PMT14-02287 City of Menifee Permit No.: PMT14-02287
29714 Type: Residential Re-Roof
"�'iCCEl.�` MENIFEE,EE, C CA 92 92586
MENIFEE Datelssued: 08/26/2014
PERMIT
Site Address: 28436 SUN CITY BLVD, MENIFEE, CA Parcel Number: 335-352-002
92586 Construction Cost: $14,900.00
Existing Use: Proposed Use:
Description of TEAR OFF EXISTING ROOF, REROOF WITH COMP SHINGLES
Work:
Owner Contractor
TED&JUDY LOVE PACIFIC HOME WORKS INC
28435 SUN CITY BLVD 1602 LOCKNESS PLACE
MENIFEE, CA 92586 TORRANCE, CA 90501
Applicant Phone: 3105341033
CHRISTOPHER SCOGGINS License Number: 784477
PACIFIC HOME WORKS INC
1602LOCKNESS PLACE
TORRANCE, CA 90501
Fee Description O�rt Amount I$1
dl er i. su c 11, 11 I I p
WN
Inspections not specified 98 98.00
RE ,.
$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 building 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 N full force Code:The Contractor's License Law does not apply to an owner of a property
License Class L3 Licens No ` who builds or Improves thereon, and who contracts for the projects with a
Expires 9 O 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
❑ 1 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 Cade,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.leginfo.m.00v/palaw.html,
permit is issIlied.My vVrrkem'compensationlinsurance carrier and policy number are:
Carrier Property Owner or Aulhonzad Agent Date
i
Expires 4 C.5 Policy# \Z '�-"lZ.L J ���
(
❑ 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) Ap
county ordinances and state laws relating to building
re resentatives of this city or county to enter the above-
cons❑ 1 certify that in the performance of the work for which this permit is issued, I e i pection purposes. 9 1
shall not emolov any persons in any manner so as to become subject to the `
workers' compensation laws of California, and rea that if I should become
subject to the workers'compensation provisi s of S 3700 of the Labor Property Owner ororized Agent Date
Code,1 shall forthwith comply with those p I510
City Business License#
Date; 2'cO Applicant;
WARNING: FAILURE TO S CU. E WORKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS LINLA UL, 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, AYES OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE // MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES 6NO 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 OV A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address O 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 ❑YEAS WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable item(s)(Section 7031.5. Business and Professions Code: Q'N/ BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A
Any city or county that requires a permit to construct, alter, improve, demolish, O 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 (Chapter9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or BYES 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 EST OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE SE T N 505 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole H DOU ATE IAL ffEPOR'�ING.
compensation,will do( )all of or( ) porting of the work, and the structure is P E E 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 ME elI EE PLCK No: .,. P i — b /
29714 Haun Road Date: Date: '
Menifee, CA 92586
Phone: (951)672-6777 Amount: Amount: �oo
Fax:(951)679-3843 Ck#: Ck#:
Building Combination Permit
To Be Completed By Applicant
Legal Description: 3;1 Planning Case: F:
Properly Address: Lb L;3CQ Assessor's Parcel Number. 3�S_
Project/Tenant Named Unit#: 5 Floor#:
Name:; Pho 1 Fax No.
Property Address: U t umber Zip
Owner u N u
Email Address:
Name: C Phone Fax No.
c k - 1
Applicant Address: t ir, D Unit Nu ber Z C h
Email Address:
G
Nam -,. P o. Fax No.
Contractor Address to Z' de
omradmors i[ yrgin ice a o. Contractor' 't fat f lifornia License o. Classlfjca n'
Number of Squares: � "C C'
Square Fo tag
Descrtp on o ork: lil(-G Cost of Work:
Appli a is Date: G
l7 l
To.Be Completed By City.Staff 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 ❑ Gen,Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8'/2 x 11)
❑ Foundation Plan ❑ Cross Section ❑ Structural Calculations
❑ Plumbing Plan ❑ Single Line diagram for elec.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: Repair' Retrofit' Revision to Existing Permit' 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 it YES or NO Indicate all Geo-tech.Haz.Zone
Al Project Construction Sprinklered that apply: Coastal Zone
Completion: Type(s): C Of O Noise Zone
Required? YES or NO
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 Elec.Vehicle Charger Landmark Seismic Retrofit Special Case.Bldg,
Official A royal
Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/Safety I Permit Specialist Udy Planning I Civil Engineering I EPWM-Admen Transportation Mgml. Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
Prescri tive Certificate of Compliance: ResidentiIiI�;f{�r, @rf8afet Dept. CF-1 R-ALT-Re Roof
Project Address: 'i ( Climate Zone Permit #
`� to Polo -b $
ROOFING PRODUCTS(COOL ROOFS) §151(f)12 Received
When the area of exterior roof surface to be replaced exceeds 50%of the existing roof area, or 1,000 IF , whichever is less, the new
roofing area must meet the roofing product"Coot Roof'requirements of§152(b)iHi, 152(b)1Hti, or 152(b)1HIi1.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product"Cool Roof'requirements::
❑ Cool roofs not required in Climates Zones 1-12, 14,and 16 with a low sloped roof pitch(less 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 weight less than 5/Ib/ft2.
Alternatives to §152(b)1Hi and §152(b)Hit,Steep-slope roof(pitch>2:12)
❑ Insulation with a thermal resistance of at least 0.85 hrft2.°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 ft2 of free ventilation area of attic ventilation for every 150 fe of attic floor area,and 1
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or � 1
❑ Building has at least R-30 ceiling insulation;or `1�''�/W.Q Lk�
❑ Building has radiant barrier in the attic meeting the requirements of§151(f)2;or ��rr 11lrrr
❑ 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.
Exception to §152(b)l Hill, Low-slope roof (pitch 52:12)
❑ 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 the Cool Roof criteria.
❑ Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/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 roofing
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 c 5Ib/ft2 z 51b/ft' e2 Reflectance''° Emittance SRIS
aC, rj ❑ ❑ pS ❑4
❑ ❑ ❑ ❑ ❑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 Council's Rated Product Directory at www.coolroofs.orc/oroducts/search one
2. Indicate the type of pmduct is being used for the roof top,i.e.single-ply roof, asphalt roof,metal roof, etc.
. /I the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same
directory and use the equation(0.2+0.7(p;,,;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- Worksheet at htto./iw".eneray.ca.00dtitle241 and enter the resulting value in the SRI Column above and attach
acopy of the SRI-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 Coaling ❑ Other
NOTE: When a Cool Roof is required, the installing contractor shall complete and submit the CF-6R-ENV-Of for final inspection.
Declaration Statement
• I certify under penally of perjury,under the laws of the Stale of California,the.informa on rovi> n this form is accurate and complete.
• I certify that the energy features and performance specifications identified on this Ce ific to Cam liance conform to the requirements of Title 24,Parts
1 and 6 of the California Code of Regulations.
Name: \ rV$tv4v Signal : ,
Compa - Date:
X 0 b l
Address: License:
City/Stale/ i . Phone:
For assistance or quesgions r garding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.