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PMT18-05257 City of Menifee Permit No.: PMT18-05257 29714 HAUN RD. ,F MENIFEE, CA 92586 Type: Residential Re-Roof MENIFEE MENIFEE Date Issued: 10/29/2018 PERMIT Site Address: 28524 E.Worcester RD, MENIFEE, CA Parcel Number: 337-113-003 92586 Construction Cost: $8,450.00 Existing Use: Proposed Use: Description of TEAR OFF AND HAUL AWAY OLD SHINGLES, INSTALL NEW COOL ROOF SHINGLES CRRC Work: #0890-0009 Owner Contractor SHARON THOMPSON BAKER ROOFING CORPORATION 28524 E.WORCESTER 29515 DUNKIRK STREET MENIFEE, CA 92586 MENIFEE,CA 92586 Applicant Phone: 9512557237 LAWRENCE BAKER License Number: 884731 BAKER ROOFING CORPORATION 29515 DUNKIRK STREET MENIFEE, CA 92586 Fee Description QtV Amount($1 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 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 i City Of Menifee LICENSED DECLARATION ❑ 1 am exempt from licensure under the Contractors'State License Law for the I hereby affirm under penalty or perjury that I am licensed under provisions of following reason: Chapter 9 (commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that, except for my personal residence in Professions Code and my license is in full force and effect. which I must have resided for at least one year prior to completion of License Class r7�-7q License No. '.�z ���(3 1 improvements covered by this permit, I cannot legally sell a structure that I have Expires ^1 �I Signature � % built as an owner-building if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application is submitted or at the following Web site: ❑ I hereby affirm under penalty of perjury one of the following declarations: http://www.leginfo.ca.gov/ca have and will maintain a certificate of consent of self-insure for workers' compensation,issued by the Director of Industrial Relations as provided for by Date Section 3700 of the Labor Code, for the performance of work for which this permit is issued. Property Owner or Authorized Agent Policy# ❑ By my Signature below, I certify to each of the following: I am the property 4 1 have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read this section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comply permit is issued.My workers'compensation insurance carrier and policy number are: with all applicable city and county ordinances and state laws relating to building l construction.I authorize representatives of this city or county to enter the above- Carrier identified property for the inspection purposes. Policy# I? Expires �" (`9 Date Property Owner or Authorized Agent (This section need not be completed if the permit is for City Business License# one-hundred dollars(S100)or less) Y ❑ I certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION shall not employ any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or a workers'compensation laws of California, and agree that if I should become mixture containing a hazardous material equal to or greater that the subject to the workers'compensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide? Code,I shall forthwith comply with those provisions. ❑YES ( NO Applicant-_ Date; Will the intended use of the building by the applicant or future building occupant require a permit for the construction or modification from South WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND ❑YES (1100 CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a school? LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑YES�NO CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understand my requirements under the State of agency for the performance of the work which this permit is issued (Section California Health&Safety Code,Section 25505 and 25534 concerning 3097 Civil Code) hazardous paterial reporting. OWNER BUILDER DECLARATIONS ` OYESXA I hereby affirm under penalty of perjury that I am exempt from the Contractor's ��' Y/ Date License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT next to the applicable item(s)(Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, EPA RENOVATION,REPAIR AND PAINTING(RRP) or repair any structure, prior to its issuance, also requires the applicant for the permit to fife a signed statement that he or she is licensed pursuant to the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors provisions of the Contractor's State License Law(Chapter 9(commencing with receiving compensation for most work that disturbs paint in a pre-1978 Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with she is exempt from licensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their a civil penalty of not more than(S500).) employees.For more information about EPA's Renovation Program visit: El 1, as owner of the property, or my employees with wages as their sole www.epa.gov/lead or contact the National Lead