V..25A.6OHz) (120V.7.OA.60Hz/(120V,.25A,60Hz) NA NA Heater jj 120V.12.5A.6011z,.1.5kVV 120V,125A,60Hz,1SkV1 NA NA Light 120V,de 1.SA 60Hz NA NA NA GFCI-protected circuits` Two dicated 120V.20A.60Hz One dedicated 12011,20A,60Hz One dedicated 12OV,20A.6OHz NA Combination Left-Hand Model Illustrated Top Drain/Overflow 10.75"(B) Heater 4"(I'll' Blower CLOverflow Spout ---- T�-_Mt-prjl Cold 13.38(C) jDrain8.0" 1.50"(A) Hot -;' 20.27" Hand ' Held 29.63" " Drain Bottom Service Access(G), Service Access(G), (D) 5.75"x 13.5" 22.0"x 13.5" 10.75'(B). 2.0 (E) -52.0"(L) 27.25"—-' 45 5" j im --- 22.0"--{ Door 42.75" 16.62" 12.87" 36.5" Lj (H) 33.84" 17.63" 28.0" o I 14.0" �. 28.63" =-r T Front End 1.14 Cross Section ©2013 Jacuzzi Luxury Bath • For additional information call Customer Service 800-288-4002 • www.jacuzzi.com/lechnicalspecs Refer to installation instructions included with fixture before beginning installation. Please confirm product availability and specifications before commencing with any installation work. PRODUCT SPECIFICATIONS AND AVAILABILITY ARE SUBJECT TO CHANGE WITHOUT NOTICE. LX64000