PMT14-01099 City of Meniffee Permit No.: PMT14-01099
29714 HAUN RD.
A. MENIFEE, CA 92586 Type: Residential Re-Roof
MENIFEE Date Issued: 05/14/2014
PERMIT
Site Address: 27771 CONNIE WAY, MENIFEE, CA Parcel Number: 335-402-008
92586 Construction Cost: $6,500.00
Existing Use: Proposed Use:
Description of INSTALL 30LB TAR PAPER OVER EXISTING TAR PAPER, REINSTALL SAME TILE ROOF
Work:
Owner Contractor
DOMINICK&MARIA GIULIANO RANDY'S CLASSIC ROOFING
27771 CONNIE WAY 32960 DAILY DR
MENIFEE, CA 92586 MENIFEE, CA 92584
Applicant Phone: 9515294085
RANDY'S CLASSIC ROOFING License Number: 726425
32960 DAILY DR
MENIFEE, CA 92584
Fee Description ClIty Amount
70
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 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 `e,' License No. '7_ ��j(�f 0_5 who builds or improves thereon, and who contracts for the projects with a
Expires g 3! % Signature licensed contractors)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
❑ I am exempt from lcensure 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
� 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.Ieqlnfo.ca.Qov/caIaw.htmI.
permit is issued.My workers'compensation insurance carrier and policy number are:
Carriel Z% ts�, 11 Property Owner or Authorized Agent Date
Lt
Expires / ("'l� Policy#
❑ 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 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 identified 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 I should become
subject to the workers'compensation provisions of Section 3700 of the Labor rope Owner or Authorized Agent Date
Code,I shall forthwith comply with those provisions.
` City Business License#
Date; 7 A pplicant;
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, []YES 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 []YES 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 reasons)indicated below by the checkmark(s)I have placed ❑YES 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 Slate License Law (Chapter 9 (commencing with 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($5D0).) CODESESION25 �MD 25534 CONCERNING
RPORG
❑ I, as owner of the property, or my employees with wages as their sole
compensation, will do ( ) all of or( )porting of the work, and the structure is PROPERTY OWNER ORAUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF 1V'LJlil'9YFEE PLCK No: Permit No:
29714 Haun Road City of Menifee Date: Date:
Menifee, CA 92586 8uiiding s Safety Dept.
Phone: (951)672-6777 MAY 14 2014 Amount: Amount:
Fax:(951)679-3843 a
R Ck#: LAMBuilding Combination Perrrr� lved
To Be Completed By Applicant
Legs Descrip8o � !e- 3bl'6 � �`� Planning Case: F: L; Rt; R
Property Tess: 6 Assessor's Par Number.
Projecf/I'enanlName: Unit#: Floor#: -
Name: t•G / ! P ne
ep Fax No.
Property Adores .
Owner ? Unit Number Zip Co
Email Address:
Name:
2 e 08 F?P1 67Apy11 Ccsl
Applicant Addr 2 Unit Number
Email Address: O _/
Name: ,,�,A� PhgtejJ0. Fax No.
K 5 t /aS5lc 0
Contractor Adore ® C'Ijty.,ze�, Sjeyp'A �e Zip.0
Contractors ity Bus,mess tense No. Centractor2s Ci 13 A! 'ffoornaa License No. Classification-
Number
Number of Squares: L•
Square Footage
Description of Work: 11 /� t p
5fa //� h rj7a.1�/l�iv L 6 e/' ��/5J r /k�✓ Cast of Work:$
Applicant's Signature r
Dater
.. - To Be Completed By City Staff only,s
Indicate As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned.drawn to sale plans which include: 1 set or 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)
❑ Foundation Plan ❑ Cross Section ❑ Structural Calculations
❑ Plumbing Plan ❑ Single Line diagram for also.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan 8 Details ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration" Addition" Means/Methods
Work Type: Ropair„ Retrofit* Revision to Fxis6ng PermiC Requfred9 YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: #Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indicate if Indicate all Geo-tech.Haz.Zane
At Project Sprinklered YES or NO
Completion: Construction that apply: Coastal Zone
Type(s): C of 0 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 spatial case:Bldg,—
Official A roval
Expedite Project(s): Child Care city Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/Safely Permit SpecialistI City Planning. I C ml Engineering I EPWM-Admin Transportation Mgmt. I Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF-1R-ALT Revised 03/10 CALIFORNIA ENERGY COMMISSION
Prescriptive Certificate of Compliance: Residential CF-IR-ALT
Residential Alterations Project Name: Pa e 4 of 7)
a Climate Zone# #ors tories
/�777 ntlie
ROOFING PRODUCTS(COOL ROOFS)§151(012
When the area of exterior roof surface to be replaced exceeds more than 50Y of the existing roof area,or more than 1,000 j ,whichev"'is
less,the new roofing area must meet the roof product"Cool Roof'requirements of§152(b)1 Hi,152(b)IHii,or 152(b)1 Hiii.
Check applicable alternative or exception below if the roof alteration is eremptfrom the roofingproduct "Coo!Roof'requirements.Note:jary
one of the ahernatives or erception below is checked,the Aged Solar Reflectance and Thermal Emittatute 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. Lessor 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 5Ib/ftz.
Alternatives to§152(b)IHi and§152(b)Hii,Steep-slope roof(pitch>2:12)
❑ Insulation with a thermal resistance of at least 0.85 hrft'°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(010;or
In climate zones 10, 12 and 13,with 1 ftc of free ventilation area of attic ventilation for every 150 112 ofattic floor area,and t/ar fS
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or r�0/Y14C�
❑ Building has at least R-30 ceiling insulation;or City Of Menifee
❑ Building has radiant barrier in the attic meeting the requirements of§151(1)2;or Building & Safety Dept.
❑ 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. MAY 14 2014
Exception to§152(b)I Hill,Low-slope roof(pitch<2:12)
❑ Building has no ducts in the attic.
Other Exceptions Reoeived
❑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/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 a2plicable box below if Exem t from the Roofine Products"Cool Roof Re uirement:
Roof Slope Product Weight Product Aged Solar Thermal
CRRC Product ID Number < 2:12 >2:12 < 5Ib/ft' > 5Ib/ft2 T er Reflectancer'a Emittance SRI5
❑ ❑ ❑ ❑ ❑a
❑ ❑ ❑ ❑ ❑a
❑ ❑ ❑ ❑ ❑4
❑ ❑ ❑ ❑ ❑a
❑ ❑ ❑ ❑ ❑a
1. Die CRRC Product ID Number can be obtained from the Cool Roof Raring Council's Rated Product Directory at www.coolrooLs.orzlprodi,clylsearch.oh
Z Indicate the type of produce is being used for the roof top,i.e.single-plv roof,asphalt roof,metal roof;etc.
I. Ifthe Aged Reflectance is not available in the Cool Roof Rating Cmmcil's Rated Product Directory then use the Initial Reflectance valuefrom the same
directory and use the equation(0.2+0.7(pan,r„t-0.2)to obtain a calculated aged vane. Where p is the Initial Solar Reflectance.
4.Check box ifthe Aged Reflectance is a calculated vane using the equation above.
5.Calculate the SRI value by using the SRI-Warksheet at htt2:/4rww enerev cn eov/Ytl 24/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 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
Re8istrntion,Number: T"�"
Registration Date/Tihne' HERS Pi ovuler: - -
2008 Residential Compliance Forms Mat 2010