PMT18-01113 City of Menifee Permit No.: PMT18-01113
29714 HAUN RD. Type: Residential Alteration
<ACCELI-> MENIFEE, CA 92586
MENIFEE Date Issued: 03113/2018
PERMIT
Site Address: 28200 PEBBLE BEACH DR,MENIFEE, Parcel Number: 337-183-001
CA 92586 Construction Cost: $7,500.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of REMOVE EXISTING TUB WITH NEW WALK-IN JET TUB, 1 NEW DEDICATED GFCI CIRCUIT,MINOR
Work: DRYWALL PATCHING
Owner Contractor
HERSHELL ADAMS SAFE STEP WALK-IN TUB COMPANY INC
28200 PEBBLE BEACH DRIVE 15262 PIPELINE LANE
MENIFEE,CA 92586 HUNTINGTON BEACH,CA 92649
Applicant Phone:7143738545
DAVID BOYANNER License Number. 983603
SAFE STEP WALK-IN TUB COMPANY INC
15262 PIPELINE LANE
HUNTINGTON BEACH,CA 92649
Fee Description Qty Amount i$t
Receptacle, Switch,Outlet&Fixture 1 116.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee- Electrical 1 5.80
$149.80
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing building operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA Bldg_Permit_Template.rpt Page 1 of 1
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BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: PERMIT/PLAN CHECK NUMBER etms •Q
PLANNING CASE NUMBER
TYPE: O COMMERCIAL ESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION kaLTERATION O DEMOLITION C ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK VVl / "S-Ek6 TZ-e11. [iCE^ LJ !C^(
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�// nJPROJECT ADDRESS LzQ A ZIP _ O
ASSESSOR'S PARCEL NUMBER ' ,• IW - to-'701 LOT TRACT
City of
OWNER NAME e r G�vi"q Building Dept.
ADDRESS ��s iU &j kk)le. /3
PHONE EMAIL
APPLICANT NAME �Vjj �Zo-JCj,(.I„Q /� Receive
ADDRESS �//-� �L - /.� - �`� 6 F
PHONE /G/ •���� 8T7 EMAIL
CONTRACTOR'S NAME Sa •P •( cc)- OWNER BUILDER? OYES
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CONTRACTOR'S STATE LIC NUMBER c-) ( b l L_, LICENSE CLASSIFICATION
VALUATION$ ?� SO FT L SO FT
APPLICANT'S SIGNATURE DATE
OTYSTAFFUSEONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: _ ,^ CITY OF MENIFEE BU51NE55 LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICE TOTAL '(�q • $p GREEN SMIP X
OWNER BUILDER VERIFIED OYES C NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
www.cityofmenifee.us
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