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PMT17-01499 City of Menifee Permit No.: PMT17-01499 29714 HAUN RD. '5A_CCEL/? MENIFEE,CA 92586 Type: Residential Alteration MENIFEE Date Issued: 06/12/2017 PERMIT Site Address: 26918 CANBERRA, MENIFEE, CA 92584 Parcel Number: 360-480-063 Construction Cost: $6,497.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of BATHROOM REMODEL-DEMO, INSTALL NEW SHOWER PAN-MOVE DRAIN 6 INCHES. INSTALL Work; NEW SHOWER VALVE AND TRIM. INSTALL NEW TOILET AND VANITY CABINETS. DRYWALL REPAIR. NO ELECTRICAL. Owner Contractor FRANCISCO ALMARIO J D F CONSTRUCTION INC 26918 CANBERRA ST 1114 E TRUSLOW AVE MENIFEE, CA 92584 FULLERTON, CA 92831 Applicant Phone:7145261120 J D F CONSTRUCTION INC License Number.956749 1114 E TRUSLOW AVE FULLERTON, CA 92831 Phone:7145261120 Fee Description Oty Amount IS1 Plumbing Fixtures and Vents,fixtures 2 116.00 Building Permit Issuance 1 27.00 SMIP RESIDENTIAL 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 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 pr ea lic ensed rty who contractor(s)pursuant to the Contractors State License Law).builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that I am under provisions of wit Chapter9(commencing with section 7000)of Division 3 of the Business and o am exempt from Iicensure under the Contractor's State License Law for Professions Code and my license is in fullforce and effeect./ F7 a following reason: License Class V f do r L20 6 in I f License f ISf7 / 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 WORKER'S COMPENSATION DECLARATION have built as an owner-builder Wit 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 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 T www.Ieginfo.m.gov/caI@w.htmI. issued. Policy# LA oclo g bS 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 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 on the property owners behalf.I have read this numbekrsy&3mCe application and the information I have provided is correct.I agree to comply Carrier_1oLl�s with all applicable city and county ordinances and state laws relating to �1/ /� building construction.I authcriz epresentatives of this city or county to Policy K V LA006 gGS Expires 25 )S� 7 enterthe abo addentifi oY rty for inspection purposes. I (This section need not to be completed is the permit is for one-hundred —'Z,17 dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT Date in I certify that in the performance of the work for which this permit is issued, 7 I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE p DS6 1 "O� workers compensation laws of California,and agree that if l should become AZARDOUS MATERIAL DECLARATION subject to the workers compensation provision f Section 3700 of the Labor Code,I shall fort/hwi! IV with t os r vi ions. Will the applicant or future building occupant handle hazardous material or a Applicant/ Date S mixture containing a hazardous material equal to orgreater that the amounts specified on the Hazardous Materials Information Guide? WARNIN :FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 o 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 occupant require a permit for the construction or modification from South ADDITION TO3 THE COST OF COMPENSATION,CODE,INTERDAMADATTOGES AS ROVIDEDS Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE 1A80R[ODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY #Yes eo 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 bou dory of a school? (Section 3097 Civil Code) ❑Yes qNo OWNER BUILDER DECLARATIONS 1 have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjurythatlam exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by rom the California Health&Safety Code,Section 25505 and 25534 concerning hazardous materiMing. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ^pyps ❑No Business and Professions Code).Any city or county that requires a permit toFRE Date 1 Z I7 construct,alter,improve,demolish or repair any structure,prior to its PEgT OWNER OR THORIZED 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 StateRENOVATION,REPAIR AND PAINTING IRRPI License Law(Chapter 9(commencing with Section 7000)of Division 3 of theEPA Renovation,Repair and Painting(RRP)Rule requires contractors Business and Professions Code)or that he or she is exempt from Iicensureving compensation for most work that disturbs paint in a pre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 byence or childcare facility to he RRP-certified firms and comply with an Applicant far a permit subjects the applicant to a civil penalty of not moreired practices.This includes rental property owners and property than($500). gers who do the paint-disturbing work themselves or through their ❑1,as owner of the property,or my employee with wages as their sole loyees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is .epa.gov/lead or contactthe National Lead Information Centerat not intended or offered for sale.(Section 7044,Business and Professions -424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a EPA Lead-Safe Certified Renovator will be responsible forthis project property who,through employees'or personal effort,builds or improves theproperty provided that the improvements are not intended or offered forCertified Firm Name: sale.If,however,the building or improvement is sold within one year ofFirm Certificatipn No.: completion,the Owner-Builder will have the burden of proving that it wasnot built or improved forthe purpose of sale. EPA Lead-Safe Certified Firm is required forthis project bemuse: o1,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. APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK Menifee DATE PERMIT/PLAN CHECK NUMBER 1 TYPE: O COMMERCIAL XRESIDENTIAL O MULTI-FAMILY 0 MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O ROE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK A f 075 Q M I -P Mb — 0 1 1nS+0 I ShOWer n move, rcAi n (.P", n-Nj w 1 W) yr� shoes Vlem -6 I 6 Cdb� PROIECTADDRESS I9 L&VI ef�a- P. I/1 97-s� ASSESSOR'S PARCEL NUMBER 31Q O '490 •d lQ 3 LOT TRACT -ff:F' OWNER NAME (,b Alm&rio ADDRESS S GkIAV, a's a.b 6ue.- PHONE EMAIL APPLICANT NAME %A& CG J5 ADDRESS 20 &A tin;hl Ave, fpik (iA PHONE (7i 7) ,j L 6 -11?_ ! f EMAIL CONTRACTOR'S NAME * (,okS'I"f.,c.-( t0�., OWNER BUILDER? O YES O NO BUSINESS NAME {� ADDRESS 2.01 &-je it i w, 6 r ik ( A ' q'z Z 1 PHONE (7/ 7) _�L 4 ✓1I L0 EMAIL CONTRACTOR'S STATE cLIICNUMBER gS0gj LICENSE CLASSIFICATION - L(0 GZO C_ VALUATION$ 6 �� / SQ FT L SO FT APPLICANT'S SIGNATURE DATE s 1 DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP ✓ ` � INVOICE PAID AMOUNT AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC LO PLAN CHECK FEES PAID AMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC WNERBUILDER VERIFIED OYES O NO DLNUMBER NOTARIZED LETTER O YES 0 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 DPP P� . � ► Almario Final Scope Bathroom: r • Demo 1 Install shower pan V -move drain approx.... 6" Install new valve and trim for shower -move valve up to shower height approx. 15" VVVT Install (2) niches-location TBD by Client Install 12" x 24" porcelain tile—brick lay-horizontal-grout joints 1/8"—total 84s.f. �..�► -use bullnose pieces for all exposed edges (window, shower walls, niches) Install4" listello as band in shower—total 15 I.f. Install 12" x 12" porcelain tile as bathroom flooring-diagonal-grout joints 1/8"—Total 39 0 Install bullnose as tile base—total 20 I.f. ~� Install vanity cabinets—see picture Install single sink vanity top -cap off second sink plumbing Install new vanity light-existing Location i�LT Install new toilet Install new storage cabinet over toilet Install new wall mirror-15 s.f. Install new shower door Drywall repair City of Menitee Building 8 Safety nopt. Client will paint MAY 12 2flt: Received LLJJ i� v • � io O LU Z o C) :Lit- V:2f Ct Ql� 70