PMT17-01907 City of Menifee Permit No.: PMT17-01907
29714 HAUN RD.
�A-CCELA? MENIFEE,CA 92586 Type: Residential Re-Roof
MENIFEE Date Issued: 06114/2017
PERMIT
Site Address: 29674 CARMEL RD, MENIFEE, CA 92586 Parcel Number: 338-062-025
Construction Cost: $8,000.00
Existing Use: Proposed Use:
Description of TEAR OFF EXISTING RE-ROOF WITH COOL ROOF-2100 SQ FT
Work:
CRRC 066M118
CERTAINTEED CORP: LANDMARK SOLARIS, RESAWN SHAKE
Owner Contractor
FRED SNOW HOUSETOP ROOFING
29674 CARMEL RD 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 O_yt Amount ISI
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 property who builds or Improves thereon,and who conlNcts for the pmjects
I hereby affirm under penalty of perjury that I am underprovisions of with a licensed contractor(s)pursuant to the Contradors5tate License law).
Chapter9(commencing with section 7000)of Division 3 of the Business and 0 l am exempt from lfcensure under the ContmctorsSlate License law for
Professions Cade and my license is in full farce and effect. the following reason:
License Class C-3 f License No. 371ZC ?j By mysignature below l acknowledge that,except forroypersonal residence
Expires )Z. Signature in which l must have resided foratleast oneyearpdorto completion of
WORKER'S COMPENSATION DECIARATIO J improvements covered by this permit.I cannot Iegallysell a structure that I
have built as an ownerbullderIf it has not been constructed in Its entirety by
01 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 ofseif-insure for workers 7044 of the Business and Professions Cade,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following websile:
by Section 3700 of the Labor Cade,for the performance of work for which ww .leeinfo.ca.aov/alaw.html.
this permit is issued. w
Policy# Date
19T(iave and will maintain workers compensation Insurance,as required by PROPERTY OWNER ORAUTHORIZED AGENT
section 3700 of the Labor Cade,for the performance of the work for which O By my signature below l 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 an the property owners behalf.I have read this
number are: application and the information I have provided is coined.I agree to comply
Carrier /� (wj With all applicable city and county ordinances and statebws relating to
building construction.I authorize representatives of thk6ty orcountyto
Poilry# 77�7 Expires � enter the above identified property for inspection putposes.
(This section need not to be completed is the permit Is for cane-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
,ti-cerfify that I.the performance of the work far which this permit is issued, L",,ill
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE N ✓�J 11
workers compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION
subjectto theworkers compensation provisions of5ection 3700 afthe labor
Code,I shall forthwith complywith those provisf S. Will the applicant or future building occupant handle hazardous material of
Applicant DateZ� mixture containing hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:M(LURE TO SECURE WORKER'S COMPENSATION COVERAGE IS Oyes
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000J,IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMO)7 See permitting checklist
for guldeIt
CONSTRUCTION LENDING AGENCY oyes No
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 3097 Civil Code) a Yes L d-
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guldeand the SCAQMD
I hereby affirm under penalty ofperjurythat l am exempt from the permitting checklist.I understand my requirements underthe Suite of
Contractors License law for the reason(s)indicated below bythe California Health&Safety Cade,Section 2S50S and 25534 concerning
checkmark(s)I have placed next to the applicable ltem(s)(Section 7031.5 hazardoumaterial reporting.
Business and Professions Code).Any city or county that requires a permit to Oyu Aze 7
Date 2Ff
construct,alter,improve,demolish or repair anystructure,prforto its pROPE� WNEROR ALITHoHORRED AGENT
issuance,also requires the applicant for the perdnitto file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors State EPA RE OVATION,REPAIR AND PAINTING LRRP)
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Cade)or that he or she is exempt from ltcensure receiving compensation for most work that disturbs paint In a pre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified Rams and comply with
an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This Includes rental property owners and property
than($SOD). managers who do the paint-disturbtng work themselvesorthrough their
a1,as ownerofthe property,or my employee with wages as theirsole employees.For more Information about EPA's Renovation Program visit;
compensation,will do( )all of or( )portion of the work,and the structure is www.eoazav/lead or contact the National Lead information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800d24-LEAD(5323).
Code,The Contractors State License Law does not apply to an owner afa oAn 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.lf,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. o No EPA Lead-Safe Certified Firm is required for this project because:
o I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Cade:The Contractors State License Law does notapply to an owner of a Ifyour project does not comply with EPA RRP mle please fill outthe RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE ) PERMIT/PLAN CHECK NUMBER t T —O " fl
TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY C MOBILE HOME C POOL/SPA O SIGN
SUBTYPE: O ADDITION C ALTERATION C DEMOLITION C ELECTRICAL O MECHANICAL
O NEW C PLUMBING RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK if/ �
SD .L� 5,Aft- //y!€✓r//
PROJECTADDRESS . N6% ��-+! o p Y '^
ASSESSOR'S PARCEL NUMBER ,aj�p •��Q'L'�Z", LOT BT q TRACT 'ZiLL40Z
OWNER NAME / n
ADDRESS ? +x-1,Aa-(,-_
PHONE Sl 2 U 6 / U EMAIL
APPLICANT NAME
ADDRESS
PHONE EMAIL // ® e/ /��/L
CONTRACTOR'S NAME OWNER BUILDER? O YES D;'IGO
BUSINESS NAME
ADDRESS
PHONE Z7�Z EMAIL // //yl•s-- � /�/��1� �
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ 1 Dw SO,FT L SQ FT
APPLICANT'S SIGNATURE DATE lip
I"- - -- - --
an=
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT 0CASH 0CHECK# CCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES C NO DL NUMBER NOTARIZED LETTER C YES C NO
(4+11Y'go 140011014
''nnaa Sato ty Dept.
City of Menifee Building&Safety Deportment 29714 Noun Rd. Menifee, CA 925868-S�4a672-
www.cityofinertifee.us Inspection Request Line 951-246-6213 aUN 14 20V
Received
hind rated products- Cool Roof Rating Council Page 1 of 1
1 SEARCH RESULTS
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Keywords: o668-on8
Please note that the CRRC does not set a minimum definition for"cool",the CRRC simply lists the measured radiative property values on our Directory.A
product's placement on the Directory does not mean that the product is'cool'-as defined by any particular code body or program.
-CRRC Rapid Ratings:These are Interim laboratory-aged values that simulate weathered values.These values will be replaced with the measured three-yearaged
values upon completion of the weathering process.5RI values calculated using Rapid Ratings may change once the aged rating replaces the Interim rating.
PRINT EXPORT ALL PRODUCTS
CRRCPROD.ID MMIDFAC URE1r:BRAND PRODUaWPE COLOR SOWIRER-ECTANCE THERMAL EMRTANCE SR1 MORE
MODEL INFO
WWI 3Y v NMI 3Y®r Wu.1 3Ymr
o668an8 CertainTeed Corporation:UMmark Steep Slope:Mphalt Multicolor D.19 P6Mn8 0.92 ndi, 19 pen06g +
SoiarisO Shingles
RE.n Shake
COOL ROOF RATING COUNCIL 44915th Street,Suite 40D TEL(866)465-2523 EMAIL-infopcoolroofs.org
Oakland,CA 94612 FAX(510)482-4421
Certifimle3e96—
City Of Manifec
Building & Safety Dept.
JUN 14 2017
Received
http://coolroofs.org/products/results/search&keywords=0668-0118/ 6/14/2017
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