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PMT16-02285 City of R41en ffee Permit No.: PMTIG-02286 29714 HAUN RD. Type: Residential Alteration <ACCELA—> MENIFEE,CA 92586 MENIFEE Date Issued: 07/15/2016 PERMIT Site Address: 27930 LEXINGTON CT, MENIFEE, CA Parcel Number: 335-091-009 92586 Construction Cost: $6,000.00 Existing use: 1 &2 Family Residence Proposed use: Description of REPLACE TUB/SHOWER W/JACUZZI WALK-IN TUB,2 DEDICATED GFCI CIRCUITS, USING Work: EXISTING PLUMBING Owner Contractor PATTY GRIER DI-LAR INDUSTRIAL SUPPLY INC 27930 LEXINGTON CT 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 OQt r Amount lEl F. r,:: 2 121.00 Plumbing Fixtures and Vents, fixtures 1 116.00 GREEN FEE 1 1.00 General sle -rreFe--plumbing 1 5,80 General Plan Maintenance Fee-Electrical 1 6.05 $276.85 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_PerrM_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 contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑1 am exempt from licensure underthe Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: License Class 13 Ucense No, 3Z 63(� By my signature below I acknowledge that,except for my personal residence Expires 1'3(`1`7- Signature ./ vC/kf- / in which l 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 D 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 website: by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. www.leginfo.ca.eov/calaw.html. Policy# Date ❑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 are: application and the information I have provided is correct I agree to comply Carrier �fi(�Q/Cr-.�j yy/'+r;HILL- with all applicable city and county ordinances and state laws relating to �7 2 building construction.I authorize representatives of this city or county to Policy It C%9V 1.33 3.57'�d Expires (9` Z-3 -l ( enterthe a v entified pr a or inspection purposes.(This section need not to he completed is the permit is for one-hundred -/// � '�� Date dollars($100)or less PROPERTY OWNER OR AUTffORIZED AGENT o I certify that In the performance of the work for which this permit is issued, /1 �iC2 Q I shall not ern Ploy any persons in any manner so as to become subject to the CITY 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,lshall forthwh limply witht se r isions. / Will the applicant or future building occupant handle hazardous material or Applicant Date �' S^L mixture containing a hazardous material equal to orgreater that the amounts��sPP��cified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes d1 G UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building bythe applicantarfuture building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airyylines Q''ua CONSTRUCTION LENDING AGENCY ❑Yes ANO I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) o Yes �(,No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCACIMD I hereby affirm under penalty of perjurythat 1 am exempt from the permitting checklist.I understand my requirements under the State of Contractor hazardous meter' I s License Law for the reason(s)indicated below by the California Health oring. