PMT18-03887 City of Menifee Permit No.: PMT18-03887
i29714 HAUN RD.
l llilr MENIFEE, CA 92586 Type: Residential Re-Roof
MENIFEE MENIFEE Date Issued: 08/0612018
PERMIT
Site Address: 28153 CHULA VISTA DR, MENIFEE, CA Parcel Number: 336-230-001
92586 Construction Cost: $12,000.00
Existing Use: Proposed Use:
Description of TEAR OFF TRIPLE LAYER, SHEETING&FASCIA REPLACEMENT
Work: CRRC 0890-0009
Owner Contractor
NANCY BLACKMORE J D F CONSTRUCTION INC
28153 CHULA VISTA DRIVE 201 GEMINI AVE
MENIFEE, CA 92586 BREA, CA 92821
Applicant Phone: 7145261120
J D F CONSTRUCTION INC License Number.956749
201 GEMINI AVE
BREA. CA 92821
Fee Description gtq Amount lSl
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 carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise staled,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 Bidg_Permit Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License taw).
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from icensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect.
the following reason:
License Class C-21 License No. I567 By my signature below I acknowledge that,except for my personal residence
Expires Signature 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
WORKER'S COMPENSATION DECLARATIO 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 workers 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 fallowing website:
by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. www.lezinfo.ca.zov/calaw.ntml.
rry
Policy#�ZLA000 96'5—J7 I Date
❑I have and will maintain workers 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 owners behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
Carrier � PI'�'f=N with all applicable city and county ordinances and state laws relating to
�1 building construction.I authorize representatives of this city or county to
Policy#FLROCoPh>5-01 Expires rTJ-(S-19, enter the above identified property for inspection purposes.
(This section need not to he completed is the permit is for one-hundred Date
dollars($10O)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#
workers compensation laws of California,and agree that if I should become �Y'IAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor w
Code,I shall forthwith comply with those provisions. nn Will the applicant or future building occupant handle hazardous material or a
al9Applitant Date (340.12) mixture containing a hazardous material equal to or greater that the
amounts sp�ified on the Hazardous Materials Information Guide.
WARNING: AIL R CURE WORKER'S COMPENSATION COVERAGE IS ❑Yes .�Na
UNLAWFUL, D 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($100,000),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(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes tr<
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 5000 feet of the
lending agencyfor the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) ❑Yes "o
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjurythat I am exempt from the khhazardaus
mitting checklist.I understand my requirements underthe State of
Contractor's License Law for the reason(s)indicated below by the ifornia Health&Safety Cade,Section 25505 and 25534 concerning
material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 s ❑NoBusiness and Professions Code).Any city or county that requires a permit toDateconstruct,alter,improve,demolish or repair any structure,prior to its OPE TY E OR UTHORIZED AGENT
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 Contractors State EPA R ATION,REPAIR AND PAINTING(RRP)
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 he 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 sole 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.eoa.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 Contractors 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:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors 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.
BUILDING & SAFETY PERMIT/PLAIN CHECK APPLICATION 4 MEPJIFEE
"TYPE:
' PERMIT/PLAN CHECK NUMBER 7 I" 1 D
PLANNING CASE NUMBER
MERCIAL ?'RESIDENTIAL OMULTI-FAMILY OMOBILEHOME OPOOL/SPA 0SIGN: O ADDITION O ALTERATION O DEMOLITION - ELECTRICAL O.MECHANICAL
O NEW O PLUMBING ?-IE-ROOF NUMBER OF SQUARES ( O�
DESCRIPTION OF WORK 'C¢I 4 0;:7 Tl
MO,Xe, GCS / —D OBI
PROJECT ADDRESS ZTJIS3 �/Zt(b�f� D�- ZIP 'Z6" (7
ASSESSOR'S PARCEL NUMBER ✓3N��Q -��+' C)U1 LOT TRACT
OWNER NAME 2Z l,ACA4 HP
ADDRESS lj0�5 V Vj%jo. Zf-gta
PHONE EMAIL City of Menifee
APPLICANT NAME Building Dept.
ADDRESS OI L�], ,v AUG 0 b 2018
PHONE C b� 2po' ICJ7'?p EMAIL
4 r
CONTRACTOR'S NAME OWNER BUILDER? ;'C' ES ONO
BUSINESS NAMEn _
ADDRESS CD( o/1,l A-uc rfZ$L
PHONE �� j21Q ' I� LO EMAIL
CONTRACTOR'S STATE LIC NUMBER -ly PZ q ( LICENSE CLASSIFICATION
VALUATION$ 00-D SQ FT (kJ 60 L SQ FT
APPLICANT'S SIGNATURE DATE "1 '
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITYOF MENIFEE BUSINESSSS LICENSE NUMBER
BUILDING PLANNING ENGIN BING FIRE J �`•�'��� ' 0 V�O
INVOICE TOTAL 1�0 •�0 GREEN SMIP
OWNER BUILDER VERIFIED O YES 0 NO DRIVERS LICENSE# NOTARIZED LETTER O YES 0 NO
City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
www.cityofinenifee.us
r"=
NIF
N » T "" T a � a0 n n � n u� D f1 m ;1y
w ti N m o m 00 ° 3 O 3 a � m O m � m �
--pa w -- —p__ �_.�_=—m Z �_O
m n ~ m < O N II f� rn D
n < m ° S m m m N r m 71
o Z '�
n o m a m
3 ° »' -°�, m °' '° m m n 3 T N O m z
n A r
n 3 T D c N D o y o '� N m w Z c a A a m < n
m m 3 T m o- n ° r.+ -i m m f) -' D
.o m N m f o o m m , ° N °- ° z 3 O a
3 -ri
m o o h oN�o a O w T N. D c
m o! 1 ru
O w p o. �, _^, O m m .O mT
n n m D m a 5 3 m n m o m w0 3 DZ m D
0 M N ¢ J o rV.i w w D o a 0 'c G y Z -•�
]] O a D 3 D O1
O m Z
J m o m m .Tm
3 w m v m O, D 3 m m N m c a ° F o m w ti,
-°i. O
M.
