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PMT14-02460 I City of Menifee Permit No.: PMT14-02460 29714 HAUN RD. MENIFEE, CA92586 Type: Residential Re-Roof 1 MENIFEE Date Issued: 09/12/2014 PERMIT Site Address: 29735 KEMPE CIR, MENIFEE, CA 92584 Parcel Number: 372-170-002 Construction Cost: $14,060.00 Existing Use: Proposed Use: Description of TEAR OFF REPLACE WITH 30 YR COMP Work: Owner Contractor - JEFFREY MASSIE RANDY'S CLASSIC ROOFING 29735 KEMPE CIRCLE 32960 DAILY DR MENIFEE, CA 92584 MENIFEE, CA 92584 Applicant Phone: 9515294085 RANDY BALL License Number: 726425 RANDY'S CLASSIC ROOFING 32960 DAILY DR MENIFEE, CA 92584 Fee Description Otyt Amount Inspections not specified 98 98.00 e $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.rpl 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 fort and effggt. Code:The Contractor's License Law does not apply to an owner of a property License Class G-.3 9 License o.7z�yy`l- 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 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. 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 `4 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:htto'//www.leginfo.ca.gov/calaw-html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrler.96/- G Property Owner or Authorized Agent Date Expires F/_/s Policy# 6 01 �2 6 / 15 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 ide ' ed propert for tection 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 becomerr subject to the workers'compensation provisions of Section 3700 of the Labor propert Owner or Authorized Agent Date Code,I shall forthwith comply with those provisions Date; ��G� Applicant; � City Business License# 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 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 'ENO EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS I hereby affirm that underthe 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 fU NO DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS GUIDE LINES {5n_ / 1 hereby affirm under penalty of perjury that 1 am exempt from the Contractor's PRINT NAME: '<��f /�!G J� 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 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, BNO 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 IRNO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE, SECOUS IONMAT 255L5 25533 55 3 AND 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will ( )all of or( ) porting of the work, and the structure Is PRO TY OL/ HORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X /✓�+ who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion,the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF ID' ENIFFF PLCK No: aIq 29714 Haun Road Date Date: Menifee, CA 92586 1 C 03 ) Phone: (951)672-6777 Amount: Amount: �ro Fax:(951)679-3843 Ck#: Ck#: Building Combination Permit G) loll ca: To Be Completed By Applicant Legal Descrlp Ion:/ e ©O Planning Case: F: L: Rt: R Property Address:n g�,� / G ' Assessor's Parcel Number: 3-100), Project/Tenant Name: K Unit#: Floor#: Name: In C?mil' S ` Phone No. Fax No. Property Address: Unit Number Zip Code Owner Email Address: Name: Phone No. Fax No. Applicant Address: Unit Number Zip Code Email Address: Name: Qrt S� P o>�No/,— y /// Fax No. Contractor Address: 2 2 q/D C fl City ym„b i e Stt!A Zip !G yJ vrl`=it Contractor in na i anise NO. Contracto' ity l�of?California License No. Classification: <�^ g Number of Squares: Square Footage Description of Work: Cost of Work:$�, p e ctce 471 7l rvv( oij To, / b Applicant's Signature gilll Date: 9 - t �/ To Be Cornpleted By-City.StalF: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 ❑ Gee Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x 11) ❑ Foundation Plan El Cross Section El Structural Calculations ❑ Plumbing Plan ❑ Single 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'77 Addition' MeanslMethods Work Type: Repair' Retrofit` Re vision 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 if 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 Re uired? YES or NO q Listed on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator Fee Exempt: City Project JElec.Vehicle Chargerl Landmark I Seismic Retrofit Pecial ese:BI g. Official Approval Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing For Staff Use Only Building/Safety Permit Specialist City Planning ICivil Engineering EPWM-Armin Transportation Mgmt. Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY i Prescriptive Certificate of Compliance: Residential Reftilofof Menl ee CF-1 R-ALT-ReRoof Protect Ad{jre t5unuillyClimate Zen I Pe it#, r� 7 -e Ga✓ 0 Zip ROOFING PRODUCTS (COOL ROOFS) §151(f)12 Rpineived When the area of exterior roof surface to be replaced exceeds 50%of the existing roof area, or 1,000 f , whichever is less, the new roofing area must meet the roofing product "Cool Roof"requirements of§152(b)1Hf, 152(b)iHll, or 152(b)iHiii. 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 5Ab/ft'. 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 hrtt2•OF/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 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 ❑ 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)1Hill, 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 251b/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§I f 8(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 1 < 5lb/ft2 ? 5lb/ft- Type 2 Reflectance`4 Emittance SRIS P- n- ❑ ❑ ❑4 ❑ - ❑ ❑ ❑ ❑4 Note:If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, I.The CRRC Product ID Number can be obtained from the Cool Root Rating Council's Rated Product Directory at wvv.coolroofs.oro/oroducts/search 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;,.,,ra,—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- Vlorksheet at htio./irwva.enerov-ca.00v/title24/and enter the resulting value in the.SRI Column above and attach acopy of the SRI-Worksheet to the CF-IR. 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 penally 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 of the California Code of Reclulations. Name: 1 t 5 F Signalur G Company tj l//0.-%5 b fiti Date: if Address: �� O 4LF ( r�lgj License: r7 2� City/StatefZip: J G?Or- Phone: / / J /ten r z e Forassistance orquestions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.