PMT14-01020 City Of Menifee Permit No.: PMT14-01020
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Re-Roof
MENIFEE Date Issued: 06/07/2014
PERMIT
Site Address: 26252 CHERRY HILLS BLVD, MENIFEE, Parcel Number: 337-080-025
CA 92584 construction Cost: $3,400.00
Existing Use: Proposed Use:
Description of REMOVE AND APPLY 30YR SHINGLE
Work:
Owner Contractor
SANDY STEVENS GARDNER ROOFING COMPANY
26252 CHERRY HILLS BLVD 594 WEST SEVENTH STREET
MENIFEE, CA 92584 SAN JACINTO, CA 92383
Applicant Phone: 9516542794
GARDNER ROOFING COMPANY License Number: 528309
594 WEST SEVENTH STREET
SAN JACINTO, CA 92383
Fee Description (qyt Amount
Inspections not specified 98 �t 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 building 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 force and effect. Code:The Contractor's License Law does not apply to an owner of a property
License Class Lice e o. ? // who builds or improves thereon, and who contracts for the projects with a
Expires Signature �'�'K-�U� �Crl�t.(.'��V�_`✓/ licensed contractor(s)pursuant to the Contractors State License Law).
S'
I
WORKER 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. 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 requestwhen 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.leginfo.ca.govica aw html.
permit Is Issued.M) worh rs'compensation insurance carrier and policy number are:
C' ./ c Property Owner or Authorized Agent Date
Carrier ✓
Expires {7 /so,/zy Policy# Z/''96-7 y'2 f S
❑ 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. 1 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-
0 1 certify that in the performance of the work for which this permit is issued, I intifie property for the inspection 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 1 should become
subject to the workers'compensation provisio s of Section 3700 of the Labor Property Owner or Authorized Agent Date
Code,I shall forthwith comply with those rov. ions.
City Business License#
Date; Lj�7I/2/ Applicant; C��L.0-rE/
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, AYES 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 ❑NO 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 DYES 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
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 AYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable items)(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 (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 ❑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 ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE SE S MATERIAL 505f�E5533,PORI AND 25534 CONCERNING
El 1, as owner of the property, or my employees with wages as their sole
compensation, will do ( ) all of or( )porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF MENIFEE ity of Menlfee PLCK No: P It No:
Building & Safety Dept. —O O
29714 Haun Road Date: Date:
Menifee, CA 92586 MAY 0 7 2014
Phone: (951)672-6777 Amount: Amount:
Fax: 951 679-3843 —
( ) Received Ck#: Ck#:
Building Combination Permit
To Be Completed By Applicant
Legal Description: Planning Case: F:
Property Address: / Assessor's Parcel Number:—
c�
Projectlrenant Name: Unit#: Floor#:
Name: QN e1J . S P n y„-6�i _�Q3 p Fax No.
owPToner Address: a / �-7 / Unit Number Zip Code
Email Address- aC.
Name: Phone No.
Fax No.
1-63y S7
Applicant Address: ry 7 au Unit Number Zip ade
J Sd3
Email Address: -B� n �(I � O L�.c C.
Name: P ne No
�/ 1Y �S.S 7 Fax No.
Contractor Address: / 7 H �� City Stater. Zip Qode f
ontractor s My BLunsmess�License 1NO. Contract s ty tat Q f alifomia License No. Classification: y
Cs
Number of Squares:
Square Footage
Description of Work: A Cost of Work:$�
Applicant's Signature I, Date: ( V
(/ pc To Be Completed By City Staff Ohly ;
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 ❑ Gen Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8'/:x 11)
❑ Plumbing Plan ❑ Structural Calculations
❑ Foundation Plan ❑ Cross Section ❑ 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: Repair* Retrofit` Revision to EyisGng PenniP Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: #Stories: Will the Building Have at Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indicate if Indicate all Geo-tech.Haz.Zone
At Project Sprinklered YES or NO
Completion: Construction that apply: Coastal Zone
Type($): 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 case:mdg.
016cialA roval
Expedite Project(s): Child Care City Project Green Bung Landmark Affordable Housing
For Staff Use Only
Building/Safety Permit Specialist I City Planning I Civil Engineering I EPWM-Admin I Transportation Mgmt. I Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
STATE OF CALIFORNIA
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: Climate Zone# If of Stories
ROOFING PRODUCTS(COOL ROOFS)§151(1)11
When the area of exterior roof surface to be replaced exceeds more than 50%of the existing roof area,or more than 1,000 fr,whichever is
less,the new roofing area must meet the roofing product"Cool Roof'requirentents of§152(b)1Hi, 152(b)1Hii,or 152(b)]Hiii.
Check applicable alternative or exception below if the roof alteration is exemptfi-oin the roofing product "Cool Roof'requirements.Note:if mty
one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal En dilance requirements for roofing products in
;§118(i)are not applicable. Do notfill tablebelow.
❑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/tt'.
Alternatives to§152(b)1Hi and§152(b)Hii,Steep-slope roof(pitch>2:12)
❑ Insulation with a thermal resistance of at least 0.85 hrff°FBtu 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(010;or City of Menifee
RP5climate zones 10. 12 and 13,with I fY of free ventilation area of attic ventilation for every 150 If of attic Floor area,anrgUilding & Safety DI pt.
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 MAY 0 7 201
❑ Building has radiant barrier in the attic meeting the requirements of§15l(f)2;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. Receive
Exception to§152(b)lHiii,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 Ib/ff is exempt
from the below Cool Roof criteria.
Note:If no CRRC-I label is available,this compliance method cannot be used,use the Performance Approach to show compliance,otherwise,
Check the applicable box below if Exem In from the Roofing Products"Cool Roof'Re uirement:
Roof Slope Product Weight Product Aged Solar Thermal
CRRC Product ID Number < 2:12 >2:12 < 5lb/ft' > 516/d' T e' Refectancei'4 Emittance SRI`
❑ ❑ ❑ ❑ ❑4
❑ ❑ ❑ ❑ ❑4
❑ ❑ ❑ ❑ ❑4
❑ ❑ ❑ ❑ ❑4
❑ ❑ ❑ ❑ ❑4
L The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www coolroofs ore%roduets/sear h h
2.Indicate the Npe ofproducl is being used for the roof top,i.e.single-ply roof,asphalt roof,meal roof etc.
. If the Aged Reflectance is not available in the Cool Roof Rating Councils Rated Product Directory then use the Initial Reflectance value from the same
directory and use the equation(0.2+0.7(p„,ta"t—0.2)to obtain a calculated aged value. IPhere 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 SRI-Worksheet at httn://",w.enerev.ca eovIaMe24/and enter the resulting value in the SRI Column above and attach acopy of
the SRI-Morksheet 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 ❑ Other
von�asn egS3.11atJpt!.ut0.b,� +' Registration Dnte&inte «_ ,,ram"- ..� HER�F`;o i�en
2008 Residential Compliance Forms March 2010