PMT14-00967 City of Menifee Permit No.: PMT14-00967
29714 HAUN RD.
";kCC'E:L MENIFEE, CA 92586 Type: Residential Re-Roof
MENIFEE Date Issued: 04/29/2014
PERMIT
Site Address: 25881 BALTRUSTROL DR, MENIFEE, CA Parcel Number: 339-123-002
92586 Construction Cost: $16,000.00
Existing Use: Proposed Use:
Description of TEAR OFF 3 LAYER WITH OC DECK DEFENCE AND 67 FT RIDGE VENT
Work:
Owner Contractor
ROSE M NASH PACIFIC HOME WORKS INC
25881 BALTRUSTROL DR 1602 LOCKNESS PLACE
MENIFEE, CA 92586 TORRANCE, CA 90501
Applicant Phone: 3105341033
DEAN MCCAWLEY License Number: 784477
PACIFIC HOME WORKS INC
1602LOCKNESS PLACE
TORRANCE, CA90501
Fee Description
f3ty Amount
Builcrig PermTf lssu`"once��" a ' h
Inspections not specified 98 98.00
$126.00
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_Templatexpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION
I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed
Chapter 9 (commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions
Professions Cog[e and m license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property
License Class F License N 13 _, who builds or improves thereon, and who contracts for the projects with a
Expires_q� Signature licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION ❑ lam exempt from licensure under the Contractors'State License Law for the
W I hereby affirm under penalty of perjury one of the following declarations: following reason:
1 have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in
compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of
Section 3700 of the Labor Code, for the performance of work for which this improvements covered by this permit, I cannot legally sell a structure that I have
permit is issued. �J built as an owner-building if it has not been constructed in its entirety by licensed
Policy# 2` � contractors. I understand that a copy of the applicable law, Section 7044 of the
❑ 1 have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is
section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:htto'//www.leginfo.m.Clov/calaw.html.
permit is issued.My workers'compensation insurance carrier and policy number are:
Properly Owner or Aut orized Agent Date
Carrier
Expires Policy#
❑ 8y my Signature below, I certify to each of the following: I am the property
Name of Agent Phone# owner or authorized to act on the property owner's behalf. I have read this
(This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply
one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building
construction.I authorize representatives of this city or county to enter the above-
6L I certify that in the performance of the work for which this permit is issued,I identifp''.I rty for the ins it urposes.
shall not employ any persons in any manner so as to become subject to the 2 //_
workers'compensation laws of California, and agree that if I should become /`7
subject to the workers'compensation provisions of Section 3700 of the Labor Property Owner or Authorized Agent Date
Code,I shall forthwith comply with those provisions. O
c City Business License# 1�J1 (0
Date; Applicant;
WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING
($100,000), IN ADDITION TO THE COST OF COMPENSATION, JES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES ONO EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS
INFORMATION GUIDE?
I hereby affirm that under the penalty of perjury there is a construction lending
agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE
3097 Civil Code) I APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name Y S A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address ❑NO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR
GUIDE LINES
OWNER BUILDER DECLARATIONS PRINT NAME:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the reason(s)indicated below by the checkmark(s)I have placed OYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable item(s)(Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A
Any city or county that requires a permit to construct, alter, improve, demolish, Q80 SCHOOL?
or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the I HAVE READ THE HAZARDOUS MATERIAL
provisions of the Contractor's State License Law (Chapter 9 (commencing with
Section 7000)of Division 3 of the Business and Professions Code)or that he or INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE SECTION
IONMAT 255L, 25533EPORI,AND 25534 CONCERNING
El 1, as owner of the property, or my employees with wages as their sole
compensation,will do( )all of or( ) porting of the work, and the structure is PROPER WNER OR/A��17 ED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code; / �.—�-�
The Contractor's State License Law does not apply to an owner of a property X _
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
I Z
CITY OF
MENIFLE
PLCKNo: p t o
29714 Haun Road �-7
Date: Date'
Menifee, CA 92586 /4
Phone: (951)672-6777 Amount Amount(04JO Fax:(951)679-3843 Ck#: Ck#:
Building Combination Permit
To Be Completed By Applicant
Legal Description' ^r'95 ) 5 Planning Case: F: L: Rt: R;
Property Address: 258� 1 13C.1 I f(/1. f-r0 ' Assessor's Parcel Number. 3341
ProjecUTenant Name: Q'e— M N�`i Unit#: Floor#:
Name: .�" IV Phone No.
/ �Oi O F Nc.
Property address: r Unit Number l Zip Code Owner J S' ctZt
Email Address: J b
Name:
Phone No. Fax No.
Applicant Address: Unit Number Zip Cade
Email Address:
Name: Phone No
6iCr r o/
Contractor Address: V IZ _ n y1 CitY � j/1 o Sta�� Zip Code
ontractor's ay n s t se o. �( - ✓ se Z���
}451P. � Contr�pr�®gJaje_o li(omla License No. ClassiFication:
Number of squares: ��S `'C V r'7 -J!LP
Square Footage
Description of Work: _� W �C Cost of Work:$
New Applicant's Sign
d r �� Date:
yInAl
To Be Completed ByuZIty Staff Only
Indicate As R-Received or N/A-Not Applicable
---5" y dimensioned,drawn to sale plans which include: 1 set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on cd only)
❑ Plot/Site Plan Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8 1J.x 11)
❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Calculations
❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate New Construction -E]Alteration' Addition' MeanslMethods
C- Work Type: Repair'
�• - Retrofit* Revision to Etisting Perini' Required? YES NO
Proposed Building Use(s): ke f®aF Existing Building Use(s)
C.h �
#Buildings: #Units: Stories:if If Will the BuildingHave a Basement?
