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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 Selected fitters 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. 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