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PMT14-02925 i i City of Menifee Permit No.: PMT14-02925 AFACCF—L29714 HAUN RD. Type: Residential Re-Roof % MENIFEE, CA 92586 MENIFEE Date Issued: 11/04/2014 i PERMIT I Site Address: 28132 GARDENA DR, MENIFEE, CA Parcel Number: 336-230-036 92586 Construction Cost: $4,700.00 Existing Use: Proposed Use: Description of REMOVE EXISTING COMP SHINGLES, INSTALL NEW 30 YR COMP SHINGLES Work: Owner Contractor LARRY LOCKE M. RIVERA ROOFING INC 3905 CLINTON KEITH ROAD 15409 COOLIGE COURT WILDOMAR, CA 92595 FONTANA, CA 92336 Applicant Phone: 7609029781 MARTIN RIVERA License Number: 958465 M. RIVERA ROOFING INC 15409 COOLIGE COURT FONTANA, CA 92336 Fee Description Qyt Amount Inspections not specified 98 98.00 ?1�O $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 underwhich no work is commenced within six months after issuance,orwhere the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA Bldg_Permit_Templatestnt 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 Classre�c�, License No. who builds or improves thereon, and who contracts for the projects with a Expiresf'�^Q�-Ot l ignature ( licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ lam 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. 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 ❑ 1 have and will maintain workers' compensation insurance, as required by Business and Professions Cade,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:htti),//www.leginfo.m.00y/calaw.html. permit is issued.My workers'compensation insurance carrier and policy number are: rr I— Property Owner or Authorized Agent Date Carrier S'c`ca tT1:1vt� Expires C;-2 cl r 2n I C _ Policy#Cid }},, ❑ By my Signature below, I certify to each of the following: I am the property Name of Agent Ih ICtye_«„ Phone# �02=�i 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)oror 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- 0 1 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 r� —� Z — �p\a f z-U(LI 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. Q ; City Business License# Date;l (^t-(r'2A I L� Applicant; C tj- n Y�'� 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 ORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES ONO 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 DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address ❑NO DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS / h 1 hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME L1J-f-rl t �'` 11!F 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, ❑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 DYES 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 Z 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($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL I EPORffING. compensation, will do( )all of or( ) porting of the work,and the structure is PROPERTY OWNER O,Q-QUTHORIZED AGENT not intended.or offered for sale.(Section 7044,Business and Professions Code; �/) The Contractor's State License Law does not apply to an owner of a property X .� Lc a ^ who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF ME IFEE PLCKNo: Permit No: City of Menifee ' _ 29714 Haun Road Building & Safety Dept. Date: Date: Menifee, CA 92586 Phone: (951)672-6777 NOV 0 4 2014 Amount: Amount: Fax:(951)679-3843 Ck#: iCk#: ` Received Building Combination Permit To Be Completed By Applicant Legal Description: Planning Case: F: L: Rt: R: Property Address: �� _ / Assessor's Parcel Number. ProjecVTenant Name: 2 Unit#: I-oor#:- Name: - phone No; o. � Fax 6 OwneProperty Address: _ - Unit Number Zip ode 2 (3 . Email Address: _ Name: 1 t Phone No. F a No. Applicant Address: ,- 1 /d ," pp Icanl 3 10 6 , U it Number Zip Cod Email Address: o— -Q LZa I. Name: Phone No. Fax No. Contractor Address: City State Zip Code Contractor's City Busness License o. Contracto ' Ci late of California License No- Classification: Number or Squares: _ Square Footage Description of Work: t ,^ Cost of Work:$ . Applicant's Signature ^- Date: To Be'Completed;B kCC ty�Stgff,Orily,4 ;, Ir St 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 ❑ Geo Tech/Solls Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8 Y.x 11) ❑ Foundation Plan El Structural Calculations ❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan 8 Details ❑ Shoring Plan I ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration' Addition' Means/Methods Work Type: Repair' - RetroBP Revision to Yjshng PWMW 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 it Indicate all Geo-tech.Haz.Zone At Project Sprinklered YES or NO Completion: Construction that apply: Coastal Zone Type(s): C of o YES or NO Noise Zone Requiretl7 / Listed on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Commis Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator Fee Exempt: City Project Else.Vehicle Charger Landma Seismic Retrofl special case:elao_ rk Expedite Projecl(s): Child Care City Project Green Building Landm ark Affordable Housing For Staff Use Only Building/Safely Permit Specialist City Planning I Civil Engineering I EPWM-Admin I ranspoda lion Mgml. I 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: I Climate Zone I Permit k _ ROOFING PRODUCTS (COOL ROOFS) §151(f)12 When the area of exterior roof surface to be replaced exceeds 500, of the existing roof area, or 1,000 f , whichever is less, the new rooting area must meet the roofing product "Cool Roof"requirements of§152(b)1Hi, 152(b)1Hii, or 152(b)iHfff. Cck applicable alternative or exception below if the roof alteration is exempt from the roofing product"Cool Roof'requirements:: X 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 5/1b/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 hrf12.`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 ft'of free ventilation area of attic ventilation for every 150 ft'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 Cit of ❑ Building has radiant barrier in the attic meeting the requirements of§151(1)2;or Building& Safety Menifee t ❑ Building has no ducts in the attic;or p ❑ In climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic. Exception to §152(b)l Hitt, Low-slope roof (pitch 52:12) NOV U 4 2014 ❑ Building has no ducts in the attic. Other Exceptions E)ceiV�❑ Roofing area is covered by building integrated;photovoltaic.panels and solar thermal panels are exempt from the Cool Roof criteria. Cl Roof constructions that have thermal mass over the roof membrane with at least 25INV are exempt from the Cool Roof criteria. NOTE:If any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emitta,nce requirements for roofing products in§118(i)are not applicable. Do not fill table below. Roof Slope Product'A/eight Product Aged Solar Thermal CRRC Product to Number _< 2:12 >2:12 < 51b/ft >- 51b/fig T pe Reflactan'ce Emittdnce —SRI l CC `© c 2 ❑ [0 ❑ ❑ ❑4 2 ❑ ❑ ❑ ❑ El Note:If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to sho.v compliance, 1. The CRRC Product ID Plumber can be obtained from the Cool Roof Rating Councils Rated Product Directory at:w v.eoolroo(s.oro/product-/s=arch 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 Ralleclance value from the same directory and use the equation(0.240 7(p_,; —0.2)to obtain a calculated aged value. Where p lathe Initial Solar Reflectance. 4. Chock box if,the Aged Reflectance is a calculated value using the equation above. - 5. Calculate the SRI value by using the SRI- 1,17orksheet of htto./r,w>v.anerov.ca eov/till=21/and enter the resulting value in the SRI Column above and attach acopy of the SRI-Vyorksheet to the CF-M. 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 coaling: ❑ Aluminum-Pigmented Asphalt Roof Coating ❑ Cement Based Roof Coating 0therPLr_w1)a1 Cih"- ( ie( NOTE: When a Cool Roof is required, the installing contractor shall complete and submit the CF-6R-ENV-01 to /final inspection. Declaration Statement • I cerlifl under penalty of perjury,under the laws of the State of California, the iniormalion provided on this lom is accurate and comorne • t certify that the energy features and performance specifications ide_ntifiad on this Certificate of Compliance conform to the requir2manls of Title 24, Parts 1 and"o of the California Code of Regulations. Name: {�r� Signature'. •0 C Y� 11-) • . 1 � Company: "� Date; 1 1 I Address: - Q \ Licensee �< ,.e S CityiSlate/ ip, Phone_ For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: I-800-772-3300.