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PMT14-02432
City of Menifee Permit No.: PMT14-02432 29714 HAUN RD. MENIFEE, CA 92586 Type: Residential Re-Roof MENIFEE Date Issued: 0 910 912 01 4 I, PERMIT Site Address: 25890 WARWICK RD, MENIFEE, CA Parcel Number: 339-062-014 92586 Construction Cost: $7,600,00 Existing Use: Proposed Use: Description of REMOVE EXISTING COMPOSITION AND INSTALL NEW DIMENTIONAL COMPOSITION Work: Owner Contractor MIKE&MAXINE HOLMGREN ROOFTEK ROOFING 25890 WARWICK ROAD 26025 NEWPORT ROAD STE A400 MENIFEE, CA 92586 MENIFEE, CA 92584 Applicant Phone: 9512448524 ROOFTEK ROOFING License Number: 520957 26025 NEWPORT ROAD STE A400 MENIFEE, CA 92584 Fee Description Qtv Amount l$1 IItltT" ig P.eri��I�§sCarYc� � 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 ClassS icense N IC who builds or improves thereon, and who contracts for the projects with a Expires Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from Iicensure under the Contractors'State License Law for the ❑ I hereby affirm under penally 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 Q 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:http:/lw .leginfo.ca.gov/calaw.html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier S Property Owner or Authorized Agent Date Expires !!5%/ep r✓-� Policy# 6'39 45 SI Name of Agent Phone# ❑ By my Signature below, I certify to each of the following: I am the properly owner or authorized to act on the property owner's behalf. 1 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- El I 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 provisio is. Date; A City Business License# 9� pplicant; 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, ❑YES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A 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 ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address 'BQNO FROM THE SOUTH COAST AIR QUALITY MANAGEMENT h 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 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, ?PI 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 KY INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from Iicensure and the basis for the alleged exemption. Any PP'Y 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 ATERIAL REP TING. compensation,will do ( )all of or( ) porting of the work, and the structure is PROPER OWNER T ORIZED 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 MENIFEE PLCK No: Permit No: 29714 Haun Road city of Menifee Menifee, CA 92586" (ding & Safety Dept. Date: Phone: (951)672-6777 SEP 0 9 2014 Amount: Amount Fax:(951)679-3843 Cktk Ck& Building Combination l fi�ftived To Be Completed By Applicant Legal Description: Planning Case: F: L: Rt: R: Property Ad re Assessor's Parcel Number.^ Pro cUTenant Name: Unit Floor#: Name: _ 'h a Fax No- Property Owner Email rif � / nit Number 7i e p P) yC�f. Address: Name: Pitons No. Faz,N.oy Applicant Address: J Unit Number Email Address: ame P Addlrass�_tr Sta[ Zip'0 cWhador onactor s ry Busmes icense o. Cont>�tor's B of California License No. Classi Number of Squares: Square Footage Description o ork: C�J— n^�^�•t© � Cast of Work. n„ $ ,!� 1171P-00J71 �7�� 59 tT'1 Date: Be Completed By City Staff Only n ca a As R-Received or N/A-Nof Applicable 5 Completes sets of fully dimensioned,drawn Io sale plans which inciude: f set of documents which include ❑ 7tie Sheet ❑ Elevations ❑ Electrical Plan ❑ Gen Tech/Soils Report(on cd only) ❑ Plat/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ rdle 24 Energy(on 8 A x it) ❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Calculations Floor Plan ❑ Single Line diagram for etec services over 400 AMP ❑ ❑ Sauclural Framing Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration` Addition- Meana/Memods Work Type: Repair Retrofit- ReiSienle Edsling PMXRequlmd9 YES NO Proposed Building Use(s): Existing Building Use(s): If Buildings: #Units: Stories: Will the Building Have a Basement? Y o1 N Bldg.Code Occupancy Group Ineicate it yES or