PMT14-00999 City of Menifee Permit No.: PMT14-00999
29714 HAUN RD, Type: Residential Re-Roof
GCE.I..t-l ` MENIFEE, CA 92586
MENIFEE Date Issued: 06/05/2014
PERMIT
Site Address: 28651 MOUNTAIN VIEW PL, MENIFEE, Parcel Number: 350-182-005
CA 92587 Construction Cost: $13,200.00
Existing Use: Proposed Use:
Description of REMOVE AND REROOF WITH COMP SHINGLES
Work:
Owner Contractor
MATT ARCHER T& R ROOFING CO INC
28651 MOUNTAIN VIEW PLACE P 0 BOX 747
MENIFEE, CA 92587 TEMECULA, CA 92593
Applicant Phone: 9516723211
ROBERT HATTENBACK License Number: 939038
T&R ROOFING CO INC
P 0 BOX 747
TEMECULA, CA 92593
Phone: 9515414149
Fee Description Q11Y. Amount I$1
6U In"ermi$ rar �
Inspections not specified 98 98.00
$125.00
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 Template.rpt 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 Code and my license is in full orce and ect. Code:The Contractor's License Law does not apply to an owner of a property
License Claps - C�7�I License N who builds or improves thereon, and who contracts for the projects with a
Expires Signature licensed contractor(s)pursuant to the Contractors State License Law),
WORKERS'COMPENSATION DECLARATION
❑ I am exempt from licensure under the Contractors'State License Law for the
❑ I hereby affirm under penalty of perjury one of the following declarations: following reason:
I 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., ._.7 r^ built as an owner-building if it has not been constructed in its entirety by licensed
Poljcy# contractors. I understand that a copy of the applicable law, Section 7044 of the
6y( 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:httc://www.leginfo.ca.aov/calaw.html.
permit is issued.My workers'compensation insurance carrier and policy number are:
tt Property caner or Authorized Agent Date
Carrier q -or w � CID
Expires > Policy#_�f_
❑ By 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. authorize re esentafives of this city or county to enter the above-
❑ I certify that in the performance of the work for which this permit is issued,I identifie rt for in do .purposes.
shall not employ any persons in any manner so as to become subject to the /
workers' compensation laws of California, and agree that if I should beta e
subject to the workers'compensation provisions of Sect' n yEY0,7 .aJb�or rope I Owner or Authorized Agent D to
Code, I shall fprthwi comply with those provisiopa�� h�i/ �C
Date;
� Applicant; / fff����AA[[ � City Business License#
WAll 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, DyE OCCUPANT HANDLE HAZARDOUS MATERIAL OR
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES O EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS
I hereby affirm that under the penalty of perjury there is a construction lending
INFORMATION GUIDE?
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) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name ON
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
UIDE LINES
OWNER BUILDER DECLARATIONS
I hereby affirm under penally of perjury that I am exempt from the Contractor's PRINT NAME:
License Law for the reason(s)indicated below by the checkmark(s)I have placed ❑Y 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, NO 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
provisions of the Contractor's State License Law (Chapter9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or oYE /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 J2NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MAT f PORTING.
compensation, will do( ) all of or( ) porting of the work, and the structure is PROPERTY N T
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale. If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF MENIFEE PLCKNo: �d�lo,,:
29714 Haun Road Date: Date,
PM
4�rACJq
ate:
Menifee, CA 92586 5 5- 1
Phone: (951)672-6777 Amount Annou0I.
Fax:(951)679-3843 Ck#: Ck#: ,
o�
Building Combination Permit Gl
To Be Completed By Applicant
Legal Description: / OT fD yr manning Case:
Property Address: / Assessor's Parcel Number.
C FF eu to t 0IG " v 'J 3 g�IDO�
Projectlfenant Name: Unit#: Floor#:
Name: er P neu-16 Fax No.
Property Address �1
Owner 'oe g65f U VA All
i N ber Zip Code
Email Address:
Name: Ph No
�� 7 ly/_ /q Fax No.
Applicant Address:31
f Cq Unit Number Zip Code
Email Address:
Nam Phone No. Faz No.
