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PMT17-03835 City of Menifee Permit No.: PMT17-03835 29714 HAUN RD. <ACCELA7 MENIFEE, CA 92586 Type: Residential Alteration MENIFEE Date Issued: 10126/2017 PERMIT Site Address: 27787 ANTELOPE RD, MENIFEE, CA Parcel Number: 333-263-064 92585 Construction Cost: $8,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of DRYWALL REPAIR, INSTALL NEW TOILET, NEW SHOWER VALVE&TRIM, MOVE VALVE, INSTALL Work: HANDHELD FAUCET, INSTALL VANITY LIGHT. Owner Contractor NATHAN KELSEY J D F CONSTRUCTION INC 201 GEMINI AVE BREA, CA 92821 Applicant Phone:7145261120 J D F CONSTRUCTION INC License Number:956749 201 GEMINI AVE BREA, CA 92821 Fee Description QX Amount t81 Receptacle, Switch, Outlet& Fixture 1 116.00 Plumbing Fixtures and Vents,fixtures 1 116.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Building 1 0.00 General Plan Maintenance Fee-Electrical 1 5.80 $265.80 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 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_Pennit_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 ❑I am exempt from Iicensure under the Contractors State License Law for Professions Code and my license Is in full force and effect. 't�r the following reason: LicenseClas 3 / Uce No,., ///S � T' ! By my signature below I acknowledge that,except for my personal residence Expires f Signature vC in which I must have resided for at least one year pdor to completion of WORKER'S COMPENSATION DECLARATION Improvements covered by this permit.I cannot legally sell a structure that 1 have built as an owner-builder if it 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 webshe: by Section 3700 of the Labor Code,for the performance of work for which this permit is Issued, www.leeinfo.ca Rov/calaw html. Polity N Date have and will maintain worker's compensaixm 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 owner's behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier �' S �� with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy K I'L4400 O?(a $-O ] Expires enter the above identified property for inspection purposes. (This section need not to he completed is the permit is for ne-hundred Date dollars($100)or less � PROPERTY OWNER OR AUTHORIZED AGENT o 1 certify that in the performance of the work for which t iSpermit is issued, I shall not emolov any persons in any anner so as tome subject to the CITY BUSINESS LICENSE If workers com nsat n laws of Calif rnia,and agree that if I should eco a HAZARDOUS MATERIAL DECLARATION subject to th worke s compensat n provis�ns of Section 3700 the bor Code,I s all rthwit com y "t� Ike ovisions. '/c Will the applicant or future building occupant handle hazardous material or a 11-7 Applicant Date " t�� mixture containing a hazardous material equal to or greater that the r amounts specified on the Hazardous Materials Information Guide? WARNING: AILURE TO SECURE WORKER'S CO ENBATION V GE IS ❑Yes A(No UNLAWFUL,AND SHALL SUBIECTAN IPIDY�R TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL PINES 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 37060E THE LABOR[ODE,INTEREST,AND ATTORNEYS FEES for guideInes CONSTRUCTION LENDING AGENCY ❑Yes V 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 3D97 Civil Code) ❑Yes CIO OWNER BUILDER DECLARATIONS I have re Hazardous Mated Onformation GuidR and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting the list.I understancrmy requireme under the State of Contractors License Law for the reason(s)Indicated below by the Califinia Healt &Safety Cod ,Section 255 5 nd 25534 can emin checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 C Its/ 7clous mat vial reportin B. Business and Professions Code).Any city or county that requires a permit to o slo - 1 Data �-1 /V .S T construct,alter,improve,demolish or repair any structure,prior to its p QPERTY 0 NER OR AUTHORIZED ENT 