PMT17-03773 City of Menifee Permit No.: PMT17-03773
29714 HAUN RD.
<; CCLA_> MENIFEE, CA 92586 Type: Commercial Re-Roof
E
MENIFEE Date Issued: 1 012 012 01 7
PERMIT
Site Address: 30107 ANTELOPE RD, MENIFEE, CA Parcel Number: 364-010-005
92584 Construction Cost: $21,000.00
Existing Use: Proposed Use:
Description of RE-ROOF COOL ROOF OVER SINGLE LAYER
Work:
GAF
CRRC:0676-0019a
COLOR: OFF-WHITE
Owner Contractor
TESORO SOUTH CALIFORNIA ROOF LIFE CO INC
3310 VIA DE LA VALLE. 8941 MINT AVENUE
OCEANSIDE, CA 92058 WESTMINSTER, CA 92683
Applicant Phone:7148477663
LARRY HARTLEY License Number: 509623
CALIFORNIA ROOF LIFE CO INC
8941 MINT AVENUE
WESTMINSTER, CA 92683
Fee Description ON Amount($1
Building Permit Issuance 1 27.00
Inspections not specified 98 98.00
Reinspections/Additional Inspections 129 129.07
GREEN FEE 1 1.00
General Plan Maintenance Fee-Building 1 11.35
$266.42
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 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_Perrnit_Template.rpt Page 1 of 1
I CITY OF MENIFEE
CENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect the following reason:
Ucense Class C-3�l Ucens No. By my signature below I acknowledge that,except m g p y personal residence
Expires_Signature 0� in which I must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
❑I 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 of self-insure for worker's 7044 of the Business and Professions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website:
by Section 3700 of the Labor Code,for the performance of work for which �y,,y,ieeinfo.ca.¢ov/calaw.html.
this permit is issued. ,,
Policy p Date
of have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below I 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 on the property owner's behalf.I have read this
number are: application and the Information I have provided is correct.I agree to comply
�Carrier 6?_( with all applicable city and county ordinances and state laws relating to
�j ,// ��1t / building construction.I authorize representatives of this city or county to
Policy 9 �7 2 �5 -2 di-7 Expires d enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
❑I 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 CITY BUSINESS LICENSE 11
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the work Irs compensation provisions of Section 3700 of the Labor
Code,Ishall h l compywitl hoseprovisions. Will the applicant or future building occupant handle hazardous material or
Applicant Z Date C✓ mixture containing a hazardous material equal to or greater that the
amounts speSified on the Hazardous Materials Information Guide?
WARNING:FAILURE T SECURE WORKERS COMPENSATION COVERAGE IS ❑Yes
UNLAWFUL,AND SHALL SUBJECTAN 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($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMU)?See permitting checklist
_IN.SECTION 3ZO60F THE LABOR CODE,INTEREST,AND ATTORNEYS FEES cfor guideline ---
CONSTRUCTION LENDING AGENCY ❑Yes ANo
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 boun ry of a school?
(Section 3097 Civil Code) ❑Yes No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractor's License Law for the reason(s)indicated below by the California Health Safety Cade,Secti 25505 and 25534 concerning
hazardous to Ireporti
checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 es ❑ o
Business and Professions Code).Any city or county that requires a permit to bt Date
construct,alter,Improve,demolish or repair any structure,prior to its PROPER NERD AUTHORI DAGEN
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 EPA RENOVATION,REPAIR AND PAINTING(RRPI
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 Code)or that he or she is exempt from licensure 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 firms 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($500). managers who do the paint-disturbing work themselves or through their
❑I,as owner of the property,or my employee with wages as their sale 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.epa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code,The Contractor's State License Law does not apply to an owner of a ❑An 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.If,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. ❑No EPA Lead-Safe Certified Firm is required for this project because:
❑1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
iPERMIT/PLANv i
DATE: /19 Z O PERMIT/PLAN CHECK NUMBER FMI
\D
TYPE: 02`OMMERCIAL O RESIDENTIAL O MULTI-FAMILY C MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION C ELECTRICAL C MECHANICAL
C NEW O PLUMBING �- RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK 4 Ct.� 1 v\
PROJECTADDRESS 30/07 ZIP
ASSESSOR'S PARCEL NUMBER NA ' • OT TRACT
OWNERNAME �c UGnS ��'^� �JT4
/zo1-0p
ADDRESS 3 I :G ,l•{-C/�� I le
PHONE �SZS 2Z�{ '-t-i'�� d EMAIL /l _ II
APPLICANT NAME l.. m D� � [sVC'
ADDRESS L( /-�,-,�s-f'
PHONE �f� � /�/ r �`6 � EMAIL �Do? AOL
CONTRACTOR'S NAME `� OAS?T(E OWNER BUILDER? 0 YES O NO
BUSINESS NAME C_
ADDRESS
PHONE `LE 7 EMAIL
CONTRACTOR'S STATE LIC NUMBER S0962-3 LICENSE CLASSIFICATION (� l
VALUATION$ v000 A SQ FT L SO FT
APPLICANT'S SIGNATURE DATE 0 Z
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITYOF MENIFEE BUSINESS LICENSE NUMBER
I� aQ
BUILDING PLANNING ENGINEERING FIRE C 1 I1 C (/� 1 n
PERMIT FEE SMIP GREEN
PLAN CHECK FEE INVOICETOTAL
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES ONO
City of Meniteo
Building & SafOty Dept.
