PMT14-01109 i
Cityof Menifee
Permit No.: PMT14-01109
29714 HAUN RD.
L MENIFEE, CA 92586 Type: Residential Re-Roof
MENIFEE Date Issued: 05/14/2014
PERMIT
Site Address: 26470 SUN CITY BLVD, MENIFEE, CA Parcel Number: 337-192-007
92586 Construction Cost: $19,000.00
Existing Use: Proposed Use:
Description of REMOVE AND REROOF SWITH 50 YR OW
Work:
Owner Contractor
DIANE ALLEN PACIFIC HOME WORKS INC
26470 SUN CITY BLVD 1602 LOCKNESS PLACE
MENIFEE, CA 92586 TORRANCE, CA 90501
Applicant Phone: 3105341033
ARTHUR MARQUEZ - License Number: 784477
PACIFIC HOME WORKS INC
1602 LOCKNESS PLACE
TORRANCE, CA 90501
Fee Description O_yt Amount
ilf2 EA
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,orwhere 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 Clas C ? License No. z7 �7 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. 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:httD'//www lecinfo ca cov/calaw htm1.
permit is issued.My workers'compensation insurance carrier and policy number are:
,X/- , F4 /°�� ./c Props y Owner or Authorized Agent Date
Carrier
Expires W/Q/, ' 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
:W!
eJepresentatives 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 ISe 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 uthori;.e Agent Date
Code,I shall forthwith comply with those provisions.
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, DYES OCCUPANT HANDLEA HAZARDOUS MATERIAL ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE _--MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES 21TO 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 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, e5140 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 Cade)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 C NO 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 MATERI L REPOR'�ING.
compensation,will do ( )all of or( ) porting of the work, and the structure is PROPERTY OW THORIZED 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: tN : Q�
29714 Haun Road Date: Date:
IK-01 O 1
Menifee, CA 92586 51I S1/
Phone: (951)672-6777 Amount: Amount: I
Fax:(951)679-3843 Ck#: Ck#:
VIS q
Building Combination Permit
To Be Completed By Applicant
Legal Description. Planning Case: F: IL: Rt: R
Property Address: Assessor's Paroel Number. 337- IAa-bc
Project/Tenant Name: Unit#: Floor#:
Property
Name: �al �- f phone No. / 111 Fax No.
Owner Address: r b sadarr
g� Unit Number Zip Code
V
Email Address: r
Name: Phone No. Fax No.
d=L
Applicant Address: I a Unit Number Zip Code
Email Address: Y iff for
rir1OM
Name: Phone Ng. Fax No.
��• r 4 �S
Contractor Address: g05'0 �'t� God `M ,t n'. State Zip Code
erector s �J / c e No. Contractor'sCrity State �alifomia License No. Classification: n
Number of Squares: I'dozo '
Square Footage
Description of Work: Cost of Work:
Applicant's Signature
Dale:
To
,Be Completed By„City'Sta 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 ❑ Gee 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 I ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration" Addition" Means/Methods
C/_ p Work Type: Repair* Rehofit' Revision to Existing Pennil' Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: If 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 that apply: Coastal Zone
Completion: Construction pP y
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. I Planning Comm.Zoning Administrator
Fee Exempt: City Project I JElec.Vehicle Chargerl I Landmark iseismic Re1mFlt Special Case:Bltlg.
Offipal royal
Expedite Project(s): Child Care City Project I I Green Building I Landmarki Affordable Housing
For Staff Use Only
Building/Safety I Permit Specialist City Planning Civil Engineering EPWM-Admin I Transpodalion Mgmt. Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY —�b 0 /
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS City of Menifee
CEC-CF-IR-ALT Revised 03/10 fat t. CALIFORNIA ENERGY COMMISSION
Prescriptive Certificate of Compliance: Residential CF-IR-ALT
Residential Alt rations MAY 14 2014 (Page 4 of 7)
Project Name: /6 Climate Zone k N of Stories
ROOFING PRODUCTS(COOL ROOFS)§1510912
When the area of exterior roof surface to be replaced exceeds more than 50%of the existing roof area,or more than 1,000 f ,whichever is
less,the neiv roofing area must meet the roofing product"Cool Roof'requirenrents of§152(b)1Hi,152(b)IHii,or 151(b)IHiii.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof'requirements. Note:jany
one of the altei7iatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirementsfor 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 I through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit weight less
than 5lb/ft2.
Alternatives to§152(b)1Hi and§152(b)1lii,Steep-slope roof(pitch>2:12)
❑ Insulation with a thermal resistance of at least 0.85 hr-W°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(f)2;or
❑wilding 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§I52(b)I Hill,Low-slope roof(pitch<_2:12)
q-'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/11'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 if Exem t from the Roofing Products"Cool Roof'Re uirement:
Roof Slope Product weight Product Aged Solar Thermal
CRRC Product ID Number 5 2:12 >2:12 11 5lb/11' > 5lb/ft21ype2 Ref iectances'4 Emittanee SR15
vlE� 3-�� ❑ ❑ s ❑4
❑ ❑ ❑ ❑ ❑4
❑ ❑ ❑ ❑ ❑4
❑ ❑ ❑ ❑ ❑4
❑ ❑ ❑ ❑ [T
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at wwiv.cooLrooLs.omlorodtictvlvearcli.ph
2. Indicate the r pe of product is being used Jor the roof top,i.e.single ply roof,asphalt roof,metal roof,etc.
. 1f the Aged Reflectance is not available in the Cool Roof Rating Co uncil's Rated Product Directory then are the Initial Reflectance vahre from the sane
directory and use the equation(0.2+0.7(pt„t,r„r—0.2)to obtain a calculated aged value. Where 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-Worksheei at htto:lhvww enere ..ca eovltitle24l 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§I I8(i)4. Select the applicable coating:
❑ Aluminum-Pigmented Asphalt Roof Coating ❑ Cement-Based Roof Coating ❑ Other
Registration DatelThne g HERS�Pvo /tier ._
2008 Residential Compliance Forms March 2010