PMT15-03747 City of Menifee Permit No.: PMT16-03747
29714 HAUN RD.
<ACCELA? MENIFEE, CA 92586 Type: Residential Re-Roof
"k.- MENIFEE Date Issued: 1 2/0 312 01 5
PERMIT
Site Address: 29222 MURRIETA RD, MENIFEE, CA Parcel Number:
92586 Construction Cost: $6,400.00
Existing Use: Proposed Use:
Description of TEAR OFF EXISTING LAYERS, INSTALL NEW COOL ROOF SHINGLES,
Work: "CRRC#0850-0024"
Owner Contractor
PAUL LEONETTI AMERICAN ROOFING
29222 MURRIETA ROAD P O BOX 5031
MENIFEE,CA 92586 HEMET, CA 92544
Applicant Phone:9513069387
SHAWN GLEASON License Number: 853066
AMERICAN ROOFING
P O BOX 5031
HEMET,CA 92544
Fee Description Qtv Amount(51
Building Permit Issuance 1 27.00
Inspections not specified 98 98.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Building 1 4.90
$130.90
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 carded 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
City Of Menifee
LICENSED DECLARATION ❑ lam exempt from licensure under the Contractors'State License Law forth•
I hereby affirm under penalty or perjury that I am licensed under provisions of following reason:
Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that,except for my personal residence i
Professions Code and my license is in full force and effect. which I must have resided for at least one year prior to completion c
License Class C---7`C License No. /g53Cr_4_ improvements covered by this permit,I cannot legally sell a structure that I haw
Expires M-7/4/9 Signatur built as an owner-building if it has not been constructed in its entirety by license
contractors. I understand that a copy of the applicable law, Section 7044 of th
WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application i
submitted or at the following Web site:
❑ I hereby affirm under penalty of perjury one of the following declarations: httoJ/www leainfo.ca.aov/calaw.html.
I have and will maintain a certificate of consent of self-insure for workers'
compensation,Issued by the Director of Industrial Relations as provided for by Date
Section 3700 of the Labor Code, for the performance of work for which this
permit is issued. Property Owner crAuthodzed Agent _
Policy# ❑ By my Signature below, I certify to each of the following: I am the propert
❑ 1 have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read thi
section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comp)
permit is Issued.My workers'compensation insurance carrier and policy number are: with all applicable city and county ordinances and state laws relating to buildin
construction.I authorize representatives of this city or county to enter the above
Carrier identified property for the Inspection purposes.
Policy# / rQG3L�� Expires Dale
Property Owner or Authorized Agent
(This section need not be completed if the permit is for City Business License#
one-hundred dollars($100)or less)
HAZARDOUS MATERIAL DECLARATION
❑ 1 certify that in the performance of the work for which this permit is issued,I
shall not emolov any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or E
workers'compensation laws of California, and agree that If I should become mixture containing a hazardous material equal to or greater that the
subject to the workers'compensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide?
Code,I shall forthwith comply with those provisions. DYES 9NO
Applicant? Date; /Clw/J_ WIII the intended use of the building by the applicant or future building
occupant require a permit for the construction or modification from South
WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklisl
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES [;MIO
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a school?
LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES .R NO
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understand my requirements under the State of
agency for the performance of the work which this permit is issued (Section Cafrfomia Health&Safety Code,Section 25505 and 25534 concerning
3097 Civil Code) hazardous material reporting.
OWNER BUILDER DECLARATIONS 19YES ❑ 0
1 hereby affirm under penally of perjury that I am exempt from the Contractor's Date
License Law for the reason(s)indicated below by the checkmark(s)I have placed PERTY OWNER OR AUTHORIZED AGENT
next to the applicable Item(s)(Section 7031.5. Business and Professions Code:
Any city or county that requires a permit to construct, alter, improve,demolish, EPA RENOVATION.REPAIR AND PAINTING fRRPi
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 The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
provisions of the Contractor's State License Law(Chapter 9 (commencing with receiving compensation for most work that disturbs paint In a pre-1978
Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firths and comply with
she is exempt from licensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their
a civil penalty of not more than($500).) employees.For more Information about EPKs Renovation Program visit:
www.epa.gov/lead or contact the National Lead Information Center at
❑ I, as owner of the property, or my employees with wages as their sole 1-800-424-LEAD(5323).
compensation,will do( )all of or( ) porting of the work,and the structure is
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
who, through employees' or personal effort, builds or improves the property,
provided that the Improvements are not intended or offered for sale.If,however, Certified Firm Name:
the building or improvement Is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the Firm Certification No.:
purpose of sale).
❑ I, as owner of the property an exclusively contracting with licensed ❑No EPA Lead-Safe Certified Firm is required for this project because:
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's License Law does not apply to an owner of a property
who builds or improves thereon, and who contracts for the projects with a
licensed contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK . .
Menifee
DATE ?j JtS PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL SIDENTIAL 0 MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL 0 MECHANICAL
ONEW OPLUMBING V/RE-ROOF-NUMBEROFSQUARES-a�) a
DESCRIPTION OF WORK e_X'j-A*, ,3c,. e.
t f enifee
38 r CLASS AIoer lace afetY Dept.
PROJECTADDRESS aR a M,3fr',"e, rA
ASSESSOR'S PARCEL NUMBER I_M -40q1^ (OLe$ LOT TRACT
OWNERNAME sv„c \ IVei
ADDRESS a MU I NL CA, qA58r.
