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PMT14-02332 City of Menifee Permit No.: PMT14-02332 29714 HAUN RD. Type: Residential Re-Roof �CCELt�k. MENIFEE, CA 92586 MENIFEE Date Issued: 08/28/2014 PERMIT Site Address: 28406 PEBBLE BEACH DR, MENIFEE, Parcel Number: 337-193-003 CA 92586 Construction Cost: $10,269.00 Existing Use: Proposed Use: Description of TEAR OFF EXISTING ROOF, INSTALL NEW 30 YR SHINGLES Work: Owner Contractor CARROL SOHM GREEN ROOF DESIGNS 28406 PEBBLE BEACH DRIVE 34045 LILLEY ROAD MENIFEE, CA 92586 YUCAIPA, CA 92399 Applicant Phone: 8778877731 JESSE GONZALEZ License Number: 624226 GREEN ROOF DESIGNS 34045 LILLEY ROAD YUCAIPA,CA 92399 Fee Description Oft Amount($1 Building Permit Issuance 1 27.00 Inspections not specified 98 98.00 EEN.FEE $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 staled,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.rpl Page i 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 Cod 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 (°39 License No. bz�ye who builds or improves thereon, and who contracts for the projects with a Expires 7 t1'5zzs. Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ 1 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 permit is issued improvements covered by this permit, I cannot legally sell a structure that I have Policy# Zo I v{ 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 -0' 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:http://www.leninfo.m.gov/calaw.htmi. permit is issued.My workers'compens lion insurance carrier and policy number are: Carriers t ✓YfN Property Owner or Authorized Agent Date Expires Is r Policy# 9oY3b(2-?01 { Name of Agent S(bt•�-C tcvB� Phone# ❑ By my Signature below, I certify to each of the following: I am the property 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- certify that in the performance of the work for which this permit is issued,I identified pro arty for the ins cti 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 ner or Authori n Date Code,I shall forthwith comply with those provisio s. i City Business License# Date; �IZI?'I�Y Applicant; WARNING: FAILURE TO SECURE R ERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS UNLAWFUL, AND ALL 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, OYES 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 ❑NO 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 OYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT ❑NO DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS GUIDE LINES 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, ❑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 ❑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($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL F}EPORYING. compensation,will do ( )all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044, Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF 1N E r IFEE PLCK No: Permit No: City Of Menifee YJ 29714 Haun RoadBuiiding & safety Dept. Date: oat Menifee, CA 92586 Phone: (951)672-6777 AUG 2 8 2014 Amount: Amo nO�r Fax:(951)679-3843 Ck#: Ck#: Received Building Combination Permit To Be Completed By Applicant Legal Description: Planning Case: F: L: Rt: R Property Address f2� Assessor's Parcel Numbe: 2 `1 o bb c Project/Tenant Name: Unit#: Floor#: Name: a S,G Phone No. Fax No. Property Ad Owner dres`�- 1 C� �25� Unit Number Zip Code � r. ( � Email Address: Name. S 1 Phone No. Fax No. Applicant Address: S ll\ Unit Number Zip Cod 2 _PAJ Email Address: Name: ^ rd Phone No. Fax No. Contractor Address• d Cit Stag Zip CAde 9 - yo4S C; 1. l" 7 ontractor'a My nuamOSS License NO. Co recto 's City State of California License No. Classification: J W Number of Squares: ` - Square Footage i —C\J ( Q _ c c L- M A^o 5 efT 5. ati i Gypsy—S Pc, Description of Work: Cost of r b$ Cl.ti�ljfiFs •M g�5 S' �•1l✓6.,je Z(p Applicant's Ignature Date: .Lrs41i. {'te 1 k: C Ac •+ o rtil 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 ❑ Goo 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 ❑ 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 Usets): #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 Constru YES or NO ction Sprinklered that apply: Coastal Zone Completion: Type(s): C Of O Noise Zone Re uiretl? YES or NO q Listed on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Commiss Arch.Review Board I I Landmark Comm. Planning Comm.Zoning Administrator Fee Exempt: City Project I Elec.Vehicle Charger Landmark I Seismic Retrofit pecial Case:Bldg. Official A mval Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing For Staff Use Only Building/Safely I Permit Specialist uny Planning Civil Engineering EPWM-Admin I Transportation Mgml. Rent Control THANK YOU FOR HELPING US CREATE ABETTER COMMUNITY Prescriptive Certificate of Compliance: Residential Reroof CF-1 R-ALT-ReRoof Project Address: Climate Zone I P mit# U V-. ROOFING PRODUCTS (COOL ROOFS) §151(f)12 When the area of exterior roof surface to be replaced exceeds 50% of the existing roof area, or 1,000 f ,whichever/s less, the new roofing area must meet the roofing product "Cool Roof"requirements of§152(b)1H1, 152(b)1Hff, or 152(b)iHfif. 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 5111h/ft2. Alternatives to §152(b)1Hi and §152(b)Hif, Steep-slope roof(pitch>2:12) ❑ Insulation with a thermal resistance of at least 0.85 hr•ft2_°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 ft2of free ventilation area of attic ventilation for every 150 ft2 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 enifee ❑ Building has radiant barrier in the attic meeting the requirements of§151(f)2;or Buitd n9&Safety Dept ❑ 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. A11" 2 ZQ14 Exception to §152(b)1Hill, Low-slope roof(pitch 52:12) 111VJ ❑ Building has no ducts in the attic.Other Exceptions p geWeu ❑ Roofing area is covered by building integrated;photovoltaic panels and solar thermal panels are exempt from th oof 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 I Aged Solar I Thermal CRRC Product ID Number' <- 2:12 >2:12 < 5lb/ft2 >- 5lb/ft2 Type 2 1 Reflectance'41 Emittance SRIS �— ©p Z ❑ ❑ ❑ 1 04 ❑ ❑ ❑ ❑ 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-rvvr.coolroofs.oro%mducls/search oho 2.Indicate the type of product is being used for the rooftop,i.e.single-ply roof, asphalt roof,metal root,etc. . If 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(p1,;,;,,-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 htro://w .cw.energy.ca.oov/title24/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 Coating ❑ Other NOTE: When a Cool Roof is required, the installing contractor shall complete and submit the CF-6R-ENV-01 for final inspection. Declaration Statement • I certify under penalty of perjury,under the laws of the Slate of California, the information provided on this form is accurate and complete. • I certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24,Parts 1 and 6 of the California Code of Re dations. Name: Signature: - .. Company: /jJ + t r Date: Address: 1. License: u�lS L; I zY2z City/State/Zip: Phone: 3 Yo For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.