Bldg. Code Occupancy Group Indicate Indicate if Indicate all Geo-tech. Haz.Zone
At Project Stories
YES or NO
Completion: Construction that apply: Coastal Zone
Type(s): C of o yE 3 or NO Noise Zone
Required? Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review Board TGr1enB1,Id,,g
m. Planning Comm.Zoning AdminisVator
Fee Exempt City Project Elec.Vehicle Charger Seismic Retrofit Special Case:Bld,.
Ofridal Anomval
Expedite Project(s): Child Care City Pmect Landmark ABordabte Housing
For Staff Use Only
euildin /safety Permit Specialist I CiV Planning Civil Ergineennq I EPWtd-Admin I Transporlalion Mgml. Rant Con Vol
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
STATE OF CALIFORNIA City of Menifee
RESIDENTIAL ALTERATIONS Building & Safety Dept.
CEC-CF-IR-ALT Revised 03/10 CALIFORNIA ENERGY COMMISSION
Prescriptive Certificate of Compliance: Residential App 7 g 9011, CF-IR-ALT
Residential Alterations Pa e 4 of 7)
Project Name: as �Ose Deceive Clima n te%oe# #of Stories
ROOFING PRODUCTS(COOL ROOFS)§ISIW12
When the area of exterior roof surface to be replaced exceeds more that?50%of fire existing roof area,or more Ilia"1,000f7 whichever is
less,the new roofing area nrast"feet the roofing product"Cool Roof'regairettfents of§152(b)1Hi, 151(b)1Hii,or IS2(b)IHiii.
Check applicable alternative or exception below if the roof alteration is exempifrom ate roofing product "Cool Roof'requirements.Note:1f any
one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emitlance requirements for roofing products in
§I18(i)are not applicable.Do not fill table below.
❑Cool Roofs Not Required in Climate Zones 1-12, 14,and 16 with a Low Sloped. Less or 2:12 pitch.
❑Cool Roofs Not Required in Climate Zones I through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit weight less
than 5lb/ft2.
Alternatives to§I52(b)IHi and§152(b)Hii,Steep-slope roof(pitch>2:72)
❑ Insulation with a thermal resistance of at least 0.85 hr ft-°F/Btu or at least a 3/4 inch air-space is added to the roof deck
0 er an attic;or
0 Existing ducts in the attic are insulated and sealed according to§151(f)10;or
Via climate zones 10, 12 and 13,with I ft of free ventilation area of attic ventilation for every 150 ftf of attic floor area,and
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or
❑ Building has at least R-30 ceiling insulation;or
❑ Building has radiant barrier in the attic meeting the requirements of§151(02;or
❑ Building has no ducts in the attic;or
❑ In climate zones 10, 11, 13 and 14,R-3 or greater roof deck insulation above vented attic.
Exception to§152(b)1 Hill,Low-slope roof(pitch<1:12)
❑ Building has no ducts in the attic.
Other Exceptions
❑Roofing area covered by building integrated;photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria.
1YRoof constructions that have thermal mass over the roof membrane with at least 25 Ib/ft'is exempt
from the below Cool Roof criteria.
Note:If no CRRC-1 label is available,this compliance method cannot be used,use the Performance Approach to show compliance,otherwise,
Check the a licable box below if Exem t from the Roofin Products"Cool Roof'Re uirement:
Roof Slope Product Weight Product Aged Solar Thermal
CRRC Product ID Number) < 2:12 >2:12 < 5lb/ftz > 51b/ft' T ez Reflectance"4 Emittance SRI5
—❑ ❑ — ❑4
❑ ❑ ❑ ❑ ❑'
11 ❑ ❑ ❑ ❑�
❑ ❑ ❑ ❑ ❑a
❑ 1 ❑ ❑ ❑ ❑4
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.cooiroo(r ore/arodn etYlsearch.ph
1.Indicate the type ofproduct is being used for the rooftop,i.e.single ply roof,asphalt roof metal roof,etc.
. If the Aged Reflectance is not available in the Cool RoofRaling Council's Rated Product Directory then use the Initial Reflectance value from the same
directory and use the equation(0.1+0.7(p pna l—0.2)to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4.Check box if the Aged Reflectance is a calculated value using the equation above.
5.Calculate the SRI vale by using the SR1-lVorkrheet at htT:Ah nv enerev ca /tit/24/and enter the restating value in the SRI Column above and attach acopy of
the SRI-il'orksheet to the CF-I R.
To apply Liquid Field Applied Coatings,the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
recommended by the coatings manufacturer and meet minimum performance requirements listed in§I 18(i)4. Select the applicable coating:
❑ Aluminum-Pigmented Asphalt Roof Coating ❑ Cement-Based Roof Coating I Other
Registration Number. "e - Registration Date/Time HERS Provider:
2008 Residential Compliance Founts Afm ch 2010