NO At Project Indicate Sprinklered Indicate all Geo-tech.Z ne Zone Completion: Construction that apply: Coastal Zone Type(s): C o!o YES or NO Noise Zone Required? Listed on Historic Resources Inventory ATY PLANNING STAFF ONLY APPROVALS: Costal Commis, Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator Fee Exempt: City Project Elea Vehicle Charger Landmark Seismic Retrofit Spedal Case:Bldg. Olfciel royal Expedite Project( ): Chill Care City Project Green I Landmark Affordable Housing For Staff Use Only ii 6uilding/Safery I Permit Specialist City Planning I Civil t,riginerrng I EPWM-Admin Tmrspodatin Mgmt. I Rent Ceneol THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY Prescriptive Certificate of Compliance: Residential Reroof CF-1 R-ALT-ReRoof je tA�dress: -n, Climate Zone Permit# 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 fit,whichever is less,thJSANK2. th rooting area must meet e roofing product"Cool Roof"requirements of§152(b)1H7,152(b)1H0,or 152(b)1Hiif. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product"Cool Roof'requirements;: El 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 reqre ud in Climates Zones 1-9.and 16 with a steep-sloped roofs(greater pitch than 2:12)and product weight less than Alternatives to§162(b)1Hi and§152(b)HB,Steep-slope roof(pitch>2:12) ❑ insulation with a thermal resistance of at least 0.85 firfh°F/Btu or at least a 314 inch airspace is added to the roof deck over an attic;or ❑ Existing duds in the attic are insulated and sealed according to§151(f)10;or In climate zones 10,12 and 13,with 1 ft2 of free ventilation area of attic ventilation for every 150 f 2 of attic floor area, d r where of least 30 percent of the free ventilation area is within 2feet vertical distance of the roof ridge;or Building gf Menifee p ❑ Building has at least R-30 ceiling insulation;or 9 Safety De ❑ Building has radiant barrier in the attic meeting the requirements of§151(f)2;or❑ Building has no ducts in the attic;or JCf CrD O 9 2014 ❑ In climate zones 10,11,13 and 14,R-3 or greater roof deck insulation above vented attic. Exception to§162(b)l Hill,Low-slope roof(pitch 5 2:12) ❑ Building has no duds in the attic. Received Other Exceptions 13 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 Ibt t2 are exempt from the Cool Roof criteria. NOTE If any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emirance requirements for roofing products in§1 t8(i)are not applicable.Do not fill table below. Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Number" 5 2:12 >2:12 < 51btft' z 5tblfF Type, Reflectance''° Eminence SRI s ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 Mote,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 ham the Cool Roof Rating Councils Rated Product Directory at wtvw.coohoofs.warbmducts/seamh Mo 2.Indicate the type of product Is being used for the roof top,Is.sm gle-pry roof,asphalt roof.metal nwf,etc. . If the Aged Reflectance Is not available in the Coot Roof Rating Councits Rated Product Directory then use the Initial Reflectance value from the same directory and use the equatioo-(0.2+0.7(p;,.;v-0.2)to obtain a calculated aged value. Where pis the Initial SofarReftectance. Check box If the Aged Reflectance is a calculated value using the equation above. 5.Calculate the SRI value by using the SRI-Warksheet at htn7Av ,enemy,ca oovAftle241and enter the msuitfng value in the SRI Column above and attach aropy of the SRI-Worksheet to the CF-1R. o apply Liquid Field Applied Coatings,the coating must be applied across fhe 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 NO When a Coot Roof is required, the installing contractor shall complete and submit the CF4R-ENV•01 for final inspection. Declaration Statement • I certify under penalty of perjury,under the laws of the State of California,the Information provided wine forth is accurate and complete. • I cenify that the energy features and performance specifications identified on this Certificate of Compliance ton col to the requirements of Tho 