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 r Cade,Section 25505 and 25534 concerning port oyes ANo Business and Professions Code).Any city or county that requires a permit to S�J/ _� construct,alter,improve,demolish or repair any structure,prior to its Date (tom issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTH6F$E15 AGENT 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 or through their o 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.ei)a.aov/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 D An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improvesthe 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 Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RAP rule please fill out the RRP Acknowledgement. I APPLICATION BUILDING &SAFETY PERMIT/PLAN CHECK —_1 Menifee DATE PERMIT/PLAN CHECK NUMBER Ib - 0=6 TYPE: O COMMERCIAL WRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW/�/* PLUMBING O RE-ROOF-NUMBER OF�SQUARES DESCRIPTION1OIF\WORK �1 Y"LpfoG- `S {1z� �• • " - � �'2'� "Wwu�to (LLB✓. I kJ :CA�CCLt ZO�a'yl �YC.. �i+��GGt:rS. �S. !�+'�• �Liasz�71 .f�6li•'t�t% PROJECTADDRESS 3/j/j� ' • N�,�y��/��� �wZLL�"- �2��2�Q ASSESSOR'S PARCEL NUMBER �J'./� )� �"`� LOT T TRACT ;JV OWNERNAME �-at ADDRESS M3O L-e }.n k T sC.1/1C` o2sQi � PHONE 9s1- 3i 3- /319 EMAIL APPLICANT NAME ,[ / ;`7/L�� �y `J� y y ADDRESS /SZ ( I�7•L�tV -l7(II � L � PHONE ��� �r —7LOV EMAIL CONTRACTOR'S NAME Z- IL 6/4 Co OWNER BUILDER? OYES ENO BUSINESS NAME �J /� � O, ADDRESS �j �'/ �,/�f �4 Lw l� " Y %t l 4 / 1 U� PHONE T/Y ` S�'C /GO EMAIL CONTRACTOR'S STATE LIC NUMBER 26 31 LICENSE CLASSIFICATION J� VALUATION$ (� obb o� SO FT L SO FT APPLICANT'S SIGNATURE DATECITY STAFF USE ONLY CITY OF DEPARTMENT DISTRIBUTION fQEfFjeUSWSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP U_��'✓Y�f//�1��JJ,�'�� INVOICE AMOU PAID AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC NT PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.Lis Inspection Request Line 951-246-6213 SOLD,FURNISHED,AND INSTALLED BY CORPORATE OFFICE L.J.HAUSNER CONST.CO. 1541 PARKWAY LOOP—SUITE E LICENSE#326317 TUSTIN,CA.92780 O E ¢ (714)544-3100•(800)433-0704 Fax(714)544-6233 NAME ?a4y GsrtPr G/ DATE '11'7IZ@16 �7G _ ADDRESS 2ij3© tw"tA CITY Swd� A 19or ZIP 'ZO& YR13UILT lq?C/ HOME PHONE 4✓( 5('j 7 GAT MR.CELL MRS.CELL MR.EMAIL ADDRESS MR.EMAIL ADDRESS MIS MUNALLY AQREEDTHATIJ.HAIIBNER CONBr.On.WILL MMISHTHENECESSARY IABOR.MATERIALS,AND EQUIPMFMTO PERFORM THE WORKAS DETAILED BELOW 11..PERFORM DETAILED SPECIFICATIONS AS NOTED/WRITTEN BELOW-NO VERBAL AGREEMENTS i Building& SyfetY Dept• ,y enifee PERMITS—OBTAIN ALL NECESSARY PLUMBING AND ELECTRICAL PERMITS Customer is aware that if the city or inspector requires any additional work outside the scope of the work contracted,then the additional work JULC r r J UL U required would be the responsibility of the homeowner. i k 2016 k DEMOLITION(OLD TUMHOWER WILL NOT BE REUSABLE) y30"x52"WALK-IN TUB KWHITE ❑ALMON ❑TUB O SHOWER)II PIECE FIBERGLASS 13FRAMED WALLS 033"x54"WALK-INTUB ❑WHITE ❑ALMON �Cp'�Q�„I ❑31"x 3T'FRONT LOADER ❑WHITE ❑ALMOND ��ii GG 11..11 CARPENTRY XLEFT DOOR ❑RIGHT DOOR kFILLER PANEUQTYJ_ ❑REMOVE AND REPLACE DOORJAMB(26"-29.75")Qty_ HYDRO/AIR THERAPY DVRO A/CHROMA THERAPY ❑REMOVE AND REPLACE DOOR&TRIM(26'LESS)Qty_ PkHAND HELD SHOWER.WAND POZONE ❑PONY WALL Qty RBACKSHELF ❑R&R VANITY 0•REPLACE SHOWER HEAD WITH TILE ❑31"x 60"SHOWER ❑LEFT O RIGHT 0 WHITE 0 BISCUIT ❑PREMIER-4 SPRAYS/3 GRAB BARS/FLOOR MAT E7 PLUMBING ❑STANDARD-0 SPRAYS/3 GRAB BARS/FLOOR MAT $STANDARD HOOKUP ❑RELOCATEDRAIN ❑REVERSE PLUMBING JWAACRYLIC WALL SURROUND/ D R&R TOILET 050 GALLON WATER HEATER .0 WHITE ElALMOND 0 WINDOW KIT 9 ELECTRICAL ,°ACCESSORIES !STANDARD HOOKUP HOWERSLIDE BAR 018"CHROME GRAB BAR 0 SUB PANEL INSTALL DECK MOUNTED GRAB BAR ❑INSTALL CUSTOMER SUPPLIED OR AB BAR ALL REPLACEDMEW DRYWALL WILL BE HOMEOWNER RESPONSIBILTY TO TEXTURE AND/OR PAINT X�G ANY WALL PAPER REMOVED WILL NOT BE REPLACED X�G ALL ATTEMPS WILL BE MADE TO USE EXISTING TILE,IF NOT POSSIBLE,CUSTOMER TO PROVIDE X_elrl_ sl/f,f1+Al NOTES: I. CLEAN UP JOB SITE AND REMOVE ALL DEBRIS. 