m a ? n n c m ° ,a, 1 O O O
N m vOi O N a n S S S N j F+
O w
n v w m �° 3 F m m r.+ _ _. Ou
T
-' o
°f @O m m m ° ^ d m e < A
p B. o m x _ c A 'p
m _ n p is m o N
3 m' 0 3 z
° O
3 0 N w
n m N G G
O A O O d »
FL m m 3 o o m w- �-a a 'c m a m
n O - ^ m 0, n N �` w
n N s o » F w c n o a o0 6 a = O
m' m ^
m ?°
m o
m ^ m y n m a x a O1 a
s
a
�n0 0o
n c n t+ » o o o' o'
a l°o 3 z
n n
D
w e2 Z m n m m V a a m w O O m K
O w M m > > O' m N m O •J
cd w °i 3 u v n o °• 'm 'o o w
3 N m o
D N 0 S S jp N J 0 3 -i m F d N w
n o m 3 5. a 3' a m n tO °s.' a m •�
f0 t c m
rn 3 m m
3
S y J a r. n O tip N
O• m y _. a n
o -
m g m m N m o a F+
N S o O A
a n w C o
n x a T O 7 A n w S
a w t+
W ;o IV CDn N ? p p w » n ~ D
d m O n r -
dm oo wpm n Sn m � O
m ? /D w m m D p1;1 A
m � u;x V. 0 m m
a �^ o m c o 3 s 3 z
S 2
m c: O `.
m ? ' 0 3 o a m °-' a m
m m 5. m O 9
^'9 m-t 'm
m m o ut n F+ O T m
p• m o 0 m p a_ 0
° x o mmF m m N z
m -
n 2 o m v m
•� n n S z
uN-i n N 3 O
G a Q D ^ y c c c m N O S O ^� '°" m e A T
m n o m m A
O
f0. z
= n y f0 A m m .. A T i G z m o o Oy C. f1
a =• C• F E ^ N G E. N c m '�^ C w elf
w O n w n n d F 9 m w, p a v ] r
c T
o ' v �, �• w m m n
w 3 5 m m °3' m m d o m - o. > ; m d o N n A z A A °* m
m m 3 3 m j m n n p >' n o 0 0 o p
m 0 T m m m 3 m s w m m o d S o c G N r
A
3 m N Il w a p n ^ .
w 'i O rt 0 A O _ m e N O p y N fD
n o m ^_ .a '^ n w v' n y �'�. 0 3 '° N n n 3 m 0 — " 0
° ? m O m 2 °'
a a v
N ❑ p `° m — p .c. m T m A m o n c m �2 ° o m S c M w
m n •; N a « o n m .
y^ m H y 0
N D m v > > O c r •^• O1 ^ O H v n f�C
m n c Z m �
3 T ° n a m Gl a n w n a n n y N
o < A m o n T g c c p D
m
o a m
m o 01. in o c c �^ m T n w .p �• m
C n 9 O O m N O m n_
m T I D f y u� A °., m o m 'm O
j m m m N - _ A n
5. n u
» » d m z
m n r m O1 D m z v 'o n
o < R m o m v n
o
N n A ] 6 D V 6 C On n 'O N z
uWi o m m �n a is, c a 3 m « n ^ 0
O
O ,Z m
°' d a m
O ^ 7 S in m y S m
p O £ w
m 3 w m A S w ° 0
2 f n
o A K R w Q M rt d j 0
a c 3 m n v M w o
Mo
o m n N
m c s
g a a
m — l
J o n EF
�.j m
r S j O O w O jo a _ N
n u v oni nit
c
m m N m 3 6 d T
n N t a C N
{�
OYd' C
/ C•"� tl
7
G Q
N c
m
P ET
ID
3 = = A
s w m O
D c N O
c 0 m m o. ,° D Z
w 0 N
� m
m R: A
Find rated products - Cool Roof Rating Council Page 1 of 1
0890-0009 SHOW FILTERS
Clear Filters
1SEARCH RESULTS
A CRRC product rating describes the radiative performance of a roofing material;it does not indicate a ranking or approval.A product's placement on the Rated
Products Directory(Directory)does not mean that the product is"cool"as defined by any particular code or program.Only products with active ratings can be
found on the Directory. ow
Read More
PRINT EXPORT ALL PRODUCfIUMMOIi�
Showing 1-1 of 1 result"
CRRCPROD.10 MANUFACNRER BMND AND MOOEL PRODURttPE COLOR SOUWMIF CFANCE TIERMALEMMLANCE MI MOMINFO SHONE=
INITIAL 'YEAR INmAL 3YEUt INRNLL 3YFAR LL=`
0890-0009 Owens Coming TMDefinitione Duration®Cool Asphalt5hi Orange 0.22 0.23 0.92 0.93 a xq +
Roofingand Amber I Oakrldgem Amber I ngle
Asphalt,LLC RapidEdgem Precut Rake starter
Shingles Amber I TruDefinition®
Duration9Amber
Showing 1-1 oft result `^
COOL ROOF RATING COUNCIL 2435 N.Lombard St. TEL(866)465-2523 EMAIL info@coolmofsorg.
Portland,OR 97217 W
Cen1&ate 346.m
M
https://coolroofs.org/directory 8/6/2018