PMT14-02935 I
it
City of Menifee Permit No.: PMT14-02935
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Re-Roof
o'" es'A., MENIFEE Date Issued: 11/04/2014 '!
PERMIT
i
Site Address: 26141 LANCASTER DR, MENIFEE, CA Parcel Number: 335-132-010
92586 Construction Cost: $5,400.00
Existing Use: Proposed Use:
Description of RE-ROOF OVER EXISTING 30YR COMP SHINGLES
Work:
Owner Contractor
RICHARD EDWARDS HOUSETOP ROOFING
26141 LANCASTER ROAD 31760 BRIGGS ROAD
MENIFEE, CA 92586 MENIFEE, CA 92584
Applicant Phone: 9516798369
RICH CARROLL License Number: 371783
HOUSETOP ROOFING
31760 BRIGGS ROAD
MENIFEE, CA 92584
Fee Description Qtv Amount
-
Inspections not specified 98 98.00
p;
$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 m 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 Z.. ' )CSignature licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION D CLARATION
❑ I am exempt from licensure 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
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
N�, 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:httr)'//www.leoinfo.ca.govicalaw.html.
permit is issued.Mywoorrkers'rs cco-mpensation insurance carrier and policy number are:
Carrier -5/;,, vC� A_G�_g Property Owner or Aut orized Agent Date
Expires j 2�q/l/, Policy# �^'
Name of Agent Phone# iW�y my Signature below, I certify to each of the following: I am the property
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 identified property for the inspection purposes.
shall not emolov any persons in any manner so as to become subject to the ,f'
workers'compensation laws of California, and agree that if I should become L X
subject to the workers'compensation provisions of Section 3700 of the Labor Property,,, ner or Authorized Agent Date
Code, I shall forthwith comply with those provisions. /'�/
Date;
l! )M Applicant; City Business License# a' �J.S T
WARNING: FAILURE TC 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, AYES 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 1'ls 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
' 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 AYES 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, 0 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 WES 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 fora permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($501 CODE, SECTION 25505 25533 AND 25534 CONCERNING
El I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL ffEPORIING,
compensation, will do ( )all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED 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, r
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 1V'1JU1'711H'Ell.i PLCK No: Permit No:
29714 Haun Road City of Menifee L-I
wilding & Safety Dept. Date: Date:
Menifee, CA92586 tl-LHq
Phone: (951)672-6777NOV 0 4 2014 Amount: Amount�-
Fax:(951)679-3843 Ck#: Ck#:
,q� V
Building Combination P"eCMXed COAit
To Be Completed By Applicant
Legal Description: Planning Case: F: L: Rt: R
Property Address: L��G Assessor's Parcel Number.33s - 13 2- -ono
Project/Tenant Name:
G -/ „ Unit#: Floor#:
Name: Phon Z'Qd Fax No.
Property Address: d f
Owner o2�p�(,/� L.rr/✓�/'��'JS'�_ _ Unit N mber Zip Code
Email Address:
Name: Phone No. Fax No.
Applicant Address: Unit Number Zip Code
Email Ad Vt G,-Z-/e47
Name: U - Phe Fax No.
Contractor Address: _,4
l
/7s Zip e d -
ontractor s ny Dust cense Contractor's City State of Californian License No. Class�ificalion: �p
Number of Squares: V
Square Footage 70 D
v
Description of Work: y- � Gi u ,may` S�1 ^y Cost of W oU d
Applicant's Signature U / , U Date:
`r70 Be Comp tt o By City Staff Only;yn,
Indicate As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans which include: t set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan
❑ Gea Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8 M.x 11)
❑ Structural Calculations
❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan I ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration' Addigon' Means/Methods
Work Type: Repair' Retrofit* Revision to Fxising Permit' Require I7 YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: it 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 Spdnklered YES or NO
Completion: Construction that apply: Coastal Zone
Type(s): C Of O Noise Zone
Required? YES or NO
q 1 Listed on Historic Resources Inventory
---CITY PLANNING STAFF ONLY
APPROVALS: Costal Commis s Arch.Review Board Landmark Comm. I I Planning Comm.Zoning Administrator
Fee Exempt: City Project Elan.Vehicle Charger Landmark Seismic Retrofit special Case:Bldg.
Official Approval
Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/Safely Permit Specialist City Planning I Civil Erigmeenng I EPWM-Admin I Transportation Mgmt, I Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
Prescriptive Certificate of Compliance: Residential Reroof CF-IR-ALT-ReRoof
Project Address: / C r Climate Zone Permit k
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 , whichever is less, the new
roofing area must meet the roofing product "Cool Roof"requirements of§152(b)1Hi, 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 io"with a steep-sloped roofs(greater pitch than 2:12)and product weight less than 511b/flz.
Alternatives to §152(b)1HI and §152(b)Hii,Steep-slope roof (pitch>2:12)
❑ Insulation with a thermal resistance of at least 0.85 hrfl''•`F/Btu or at least a 314 inch air-space is added to the roof deck over an attic;or
❑ Fxisting ducts in the attic are insulated and sealed according to§151(f)10;or
n climate zones 10, 12 and 13,with 1 112 of free ventilation area of attic ventilation for every 150 Its of attic floorOfrf,oj d.
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or BuildingMenifee
❑ Building has at least R-30 ceiling insulation;or & Safety Dept.
❑ Building has radiant barrier in the attic meeting the requirements of§151(02:or NOV 0 4 2014
❑ Building has no ducts in the attic;or
❑ In climate zones 10, 1 1, 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-
0 Roof constructions that have thermal mass over the roof membrane with at least 25Itsi 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 IS(i)are not applicable. Do not fill table below.
Roof Slope Product`Height Product Aged Solar Thermal
CRRC Product ID Number < 2:12 >2:12 < 5lb/ft2 >— 51'o/ft' Type 2 Reflectance" Emittance SRIS
❑ 1 ❑ ❑ ❑ ❑°
❑ 1 ❑ ❑ ❑ ❑4
Note:If no CRRC-i label is available, this compliance method cannot be used, use the Performance Approach to showcompliance,
1.The CRRC Product ID Plumber can be obtained from the Cool Roof Rating Council's Rated Product Directory at my v.coolroois.ore%roducts/search oho
2.Indicat Lhe 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 Rated Product Director/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. tYhere in 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-Worksheet at hito:/i;nrr<enerov.ca.00uRitte2l/and enter the resulting value in the SRI Column above and attach
acopy cf the SRI-Worksheet to the CF-IR.
To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet [he dry mil thickness or coverage
recommended by the coatings manufacturer and meet minimum performance requirement listed in§118(i)4. Select the applicable coating:
❑ Aluminum-Pigmented Asphalt Roof Coating ❑ Cement-Based Roof Coating ❑ Other
NOTE: When a Cool Root is required, the installing contractor shall complete and submit the CF-6R-ENV-0l for final inspection.
Declaration Statement
• I certify under penally of perjury,under the laws of the Slate of California, the information provided on[his tone is accurate and complete-
• I redity that the energy features and performance specilicanons identified on tnis Certnica[e of Compliance conform[o the requirements of Title 24,Parts
1 and of the California Code of R=_cula[ions.
Name: �lGl� � � „� SlgnaturE:
Company: (� Date:
Address: gZ/G,i15 let License: ,7/
City,'SlaeiZip:
For assistance or questions regarding the Energy Standards, contact the Energy Holline at: 1-0300-772-3300.