STATE OF CALIFORNIA
SOLAR REFLECTANCE INDEX CALCULATION WORKSHEET
CEC-NRCC-ENV-03-E Revised 01116 CALIFORNIA ENERGY COMMISSION 10
CERTIFICATE OF COMPLIANCE NRCC-ENV-03-E
Solar Reflectance Index Calculation Worksheet (Page 1 of 2)
Project Name: Date Prepared: /L Z(J y
A. Product Information T
01 CRRC Product ID Number — Q
02 Manufacturer
03 Brand {t
04 Model
05 Product Type py t
06 Roof Slope
B.SRI Calculations
01 Aged Reflectance Listed with CRRC Yes 0 p No
02 CRRC Listed Aged Solar Reflectance
03 Initial Solar Reflectance 0. If
04 Calculated Aged Solar Reflectance
05 Thermal Emittance
C. Results
01 Solar Reflective Index -79.55449483
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City of Menifee
Building & Safety Dept.
On 7 0 617 CNr
Received
CA Building Energy Efficiency Standards-2016 Nonresidential Compliance January 2016
STATE OF CALIFORNIA
SOLAR REFLECTANCE INDEX CALCULATION WORKSHEET
CEC-NRCC-ENV-03-E Revised 01/16 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-ENV-03-E
Solar Reflectance Index Calculation Worksheet (Page 2 of 2)
Project Name: M Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:/ 14 I Documentation Author Signature:
Company: / C Signature Date:
Address: 1 CEA/HERS Certification Identification(if applicable):
City/State/Zi �VVV`v.f /t /y, / [, Phone: �// ,` /
RESPONSIBLE PERSON'S DECLARATION STATEMENT O 0 `-�' `�- 60
I certify the following under penalty of perjury,under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design
identified on this Certificate of Compliance(responsible designer).
3. The energy features and performance specifications,materials,components,and manufactured devices for the building design or system
design identified on this Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of
Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information
provided on other applicable compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement
agency for approval with this building permit application.
5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s)issued for the
building,and made available to the enforcement agency for all applicable inspections.I understand that a completed signed copy of this
Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
R ponsible Designer Name: Responsible Designer Signature:
mpany: Date Signed:
ddress: license:
-g /State/Zip:- —- - - -Phone:--.. --
1
Aa. §
•
City of Menifee
r� Building &Safety Dept.
a. 7f OCR
Received
CA Building Energy Efficiency Standards-2016 Nonresidential Compliance January 2016
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Keywords: RLIBEROID
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-year aged
values upon completion of the weathering process.SRI values calculated using Rapid Ratings may change once the aged rating replaces the interim rating.
PRINT EXPORFALLPRODUCTS
CARCPROD.ID MIWVFACTURflIgRAND PROOVQTYPE COLOR 3DIM REFLECTANCE THERa1AL EMnTANCE SRI MORE
MODEL INFO
Inklal 33ear MIRA 3year IRMA 3rear
o676-0017a GAF:Ruberoid® Membrane:Built-Up Off-White 0.71 pending 0.90 pending 87 pending +
Ene1gyCap"30 Granule FR and Modified —
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o676 I,26 GAF:RuberoldrO Membrane:Built-up Off-white 0.75 0.60 0.82 0.80 91 69 +
EnergyUp^HW Plus Granule FR(WNte) and Modified Bitumen Sheet
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o676ao86 GAF:Ruberoidm Membrane:Built-up Off-White 0.74 0.59 a.84 0.88 9. To +
Energycap'"Mop Plus Granule FR White and Modified
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o676-0025a GAF:Ruberoidm Membrane:Built-Up Off-white o.p pending 0.91 pending 89 pending +
EnergyCap'"Tomh Granule FR(White) and Modified
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Roofing
o676 no19a GAF:RuberoidM Membrane:Built-Up Off-white 0.74 pending 0.90 pending 9z pending +
EnergyCap'"Torch Plus Granule FR and Modified
Bitumen Sheet
Roofing
COOL ROOF RATING COUNCIL 44915th Street,Sulte4OO TEL(866)465-0503 EMAIL info(coolroofs.00
Oakland,CA 94612 FAX(510)482-44z1
eercircele eae.",
City of Menifee `
Building &Safety Dept.
OCT d U LOT(.
Received
http://coolroofs.org/products/results/search&keywords=RUBEROID/ 10/20/2017