PMT15-01327 1
I
City of Menifee Permit No.: PMT15-01327
29714 HAUN RD. Type: Residential Re-Roof
/� MENIFEE, CA 92586
MENIFEE Date Issued: 0 6/1 812 01 6
1
i
PERMIT
Site Address: 27619 GROSSE POINT DR, MENIFEE, Parcel Number: 335-252-007
CA 92586 Construction Cost: $8,400.00
Existing Use: Proposed Use:
Description of REMOVING 2 LAYERS, REROOF WITH COOL ROOF COMP SHINGLES
Work:
Owner Contractor
HOYT L MAY NEW ERA ROOFING INC
27619 GROSSE POINT DR 31950 OREGON LANE
MENIFEE, CA 92586 TEMECULA, CA 92592
Applicant Phone: 7605351468
ARMANDO CRUZ License Number: 950120
NEW ERA ROOFING INC
31950 OREGON LANE
TEMECULA, CA 92592
Fee Description ON Amount($
•g.^ � m*.s�+.,+nm� zs.�� "S n�""" � ' ..may"" �ur�e'�ry"�� :�'�'�- '°�
Inspections not specified 98 98.00
$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 building operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menlfee. Except as otherwise slated,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
I hereby affirm under penalty or perjury that 1 am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed
Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions
Professions Co y license is in full t e act. Code:The Contractor's License Law does not apply to an owner of a property
se o. who builds or improves thereon, and who contracts for the projects with a
License Class // ,,,� Licen
Expirest.y Signatu licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATIO ECLARATION
❑ lam 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
I
Polio #' contractors. I understand that a copy of the applicable law, Section 7044 of the
�
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:hftp,//www.leainfo.ca.aov/calaw.htmi.
permit is i d.My worlfers'compe sation insurance canter and policy number are.
Carrier + (n{ ( ( {/ Property Owner or Authorized gent Date
Expires DI Is Policy#_l _
I� ❑ By my Signature below, I certify to each of the following: I am the property
Name of Agent �{ Phone#ORP49ctd)D4 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-
d I certify that in the performance of the work for which this permit is issued,I identified r the inspection purposes.
shall not emolov any persons in any manner so as to become subject to the _ I
workers'compensation laws of California, and agree that if I should become
subject to the workers'compensation provisions of Section 3700 of the Labor Property r or Authorized Agent Date
Code,I shall forthwith comply with those pro ie Z ��
City Business license#
Date; I- Applicant;
WARNING: FAILURE TO 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, ❑YES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE !! MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES [!KO EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS
I herebyaffirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE?
agency for the P Y
3097 C performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE
Civil Cod
APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
J FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address 0J NO DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR
GUIDE LINES
OWNER BUILDER DECLARATIONS
PRINT NAME:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the reason(s)indicated below by the checkmark(s)I have placed ❑YES WILL THE PROPOSED BUILD NG OR MODIFIED FACILITY
next to the applicable Rem(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, 9<0 SCHOOL?
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 2�ES 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 El NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE SE TIO 25505IAL 1';E5533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole
compensation,will do ( )all of or( ) porting of the work, and the structure is PRO W R OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Mph
Menifee
DATE 0 5/1 812 01 5 PERMIT/PLAN CHECK NUMBER Hof Is 'b'15a
TYPE: ❑COMMERCIAL [D RESIDENTIAL MULTI-FAMILY MOBILE HOME POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION []ALTERATION DEMOLITION ELECTRICAL []MECHANICAL
[]NEW []PLUMBING ❑✓ RE-ROOF-NUMBEROFSQUARES 28
DESCRIPTION OF WORK Re-roof with like to like material;composition roof shingles.
PROJECT ADDRESS 27619 Grosse Point Drive
ASSESSOR'S PARCEL NUMBER �p 5�•DO'1 LOT TRACT
OWNER NAME Hoyt L. May
ADDRESS 27619 Grosse Point Drive 92586
PHONE (951)679-0129 EMAIL HOYTM"@YAHOO.COM
APPLICANT NAME New Era Roofing
ADDRESS 31950 Oregon Lane Temecula,Ca 92592
PHONE (760)635-1468 EMAIL netroofing950120®gmail.com
CONTRACTOR'S NAME Armando Cruz OWNERBUILDER7 ❑YES❑NO
BUSINESS NAME New Era Roofing
ADDRESS 31950 Oregon Lane
PHONE (760)535-1468 EMAIL netroofing950120@gmail.com
CONTRACTOR'S STATE LIC NUMBER 950120 LICENSE CLASSIFICATION C-39
VALUATION$ $8,400.00 SQ FT 28 L SQ FT
APPLICANT'S SIGNATURE '6+..— DATE 05/18/2015
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION p CITY O/F��t EEB+ N SE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP V �7
INVOICE PAID AMOUNT
AMOUNT 'CASH %CHECK# OCREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT OCASH "CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED --YES O NO OIL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-572-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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