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PMT14-03137 I f City of Menifee Permit No.: PMT14-03137 I 29714 HAUN RD. �! MENIFEE, CA 92586 Type: Residential Re-Roof MENIFEE Datelssued: 12/01/2014 i PERMIT Site Address: 25837 BALTRUSTROL DR, MENIFEE, CA Parcel Number: 339-123-007 92585 Construction Cost: $4,300.00 Existing Use: Proposed Use: Description of REMOVE EXISTING COMP SHINGLES, INSTALL NEW CLASS A COMP SHINGLES Work: Owner Contractor STEVE HEBERT FREDERICK RICHARDSON CONSTRUCTION 25837 BALTRUSTROL DRIVE P 0 BOX 6083 MENIFEE, CA 92585 MORENO VALLEY, CA 92554 Applicant Phone: 9516536132 JOHN RICHARDSON License Number:643209 FREDERICK RICHARDSON CONSTRUCTION PO BOX 6083 RANCHO BELAGO, CA 92554 Fee Description Qyt Amount l$1 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_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(commencipg with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions Professions Co b I ense is in full 5 d ffept. Code:The Contractor's License Law does not apply to an owner of a property License Class C icense — 7' who builds or improves thereon, and who contracts for the projects with a Expires �' /� n �� � licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATI N DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law for the ❑ 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 /,�t,�. 1 have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is C section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http,//www.leginfo.ca.gov/calaw.html. permit is issued.My workers'compensation insurance carrier and policy number are: � `��� Property Owner or Authorized Agent Carrier �lj" Date Expires ( ��f Policy# ❑ 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- ❑ 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 sions of Section�3700 of the Labor Property Owner or Authorized Agent Date Code, shall forthwith comply(yut those prov io p2 /r, r \ ? N!� �I R mr� City Business License# Date;! O Appl"i��aa / 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 El NO 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 DNO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS 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 DYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable hem(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, D 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 ❑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 ❑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 REPORTING. compensation, will do ( )all of or( ) porting of the work, and the structure is PROPERTY OWNER ORAUTHORIZED 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). BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE PERMIT/PLAN CHECK NUMBER —Q TYPE: O COMMERCIAL ESIDENTIAL C) MULTI-FAMILY 0 MOBILE HOME C POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION ()DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 7PA15M �aJ FNGI CcI;1t !S�4(rt� ewe' � 0-4ESs `A` Coy !�ANC)uu& . PROJECTADDRESS -25B- 7)*7 Au icy Voc 7.)9- ASSESSOR'S PARCEL NUMBER 3 - �a3-C n LOT TRV4Yy of Me nwfnp �+ Building & Safety Dept. OWNER NAME q�p 'cv�' -�j(�/[-( ADDRESS oZS C7J�I � �IYZ1l� Z �t�-� EC 0 1 2014 �j PHONE ` 57Z 295- 78 EMAILReceiverl APPLICANTNAMeeE���7 30L/r@. 04 ADDRESS l ( CJ l l l/J� �C1�� Wh PHONE Q�(� 2-(2-c��'��rbJ EMAIL CONTRACTOR'S NAME T'KLI��� '�� �i �� OWNER BUILDER? C: YES A 0 BUSINESS NAME ADDRESS PHONE �.��� (pS3 r (p(�j� EMAIL CONTRACTOR'S STAAT'EL^IC NUMBER LICENSE CLASSIFICATION VALUATION $ � � � L SO FT APPLICANT'S SIGN URE d"`J DATE ` r DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT AMOUNT OCASH OCHECKH OCREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT C CASH i)CHECKq O CREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER O YES ; NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 i Prescriptive Certificate of Compliance: Residential Reroof CF-1 R-ALT-Re Roof Project Address¢j � � Climaj'.e Zone I Permit# _ ROOFING PRODUCTS (COOL ROOFS) §151(f)12 When the area of exterior roof surface to be replaced exceeds 5045 of the existing roof area, or 1,000 it, whichever is less, the new roofing area must meet the roofing product "Cool Roof"requirements of§152(b)1Hi, 152(b)1Hii, or 152(b)iH18. 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 5Ab/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 City of Menifee 7e—In climate zones 10,12 and 13,with 1 ft2of free ventilation area of attic ventilation for every 150 fe of attic�ggrq`i*&r$Iafety Dept. 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 DEC 0 12014 ❑ Building has radiant barrier in the attic meeting the requirements of§151(f)2;or ❑ Building has no ducts in the attic;or �e❑ In climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic. Ce i Ve d Exception to §152(b)1Hiii, Low-slope roof(pitch 5 2:12) ❑ Building has no ducts in the attic. Other Exceptions ❑ Rooting 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 forroofing products in§I I S(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 < 5Ib/ft2 >_ 51b/ft2 Type' Reflectan'ce''d Emittance SRIS ❑ ❑ Cl ❑ ❑° ❑ ❑ ❑ ❑ ❑° 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 Roo(Rating Council's Raled Product Directory at er ao.coolroofs.croloroducts/search oho 2.Indicate the type of product is being used for the roof top,i.e.single-ply roof, asphalt root,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(0.2+0.7tto,,,,r—0.2)to obtain a calculated aged value. LVhera p is the Initial Solar Reflectance. .1, 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.,li w.eneray.ca.cov/titfe24/and enter the resulting value in the SRI Column above and attach acopy of the SRI-Worksheet to the CF-t R. 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-g t (or final inspection. Declaration Statement • I certify under penalty of perjury,under the lev>s of the Slate of California, the information provided an this form is accurate and complela • I certify that the energy features and performance specification- _ _ Ihis Ga Compliance conform to the requirements of Title 24, Parts I and 6 of the California Cood�e�offRRegulations, n /Sig C. (j•((1 Date:�2 (, C29 License 44 o017 zip: . Ph M2/2_0,,Z For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.