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PMT14-01015 City of Menifee Permit No.: PMT14-01015 29714 HAUN RD. Type: Residential Re-Roof 49kCCE1.Ak.` MENIFEE, CA 92586 MENIFEE Date Issued: 06/07/2014 PERMIT Site Address: 25680 HARTWICK RD, MENIFEE, CA Parcel Number: 339-072-010 92586 Construction Cost: $6,400.00 Existing Use: Proposed Use: Description of REMOVE EXISTING ROOF AND INSTALL COMP SHINGLES Work: Owner Contractor DONALD MYREN ROOFTEK ROOFING 25680 HARTWICK RD 26025 NEWPORT ROAD STE A400 MENIFEE, CA 92586 MENIFEE, CA 92584 Applicant Phone: 9512448524 DAN VANDERHULE License Number: 520957 ROOFTEK ROOFING 26025 NEWPORT ROAD STE A400 MENIFEE, CA 92584 Fee Description (Qty Amount �B I.' Inspections not specified 98 98.00 00 tGiFE a4uy $126.00 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee. Except as otherwise stated, a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA_Bidg_Permit Templatesirt Page 1 of 1 City Of Menifee LICENSED DECLARATION I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions Professions Code and my license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property License ClassG,2n Licen$e`No.5_�,QQ'T '7 who builds or improves thereon, and who contracts for the projects with a Exp jires 1 _-2o�SSignature . ✓ L� 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 ❑ 1 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 ❑ 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:http,//www.lea!nLo.ca.gov/calaw.html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier Property Owner or uthorize Agent Date �-�� V�-`^^^p Expires 1 — 201_'�_ Policy# __�06 �N ❑ 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.I authorize repras6ritatives of this city or county to enter the above- El I certify that in the performance of the work for which this permit is issued,I identified property for t spection 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 shout obome subject to the workers'compensation provisions of Section 37 the Labor Property Owner or Authorized Agent Date Code,I shall forthwith comply with those rovisions. .5 2 2. 7 t City Business License# 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, OYES 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 ANO 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 OYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address .jJ0 DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS I hereby affirm under penalty 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 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, 0 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(Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL Section 7000)of Division 3 of the Business and Professions Code)or that he or �ES 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($500).) HOD RDOU3 MON 2515 5f�fPOR� GD 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do( )all of or( ) porting of the work, and the structure is PR ERTY OWN OR ORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF MENIFEE PLCK No: ,I'M"� 29714 HaUn Road Date: Date: Menifee, CA 92586 51-7 14 Phone: (951)672-6777 Amount: ount- Fax:(951)679-3843 ck# ck#: Building Combination Permit Gq' To Be Completed By Applicant Legal Description: 'l7_T l L 1 ,3 Planning Case: F: L: Rt: R Pro a Address: & ! Assessor's Parcel Number. O� a O I O 33°1 ProjecUfenant Name: Unit#: Floor#: Name: �\_� PhoqNo. Fax No- Address'. ,e� Unit Number L Owner - �UG - i Zip Code Email Address: Name: Phone No. Fax No. Applicant Address: Unit Number Zip Code Email Address: Name: Phone Fax No. Contractor Address: G ' - l 'S— Q L�Zf.-, ( %�T Ci Syyeit Zip ode orFJ Gp+ ontrac ors ity usi o. Contractor's Ciry Sta a of Califo License No. Classification: Number of Squares: Z Square Footage ;7 30D 5iii!