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PMT14-01007 City of Menifee Permit No.: PMT14-01007 29714 HAUN RD. '9 CCELA? MENIFEE, CA 92586 Type: Residential Re-Roof s ,rw k ter MENIFEE Date Issued: 05/05/2014 PERMIT Site Address: 25829 BALTRUSTROL DR, MENIFEE, CA Parcel Number: 339-123-008 92586 Construction Cost: $4,800.00 Existing Use: Proposed Use: Description of REMOVE COMP REROOF WITH COMP SHINGLES Work: Owner Contractor FRANK BROWER FREDERICK RICHARDSON CONSTRUCTION 25829 BALTRUSTROL DR P O BOX 6083 MORENO VALLEY, CA 92554 Applicant Phone: 9516536132 FREDERICK RICHARDSON License Number: 643209 FREDERICK RICHARDSON CONSTRUCTION P 0 BOX 6083 MORENO VALLEY, CA 92554 Phone: 9512128338 Fee Description QtC Amount f$) - 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_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 Ith section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions Professions C g end license is in ful fort a affect. Code:The Contractor's License Law does not apply to an owner of a property License C s ense o L who builds or improves thereon, and who contracts for the projects with a Expire '9natu" ' lu+F licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSAT ON 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. built as an owner-building if it has not been constructed in its entirety by licensed Policy# contractors. I understand that a copy of the applicable law, Section 7044 of the 6ermit have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is on 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:htto'//www leainfo ca cov/calaw html. is issued.My workers'compensation insurance carrier and policy number are: t, r Property Owner or Authorized Agent Date Carrier/ ru/' / �f- Expires Policy# 12- �PCr ❑ 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.J,authoaza representatives of this city or county to enter the above- 0 1 certify that in the performance of the work for which this permit is issued,I idsnt i pr operty forth 'nspection purposes. shall not emolov any persons in any manner so as to become subject to the t workers' compensation laws of California, and agree that if I should become subject to the workers' compensatio"rov ins of 00 of the Labor "�� P �ertyOwfner or Authorize Agent Date Code,I shall forthwith comply With those pro ions r City Business License# Date ` Applicant; WARNING: FAILURE O SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERA- E 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, AYES OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES 10 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) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address D NO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS PRINT NAME: 1 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 DYES 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, D 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 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 ❑YES 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 AD UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE, SECTION 2 25533 AND 25534 CONCERNING H OUS MAI IAL ORI�ING. ❑ I, as owner of the property, or my employees with wages as their sole "EO compensation, will do ( )all of or( )porting of the work,and the structure is PROPERRIZED iGENT not intended or offered for sale.(Section 7044,Business and Professions Code; X f The Contractor's State License Law does not apply to an owner of a property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion,the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF ME IFE E PLCK No: P it 29714 Haun Road Date: Date N 5- ,—D 00 ? Menifee, CA 92586 Phone: (951)672-6777 Amount: Amount, �� Fax:(951)679-3843 Ck#: Ck#Vl Building Combination Permit V' To Be Completed By Applicant Legal Description: PlanningCase: F: Property Addresg;7 � Assessor's Parcel Number. ProJecflTenant Named+ n �2�/ Unit#: Floor#: Na NIA ,rr')l. !_'fJ P n No Fax No. Property Address: �� ,�� Owner Unit Number Zip Code Email Address:Na 6e�a6d�rr &HAJ4 (� Applicant Ad rb (�JriG.1�'�/ _.r,C�i k> 0 - Unit Number Zip C1 72-� Email Address: Name: Phone No. Fax No. L Contractor Address: City State Zip Code Contractor's City Busiry� n Contract California license No. Class' a op, Number of Squares: v Z Square Footage Des ion of Wo —, Cost of Work:$ A licanrs Signa �v� Date: To Be Completed By;Ciry Staff Only / Indicate As R-Received or N/A-Not Applicable 5 Completes sets of fully dimensioned,drawn to sale plans which include: 1 set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Goo Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%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 Alteration' Addition' Means/Methads Work Type: Repair' Retrofit Revision to EAsling Permit" Required? YES NO Proposed Building Use(s): Existing Building Use(s); #Buildings: #Units: #Stories: Will the Builtling Have a Basement? Y of N Bldg.Code Occupancy Group Indicate Indicate if Indicate all Geo-tech.Haz.Zone Completion: Construction At Project S rinkleretl YES or NO p 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 Spec al case:eldg- OfricialA roval Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing For Staff Use Only Building/Safety 1 Permit Specialist Gity Planning. Civil Engineering E1-WM-Admin Transportation ,gcm, I Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY City of Menifee Building & Safety Dept STATE OF CALIFORNIA MAY 0 5 2014 RESIDENTIAL ALTERATIONS CEC-CF-1 R-ALT Revised 03/10 CALIFORNIA ENERGY COMMISSION Prescriptive Certificate of Compliance: Residential CF-IR-ALT Residential Alterations (Page 4 of 7) Project Name: R� �p�� 'E; � Climate Zone N ��[_ �"uv`'�' 2i-Q.Zc� L��-fl Nof Stories ROOFING PRODUCTS(COOL ROOFS)9151(1)11 When the area of exterior roof surface to be replaced exceeds more than 50%of the existing roof area,or tore than 1,00o fr,whichever is less,the new roofing area must meet file roofing product"Coot Roof'requirements of§151(b)IHi, 152(b)/Hii,or 152(b)IHiii. Check applicable alternative or exception below if the roof afteration i eeremptfrotn the roofing product "Cool Roof'requirements.Note:lfany one of the alternatives or exception below is checked, due Aged Solar Reflectance and Thermal Emittance 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 1 through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit weight less than 5lb/112. Alternatives to§I52(b)1Hi and§152(b)Hii,Steep-slope roof(pitch>1:12) ❑ Insulation with a thermal resistance of at least 0.85 hrtf°F/Btu or at least a 3/4 inch air-space is added to the roof deck over an attic;or .❑,..! Existing ducts in the attic are insulated and sealed according to§151(1)10;or ,-In climate zones 10, 12 and 13,with 1 ft'of free ventilation area of attic ventilation for every 150 ft 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)I Hiii,Low-slope roof(pitch:5 2:12) ❑ Building has no ducts in the attic. Other Exceptions ❑Rooting area covered by building integrated;photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria. 13Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/fiz is exem t 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 if Exem t from the Roofing Products"Cool Roof'Requirement: Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Numbed < 2:12 >2:12 < 5lb/fte > 5lb/ft' Type 2 Reflectance3,4 Emittance SRIs ❑ ❑ ❑ ❑ ❑a ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑° ❑ ❑ ❑ ❑ ❑7 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Coated's Rated Product Directory at www cootroofs ore/r dt et/en 1 p 2.Indicate the type o1'product is being used for the rooftop,i.e.single-ply roof,asphalt roof metal roof;etc. . /f the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation(0.2+0.7(pi„aibl-0.2)to obtain a calculated aged value. IVhere 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 value by using the SR1-Worksheet at hht ://nnvw enerzv cn eov/t't( 2d/and enter the resulting value in the SRI Column above and attach acopy of the SRI-Worksheet to the CF-I R. To apply Liquid Field Applied Coatings,the coating.must be applied across the entire roofsurface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in§I I9(i)4. Select the applicable coating: ❑ Aluminum-Pigmented Asphalt Roof Coating ❑ Cement-Based Roof Coating ❑ Other .Mm. le'.R HERS Provider: ' .'t..... .gglrshntton Numbet: ,- � _ ..- Registration l5ate�me 2008 Residential Compliance Forms tf/arch 2010