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PMT14-01378 City of Menifee Permit No.: PMT14-01378 29714 HAUN RD. Type: Residential Re-Roof �CCE.LA. MEN I FEE, CA 92586 MENIFEE Date Issued: 05/30/2014 PERMIT Site Address: 26598 MEHAFFEY ST, MENIFEE, CA Parcel Number: 335-281-013 92586 Construction Cost: $8,900.00 Existing Use: Proposed Use: Description of REMOVE EXISTING LAYERS OF COMP, INSTALL NEW LIFETIME SHINGLES Work: Owner Contractor PAUL HODGSON JOHN DAVID CLARK 26598 MEHAFFEY STREET 4977 AGATE MENIFEE, CA 92586 CHINO HILLS, CA 91709 Applicant Phone: 9095976478 JOHN DAVID CLARK License Number: 416967 14951 FRANKLIN LANE CORONA, CA 90118 Phone: 9096369057 Fee Description Oft Amount l$1 :Building Permit Issuance 1 27.00 Inspections not specified 98 98.00 .'GREEN FEE 1 1.00 $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_Templatesiot 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 C -�9 License No 44(b'?(b who builds or improves thereon, and who contracts for the projects with a Expires-�1=-L Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensure under the Contractors'Slate 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. Q®�-� 6 built as an owner-building if it has not been constructed in its entirety by licensed Policy# l 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:htti),//www.leainfo.ca.gov/calaw.html. permit is issued.My workers'compensation insurance carrier and policy number are: Property Owner or Authorized Agent Date Carrier l vT��yy Expires (R — Lam` ( 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- ❑ I certify that in the performance of the work for which this permit is issued,I identified property for the inspection purposes. shall not emolov 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 cti 3700 of the Labor Property Owner or Authorized Agent Date Code,I shall forthwith comply with those provisi City Business License# Date; 5 3 t 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, []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 ONO 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 ❑YES 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, ❑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 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($500).) CODE SECTION 255L5(kE 533,A D 25534 CONCERNING HAZA�D❑ I, as owner of the property, or my employees with wages as their sole compensation,will do( )all of or( )porting of the work,and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion,the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF MIEN1F1Fkf Menifee PLCK No: Permit No: Building & Safety Dept. 29714 Haun Road Date: Date: Menifee, CA 92586 MAY 3 0 2014 Phone: (951)672-6777 Amount: Amount: Fax:(951)679-3843 Received Ck#: Ck#: Building Combination Permit To Be Completed By Applicant Legal Description: t CQ 7F se Planning Ca : F: L: Rt: R {, yC.A.I.LL i�-fr1� Property Address: Assessor's Parcel UnNumber. ProjecttTenant Name: it#: tool Name: / L Fax No. 4z"d S D'w>PropePhone No. Owner Address: Unit Number Zip Code z/v5`i S vkP Email Address: Name:�o' aL Phone No. Fax No. rl O 1c36 fly :3" Applicant Address: I y S Lt,`� Unit Number Zip Code f Email Address: rp�(-A'��Q�t`'1 Name: V P jp N(a36 Cie,5-- Fax No. a N L Contractor Address: Lu 15K--t—t�C�Hr�-F clry� s� e state zip Cede R C14 ontractor s MY Etusil License No. Contractor's Ci State of California License No. Classification: _ q to b / Number of Squares: Square Footage Description of Work: jl�?x f 57-1ul< ,.�.< S "LL. Cost of Work:$ 06 Applicant's Signature ✓ Date: To Be Completed By.City:Siaff 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 ❑ Ttle 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) ❑ Foundation Plan ❑ Cross Section ❑ Structural Calculations ❑ Plumbing Plan ElSingle Line diagram for else.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration• Addition' Means/Methods Work Type: Repal - Retrofit' Revision to Edsling PermiP Required? 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.Zone At Project Spdnklered 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 Amh.Review Board Landmark Comm. I Planning Comm.Zoning Administrator Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrof[ special case:wal official Approval Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing For Staff Use Only Building/Safely I Permit Specialist City Planning I Civil Engineering I EPWM-Admin ITransporlalion Mgml. I Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY Prescriptive Certificate of Compliance: Residential Reroof CF-1 R-ALT-ReRoof ProjectAddress: Climate Zone Permit# ROOFING PRODUCTS (COOL ROOFS)§151(f)12 When the area of exterior roof surface to be replaced exceeds 50%of the ex)st)ng roof ,area,or f,000 7,whichever is less,the new rooting area must meet the roofing product"Coot Poor requirements of§152(b)1Hf 152(b)1H11,or 152(b)1Hiii. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product"Cool Roof'requirements:; ❑ Cool roofs I=required in Climates Zones 1-12, 14,and 16 with a low sloped roof pitch(lessor 2:12 pitch). ❑ Cool roofs not required in Climates Zones 1-9,and 16 with a steep-sloped roofs(greater pitch than 2:12)and product weightless than 5/1ble. Alternatives to§152(b)1 Hi and§152(b)Hil,Steep-slope roof(pitch>2.12) k❑,� Insulation with a thermal resistance of at least 0.85 hr-e.'F/Btu or at least a 3/4 inch air-space is added to the roof deck over an attic;or X Existing ducts in the attic are insulated and sealed according to§151(f)1o;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 whereat 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 City of Menifee ❑ Building has no ducts in the attic;or Building & Safety Dept. ❑ In climate zones 10, 11, 13 and 14,R-3 or greater roof deck insulation above vented attic. Exception to§162(b)lHill,Low-slope roof(pitch<_2:12) MAY 3 U 20M ❑ 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 th fRoPeoi ire d ❑ Roof constructions that have thermal mass over the roof membrane with at least 251b/ft2 are exempt from the Cool Roof criteria. NOTE:If any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittance requirements for rooting products in§118(i)are not applicable.Do not fill table below. Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Number <_ 2:12 >2:12 < 51ble a 51bife Typal! Reflectance"" Emittance SRIS ❑ Ar ❑ ❑ ❑4 ❑ 1 ❑ ❑ 1 ❑ ❑4 Note:If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance; 1.The CRRC Product ID Number can be obtained from the Cool Roof Rating Councils Rated Product Directory at www.eoolroofs ora/oroducttsl earrh oryo 2.Indicate the type of product Is being used for the roof top,Le.single-ply roof,asphalt roof,metal roof,etc. - If the Aged Reflectance Is not available/n the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation(0,2i0.7(p;,„f;,,—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-Worksheet at hhnYAvanv enemy.ca eovAitle24/and enter the resulting value In the SR/Column above and attach acopy of the SR4 Worksheet to the CF-I R. 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(i)4. Select the applicable coating: ❑ Aluminum-Pigmented Asphalt Roof Coating ❑ Cement-Based Roof Coating ❑ Other NOTE Men a Cool Roof is required, the installing contractor shall complete and submit the CF-6R-ENV-01 for final inspection. Declaration Statement • 1 certify under penalty of perjury,under the laws of the State of California,the information provided on this form Is accurate and complete. • I certify that the energy features and performance specifications Identified on this Certi6ca f C pliance conform to the requirements of TIIIe 24,Parts 1 and 6 of the California Code of Regulations. Name: Signatur 0-1 aC r�2lc Company: I /' Date: Address: l� License: 4 - 9S ( t2 r ��LA �✓ 7 City/State/Zip: Phone: L�-sct1v�-'�e CA For assistance or questions regarding the Energy Standards,contact the Energy Hotline at: 1-800-772-3300.