1. PROVIDE MANUFACTURE'S WARRANTY ON MATERIAL-I YEAR LABOR PER CALIFORNIA STATE CODE 1. APPROXIMATE COMPLETION DATE 215 tL� �-���}�!'Pi--0.b4pi ;C4�p (Dates are approximate and subject to change due to permit or manufacturing delays) _ONTRACT PRICE$ 1%90Vn-� PRE SITE INSPECTION 15%$ O MATERIAL&FIXTURES DEPOSIT PERMITS DOWN PAYMENT $ / DELIVERY OF MATERIALS 75%$ b CHE DOWN PAYMENT MAY NO' 1T ED 51,000 UPON START ON INSTALLATION DR IO PERCENT OF THE CONTRACT PRICE COMPLETION OF WORK ]Oo/a$ t� NOT TO BE HELD PENDING FINAL INSPECTION BALANCE $ j3aea P(�• AMOUNT TO BE FINANCED $ PG the schedule of progress payments must specifically describe each phase work,or services scheduled to be [applied in each phase,along with the amount of each proposed progress payment. AM AWARE THAT A 3%SERVICE FEE WILL BE ADDED TO ALL CREDIT CARD TRANSACTIONS HAVE BEEN EXPLAINED THE PAYMENT SCHEDULE AND AM FULLY AWARE WHEN PAYMENTS ARE DUE 1•he law requires that the contractor give you a notice explaining your right to cancel. Initial if the Contractor has given you a'Notice of the Three-Day Right to Cancel' x; AM AWARE THAT IF 1 CANCEL AFTER THE 3 DAY CANCELLATION PERIOD,THERE WILL BE A 25%CANCELLATION FEE 'LUS RES DCKING FEES(WHEN APPLICABLE) .! X :.P�' . {_ 7171eayo X lam' ad(b SALES ERSON I DATE PROPERTY OWNER DATE X TALES PERSON REGISTRATION# PROPERTY OWNER DATE City of Menifee Building $ Safety Dept. ,. 2 " COMBINATION I WHIRLP PURE AIR I SOAKING BATH Outer Cimemlons (L)x(M a(H) 1321mm Lx7S3mm W x927mm H Drain Location Lan Hand/Righl Hand Bath Weight(empty) 220Ibs(100 kg) 203IW(921p4) 182lbs(83 kg) I 1611k5 in kg) Floor otalLoadmg 354 k9//366 kg/ma Operating Gallonage(mfnmax) 55(miL)(m83)(1=2 Uma6.)Lds A-Ovemon Height 11 101 88 3 7.E worm) 8 2233 B-Drain Reugh4n(Side Wall) 10.75-(273mm) C-Dram Rou9h4n(Back Wall) 13.ea'(340mm) D-Oram Shoe Length &00'(203mm) E-Rim Haight 2'(51mm) F-Deck VMdLh' 4'(107mm) 'Deckwidlhrelleasinr8atedamaonly. G-SeMceAcass Dimensions See Illustration Below H-Oman Height 36.50'(927MM) Water Healer Capadly 50 GaIIom,(109 L) (Minimum Recnmmerated) Electrical Specifications Device Power Requlramems 61pWer 12aV,a0A WH;5U0WMabr.WOWHKhr M /lulu.5AAWRz.500WMahr,e00WHealer lU Punpnd0lar(Oune) IZOV,].oA 60Hzl(iaW,S5q 6011t) 1Wv.TaAfi0ilar(Inv.5A60nco NA ' a4 Heater IM.USA,601-14 J AW Inv.iasA 601k 15kW IIA a4 &D561 teoV,f.-aA saw NA NA NA I-protected circuits TWo dedicated t2oV.2a4 WHz Onededlcated rzaV,30q WHz One dedicated 12W.20A 60H 0x 8 S Combination Left-Hand Model Illustrated Top Dreln/Overflow Heater 4'(F)• lower ¢Overflow Spout Pump/ Cold 13.38() Motor Hot yg2 _ 7 31.50"W 20 27' .`A Harriet- 29, 3• W L (�. Drain Bottom Service Access(G), Service Access(G), qDminB.0"(D) 5.75"x 13.5" 22.0"x 13.5' 10.75'(B). 52.0"(L �—27.26'—: 45.5' 1 ,---,-- 22.0.�) --, I 9 Door U33.84' r 36.5" (H) 17.63'} 14.0" r---28.63—.r T 1 1 1.14 Front End Cross Section ®2013 Jacuzzi Luxury Bath • For additional information all Customer Service 800-2884002 • www.jecuzzLcoMrechnicalspecs Refer to installation lnsbuclfms included with fixture before beginNngimbllallon. Please confirm product availability and speGOation;before commencing w0h arry lretallakorwork PRODUCT SPECIFICATIONSANDAVAILABIUTYARE SUBJECT TO CHANGE WITHOUT NOTICE Lx64000 C c INY of MenifeeDePt. u1i iing & Safety C JUL 15 2016 Received � 1 k � a JY OF MENIFEE UIL ING AND SAFETY DEPARTMENT �1 �I.ANAPPROVAI REVI WED BY ICJ DA E S ; ;;prwal of these plans si'< ;, an;rued to be a permit for,or an 5 ai;proval of,any violation of aa} : n ;of the federal,state or city T _ regulati�tnitii s and ordinances. Th s ee'. approved plans must be kept on the obsite completion, is G w ._ .go.