PMT14-02822 City of Menifee Permit No.: PMT14-02822
29714 HAUN RD.
CC /� MENIFEE, CA 92586 Type: Residential Re-Roof
c��gwt'." MENIFEE Date Issued: 1 012 3/2 01 4
PERMIT
Site Address: 28760 PORTSMOUTH DR, MENIFEE, CA Parcel Number: 339-162-004
92586 Construction Cost: $8,000.00
Existing Use: Proposed Use:
Description of REMOVING EXISTING LAYERS AND REPLACING WITH COATING ROOF
Work:
Owner Contractor
CHARLES PANNO SUPERIOR WEATHERPROOFING
28760 PORTSMOUTH DRIVE 21015 OLIVE AVE
MENIFEE, CA 92586 PERRIS, CA 92470
Applicant Phone: 9513986193
OMAR PREDROZA License Number: 975103
SUPERIOR WEATHERPROOFING
21015 OLIVE AVE
PERRIS, CA 92470
Fee Description
(3ty Amount
Bui d'ng :.e • 'it ss n QO
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_Templatespt 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 License No. 0 who builds or improves thereon, and who contracts for the projects with a
Expires -3 Signature � licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION ❑ 1 am exempt from licensure underthe 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 1 acknowledge that, except for my personal residence In
compensation,issued by the Director of Industrial Relations as provided for by which 1 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 1 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 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,//w leci!nLo.ca.gov/calaw,html.
permit is issued.My workers'compensation insurance carrier and policy number are:
r�
J roperly Owner or Authorized Agent Date
Carrier 5- Gaz-/e``_n,IZ r. c
Expires ��rV d� Policy# VL2 564
❑ 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-
El I certify that in the performance of the work for which this permit is issued,I identifgd-property for the inspection purposes.
shall not employ any persons in any manner so as to become subject to the I tea _ q
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 provisions.
City Business License#
Date; 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
($700,000), IN ADDITION TO THE COST OF COMPENSATION, ❑YES 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
INFORMATION GUIDE?
I hereby affirm that under the penalty of perjury there is a construction lending
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
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address --QNO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR
GUIDE LINES
OWNER BUILDER DECLARATIONS PRINT NAME:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the reason(s)indicated below by the checkmark(s)I have placed [1YES 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, 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 I HAVE READ THE HAZARDOUS MATERIAL
provisions of the Contractor's State License Law (Chapter 9 (commencing with INFORMATION GUIDE AND THE SCAQMD PERMITTING
Section 7000)of Division 3 of the Business and Professions Code)or that he or ES
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($500).) CODE, SCAT 555533AND 25534 CONCERNING
M5 'E
❑ I, as owner of the property, or my employees with wages as their sole
compensation,will do ( ) all of or( )porting of the work, and the structure is PROP WNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code; �.��tea.
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF MENIFEE PLCK No: Permit No:
29714 Haun Road City of Menifee �`� `1-O Y-vz
3uilding & Safety Dept. Date: Date:
Menifee, CA 92586 to - 213 - l H
Phone: (951)672-6777 OCT 2 3 2014 Amount: 'Amount
Fax:(951)679-3843 Ck#: Ck#:
ec IVed
Building Combination Permit
To Be Completed By Applicant
Legal Description: Planning Case: F: L: Rt: R
Property Address: 6 r %r o ssessor's Parcel Number:
Project/Tenant Name: Unit#: Floor#:
Name:G CA V Phone No. Fax No.
Property Address: Unit Number Zip Code
Owner
Email Address: -
Name: _ Phone No. Fax No.
ze. G t 3� 48 G i
Applicant Address: _ Unit Number Zip Code
mai
L ?
El Address: 0
td Phone No. Fax No.
45,+ ` - 11/l -ry/ 3cl S Cc; (C/3
Contractor Address: L Cjty State Zip Code
�jZ2 NCO lr (.'� /1 cam✓ G ✓�.- C Z S
Contractor s Uty nusm4ss License o. Contractor's City State of California License No. Classification:
114
Number of Squares: �jyQa
Square Footage
Description of Work: O (Cf_ f 4V1t c Cost of Work:$ oz
Applicant's Signature = Date: _?
To Be Completed By City Staff Onty-.
Indicate As R-Received or N/A-Nat 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 Y 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' MeanslMethods
Work Type: Repar* Ll Retrofit' Revision to Existing Perml 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
At Project Construction Sprmklered that apply: Coastal Zone
Completion: Type(s): COfO YESorNO Noise Zone
Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch. Review Buard Landmark Comm. I Planning Comm.Zoning Administrator
Fee Exempt: City Project Elea Vehicle Chargerl Landmark Seismic Retrofit pacial Case.ORia.1A a g.
royal
Expedite Project(s): Child Care City Project Green Building Landmark Agordable Housing
For Staff Use Only
BuildinglSafety Permit Specialist I City Planning I Civil Engineering I EPWM-Adorn Transportabon Mgmt. Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
Prescriptive Certificate of Com liance: Residential Reroof CF-1 R-ALT-ReRoof
Project Address: Climate Zone I Permit ik
j°'- RZ50G
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 , whicheverls less, the new
roofing area must meet the roofing product"Cool Roof"requirements of§152(b)1Nl, 152(6J1Hit, or 152(b)iH!il.
Check applicable alternative or exceptlon below if the roof alteration is exempt frorh 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 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/ftz.
Alternatives to §152(b)IHi and §I52(b)Hif,Steep-slope roof(pitch>2:12)
❑ Insulation with a thermal resistance of at least 0.85 hrft'-`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
,e-,,In climate zones 10, 12 and 13,with 1 ftz of free ventilation area of attic ventilation for every 150 flz 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 City of Menifee
❑ Building has at least R-30 ceiling.insulation;or _ Building & Safety Dept.
❑ Building has radiant barrier in the attic meeting the requirements of§151(f)2;or
❑ Building has no ducts in the attic;or OCT 2 3 20A
❑ 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. Received
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 25l1b/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§f 18(i)are not applicable. Do not fill table below.
Roof Slope Product Weight Product Aged Solar Thermal
GRRC Product ID Number) 5 2:12 >2:12 < 5lb/ftz >- 51b/ft' Tv pez Reflectance'" Emittance SRIs
❑ ❑ ❑ ❑ ❑a
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 Coal Roof Rating Council's Rated Product Directory at m-n-1 coolroofs orMoroducts/s=arch ohg
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 Coal 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. 4I/here 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- b'/orksheet at htto.71-,rvw energy ca gov4itl=24/and enter the resulting value in the SRI Column above and attach
acopy of the SRI-4'/orksheet to the CF.tR.
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-E1lV-01 for final inspection.
Declaration Statement
• I certify under penalty of perjury,under the la,as of the State_of California,the information provided on INs form is accurate and complete.
• I certify that the energy features and performance specifications identified on this C
1 and 6 of the California Code of R=_qulalions. ertificate of Compliance conform to the requirements of Title 24,Parts
_
Name: Sig nz[ure:
Company:
Date:
(� V C1 -_Z
Addr s:
ZZ 2 O License: ^7
U !
CitylSlale!Zip:
r Phone:
3 �l �l
For assistance orquestions regarding the Energy Standards, contact the Energy Holtine al: 1-800-772-3300,