PMT18-05108 City of Menifee Permit No.: PMT18-05108
29714 HAUN RD.
Type: Commercial Re-Roof
Ar MENIFEE, CA 92586
MENIFEE MENIFEE Date Issued: 10/23/2018
PERMIT
Site Address: 27620 ENCANTO DR, MENIFEE, CA Parcel Number: 333-030-007
92585 Construction Cost: $8,275.00
Existing Use: Proposed Use:
Description of REMOVE 285 LINEAR FT. FASCIA, SUPPLY AND INSTALL 285 LINEAR FT. OF FASCIA, REMOVE
Work: AND REPLACE 4000 SQ. FT. OF ASPHAULT SHINGLES WITH CRRC#0890-0001 SHASTA WHITE
Owner Contractor
CAL-AM PROPERTIES, INC. B R S ROOFING INC
385 CLINTON ST. 777 SOUTH LUGO AVE
COSTA MESA, CA 92626 SAN BERNARDINO, CA 92408
Applicant Phone: 9098848505
EDWARD WHEELAN License Number: 907600
B R S ROOFING INC
777 SOUTH LUGO AVE
SAN BERNARDINO, CA 92408
Fee Description QQrt Amount($)
Building Permit Issuance 1 27.00
Inspections not specified 98 98.00
Inspections not specified 153 152.60
GREEN FEE 1 1.00
General Plan Maintenance Fee-Building 1 4.90
$283.50
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 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 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 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 Codeand my license is in full force and effect.t7 the following reason:
License Classy (/.—367 Li ns o. 0 By my signature below I acknowledge that,except for my personal residence
Expires q'30-1 lq 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 I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
XLhereby 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
issued. ¢ 2 www.leginfo.ca.gov/calaw.html.
this permit is
Policy# (l y D��2-7J-01—b / Date
PROPERTY OWNER OR AUTHORIZED AGENT
❑I have and will maintain workers compensation insurance,as required by
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 worker's 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 EL lT TA3• J�/1%�• L LC, with all applicable city and county ordinances and state laws relating to
+� t p� building construction.I authorize representatives of this city or county to
Policy#O pp Z pLy- D 6J)-^�3�1_0 Expires 5-Z� 1 / 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 employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
Applicant Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes %No
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($300,000),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 }<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) ❑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
California He h&Safety Code, ection 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the �zar us !:fiF-
reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 re
Business and Professions Code).Any city or county that requires a permit to Date �'23 �O
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED 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 Contractor's State EPA RENOVATION,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 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 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.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:
❑I,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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
h
DATE: PERMIT/PLAN CHECK NUMBER YMI 115400 O 51101
PLANNING CASE NUMBER
TYPE: COMMERCIAL RESIDENTIAL MULTI-FAMILY MOBILE HOME POOL/SPA SIGN
SUBTYPE: ADDITION ALTERATION DEMOLITION ELECTRICAL MECHANICAL
NEW PLUMBING RE-ROOF NUMBER OF SQUARES J7y
DESCRIPTION OF WORK jZeM C- 947 LN. FT. gkS'C I'- , �UPJOfff-Slb N-f74 LL to
FT-, Dc- V46ewll "WVG- 4 114-P"CE 3 cOL P-a'6-S W- 5;k1 hi L6_v
PROJECT ADDRESS �& 710 �e,'W9Z- ZIP
ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNER NAME L- Il��t, n _TNe- -
ADDRESS 3$5" Limn V T Cv s �s$ �d 92(v2(Q
PHONE Tq . 432- J&DO EMAIL
APPLICANT NAMJJE�� �'
ADDRESS -T �n� 1��'7J
PHONE ��( �ZZ 6 t 70 EMAIL 4o,J c- Y e-S AX0F,r4— - c6 ✓✓�
CONTRACTOR'S NAME OWNER BUILDER? YES NO
BUSINESS NAME BLS 40F6.N-1— /fe_ . Q q
ADDRESS 777 LN 4vr. pL7, DI NS [
PHONE 955'566' 'Z77 Q EMAIL �l
CONTRACTOR'S STATE LIC NUMBER -(d /7&UU LICENSE CLASSIFICATION
VALUATION$ O 275.u a a St FT L SQ FT
APPLICANT'S SIGNATURE IF DATE
CITY STAFF USE ONL Y
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICETOTAL Z O GREEN ' D SMIP
OWNER BUILDER VERIFIED YES 0 NO DRIVERS LICENSE# NOTARIZED LETTER YES NO
City of Menifee Building &Safety Department 129714 Haun Rd., Menifee,CA 92586 (951)672-6777
www.cityofinenifee.us
ENIFE +°
STATE OF CALIFORNIA
SMAR 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 1 of 2)
Project Name: (�S f �� j Date Prepared:
A. Product Information
01 CRRC Product ID Number 6gqo cw
02 Manufacturer OWc�5 (26iLN1N&--
03 Brand sap k-m q- m nu e-
04 Model
05 Product Type ks PI-iA-LT- sell 2
06 Roof Slope 51 i 22
B.SRI Calculations
01 Aged Reflectance Listed with CRRC , ( Yes O No
02 CRRC Listed Aged Solar Reflectance
03 Initial Solar Reflectance 0•2-q
04 Calculated Aged Solar Reflectance
05 Thermal Emittance Q-52—
C. Results
01 1 Solar Reflective Index 79.55449483
City of(vienifee
Building Dept.
