PMT14-03108 i
City of Menifee Permit No.: PMT14-03108
29714 HAUN RD, Type: Residential Re-Roof
1 MENIFEE, CA 92586
MENIFEE Date Issued: 1 1/2 412 01 4 �
PERMIT
Site Address: 25890 COOMBE HILL DR, MENIFEE, CA Parcel Number: 339-102-028
92586 Construction Cost: $8,250.00
Existing Use: Proposed Use:
Description of REMOVE EXISTING 2 LAYERS AND INSTALL NEW 40 YR COOL ROOF SHINGLES
Work:
Owner Contractor
LOIS COGAN EXTREME ROOFING
25890 COOMBE HILL DR 22741 SKYLINK DRIVE
MENIFEE, CA 92586 CANYON LAKE, CA 92587
Applicant Phone: 9512448874
MENIFEE, CA License Number: 747146
Phone: 9098154129
Fee Description PhL Amount f$1
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_Permil_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 Class 3 License No. 7'Y'7//Y6 who builds or improves thereon, and who contracts for the projects with a
Expires 2',i/ Signature a!�K licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
❑ I am exempt from Ifcensure under the Contractors'State License Law for the
X I 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
❑ 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:http'//www leainfo ca gov/calaw html.
permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier 2zp, Property Owner or Authorized Agent Date
Expires JZ— Policy# t6��-��d���
❑ 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-
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
subject to the workers'compensation provisions of Section 3700 of the Labor P p wner or Authorized Agent Date
Code,I shall forthwith comply with those provisions. 22
Date; ApplicanTC/—q
/���� City Business License# U'✓ Jl0 I
l�z+� `may
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 AGO 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 '00 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 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, "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 )pYES 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 ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE
SEC ON 255L5f�E5533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole
compensation,will ( )all of or( )porting of the work, and the structure is PROPER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044 Business and Professions Code; lel�s
The Contractor's State License Law does nott apply to an owner of a property X /
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
City of Menifee s:
Building & Safety Dept. " 4 ,F Menifee
DATE (� / �/ PERMIT/PLAN CHECK NUMBER ?HT14- D;510
TYPE: iJ Cby09'$e Rll eK RESIDENTIAL 0 MULTI-FAMILY '.) MOBILE HOME 0 POOL/SPA t;SIGN
SUBTYPE: C)ADDITION O ALTERATION 0DEMOLITION O ELECTRICAL MECHANICAL
C3 NEW "' PLUMBING )eRE-ROOF-NUMBER OF SQUARES 22
DESCRIPTION OF WORK
Lem/ - L elf
PROJECT ADDRESS 2e�p ^kf lI T ,I
ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNER NAME Lo�S v
ADDRESS 19 D e G�
PHONE ! Z'&- ,3j3� EMAIL
APPLICANT NAME
ADDRESS a217f// f%! /,.�e
PHONE EMAIL
CONTRACTOR'S NAME OWNER BUILDER? C YES �C NO
BUSINESS NAME oLA
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER 69;0' LICENSE CLASSIFICATION Z2'9
VALUATION $ eP2.M SQFT 31oy L SO,FT '✓� /i2L
APPLICANT'S SIGNATURE /. DATE //Z r/- /j/'
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP
INVOICE /_ro PAID AMOUNT
AMOUNT I -9L I I I :% CASH <i CHECK <i CREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED .% YES `, NO DL NUMBER NOTARIZED LETTER O YES C:+ NO
City of Menifee Building & Safety Department 29714 Houn Rd. Menifee, CA 92586951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
Prescriptive Certificate of Compliance: Residential R �1f Menifee CF-1 R-ALT-ReRoof
Project Address-:pp 8ullding & a e y •ClijbZone I P it I �
�f®Y�� �OwMb! f✓n �i/` ex.
ROOFING PRODUCTS (COOL ROOFS) §151(f)12
When the area of exterior roof surface to be replaced exceeds S °o a 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)Mi, 152(b)1Hfl, or 152(b)I Hill.
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(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;tb/ft2.
Alternatives to §152(b)IHI and §152(b)Hii, Steep-slope roof (pitch> 2:12)
❑ Insulation with a thermal resistance of at least 0.85 hrft2- 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
XIn climate zones 10, 12 and 13,with 1 ft'of free ventilation area of attic ventilation for every 150 fe 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)l Hill, 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 25 Ib/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§116(i)are not applicable. Do not fill table below.
Roof Slope Product Weight Product Aged Solar Thermal
CRRC Product.to Number s 2:12 >2:12 < 51blfl >_ 5lbift' Type' Reflectance Emittance SRI5
f7gd- 620OX ❑ ❑ ❑ ❑4
❑ ❑ ❑ ❑ ❑a
Note:Tiro CRRC-1 label is available, this compliance method Cannot be used, use the Performance Approach to show compliance,
1.The CRRC Product ID Plumber can be obtained from the Cool Roof Rating Councils Rated Product Directory at www.coolrools orc%rod�ct-/s=arcti oho
2.Indicate_the type of product is tieing used for the rooftop,i.e.single-ply roof, asphalt roof,metal roof, etc.
. If the Aged Reflectance is not available in the Cool Roof Rating Councils Rated Product Directory then use the Initial Reflectance value from the same
directory and use the equation(0.2r0.7(p,,;,,,,-0.2)to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4. Check box it the Aged Reflectance is a calculated value using the equation above.
5. Calculate_the SRI value by using the SRI- Worksheet of htro://ev;iw enerov ca oovr'itle2-/and enter the resulting value in the SRI Column above and attach
acopy of the SRI-lWorksheet to the CF-I R.
o apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surtace and meet the dry mil thickness o
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 Rool 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 le-,vs of the State_of California, the information provided on this form is accurate and complete-
• I certify Thal the energy features and performance specifications identified on this CeNficate of Compliance conform to the requirements of Tille 24,Pans
1 and 8 of lire California Code of Regulations.
Name: Signatur
U CJ-� K n r•C!n
Company: Date: -
rs
Address: License-
,2-2 7 ,/ fk ^k pr e'-19 7Y7 i YG
CityiState/Zip: Phone.
u^ a p.25 a- 7 IPS-s-a vy_ee7y
For assistance or questions regarding the Energy Standards, contact the Energy Hotline al: 1-300-772-3300.