PMT15-01178 City of Menifee Permit No.: PMT15-01178
��„ 29714 HAUN RD. Type: Residential Re-Roof
4IGCEL.J ' MENIFEE, CA 92586
MENIFEE Date Issued: 05/06/2015
PERMIT
Site Address: 28928 CROSBY DR, MENIFEE, CA 92586 Parcel Number: 337-384-018
Construction Cost: $6,000.00
Existing Use: Proposed Use:
Description of REROOF OVER EXISTING 1 LAYER WITH CERTAINTEED SOLARIS PLATINUM SIERRA BUFF COOL
Work: ROOF
Owner Contractor
RICKI VOYLES HOUSETOP ROOFING
28928 CROSBY DR 31760 BRIGGS ROAD
MENIFEE, CA 92586 MENIFEE, CA 92584
Applicant Phone: 9516798369
RICH CARROLL License Number: 371783
HOUSETOP ROOFING
31760 BRIGGS ROAD
MENIFEE, CA 92584
Fee Description QtV Amount f$1
Inspections
,.not specified 98 98.00
GREE EEC x.ie^.�il x �G+ c�+e�^xa'CtY^`3y"c Ls � ix" y',"P.. m T✓ 1T" �"v s-��,"YM�B�",.�"
$126.00
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 Permit Template.rpt Page 1 of 1
i
City Of Menifee
LICENSED DECLARATION
1 hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed I,
Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions
Professions Cod��e77and m license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property
License Class `-3 License No. who builds or improves thereon, and who contracts for the projects with a
Expires 2//t� Signature 1 licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION ECLARATION
❑ I am exempt from licensure under the Contractors'State License Law for the
❑ 1 hereby affirm under penalty of perjury one of the following declarations: following reason:
I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in
compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of
Section 3700 of the Labor Code, for the performance of work for which this improvements covered by this permit, I cannot legally sell a structure that I have
permit is issued. built as an owner-building if it has not been constructed in its entirety by licensed
Policy# contractors. I understand that a copy of the applicable law, Section 7044 of the
lv I have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is
section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:htto://www.leginfo.ca.gov/calaw.html.
permit is issued.My workers'compensation insurance carrier and policy number are: '..
Carrier ,�. ?� 'y.J Property Owner or Authorized Agent Date
Expires / 2Z_//.� Policy# 77l G Z.
Name of Agent Phone# Ciety my Signature below, I certify to each of the following: I am the property
owner or authorized to act on the property owner's behalf. I have read this
(This section need not be completed if the permit is for application and the information I have provided Is correct. I agree to comply
one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building
construction.I authorize representatives of this city or county to enter the above-
0 1 certify that in the performance of the work for which this permit is issued,I identified property for the inspection purposes.
shall not employ any persons in any manner so as to become subject to the
workers' compensation laws of California, and agree that if I should become
subject to the workers' compensation provisions of Section 3700 of the Labor Pmpert Owner or Authorized Agent Date
Code,I shall forthwith comply with those provisions. /
/`-Date; � Applicant; City Business License# ��C�s—ge
�� C-G�/'
WARNING: FAILURE TW SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING
($100,000), IN ADDITION TO THE COST OF COMPENSATION, AYES OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES Dk50 EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS
I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE?
agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE
3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address fri DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR
OWNER BUILDER DECLARATIONS GUIDE LINES
I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME:
License Law for the reason(s)indicated below by the checkmark(s)I have placed ❑YES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable item(s) (Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A
Any city or county that requires a permit to construct, alter, improve, demolish, �eo SCHOOL? I,
or repair any structure, prior to its 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 Contractor's State License Law (Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or S INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to IT NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE, SECTION 25505, 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORYING,
compensation, will do ( )all of or ( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
yJ
not intended or offered for sale.(Section 7044, Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X�
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale. If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
I
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
1Menifee
DATE .� PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL 1,-NRESIDENTIAL Ci MULTI-FAMILY O MOBILE HOME O POOL/SPA SIGN
SUBTYPE: -%ADDITION OALTERATION '::. DEMOLITION ".: ELECTRICAL '.; MECHANICAL
O NEW (D PLUMBING kyl�E-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK x?e' Old
PROJECiADDRESS 9 C,-e ,a ±�I
ASSESSOR'S PARCEL NUMBER 13?n -�� LOT 3Lt3 TRACT l�0
OWNER NAME Q D/(G�/'
ADDRESS
PHONE 9'(�I- D Z-eqgo EMAIL
APPLICANT NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME OWNER BUILDER? .' YES k6O
BUSINESS NAME
ADDRESS
PHONE EMAIL 001� e-/ CI
CONTRACTOR'S STATE LIC NUMBER 3 717,?3 LICENSE CLASSIFICATION ,3
VALUATION$ ��Qo D SQ FT 90V L SQ FT
APPLICANT'S SIGNATURE DATE r
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MEt�fITEE BUSINES LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP yV•1/(-/5
INVOICE PAID AMOUNT
AMOUNT 0 CASH %CHECK# C)CREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT OCASH CCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED 'OYES O NO DL NUMBER NOTARIZED LETTER ') YES " NO
City of Menifee Building&Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-572-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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