C Jv
Contractor A s : City State Zip Code
Contractor's '�uEyr�g �nse o Con r•aclor's Ry State of California License No. Classifieatie
Number of Squares: .•��((ll 44'7' {' ai
Square Footage Yiwo .J
Description of Work: 9C C0M Cost of Work:$ +�ayr
Applicant's Signature Date: ' ;;26 J
o BeCompleted By City Staff Only - -
Indicate As R-Received or N/A-Not Applicable
a Completes sets or fully dimensioned,drawn to sale plans uvhich include: 1 set of dccumer s which include
❑ The Sheet ❑ Elevations ❑ Electrical Plan ❑ Gee Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on B /,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 1 ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration' Addition' Means/Methods
Work Type:HRepair* - Id Retrofit' Revision to Fxisfing Permit' Required YES NO
Proposed Building Use(s): Existing Building Use(s):
to Buildings: #Units: #Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indicate it Indicate all Geo-tech. Haz.Zane
At Project Sprinklered YES or NO
Completion: Construction That apply: Coastal Zone
Type(s): C Of O YES or NO Noise Zone
Required? Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm. Zoning Administrator
Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit Special ce,a 9:aq
official A le H,l
Expedite Project(s). Child Care City Project Green Building Landmark Anordable Housing
For Staff Use Only
Buildin el'— ty Permit Specialise City Planning Civd Erginearing- EPWPA-Admip Transportation Mgmt. Rent Control
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 03/101 CALIFORNIA ENERGY COMMISSION
Prescriptive Certificate of Compliance: Residential CF-IR-ALT
Residential Alterations Watze 4 of 7
Project Name: �] Climate Zone N
et,— Receive �O #of Stories
ROOFING PRODUCTS(COOL ROOFS)§151(1)12
When t/te area of exterior roof surface to be replaced exceeds more than 50%of the existing roof area,or more than/,000 f ,whichever is
less,the new roofing area must meet the roofing product"Cool Roof'requirements of§151(b)IHi,151(b)WE,or 151(b)I iii.
Check applicable alternative or exception below if the roof alteration is exemptfratn the roofing product "Cool Roof'requirements.Note. lfany
one of the alernatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in
§118(i)are not applicable. Do notfill 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 1 through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit weight less
than 5lb/ft'.
Alternatives to§152(b)l IT and§152(b)1lii,Steep-slope roof(pitch>2:12)
❑ Insulation with a thermal resistance of at least 0.85 hrftz•°FBtu or at least a 3/4 inch air-space is added to the roof deck
over an attic;or
IExisting ducts in the attic are insulated and sealed according to§151(f)10;or
In climate zones 10, 12 and 13,with I ft of free ventilation area of attic ventilation for every 150 tt'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(f)2;or
❑ Building bas 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)1Hiii,Low-slope roof(pitch 52:11)
❑ 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.
❑Roof constructions that have thermal mass over the roof membrane with at least 25 Wit'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 applicable box below if7F]
ucts"Cool Roof'Re'
e uirement
roduct weight Product Aged Solar Thermal
CRRC Product ID Number) lb/ft' > 5lb/ftZ T et Reflectance''4 Emittance SR15
❑4
❑ ❑ ❑4
❑ ❑ El ❑ ❑4
❑ ❑ ❑ ❑ ❑4
1. The CRRC Product ID Number can be obtainedfrom the Cool Roof Rating Cou ncil's Rated Product Directory at wmv.coolroo(s are/products/se ch h
2.Indicate the type of product is being used for the roof top,i.e.single-ply roof,asphalt roof,metal roof;etc
. lithe Aged Reflectance is not available in the Cool Roof Rating Council Rated Product Directory then use the Initial Reflectance valuefrom the same
directory and use the equation(0.2+0.7(pinirinl—0.2)to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4.Check box ifthe Aged Reflectance is a calculated value using the equation above.
5.Calculate the SRI value by using tire SRI-Worksheet at hirePmviv.enerev ca eov/title241 and enter the resulting value in the SRI Column above and attach acopv of
the SRI-Workrheet to the CF-IR.
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§118(i)4. Select the applicable coating:
❑ Aluminum-Pigmented Asphalt Roof Coating ❑ Cement-Based Roof Coating 171
Other
Registration Number: Registration Date/Tihie M1 r'c;'--.
g �,s.-t HERSProvider; l
2008 Residential Compliance Forms dlarch 2010