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PMT14-02389 City of Menifee Permit No.: PMT14-02389 D. MENIFEE, EE, C 92 Type: Residential Re-Roof MENIFEE, CA 92586 MENIFEE Date Issued: 09/05/2014 1 i PERMIT Site Address: 26240 BALDY PEAK DR, MENIFEE, CA Parcel Number: 338-211-001 92586 Constructlon Cost: $7,750.00 Existing Use: Proposed Use: Description of REROOF OVER EXISTING 1 LAYER Work: Owner Contractor DEBBIE THOMAS ROGER HUMPHRIES ROOFING 29740 VALLE VERDE P 0 BOX 1094 MENIFEE, CA 92591 MURRIETA, CA 92362 Applicant Phone: 9516776953 ROGER HUMPHRIES License Number: 378768 ROGER HUMPHRIES ROOFING P 0 BOX 1094 MURRIETA, CA 92362 Fee Description QtV Amount B I; 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 Class_ja__�M Lice No. who builds or improves thereon, and who contracts for the projects with a Expires -711„.- _ Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERSCOMPENSATION DECLARATION ❑ I am exempt from licensors 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# ' YJ ' f��'J0`1 Z 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:http'//www leginfo ca aov/calaw html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrie!`46 � q Property Owneror Authorized Agent Date Expires CZ 1= Policy#Vf 0 -0� ❑ 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 ideMfled rty for the mspe N n urposes. 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 - � it subject to the workers'compensation previsions of Secti 3700 of the Labor Code,I shall forthwith comply with those pr visions. Property O n thorized A en Date City Business License# Date; 1 i 'S� I LT 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, OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE oft MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES jN0 EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS 1 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 ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address 0 FROM THE SOUTH COAST AIR QUALITY MANAGEMENT `� 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 ❑YES 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, 11 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 R„vES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any Lam, 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($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORYING. compensation, will do( )all of or( ) porting of the work, and the structure is Y O NER 0 UTHO ED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). '* ITY Oj, ME• ' I LE PLCK No: P -t 29714 Haun Road Dale: Date: ��' ���� Menifee, CA 92586 S (� Phone: (951)672-6777 Amount: Amounti Fax:(951)679-3843 Ck M Ck#: Building Combination Permit a I To Be Completed By Applicant Legal Description: a T r. LM Planning Case: F: L: Rt: R: Property Address: Assessor's Parcel Number �z UL-b �e 3 'III I ProjecUTon nt Name: Unit#: Floor#: Noma: gf� /iS Phone No. 22 Z Fax No. Property Tddres Unit Number Zip Code Owner 2�? �(� Email Address: Name: Phone No. 3` Fax No. Applicant Address: Unit Number Zip Code i 2� Email Address � t�st13k1�11 Name: lone No. 53 CELL , , Contractor Add res5i.a•� 10 it 1 � State Zi Code ontracior s City Business License No. Contractor's City Stale of California License No. Classification' Number of Squares: 23 ' Square Footage Description of Work: Cost of Work:$ Applicant's Signature Date: To ft Completed By City Staff Only T In cane 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) ❑ Structural Calculations ❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Singte Line diagram for elec.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan 8 Details ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration' Addition* MeaninMethods 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 Indlcalo it Indicate all Geo-tech.Haz Zone At Project Indicate Sprinklered YES or NU that apply: Coastal Zone Construction _ Completion T'ype(s): C Of O YES or NO Noise Zone Required? Listed on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Commiss Arch. Review Board Landmark Comm. Planning Comm.Zoning Administrator Fee ExempC, City Project Elec.Vehicle Charger Landmark Seismic,Retrofit ort cixlA a�ruval u Expedite Projecl(s): Child Care City Project Green Building Landmark Affordable Housing r---� For Staff Use Only g 1d' yl /5 " 1 Permit Specialist ivil Cn9ineeriny EPWM Admm 1 transportation Mgnx. Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY Prescriptive Certificate of Compliance: Residential Reroof CF-1 R-ALT-Re Roof Project Address: Climate ne P�q1(,a 2bZ4 KN41r - 228C (( IrAt_A, (lil ' 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 1 , whichever is less, the new roofing area must meet the roofing product "Cool Roof"requirements of§152(b)1Hi, 152(b)1HII,or 152(b)Mill. 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(lessor 2:12 pitch). ❑ Cool roofs=required in Climates Zones 1-9,and 16 with a steep-sloped roofs(greater pitch than 2:12)and product weight less than 5/1bift2. Alternatives to §152(b)1Hi and §152(b)Hfi,Steep-slope roof(pitch> 2:12) ❑ Insulation with a thermal resistance of at least 0.85 heft'-°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(1)10: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 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 ❑ Building has radiant barrier in the attic meeting the requirements of§151(f)2;or ❑ 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)i Hill, Low-slope roof(pitch 5 2:12) ❑ 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 < 5lb/ft' >_ 5lb/ft2 Type2 Reflectance''' Emittance SRI5 va d10 -0003 ❑ ❑ KWAAa ❑° 0-27 0•10 25 ❑ ❑ ❑ ❑ 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 10 Number can be obtained from the Cool Roof Rating Councils Rated Product Directory at w:vsv cootroofs oralcmducts's=a ch oho 2.Indicate the type of product is being used for the roof top,i.e.single-ply roof,asphalt roof,metal roof, 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(p,„;,,-0.2)to obtain a calculated aged value. Where p is the Initial Solar Reflectance. a. Check box i(the Aged Reflectance is a calculated value using the equation above. 5. Calculate the SRI value by using the SRI- N/orkshe=_t at httolhv,v,v.enercv.ca�o�olitl<.2ui and enter he resulting value in the SRI Column above and attach acopy of the SRI-Warksheet to the CF-rR. 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 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 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 Certificate 'Compliance nform to the requirements of Title 24,Parts 1 and 6 of the California Cade of Reculations. Name: Signature: RO v�,PtfEi►�� Company;D I'FTtl�s "f 6 at 217 14 Address ,r License: Q Y•®' F O CitylState21p: - Phone: 1%u 1�TN •!0 5 3 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.