PMT14-01965 i
i
i
i
City of Menifee Permit No.: PMT14-01965
29714 HAUN RD. Type: Residential Re-Roof
CCE#.-1 MENIFEE, CA 92586
MENIFEE Date Issued: 07/29/2014 ]]
I
PERMIT
q
Site Address: 25740 HARTWICK RD, MENIFEE, CA Parcel Number: 339-072-008
92586 Construction Cost: $9,600.00
Existing Use: Proposed Use:
Description of REMOVE EXISTING SHINGLE ROOF AND INSTALL NEW SHINGLES
Work:
Owner Contractor
TOM& DEBBIE AUSTIN ROOFTEK ROOFING
25740 HARTWICK ROAD 26025 NEWPORT ROAD STE A400 '..
MENIFEE, CA 92586 MENIFEE, CA 92584
Applicant Phone: 9512448524
KATHY VANDERHILL License Number: 520957
ROOFTEK ROOFING
26025 NEWPORT ROAD STE A400
MENIFEE, CA 92584
Fee Description Qtv Amount ISl
Bulgy i. r I e 2
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 Classy _� License.N u`j who builds or improves thereon, and who contracts for the projects with a
Expires /! / /S- Signature C-2 licensed contractor(s)pursuant to the Contractors State License Law).
WORKEERS'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.
Policy# built as an owner-building if it has not been constructed in its entirety by licensed
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:htto//wwmIeoInfo.ca.00v1ca aw.html.
permit is issued.My workers'compensation insurance carrier and policy number are:
p,,�JcaQ�- �y �—• Property Owner or Authorized Agent Date
Carrier _tz+vl�.� s
Expires GS>4lm \�'( 's' 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 Property Owner or Authorized Agent Date
Code,I shall forthwith comply with those provisions.
Date; Applicant;
n_ ..n7 l' City Business License
'7 ) � �a y SG��-
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 T J0 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 DYES 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 �p�ES INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from licensure and the basis for the alleged exemption. Any (4 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($500).) CODE SECTION 25505 25533 AND 25534 CONCERNING
❑ 1, as owner of the property, or my employees with wages as their sole HAZA�DOUS MATERIAL FAEPORYING.
compensation, will do ( ) all of or( ) porting of the work, and the structure is PROPS Y OWNER OR AUTHORIZED AGENT
not intended or offered for sale. (Section 7044, Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale. If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
S d VA JS )npL 7 /14
CITY OF MENIFEE PLCK No: Permit No:
29714 Haun Road,;,ill City of Menifee lOS
ding & Safety Dept. Date: Date:
Menifee, CA 92586 l
Phone: (951)672-6777 JUL 2 9 2014 ""ou '"'°°"` �
Fax: 951 679-3843 ..
Building Combination AyAwived
To Be Completed BY Applicant
Legal Description: Planning Case: F: L RL: R
Property Addres : Assessor's Parcel Number.
- o-1a-
role enant Name: Unit#: Floor#:
Name: d J pp -�� No. Fax Na,
Owner Email
A n er e `
Email Address: � �./ C�
Name: Phone No. Fax No.
Applicant Address: Unit Number Zip Code
/ Email 5 ss: r
C 1 � r
Name: Phorre No. Fax No.
Conaactur Address: Ste Zip e
94
on r s nse o_ C or's CStete f Califomle icense No. CI Ilfcat
Number of Squares: ,rT�
Square Footage �-
Degcd "f � r•�a-� _ �� Cos[of Work:$ �.�.
Appli Signa �re:B�
Be Completed By City Staff Only
n ca a As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans which md.de: 1 set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ C>tw TecNsoils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Tdle 24 Energy(on B Y x 11)
❑ Structural Calculations
Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑
❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ SauWaai Frai ing Plan IL Details ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate New Constructlon Alteration' Addition• Means/Methods
Wwk Tom' RePaIr Retrofit' Ravldonlo EAsfing Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Unils: Stories: Will the Building Have a Basement?