PHONE Qj t 2tic - N55 y EMAIL
APPLICANT NAME _�
ADDRESS '53,� [ 5c
PHONE q6 r-gpG cl)p-7 EMAIL
CONTRACTOR'S NAME p,✓ Cop OWNER BUILDER? O YES V NO
qpc✓BUSINESS NAME �
co
ADDRESS _ O 6Y
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER SE"?OGro LICENSE CLASSIFICATION C—
VALUATION$ SO FT 20 L SQ FT
APPLICANT'S SIGNATURE DATE .3111r
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN — SMIP X
INVOICE Q PAID AMOUNT O 0
AMOUNTrj
CASH CHECK# CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZED LETTER 0 YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
501 FO Z n nw m wy v nmr�-yi
W N F+ a a o m 0 .° O �y n m 3 S.
-� R (p m n m y
c 3 o, ° o O a ? • a '� m 77 h(n m
_y m n r
x p ° 3 N 3 a .°. X 9 n w c. m e K o m a n D �m
va, o �' 0 3 -°n < 5 a o ^ o v m y a • G D y
m m m Z-
3 3 n^ n m m u 'm ° e�i v m m Z m m m
S yz
m - 'm m �• 2 O' m 0- 2 m N O D
n 3 o, x 0 N °' '� v '� o '< rV M A Z a 3 T < r
m 3 sn ° Nti m C1 D
m n �—
D w a m s a 0 a n w a O m m
O N o '2. _. - 3 w m m 0 a r `lmj
uZi c n m m x a a n Z ee
n n V `' D a �' A g a �° Pr n m < ' m w 0 3. D m n Y
c Az o N m '° g w ¢ y Z
n o N r m o m 3 N m 'm m v m F o m �OJ
Y00 a o .9 N u x i S N N J O ° F.T O N
of Di o r N 1 0 v
3 4 3 0r M F p < a a' = 0 2 = m m R n ❑ R m
M T 3 m o. �: a n m ° Fi & v O
m ni a m N m n H 0 9„ 3 �!
C O, O y N M O D N � 0 � G n N C � O
0o m F a 3 F N n N - v m T
j iF p d 9 Er
S H N G N P N j ,� O N 3 7 Z
o .an a O O N m c O 3 ° m n v
w o
m 3 - N 00 Z o w o 3
w p O u A p O
° F, O, O a N = n O
S p a F m C 0 O a oo m O
2 6 0 0 0 O- m 'm ^ O D A a 0 M
y� S �
p n m
m T w
S D o Q
a A a 'm o- J m a '^ ° a N O
oo m' o o cm
O a 0s O °
o T 3 4 a '^ y m ear a m 0°
T 3 0
s a a
°O 9 p 01 J O
M o
M !�r O
J ry O m
w m R n n
x a
° M
m m F o o c w n
� o r
O N A d A z
M' o_ o z 3 5
° m a m 0 M m
N x N o o 0 3 3 N z
6 S S 0 ,`� C N lq m
o -
° o 3 o v a m m a m j
g d ° $ m ' C o
m 5. CM) 3
m m » N F+ O m
w N Z Z
2
w r
i n D n z • O 9 m
S Z W N N O 1p w V Ol to A M A
O
b N O 3 7 m N 9 V a l 5r'0 9 m o' n f1
y v° n v. '° e D
3 3 - o 0 00 0 2 0 c c n n Ip 1
o m
o a M. 9 m z H O
0 • '� W o y c S.
o
m m 0
p 2 m m m' 'm d. w e m .n. :. .O_r, 3
N ti n d 0 w m o. o. O m m d v m .b. o = 0 d
UU�� a o p' -i D a n n
worm G p�p 0 0 3 m m .3'�' w m f0 p p WA c o X D
c n G m m m — o 3 �°• =° lD Z
w 1 3 5 �- 3 a d o re 2 0 �. o m m y m
m m •' m m O N O. d > > m y 0 in m m z m m •!
m 3 T K n n 0 o o A o 0 o O
m -I O `.S m < Im�P 0 W N N .. w W 9 w � C O• O• H
m 2 T = m , m n Ip a a m O y o = N N N M
0 J m N b y Q
n d ry A p T l=1 Q
d \ m c .ms O m s n m m S N a 0 O a u3i
M Q
c = c O
n m
6 Ip n
Z. 'p A C 3 3 m n n o n c m � o m „ � w
o ,< Imil a' N c n m Ll Ian A o l 7
d M A S w o m < m
m m en+ m w p o .b. m O a T 0 > > `e p' m b fl
�, c m N w m
Mn 3
m a > > P A d m^+ T d c n on c Z m 5 3 b
ya n p O 2 O m. N j p n C c C j O
G N D W rb
0 O` m y O m n 00 10 N N m F+
W m N N S
C
�•
m N z
a = N N Inn o a 101 d m M
M o w m 1n
I' n 0
130 F+ A b m w K m
O O O C m 4 E a 9 0
u'
-o a. C
0 a z a o. `� 3. a �' m o o ..
re m a o, '2 m
p S On Ln umi X n fal .Obe m ? m 1D f ^ C
0 3 T H f0 '°a' v m o f m
n `$ o.
.. n o o m m m n z
c n m
"Sd
m m n o
lU v 3 0
r n is n 0=9 .Os C G .s
b m O O
O Im�D C C w C
N! Q o o °' m
V QI O w m
C O m y b ry
r 6 m O C
m u T o
O O n
m 3 o n
an a n a rf
c
3 m
F p a D
m b p C F p m 74
m T w zD < m
.m. o n 3
m 3 v o
m m
3 C C A
N m � o
C O m c N Om
3 ' m �m mm O
m n 0 Z
n y
m