= Description of Work: O -. _-// C st of Work:$ A 7- (Z:.r* a mlgird rye Nam t� ->sl to Applicant's S ture e: �/, �, vm— _e To Be Completed By City 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 ❑ Geo Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x 11) ❑ ❑ Structural Calculations Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ 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 Alterafion` Addition* Means/Methods Work Type: Repair' Retrofit` Revision to Existing Permit' Required? YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: It Stories: Will the Building Have a Basement? Y of N Bldg. Code Occupancy Group Indicate Indicate ff Indicate all Geo-tech.Haz.Zone At Project Sprinklered YES or NO Completion: Construction that apply: Coastal Zone Type(s): C IN 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 Retroft Special Case: Idg. Or. .IA royal Expedite Project(s): Child Care City Project Green Building landmark Affordable Housing For Staff Use Only Building/Safety Permit Specialist I City Planning I Civil Engineering EPWM-Admin I Transportation Mgmt. Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY PrescripMe Certificate of Compliance: Residential Reroof CF411-ALT-ReRoof Project Address: Climate ane rm ti 9as t Z �y-aloe ROOFING PRODUCTS(COOL ROOFS)§161(t)12 When the area of exterior roof surface to he replaced exceeds 5076 of the existing roof area,or 1,000 fe,whkhever is less,the new roofing area must meat the roofing product"Coal Roof^requirements of§152(b)1Hi,152(h)1Hti,or 152(b)1Hlil. Check applicable anemative or exception below if the roof alteration is exempt from the roofing product"Cool Roof,requirements:: ❑ Cool roofs no requced in Climates Zones 1-12.14,and 16 with a low sloped roof pitch(less or 2:12 pitch). ❑ Cool roofs not required in Climates Zones 1-9,and 16 with a steep-slopet!roofs(greater pitch than Z12)and product weight less than SUJIF. Alternatives to§162(b)1Hi and§152(b)Hii,Steep-slope roof(pitch>2:12) ❑ Insulation with a thermal resistance of at least 0.85 hr-it.°F/Stu or at least a 314 inch air-space is added to the roof deck over an attic,or ❑ Bdsting duds in the attic are insulated and sealed aacrd rg to§151(f)10;or In climate zones 10,12 and 13,with 1 ft2 of free ventilation area of attic ventilation for every 150 ft2 of attic floor area,and witere at hest 30 percent of the free ventilation area is within 2 feet vertical dance of the roof ridge;or ❑ Building has at least R-30 ceiling insulation;or ❑ Buildng has radiant barrier in the attic meeting the requirements of§161(f)2;or ❑ Building has no duds in the attic;or ❑ In dimate zones 10. 11,13 and 14,R-3 or greater roof deck insulation above vented ettia Exception to§152(b)1Hi8,Low-slope roof(pitch 5 2:12) Cl Building has no ducts in the attic. Other Exceptions ❑ Roofing area is covered by building integrated;photovoltaic panels and solar thermal panels are exempt from the Cool Roof criteria. ❑ Roof constructions that have thermal mass over the roof membrane with at least 25 bM are exempt from the Cool Roof criteria NO if any one of the altamafives or exception is checked the Aged Solar Reflectance and Thermal E nitrance requirements for roofing products in§1180 are not applicable.Do not titi table below. Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Humber' 5 2:12 >2:12_ < 5la)ry2 _> 80�e T Reflectance'A Emitance SRIs ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑a Nofw ff no CRRC-1 label is available,this compliance method cannot be used, use fie Performance Approach to show compliance, 1.The CRRC PMM iD Numbercan be obtabhed tram tie Cool Roof Rating Cawxrs Rated PMAIM kecMry at Z tndmafe the type 01 product Is being usedfiorthe waf top,Le.single-ply r00%asphatroW metal ro&epo, . ff the Aged Reflectance Is not avaaable in the Coal Roof Raft CouncA's Rated Product Directory lien use the InNal Reseclemce value from fie same dlredoly and use the equation(0.2+aZ(p„re—0.2)to obtain a calculated aged value. Mere to is the InNe,SO/ar4. Retectaece. Checkbox if the Aged Refiedarme Is a calculated value using the equation above. S Calchdste fie SRI value by usng the SRP IMMtsheet at bMt;h mv.enemvca.00yAft1e24(aad enter Me restrltng value in Me SRl Calumn above and afteM aeopy of Ma SR&Wofkahwf to as CFF1R. o 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(1)4. Select the applicable coating: ❑ Aluminum-Pigmented Asphalt Roof Coating 17 Cement-Based Roof Coating ❑ Other No When a Cool Roof is required,the irhslalHng contractor shall complate and srtbmt the CKBR ENW01 for final inspection. Declaration Statement I certify under Penalty of perjury,under the laws of the State of Cafifomia,the blonnation provided on fhb form Is ac=ate and complete. • 1 certify that the energy features