Y of N
Bldg.Gode Occupancy Group Indicate Indicate d YES or NO Indm"m tilt Geo-tech.Haz Zone
At Project Completion: Construction spnnldered that apply. Coastal Zone
Type(s)- Coto YES or NO Noise Zone
Required? Listed on Historic Resources Inventory
:ITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Plarxdng Conan.Zoning Administrator
Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retmfit medal -ioval
Expedite Project(s): Child Cam City Project Green BuBding Landmarki I Affordable Housing
For Staff Use Only
Building/Safety I Permit Specialist City Planning I Civil Engineenng if E - m1n I Tmnspndahon Mgml. Rent Cuntrol
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
Prescriptive Certificate of Compliance Residential Reroof CF-1R-ALT-ReRoof
Pro act A Clim one PermH#
5
ROOFING PRODUCTS(COOL ROOFS)§151(1)12
When the area ofextedor roof surface to be replaced exceeds SO%of the existing roof area,or 1,000 fr,whichever Is less,the new
rooting area must meet the roofing product"Coot Roof"requirements of§152(b)1Hf,152(b)1H/1,or 152(b)1 H0L
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product"Cool Roor requirements:,
❑ Coot roofs=required in Climates Zones 1-12,14,and 16 with a low sloped roof pitch cress or 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 we(ght less than 5l11J/fl
Alternatives to§152(b)1 HI and§152(b)Hii,Steep-elope roof(pitch>2.12)
❑ Insulation with a thermal resistance of at least 0.85 hrf?'FIBtu or at least a 314 inch airspace is added to the roof deck over an attic;or
❑ F_xldng ducts in the attic are insulated and seated according to§151(f)10;or
In climate zones 10,12 and 13,with 1112 of free ventilation area of attic ventilation for every 150 112 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 cuy 01 M entit e
❑ Building has at least R-30 calling insulation;or guiiding & Safety De
❑ Building has radiant barrier in the attic meeting the requirements of§151(f)2:or
❑ Building has no duds in the attic;or 2 20iLi
❑ In climate zones 10,11,13 and 14,R3 or greater roof deck insulation above vented attic. JUL
Exception to§152(b)1HIU,Lowslope roof(pitch 5 2:12) _
❑ Building has no ducts bn the a0to.
Other Exceptions Received
❑ Roofing area is covered by building integrated;photovoltaic panels and solar thermal panels are exempt from the Cool co
criteria,
❑ Roof constructions that have thermal mass overthe and membrane with at least 25 tiv02 am exempt from the Cool Roof criteria,
NOTE:If any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittanco requirements for roofing
Products in§118(i)are not applicable.Do not fill table below.
Roo(Slope Product Weight Product Aged Solar Thermal
CRRC Product ID Number, 5 2 2:12 >2:12 < 5bif 511W T Refiedancos'4 EXnce SRI5
❑ ❑ ❑ ❑ 1041
❑ ❑ ❑ ❑ ❑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 Nurnberesn be obtairw from the Cool RomfRatbq Councls Rated Product Dkecloryat
2.Indicate Ore type of product Is behrg used for the roof top,I.e.single-ply rod,asphakmof,mew ma,,sic.
. If Me Aged Reflectance is not available in the Cod RoofRadrg Councils Rated Product Dkaday then use the loft/Reflectance value from the same
dimcfay and use the equation(0.2+0.7(A, —0.2)to obtain a calculated aged value. Where pis the Initial Solar Reflectance.
.Check boxffthe Aged Reflecance Is a cakolated value using the equation above.
5.Cakulate the SRI value by using the SRI-Warksheet at tlftDLO1 a mV.caaovRlda2418m1 emerthe resWtirrg value in the SRI Column above and attach
acopyof Me SRI-Hbnksheetto Ore CFIR.
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(1)4. Select the applicable coating:
❑Aluminum-Pigmented Asphalt Roof Coating ❑ Cement-Based Roof Coating ❑ Other
NO When a Cool Roof is required,the installing contractor shall complete and submit the CF-6R-EW01 for final inspection.
Declaration Statement
• 1 te"under penalty of perjury,under the lexm of the State of California.the information provided on this form is accurate and complete,
• 1 certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the mp requirements dTflle 24,Parts
t and 5 f the Cal'demia Code of Regulations. -
Name: Signify n
Company: Date:
r
ddress: License:
C te/Zip: /1 /Zl Phg re q- C
For assistance or ques 'tins regarding the Energy Standards,contact the Energy Hotline at 1-800-772-3300.
