PMT14-03168 City of Menifee Permit No.: PMT14-03168
29714 HAUN RD. u
'�7�A> MENIFEE, CA 92586 Type: Residential Re-Roof 1
6o-m Awtxa
MENIFEE Date Issued: 12/03/2014
a
i
PERMIT
Site Address: 26790 ST ANDREWS DR, MENIFEE, CA Parcel Number: 337-381-001
92586
Construction Cost: $6,000.00
Existing Use: Proposed Use:
Description of TEAR OFF 1 LAYER REROOF WITH DIMENSIONAL ASPHALT SHINGLES
Work:
Owner Contractor
DENNIS FAHEY D C S ENTERPRISES
26790 ST ANDREWS DR 549 GRECO COURT SUITE B
MENIFEE;CA 92586 SAN JACINTO, CA 92582
Applicant C S SMITH ENTERPRISES Phone: 7602191928
D
D License Number: 963802
549 GRECO COURT SUITE B
SAN JACINTO, CA 92582
Fee Description
Amount I$)
GII I � �ua�c�b =Ply
$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_Permlt_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 affect. Code:The Contractor's License Law does not apply to an owner of a property
License Class � License No. who builds or improves thereon, and who contracts for the projects with a
Expires 2 [S Signature f;� IS licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
❑ I am exempt from licensors 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
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:hitp'//www.leginfo.ca.gov/-calaw.html.
permit is issued.My workers'compensation insurance carrier and policy number are:
`j'TA� cc>w Property Owner or Authorized Agent Date
Carrier � , �"'Lr-PJt�
Expires .ZZ/p 206 Policy# �1 0'-1 \Co Y� - of cl
❑ By my Signature below, I certify to each of the following: I am the property
Name of Agent Phone .3 3 z 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 a N�_
workers' compensation laws of California, and agree that if I should become _�/V� ( 1`'t
subject to the workers'compensation provisions of Section 3700 of the Labor 7roperty Owner or Authorized Agent Date
Code, I shall forthwith comply with those provisions.
l2 `5 (� q� � City Business License#
ie; Applicant; \J—'�
_ 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, AYES 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 I7TN0 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 AYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address /7190 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: sty �SctvCtil
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, ❑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 LicenseLaw (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 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 ($500).) CODE, SECTION 25505, 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPOR'f'ING.
compensation,will do ( )all of or( )porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code; tgj �p,t ty
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale. If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
I
i
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE Z - (1-j PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL # RESIDENTIAL 0 MULTI-FAMILY O MOBILE HOME 0 POOL/SPA O SIGN 1
SUBTYPE: "ADDITION O ALTERATION O DEMOLITION O ELECTRICALSh;(( O MECHANICAL
O NEW O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES `l
DESCRIPTION OF WORK `kKr4uV Alb ktSvZt00c-
PROJECTADDRESS 21$ Z 9v 3r hNa0 cwS Dk- NCNIFM!� Ck 92-566
ASSESSOR'S PARCELNUTMBER 33't-3?I-bpI LOT OL(00 TRACT -3(P4
OWNER NAME t MN(,5 ktiy-
ADDRESS -26 7 9 0 bT- AN-b fZ-"S 'bQ 0415W I pgt- C c
915-V
PHONE 95t 2-5-5-- GY33 EMAIL
APPLICANT NAME s N-v
ADDRESS 5,p eu;Z ce-v �
PHONE 76o -It9 1"L5t EMAIL 1�)CS
CONTRACTOR'S NAME b -N)I b I OWNER BUILDER? OYES/-NO
BUSINESS NAME S 6`Tf'T23( },M`bk-S
ADDRESS sLf9 &N�.CfC,C� CR-1 cSlto-r— pj
PHONE -76D ZIP i92 EMAIL �C-`J L6�VZC9�Ci� 1 lsM�1L�c.>u
CONTRACTOR'S STATE LIC NUMBER 96 3,00-L LICENSE CLASSIFICATION C-AwLS1z�
VALUATION$ ( �W i� Yn�° SO FT �/ e L SQ FT/I
APPLICANT'S SIGNATURE DATE 1Z-3- Iy
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN ( SMIP
INVOICE
T PAIDAMOUNT lo��
AMOUN " CASH 0CHECK#1 OCREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT ".CASH "CHECK# CI CREDITCARD VISA/MC
OWNER BUILDER VERIFIED YE$ NO DL NUMBER NOTARIZED LETTER 0, YES O NO
City of Menifee Building& Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
Prescriptive Certificate of Compliance: Residential Reroof CF-IR-ALT-ReRoof
Project Address: �� 790 � A-gD&W5 I Climate Zone I Permit D N,w
92-7N�Pof Menifee
Safety Dept.
ROOFING PRODUCTS (COOL ROOFS) §151(f)12
When the area of exterior roof surface to be replaced exceeds 5M of the exis 1 o r 1,000 f , whichever is less, the new
roofing area must meet the roofing product "Cool Roof"requirements of§152(b)iHt, 152(b)1Hii, or 152(b)iHiii.
Check applicable alternative or exception below if the roof alteration is exempt frQ�the(fTQdQ�ilry�qq poyQ t"Cool Roof'requirements::
(I"[ 4✓G 1 9/�i
❑ Cool roofs not required in Climates Zones 1-12, 14,and 10 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/Ib/ft2.
Alternatives to§152(b)1Hi and §I52(b)Hii, Steep-slope roof (pitch>2:12)
❑ Insulation with a thermal resistance of al 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
0' In climate zones 10, 12 and 13,with 1 ftzof free ventilation area of attic ventilation for every 150Ila of attic floor area,and
where at least 30 percent of the free ventilation area is within 2 feel 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(02;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 <_2:12)
❑ Building has no duels 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:It anyone of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittance requirements for roofing
products in§1 1 S(r)are not applicable. Do not fill table below.
Roof Slope Product Vleighl Product Aged Solar Thermal
CRRC Product ID Number' <_ 2:12 >2:12 < 5lb/ft >_ 5lb/ft' T pe Reflectance 31Emittance SRIs
❑ I Z VJ ❑ ❑;
❑ ❑ ❑ ❑ ❑y
Note:lf 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 Cool Roof Rating Council's Rated Product Directory at svmaxoolroo/s.oru/orodurr:rs==ch oho
2.Indicate the h/pe of product is being used for the rooftop,i.e.single ply roof,asphalt roof,metal roof, etc.
1 If the Aged Reflectance is not available in the Cool 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,,,;,—02)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- 4'/orksheet at htb:/ivi•,vn.enerov.ca uo•dtitt?23/and enter the resulting value in the SRI Column above and attach
a copy of the SRI-lVorksheer to the CF-I 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§1 18(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-01 for final inspection.
Declaration Statement
• I certi^/under penalty or perjury,under the leas of the State of California,the information provided on[his form is accurate and compl=_le.
• I certify Thal thee energy features and performance specifications identified or,this Certificate of Compliance conform to the requirements of Title 24. Pans
I and 6 of ilia California Code of Reoulalions.
•Jame. \ A i1C SMILTV Signature: `� e —Ar
Company �S C^tv5 5 pate. I--�_ -3 - 14
Add2>s: 9 G � License Q� �p��
Cityln2telZip: � �-t�� Phone.
Ck 2-%--e2 _ 7Go '219 t 9 2t
For assistance or queslions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.