24,Parts 1 and 6 of the California Code of Re ulalions. Name: _ /' Signature: J V Company Date: Y,/9/tq Address: License: a as- n,- 4�0 .s2ogs7 a39 Cit to/ZI ' �n - � � Phone: % s -P 5� For assistance or questions regarding the Energy Standards,contact the Energy Hotline at: 1-800-772-3300. INSTALLATION CERTIFICATE: Residential Reroof CF-6R-ENV-01 Site Address: Enforcement Agency: Permit Number: !furore than one person has rvapansibtlity for installation of the deers on this certificate,each person shall pevpam and sign a certificate applicabie to the portion of'consBuction for which they are responsible;alternatively,the person with chief rasponsibilityfor consawetion shall prepare and sign this certificate for the entire consaitclion. Ali applicable Mandatory A4easrnvs with check boxes are required to be cJraeked io ensure the+nnra$dorr measures have been filet. CEILING INSULATION Rigid: Brand Name: Batt or Blanket Type: Brand Name: Loose Fill Type: y Thermal Resistance(R-Value): Spray Foam Type:.` Brand Naine: Installed Actual Thickness(inches): � Contractor's mina installed weight/W Ib Manufacturer's installed weight per square foot to achieve Thermal Resistance(R-Value): ❑ §150(a):Minimum R-19 insulation in wood-flame ceiling or equivalent U-factor. ❑ §118(a): insulation installed meets Standards for Insulating Material. ❑ §150(g):Mandatory Vapor harrier installed in Climate Zones IR or 16. ROOFING PRODUCTS(COOL ROOFS),¢ISP f012 ❑Check this box if the newly installed roof is exempted from the roofing product"Coat Roof'requiminents as indicated on die CF-1 R-Alt- Reroof form for this project.Otherwise till in the table below. Roof Slope Product Weight Aged Solar Thermal CRRC Product ID Number' S 2:12 >2:12 a SIWIts Z Sniffle Product Type' Reflectance"4 Endurance I7 ❑ ❑ ❑ ❑° ❑ ❑ ❑ ❑ ❑° I.CRRC-1 label information is available is on the package of the roofing product being installed and attach the CRRC label to this ram. 2.brdlerde the type pf praduet is being used for•the rooftop,i.e.satAdeply roof,ruphait roof,meta!roof etc. .Ifthe Aged Reflectance is not available in the Cool Roof Rating Council's Rored Produce Directory then use tire Ini6alRefleermrce value fife she same directory and use Ilia equation(0.2+0.7(p,,,c e—0.2)to obtain a calculated aged value. Where p is the InWal Solar Reflectance. 4.Check box if the Aged Reflectance is a wiculated value using llm aqucrfiau above. c apply Liquid Field Applied Coatings,the coating most be applied across the entire roof surface and meet the dry mil thickness or coverage commended by the coatings manufacturer and meet minimum performance requirements listed in§I 18OG. Select the Applicable conting: _ Aluminum-Pigmented Asphalt Roof Coating ❑Cement-Based Roof Coating ❑Other DECLARATION STATEMENT • I certify under penalty of perjury,under the laws of the State of California,the infannndon provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction,or an authorized representative of the person responsible for construction(responsible porsnn). _ • I certify that the installed features,materials,components,or manufactured devices identified on this certificate(the installation)conforms - to all applicable codes mid regulations,and the installation is consistent with the plans and specifications approved by the enforcement agency. • I reviewed a copy of the Certificate of Compliance(CF-IR)form approved by ibe enforcement agency that Identifies ilia specific requirements for the installation. I certify that the requirements detailed on the CF-IR that apply to the installation have been met. • I will ensure that a completed,signed copy of this Installation Certificate shall be posted,or made available with the building permits)issued Fos-the building,and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: (Installing Subcontractor or General Contractor orBuilder/Owner) Responsible Person's Name; Responsible Poison's Sigietnre: CSLB License: Date Signed: Position With Company,(Title): 2008 Residential Compliance Farms August 2009