Information Center at compensation,will do 1-800-424-LEAD(5323). p ( )all of or( )porting of the work, and the structure is not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property ❑An EPA Lead-Safe Certified Renovator will be responsible for this project who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, Certified Firm Name: the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). Firm Certification No.: ❑ I, as owner of the property an exclusively contracting with licensed 0 No EPA Lead-Safe Certified Firm is required for this project because: contractors to construct the project(Section 7044, Business and Professions Code:The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who contracts for the projects with a _ licensed contractor(s)Dursuant to the Contractors State License Lawl. If vour Droiect does not rmmnly with FPA RRP r=rin ntcaca fill niit tha RRP BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: L �! PERMIT/PLAN CHECK NUMBERrm-T �� ✓ PLANNING CASE NUMBER TYPE: C% COMMERCIAL `N(RESIDENTIAL MULTI-FAMILY MOBILE HOME POOL/SPA SIGN SUBTYPE: ADDITION ALTERATION DEMOLITION ELECTRICAL MECHANICAL NEW C PLUMBING eRE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK r ri l� L PROJECT ADDRESS LjP1 ZIP ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME ADDRESS PHONE ��� 7 EMAIL APPLICANT NAME ADDRESS Iq vi. e PHONE �, '� EMAIL CONTRACTOR'S NAME (!.brQ, OWNER BUILDER? YES -"0 BUSINESS NAME ADDRESS PHONE ��- �� ,� �� EMAILLjAe_iLl COW CONTRACTOR'S STATE LIC NUMBER �� LICENSE CLASSIFICATION VALUATION $ �� SQ FT L SQ FT SMA: Er ID r - CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY:gp CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL 13O , 0 GREEN ` , O 4 SMIP OWNER BUILDER VERIFIED YES .` NO DRIVERS LICENSE# NOTARIZED LETTER YES NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofmenifee.us t CEFM R CATE OF OOM PIJANCE CRRALT-01-E FEROORNG Prescriptive Residential Alterations for Reroofing in Climate Zone 10 (page 2 of 2) e) Roof hasR-38 insulation; 0 Roof has radiant barrier; 9) No ducts are installed in the attic;or OFFICE h) Rt insulation above the roof deck. NOTE If one of the exceptions above has been selected than the rest of Section Cis Not Required. 4. The CRRUProduct ID Number is obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.org/products(resuIta Roductsare listed by manufacturer, brand,type of installation,roofing material,and color,aswell as product performance. 5. Product type:S�e Cool Roof Feting Council's directory.Generally product types include single-ply roof,wood shingles,asphalt roof,metal roof,and tile roof. 6. R value Deck Insulation: If one of the exceptions selected includes adding roof deck insulation,indicate the R value of insulation. 7. Proposed Initial Solar reflectance:base on the product chosen from the Cool Roof Feting Council's Rated Product Directory.If using default assumption indicate NA since the Aged solar reflectance is available. 8. Proposed Aged Solar Reflectance:Value isfrom the Cool Roof Feting CoundI's Rated Product Directory.If the aged value is not available,calculate the calculated Aged Solar reflectance using the Solar Reflectance Index(,':R)Calculation worksheet located on the California Energy Commission website or the aging equation pad=[0.2+P[Anitia1-0.21,where p,nitiai-the initial solar reflectance and soiling resistance R is listed by product type below. VALUESOF SDI U NG RE9 SEANCE P BY PRODUCE TYPE Product Type CRRCProduct Category R Field-Applied Coating Field-Applied Gating 0.65 Other Not A Field-Applied Coating 0.70 9. Proposed Thermal Emittance: From the product specification default value.If using a calculated ER place the thermal emittance used to calculate Sal. 10. Proposed rR:It is optional to meet either the SA but if chosen to do so,use the Solar Reflectance Index(8:1)Calculation Worksheet found on the California Energy Commission website htti)://www.energy.ca.Qov/title24/. 11. Minimum Required Aged Solar Reflectance: Based on climate zone and roof slope. 12. Minimum Required Thermal Emittance:Based on dimate zone and roof slope. 13. Minimum SRI: Based on climate zone and roof slope. NOTE If the cool roofing requirementswill be met by a liquid field applied coating,S�ction 110.8(i)4 requires the coating be applied ac rossthe entire roof surface and meet the dry mil thickness or coverage recommended by the manufacturer. DOCUMENTATICAI AUTHOR SDEC ARknON SEATBAENT • I certify that this Certificate of Compliance documentation isaocurate and complete. ! Name: i�✓ -•� NY ❑Owner ❑Authorized agent ntractor Sgnature: Company: , ,.r�Y _ , . Contractor license#: Z Address `v�' S - Phone: ( ,,->-,. y ?2 ? Oty/aate/Zp: ✓UP c, k{- e.,_ —� _ C �2 _ > Date: t d For assistance or questions regarding the Energy aandards,contact the Energy Hotline at: 1-800-772-3300.