Loading...
PMT16-04006 City of Menifee Permit No.: PMT16-04006 29714 HAUN RD. Type: Residential Alteration <A—CCF—LA—> MENIFEE,CA92586 MENIFEE Date Issued: 12/0712016 PERMIT Site Address: 27683 CAMINO VACUNA, MENIFEE,CA Parcel Number: 336-317-007 92585 Construction Cost: $6,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of REPLACE BATH TUB W/JACUZZI WALK IN SHOWER IN EXISTING PLUMBING&FOOTPRINT Work: Owner Contractor REGINA PARRY DI-LAR INDUSTRIAL SUPPLY INC 27683 CAMINO VACUNA 1541 PARKWAY LOOP STE E MENIFEE,CA 92585 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 Plumbing Fixtures and Vents,fixtures 1 116.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Plumbing 1 5.80 $149.80 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errom in the plans and specifications or from preventing builiding operations being carded 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_PerrnR_Template.rpt Page 1 of I CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the project I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State Uce,,e Law). Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure underthe Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License Class Licenw 2-6 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 lega Ily sell a structure that I WORKEWS COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by a 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 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 this permit is issued. www.leginfo.m.gov/calaw.htmi. Policy# Date o 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 o 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 an the property owner's behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to 1:2 Lw� VAh, building construction.I authorize representatives of this city or county to Policy# 5i,666C)1-33a S—WE.pires enterth for inspection purposes. Thissection need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT a I certify that in the performance of the work for which this permit is issued, -W—idw I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# 641- worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's co pensation prmasions of Section 3700 of the Labor Code,I shall forthw' c� ovislons. Fly A�we r Will the applicant or future building occupant handle hazardous material or a Applicant Jl� Date ec 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 ci Yes kNo 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($10,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist for guidelines CONSTRUCTION LENDING AGENCY 0 Yes XN. 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 outerb ndaryofaschool? (Section 3097 Civil Code) 0 Yes No OVMER 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 California Health§(Sa�ety Code,Section 25505 and 25534 concerning Contractoes License Law for the reason(s)indicated below by the hazard u mat a porting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 t - Pont' g Business and Professions Code).Any city or county that requires a permit to uYes 0�1;Nq a% construct,alter,improve,demolish or repair any structure,priorto its 0 Date issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR ALWORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRP) 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 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.epa.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-900-424-LEAD(5323). Code;The Contractor's 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 am 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 1,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's 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 TYPE: 0 COMMERCIAL 4 RESIDENTIAL 0 MULTI-FAMILY 0 MOBILE HOME 0 POOL/SPA 0 SIGN SUBTYPE: CADDITION iOALTERATION ODEMOLITION OELECTRICAL OMECHANICAL ONEW * PLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK �-Aej I PROJECTADDRESS C� VA(-(41),4 7 LOT ASSESSOR'S PARCEL NUMBER TRACT OWNER NAME 'RgAlriA ?AiZ� S I)--1(9 P �. C I 'A ADORES —Am" elo VAtAAAA -5 CAA UtW C2-� PHONE EMAIL If APPLICANTNAME ADDRESS PHONE EMAIL CONTRACTOR'S NAME OWNEIRBUILDER? OYES @FN0 BUSINESS NAME Cb ADDRESS 'FAWIWAX4 Loi'4)E 9 al(�5 PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ (41 000- SQ FT L SQ FT < APPLICANT'S SIGNATURE DATE 12- 6__ CITY STAFF USE ONLY DEPARTMENT U15TRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP INVOIC PAID AMOU AM=ET � �E 1 0 CASH 0 CHECK# OCREDITrARD VISA/MC PLAN CHECK FEES PAID AMOUNT I I OCASH OCHECK# .0CREDITCARD VISA/MC OWNER BUILDER VERIFIED 0 YES 0 NO DLNUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee Building& Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityofmenifee.us Inspection Request Line 951-246-6213 City of Menifee Building & Safety Dept. DEC 0 7 Received CITY OF MENIFEE BUILDING AND SAFETY DEPARTMENT P!IAN APP ROVAL REVIEWED 8 DATE App:oval of these pliuis ,-. ;strued to�e a permit for,or bn oPPlovd1of,anyviolatioi— of the federal,state orcit regulations and ordinance,. w: approved plans must be kept nthe jobsite until completion. 6030 Shower, Aging-In-Place go�Wp All I W-0 a 17.0, UNW ' QINNNNN�� I . 10 • High gloss acrylic - Molded foot step • Left or right hand drain - Caulkless installation • Exclusive Tru-LevelTm base - Shower strainer/drain • Slip resistant flooring - Factory installed grab bars for age-in-place • Raised dam to prevent water leakage -Fixed shower head over the threshold - Hand-held shower with 80" hose •4-piece molded sectionals city of menifee -24"vertical grab bar and hand-held slider • Built-in tile flange Building & Safety Dept. . Diverter/thermostatic value • Multiple integral shelves nrr n - Removable Seat, Curtain, and Rod Assembly -v a Vp Left-Hand Model Received Right-Hand Model LU -E CL ND WETY DE F I " T Left-HandModel�,:,,;.,vai(,., �t!,,�.epl�Rnss�,, ied ,,� b,�at1PRfdfd4MN Model 4 Vi latl0il Ot dl�') 0!thc'Nleral s ices. This�dt ot approk e '0 Me )n. LLJ 0 00 0 2013 Jacuni Lowly Bath For midit1cm.1 Information call Customer SerAce 800-28B4002 wonvjacuzzi.canulechnicalspecs Refer to Installation Instructions Included Vdth lidurs bar=beginning Installation.Please confirm Product availability and specificattom;before commencing vAth any Installation wo� PRODUCT SPECIFICATIONS AND AVAILABILITY ARE SUBJECT TO CHANGE WITHOUT NOTICE. M02SWO Pagel