OCT 23 2018
Deceived
CA Building Energy Efficiency Standards-2016 Nonresidential Compliance January 2016
STATE OF CALIFORNIA
ENVELOPE
CEC-NRCI-ENV-01-E(Revised 01/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF INSTALLATION NRCI-ENV-01-E
Envelope Page 2 of 2
Project Name: L,^^� A( p� t En(orcementAgenry: Permit Number:
Project Address: r7lI � ,� tl t City: ,y,� 7v) r�✓ ZIP Coder����r
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT '/,�'V r e r d
1. 1 certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature:
Documentation Author Company Name: Date Signed:
Address: CEA Certification Identification(If applicable):
City/State/Zip: Phone:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury,under the laws of the State of California:
1. The information provided on this Certificate of Installation is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the
system design,construction,or installation of features,materials,components,or manufactured devices for the scope of work
identified on this Certificate of Installation and attest to the declarations in this statement(responsible builder/installer),
otherwise I am an authorized representative of the responsible builder/installer.
3. The constructed or installed features,materials,components or manufactured devices(the installation)identified on this
Certificate of Installation conforms to all applicable codes and regulations,and the installation conforms to the requirements
given on the plans and specifications approved by the enforcement agency.
4. 1 reviewed a copy of the Certificate of Compliance approved by the enforcement agency that identifies the specific requirements
for the scope of construction or installation identified on this Certificate of Installation,and I have ensured that the requirements
that apply to the construction or installation have been met.
5. 1 will ensure that a completed signed copy of this Certificate of Installation shall be posted,or 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 Installation is required to be inc �ed with the docume tation t builder provides to
the building owner at occupancy. ,
Respon'ble Builder/Installer Name: Resp ible �Ider/f(sta er ignat re:
Company Name: (Installing Subcontractor or General'Contractor or Builder/Owner) Position With Company(Title),
tESV-7/n/YJ lv(,'
Address:. CSLB License: `07 O
777 S- LclC� �5
City/state/. `74-6 ,, Phone— ^+ Date Signed:
CA Building Energy Efficiency Standards-2016 Nonresidential Compliance January 2016
STATE OF CALIFORNIA
ENVELOPE $$
CEC-NRCI-ENV-01-E(Revised 01/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF INSTALLATION NRCI-ENV-01-E
Envelope Page 1 of 2
Project Name: EaK A�/^n, /��� ��^ p_�� Enforcement Agency: Permit Number.
Project Address: n /'- V 'VG QV t-IW'J6 JIL city. M67\(1F& ZIP Code: 7.q_5-
GENERAL INFORMATION
DATE OF BUILDING PERMIT: PERMIT NUMBER:
BUILDING TYPE: Nonresidential ❑High-Rise Residential(common area) ❑ Hotel/Motel(Common Area)
PHASE OF CONSTRUCTION: ❑ New Construction ❑Addition Alteration I❑Unconditioned
If more than one person has responsibility for building construction,each person shall prepare and sign an Installation
Certificate applicable to the portion of construction for which they are responsible;alternatively, the person with chief
responsibility for construction shall prepare and sign the Installation Certificate document(s)for the entire construction.
SCOPE OF RESPONSIBILITY
Enter the date of approval by enforcement agency of the Certificate of Compliance that provides the
specifications for the energy efficiency measures for the scope of responsibility for this Installation Date:
Certificate.
In the table below identify all applicable construction documents that specify the requirements for the scope of responsibility
reported by this Installation Certificate(continued).
Document Title or Description Applicable Sheets or Pages,Tables, Date Approved by
Schedules,etc. Enforcement Agency
Add Row Remove Last
CA Building Energy Efficiency Standards-2016 Nonresidential Compliance January 2016
CERTIFICATE OF COMPLIANCE—USER INSTRUCTIONS NRCC-ENV-03-E
Solar Reflectance Index Calculation Worksheet (Page 1 of 1)
NRCC-ENV-03-E User Instructions
A. Product Information:
1-5.CRRC Product ID Number, Manufacturer, Brand, Model and Product Type should be based on product
information from the Cool Roof Rating Council's website.The product directory is located at
http://www.coolroofs.org/products/search.php and may be browsed either by viewing all products or by using
the search function to find a specific product. Keep in mind that inclusion in the directory does not guarantee
that a product will meet the energy requirements.
2. Roof Slope: Designate the roof slope as either"less than or equal to 2:12"(52:12)or"greater than 2:12"(>2:12).
A ratio of 2:12 is approximately 9.5 degree slope.The SRI requirement is based partly on the slope of the roof.
B. SRI Calculations:
1. Aged Reflectance Listed with CRRC: Indicate whether or not your product's 3-year aged solar reflectance is listed
on the CRRC website by selecting either"yes" or"no"from the drop-down list. Depending on your selection,the
boxes that you will not need should become blacked out.
2. CRRC Listed Aged Solar Reflectance: If you selected"yes"to box 1, input the CRRC listed 3-year aged solar
reflectance.
3. Initial Solar Reflectance: If you selected "no"to box 1, input the CRRC listed initial solar reflectance.
4. Calculated Aged Solar Reflectance: No input required.The calculator will calculate the aged reflectance using the
initial reflectance once you hit enter or click outside the box. Note that the solar reflectance value will be a
decimal between 0 and 1.
5. Thermal Emittance: Input the value for thermal emittance obtained from the CRRC.This value can be either the
initial thermal emittance or the 3-year aged value. Note that it also must be a decimal between 0 and 1.
C. Results:
1. Solar Reflectance Index: If you have entered values for both solar reflectance and thermal emittance, once you
press enter or click outside the box,the calculator will calculate the final SRI value. It may take a few moments
to obtain a value or the SRI depending on the values you inputted for reflectance and emittance.
CA Building Energy Efficiency Standards-2016 Nonresidential Compliance January 2016