INSTAI LA1ItIN CERTIFICATE: Residential Reroof CF-6R-ENV-01'
Site Address: - Enforcement Agency: Permit Numberi
.Ifmore than one person has mspansibilio,for installation ofibe items on this certificate,each person shall prepare and sign a ceNd0cate
applicable to(lie portion of constratulanjor which they are responsible;a@ernotively,the person with chiefresponsibilityfor construction shall
prepme and sign ibis cartincale for the andre construction.All applicable Mandatory dlensures with check boxes are required to be eheckedio
ensrme the mandatory measures hove bjeep met,
CEILING INSULATION
Rigid: grand Name:
Batt or Blanket Type; _ Brand Name:
Loose Fill Type: Thermal Resistance(R-Valuo):
Spray Foam Type:; Brand Name:
Installed Actual Thickness(inches): Contractor's min Installed weight/fl' lb
Manufacturer's installed weight per square foot to achieve Thermal Resistance(R-Value):
❑ §150(a):Minimum R-19 insulation in wood-frame ceiling or equivalent U-factor.
❑ §l 18(a): Insulation installed meets Standards for Insulating Material,
❑ §150(g):Mandatory Vapor barrier installed in Climate Zones 14 or 16.
ROOFING PRODUCTS(COOL ROOFS)§I51(012
❑Check this box if the newly installed roof is exempted from the roofing product"Cool Roof'requirements as Indicated on the CF-I k-Alt-
Remof form for this project.Otherwise fill in the table below.
RoofSlope Product Weight Aged Solar Thermal
CRRC Product ID Numbers ¢ 2:12 >2:12 < 5ibire ?51blar. Product Types - Reflectance" Embraces
❑ ❑ ❑ ❑ ❑4
❑ ❑ ❑. ❑ 04
L CRRC-1 label information is available is an the package of the roofing product being installed and attach the CRBC label to this form.
Z Itraffboo the type ofln adact is being used fo•the Pwof top,i.e.single Pry roof,asphalt roof,"tat roof,etc.
.Ifthe Agedfiefleetance is not available in the Cool Roof Rating Counod's Ported Product Davel ,then use the Initial Reflectance value from the
same directory and use dre equation(0.2+0.7(pr,,,—0.2)to obtain a calculated aged value. Where pis the(atrial Sold',Reflectance.
.Check box if die Aged Reflectance is a calculated value using the equailon above. -
o apply Liquid Field Applied Coatings,the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
pecarounicarled by the coatings manufacturer and meet minimum perfmrmeace requirements listed in§118(i)4.Select the applicable twating:
Aluminum-Pigmented Asphalt Roof Coating ❑Cement-Based Brad Costing ❑Other
DECLARATION STATEMENT
• I certify under penalty of pnjmy,under the laws of the.State of California,the information provided on this farm is true and correct. -
• 1 am eligible tinder Division 3 ofthe Business and Professions Code to accept responsibility for construction,or an authorized representative
of the person responsible for constructor(responsible person).
• I certify that the installed features,materials,components,or manufactured devices identified on this.esalfteato(the Installation)conforms
to all applicable codes and regulations,and the installation is consistent with the plans and specifications approved by the enforcement
` agency:
• 1 reviewed a copy of the.Certificate of Compliance(CF-IR)form approved by the enforcement agency Viet identifies the specific
requirements for the installation. I certify Viet the requirements detailed an.the CF-IR that apply to the installation Nava been met.
• I will ensure that a completed,signed copy of this Installation Certificate shall be posted,or made available with the building
perrutt(s)issued for the building,and made available to the enforcement agency for all applicable inspections. I understand that a
signal copy of this Installation Certnicate Is required to be included with the documentation the header provides to the building
owner at occupancy.
Company Nome: (Installing Subcontractor or General Contractor or BuildedOwner) - -
Responsible Per rre's Name: Responsible Person's Signature:
CSLB License: Dote Signed: Position With Company(Title):
2008 Residential Compliance Forme August 2009