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 State EPA RENOVATION.REPAIR AND PAINTING(RRPI license Law(Chapter 9(commencing with Section 7000)of DMsion 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 Iicensure receiving compensation for most work that disturbs paint in apre-1976 and the basis for the alleged exemption.Any violation of Section residence or childcare facility to be RRP-certified firms and comply with than Applicant for a permit subjects the applicant not nt 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( I all of or( I portion of the work,and the structure Is www.eoa.gov/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 improves the 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. ❑No EPA Lead-Safe Certified Firm is required for this project because: D 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 RRP rule please fill out the RRP Acknowledgement. DATE: D 2fp PERMIT/PLAN CHECKNUMBER _ONSP TYPE: 0 COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK G^- PROJECTADDRESS J' �O T 400�\bv-e_ (2CA. ZIP (, Sr� ASSESSOR'S PARCEL NUMBER ��;J�a�o3 '(� LOT b 5 TRACT OWNER NAME (AY 7— ADDRESS S� PHONE "!��—.�U I — 9 r � �. EMAIL APPLICANT NAME Y G(,(• 'S ADDRESS PHONE EMAIL CONTRACTOR'S NAME �D� OWNER BUILDER? O YES NO BUSINESS NAME ADDRESS Ql GJCVV6V�\ e- Gl C-W f-7 a PHONE `i-JCJ�Jra'(¢ ��'�(7 EMAIL CONTRACTOR'S STATE LIC NUMBER Cj (U �- � / LICENSE CLASSIFICATION VALUATION$ p J SO L SQ FT —1 APPLICANT'S SIGNATURE DATE L 4 I T CLSTAFF USE ONLY DTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE N UMBER BUILDING PLANNING ENGINEERING FIRE PERMIT FEE SMIP GREEN PLAN CHECK FEE INVOICE TOTAL OWNER BUILDER VERIFIED 0 YES 0 NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES 0 NO Sat—/ow�2 ' -� 1 � � CITY OF MENIFEE BUILDING AND SAFETY DEPARTMENT � O PLAN APPROVAL 1� V- _ I A^ REVIEWED BY O•a c� CQ ' ��. (�( ' DAT V� 'Approval of these plans shall no'.be construed to be a permit for,or an �C j approval of,any violation of any piovijons of the federal,state or city f ii _9 regulations and ordinances. This set of approved plans must be kept on the jobsite until completion. II f/Z •�hbu�e t hez, --� 3I�` , gb1 �rnM ot,�tle /7 o fit,/ct 1'aenlfeo � N Building'& fstj Dept. — OCT 71 lilt? � 0 �co�wJA- Nevarez Final Scope: Bathroom Convert from Tub/shower to shower only *General Services: Demo -remove medicine cabinet completely Frame pony wall in shower approx....30"W x 42" H _�Drywall repair Permits$700 (Includes$350 retention fee) Project cleaning •Finished Plumbing: Lf Install single vanity -install toe kick kit Install mounted mirror Install (1) new grab bar r R/R (3) grab bars /v _ Install storage cabinet above toilet Install new toilet *Rough Plumbing: Install new shower valve &trim — Move valve up to shower height approx: 15" —Install hand held faucet by bench & bring plumbing to this new location Move shower head up approx. 8" I Move vanity cold shut off valve to left approx. 12" SHOWER DOOR TYPE 2 Awe •Flooring: Install porcelain tile on bathroom floor-brick lay-grout joints 1/8"-parrell with vanity-total 26 s.f. Install bullnose as tile base-total 16 Lf. Install porcelain tile on shower walls/pony wall/bench-brick lay, grout joints 1/8"-total 93 s.f. -bullnose for all exposed edges Install 4" band -see drawing-total 4 s.f. Install pebble mosaic on shower pan -total 10 s.f. Install ITS pan, bench, (1) niche -niche location TBD, but proposed on inside of pony wall above bench Install cement board-total 93 s.f. •Finish Electrical: -1Install vanity light. Install fan/light combo -existing electrical and venting •Rough Electrical: install (2) outlet/switches Move vanity light to center over vanity approx. 6" Move fan/light combo top center of room approx. 6" •Paint: Paint bathroom walls and ceiling-total 170 s.f. Paint inside of bathroom door and casing •Millwork: N/A � . `y Dept. OLT