and performance specifications Identified on this Certibcete of Co plience conform to the requirement$of Title 24,Parts 1 and 6 of the Galffornis Cade of Regulations. Name: ,\ �4 n � n c" l-I� Signature: �P � u rL( Company:: , � Dater/l f� Address: License: ��- � - Iq�� �s -may Ciryi . , ( phone* For assistance or questions regarding the Energy Standards,contact the Energy Hotline at 1.800-772-3300. INSTAUATION CERTIFICA.TIE:Residential Reroof CF-6R-ENV-01 Site Address:" Enforcement Agency: Pormit Number: =fp#icob1, person hnsr eVonsibil0yfor installation afthe Items on tills ceri$care,each person shnApreparu and sign a cenffievte e portion ofceneirucrlon fm•which theyare responsible;aliernaiively,the person with chiefresponsibilifyfbr consrre+eUon shall n this certercarefor the enure construction: All applicable Mandatory Mfeasures with check boars are required to be cheokedloa meassteres have been met: CEILING INSULATION Rigid: __ Brand Name- Hatt or Blanket Type __ Brand Name: Loose Fill Type: Thermal Resistance(R-Value): Spray Foam Type: Brand Name: Installed Actual Thickness(inches): Contractor's min installed weighttift' lb Manufacturer's installed weight per square foot to achieve Theroud Resistance(R-Value): M §150(a):Minimum R-19 insulation in wood-frame ceiling or equivalent U-factor. 0 §118(a): insulation installed meets Standards for insulating Material. ® §150(g):Mandatory Vapor barrier Installed in Climate Zones 14 or 16. ROOFING PRODUCTS(COOL ROOFS)9151012 ❑Check this box if the newly installed roof is exempted from the roofing product"Cool Roof'requirements as indicated on the CF IR-Ah- Remof form for this project.Otherwise till in the table below. Roof Slope Product Weight Aged Solar Thermal CRRC Product ID Number t ,5 2:12 >2:12. a Sib/100 a SlWfe Product Typo= Reneetances'a Emittance. - _ - ❑ ❑ ❑ ❑.. . ❑4 - 1.aWc-i Iabai information is available is on the psaksge of the roofing product being Insmlkdend attach the CRRC label to this tirrm.. 2.Indicate the type ofp vuhrot is being used jbr the r»gj top,1 e.$ln$fe-*roof,asphalt roof,melol roof,etc, 1. Ifthe Aged Rrflactance.is not available in the Cool RoafRatingCouncfl's Rated Product Airectiny then Wo the Initial.Reflactanee wine from the - eame directory and use the equation(0.2+0.7(p;,,;,+,d—rJ )to obtain a calculated aged value. Wisere p is the Initial Solar Re $lance. C Check box(fibe Aged Reflectance is a calculated value using the equation above. _. o apply Liquid.Atietd.Fipplied Coatings,the casting must be applied across the entire mof serfuce and meet the dry mil thickness or coverage co it by the coatings mnnubconer and meet minimum performance requirements listed in III 180C Select the applicable costing:. ❑Aluminum-Piginented Asphalt Roof Coating - ❑Cement-Rased near Coating ❑ Other DECLARATION STATEMENT I cortily under penalty of perjury,under the laws of the state of f aliternia,the Information provided on this form Is true and correct. + 1 ruwaligible under Division3 ofthe Business and ProlBssions Code to accept respmrsibility for oonstmction.or an authorized representative ofthe person responsible for construction(responsible person). • I canny that the installed ventures,materials,components,or mmtufactured devices Identified on this certificate(the installation)conforms to all applicable codes and regulations,and the installation is aonsiatent with the plans and specifications approved by the enforcement agency ► I reviewed a copy of the Certificate of Compliance(CF-1R)farm approved by the enforcement agency that idendfnes the specific requirements for the installation. 1 oertify that the requirements detailed on the CF-IR that apply to the Installation have beeli met. I will ensure that complated,signed.eopy of this Installation Certificate shalt be posted,or trade available with the building permlt(s)Issued for the building,nail made available to the enforcement agangy for all applicable Inspections. I understand that It signed dopy of this installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy,. Company Namo: (insmiling 5ubeontmotor or General Contractor ar BoilderfOwner) Responsible Persons Name: Responsible Parson's Signature: CSLB License: Date Signed: Position With Company(Title): August 2049 2008 Residential Compliance Forms