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PMT14-01508 i I City of Menifee Permit No.: PMT14-01508 29714 HAUN RD. _ A > MENIFEE, CA 92586 Type: Residential Re-Roof c"'"'"°""`w``' MENIFEE Date Issued: 06/16/2014 j I PERMIT Site Address: 28893 CARMEL RD, MENIFEE, CA 92586 Parcel Number: 337-215-013 Construction Cost: $12,000.00 Existing Use: Proposed Use: Description of TEAR OFF EXISTING LAYER, INSTALL NEW 50YR ASPHALT SHINGLES Work: Owner Contractor JEAN LEBLANC PACIFIC HOME WORKS INC 28839 CARMEL ROAD 1602 LOCKNESS PLACE MENIFEE, CA 92586 TORRANCE, CA 90501 Applicant Phone: 3105341033 PACIFIC HOME WORKS INC License Number: 784477 1602 LOCKNESS PLACE TORRANCE, CA90501 Fee Description l3yt Amount 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 specifcations or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other - ordinance of City of Marilee.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_Templale.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 fug'forrceland effect. Code:The Contractor's License Law does not apply to an owner of a property License Class - 2bf6- License ... who builds or improves thereon, and who contracts for the projects with a Expires 7 15'z Signature ,,_..�� licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSA�' ION DECLARATION ❑ I am exempt from licensors 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 ❑ I 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:htlp'//www.leginfo.ca.gov/calaw.htmi. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier /,,-" 4 �,. Property Owner or Authorized Agent Date r _ Expires 114/4<1 Policy# ❑ By my Signature below, I certify to each of the following: I am the property Phone# authorized to act on the property owner' s behalf. I have read this Name of Agent owner or authonz p p Y (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 Property Owner or Authorized 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 HANDLE HAZARDOUS MATERIAL OR 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 INFORMATION GUIDE? I hereby affirm that under the penalty of perjury there is a construction lending 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 AYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION _ FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address L1 NO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS PRINT NAME: I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 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 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 Code)or that he or AYES 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 E S I ON 25505 550 25533 AND 25534 CONCERNING HAZARDO❑ 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; X The Contractor's State License Law does not apply to an owner of a property 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 ML13YFEE PLCK No: Permit No: 29714 Haun Road City of Menifee Date: Date: Menifee, CA 925 ilding & safety Dept. ill9II Phone: (951)672-6;77 Amount: Amount: 51 Fax:(951)679-3843 jUN 16 20% Ck#: Ck#:' Building Com bi nation R@MoVed To Be Completed By Applicant Legal Description: n Planning Case: F: L: Rt: R Property Address:a�a3 's Parcel Number.Assessor . Project/Tenant Name: Unit#: Floor#: Name: Phone Fax No. Property Address: �r� / Q / q Unit Number �— h Zip ode Owner .� 9 Cam✓ /'Gl ✓^�C r` <e75�g de Email Address: Name: `� Ph NO. Fax No. r Applicant Address: Unit Number Zip code /-� (s 21)0 e� F C 2 13 a Email Address: Z Name: '^ p Phone No. K``C lyd✓1-ekJD��S 1 C r 6 7, YN., 077 Fax No. Contractor Address: �d5 O� (71� 1 St Zip Code ng 2 f contractors ity Business icense o. Contractor's Cil pState of California License No. Classificali m 77 11 Number of Squares: Square Footage t-, 00 Description of Work: RL _ n o - l Cost of Wo :�pir O O Applicants Signator K - [u -. Date: To Be Completed.By City Staff Only Indicate As R-Received or NIA-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 ❑ Gea Tech/Soils Report(on cd only) ❑ Plot/Site Plan Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8'A x 11) Foundation Plan ❑ Structural Calculations El Foundation Cross Section ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan It Details ❑ Sharing Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration` Addition' Means/Methods Repair" _ Retrofit* Revision to Existing PermlP Required? YES NO Ll 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 YE$pr NO Indicate all Geo-tech.Haz.Zone At Project Sprinklered [hat a Completion: Construction pp y: Coastal Zane 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 Hoard Landmark Comm. Planning Comm.Zoning Administrator Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit Special case:Bldg. OmcialApproval Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing For Staff Use Only Building/Safety I Permit Specialist City Planning I Civil Engineering EPWM-Armin Transportation Mgmt. ReN Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY Prescriptive Certificate of Compliance: Residential CF-IR-ALT Residential Alterations (Page 3 of 5) Project Name Climate Zone# #of Stories CwIC /r9 L- 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 fr,whichever is less,the new roofing area must meet the roofing product"Cool Roof'requirements of§151(b)1117,151(b)1Hfi,or 151(h)MIL Check applicable alternative or exception below if'the roof alteration is exempt from the rool'ingproduct "Cool Roof'requirements.Note:if anv one of the alternatives or exception below is checked,the Aged Solar Reflectance and Thermal Emittance requirements far roofing products in §118(i)are not applicable.Do not fill table below. LJ 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 l through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit weight less than 5lb/ftz. Alternatives to§152(b)l Hi and§152(b)Hii,Steep-slope roof(pitch>2:11) ❑ Insulation with a thermal resistance of at least 0.85 hrft°FBm 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(f)10;or F�I'In climate zones 10, 12 and 13,with 1 tt'of free ventilation area of attic ventilation for every 150 tia of attic floor a,Aity of Menifee where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or wilding & Safety Dept. ❑ Building has at least R-30 ceiling insulation;or ❑ Building has radiant barrier in the attic meeting the requirements of§151(02;or JUN 16 MIN ❑ 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. Received Exception to§152(b)1Hiii,Low-slope roof(pitch<_2:12) 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 constmctions that have thermal mass over the roof membrane with at least 25 Ib/ttZ is exem t from the below Coot 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 t 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/ft2 > 51b/ftz Typez Reflectancet'a Emittance SRI5 C ® 0 ❑ ,� Qt o ❑ ❑ ❑ El ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑' 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Councils Rated Product Directory at mim.coalroofs.orelnroductslsearcli pho 1.Indicate the type ofproduci is being used for the rooftop,i.e.single-ply roof,asphalt roof,metal roof etc. t, If the Aged Reflectance is not available in the Cool RooJ'Rating Council's Rated Product Directory then use the Initial Reflectance valuefroni the same directory and use the equation(0.2+0.7(p,,,,,I—0.2)to obtain a calculated aged value. {Fhere p is the Initial Solar Reflectance. 4.Check box if the Aged ReJlectance is a calculated value using the equation above. 5.Calculate the SRI value by using the SRI-Morksheet at htm:lltvrvw.enerrrv.ca.govltileldland enter the resuhing value in the SRI Column above and attach acopy of the SRI-Min Lheet to the CF-IR. 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 I❑Cement-Based Roof Coating then Regiso ation Number: - - Registration Date/Tlnte: - HERS Provider. -1 7008 Residential Compliance Forms March 2010