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PMT14-03183 i I City of Menifee Permit No.: PMT14-03183 { 29714 HAUN RD. �tX_CCE1_o k MENIFEE, CA 92586 Type: Residential Re-Roof MENIFEE Date Issued: 1 210 5/2 01 4 1 i PERMIT Site Address: 29725 PARK CITY AVE, MENIFEE, CA Parcel Number: 339-232-003 92584 Construction Cost: $600.00 Existing Use: Proposed Use: Description of REMOVE EXISTING SHINGLES, INSTALL 30YR COMP SHINGLES Work: Owner Contractor SALEEM ZMILY LEMPA ROOFING INC 29725 PARK CITY AVE 528 S HARRIS AVENUE MENIFEE, CA 92584 COMPTON, CA 90221 Applicant Phone: 3103650537 VIDAL PORTILLO License Number: 815269 LEMPA ROOFING INC 528 S HARRIS AVENUE COMPTON, CA 90221 Fee Description 0 ty. Amount($) B U M�3,Pr ill Iss4e ce 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_Bidg_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 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 License No. who builds or improves thereon, and who contracts for the projects with a Expires Signature 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 ❑ 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 permit is issued. improvements covered by this permit, I cannot legally sell a structure that I have 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:hftt)*//www.leginfo.ca.ciov/calaw.html. permit is issued.My worrkkers'compensatio(p insurance carrier and policy number are: Carrier,(- � Lr pa (Hj�i Property Owner or Authorized Agent Date Expiresd �/�Policy#��U Name of Agent Phone# ❑ By 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- 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 Property Owner or Authorized Agent Date Code, I shall forthwith comply with those provisions. C City Business License# Date; � Z � Applicant; L'r 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 ❑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 ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address ❑NO FROM THE SOUTH COAST AIR QUALITY MANAGEMENT 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 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 ❑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, SEC IONMAT 25505RIAL�tE5533 GD 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole 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, 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 ''l PERMIT/PLAN CHECK NUMBER TYP COMMERCIAL ;" RESIDENTIAL :> MULTI-FAMILY % MOBILE HOME PO L W4l Qf fRifee SUBTYPE: •:?ADDITION >ALTERATION :' DEMOLITION O ELECTRICAL i:% MECHANICAL ep O NEW O PLLUMBIINNG E-ROOF-NUMBER OF SQUARES DEC 0 5 2014 DESCRIPTION OF WORK C/YLC,(/ L� -�' -� ��/� V�f // 3v ke {� CC�GYI 9� PROIECTADDRESS 2c5— In` -P ASSESSOR'S PARCEL NUMBER -�'. -�� LOT TRACT OWNER NAME ADDRESS PHONE rr / EMAIL APPLICANT NAME 1, I ( LJ ADDRESS /!\� O ll}- I1(j rr 1' CQ/ ) ra C�,Z,2/ PHONE /C/1 J`��%�1`� EMAIL {� �� . .2 �(/[c NCl Chi U � 1 CONTRACTOR'S NAME V/ I t o OWNER BUILDER? YES NO BUSINESS NAME ADDRESS PHONE �/`'' � .�—��C� �- EMAIL CONTRACTOR'S STATE LIC NUMBER S� //\\ LICENSE CLASSIFICATION C VALUATION $ i6 [$ (, SO FT V 1 L SQ FT APPLICANT'S SIGNATURE DATE CITY STAFF,USE ONLY DEPARTMENT DISTRIBUTION CITY OE MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT AMOUNT CASH %'CHECK %CREDIT CARD VISA/MC PLAN CHECK:FEES PAID AMOUNT CASH �D CHECK N C%CREDIT CARD VISA/MC OWNER BUILDER VERIFIED 0 YES 11 NO DL NUMBER NOTARIZED LETTER i:i YES NO City of Menifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92586951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 Prescriptive Certificate of Compliance: Residential Reroof CF-11R-ALT-ReRoof Project Address: / U� I ClimateZone I Permit>: 10 -O ROOFING PRODUCTS (COOL ROOFS) §151(f)12 When the area of exterior roof surface to be replaced exceeds 5005 of the existingroof area, or 1,000 f ,whichever is less, the new roofing area must meet the roofing product "Cool Roof"requirements of§152(b)iHt, 152(b)iHii, or 152(b)1Hiii. 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 16 with a steep-sloped roofs(greater pitch than 2:12)and product weight less than 5Ablh2. Alternatives to §152(b)1Hi and §152(b)Hif, Steep-slope roof (pitch>2:/2) ❑ Insulation vrith a thermal resistance of at least 0.85 hr•ftZ•`flBtu 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 f,2of free ventilation area of attic ventilation for every 150 ft'of attic floor area,and City of Menife here at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or Building & Safety Wept. f Building has at least R-30 ceiling insulation;or El Building 0 5 201 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. e C e I Ve 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 exe_mpl 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 anyone of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Fmittance requirements for roofing products in§116(i)are not applicable. Do not till table below. Roof Slope Product Vleight Product Aged Solar Thermal C7RRC Product ID Numbers < 2:12 > 2,12 c 51b/f1' >_ 5l'o/ft' T ez Reflectance14 Fmittance SRIs 0 T —00 ❑ C3— ❑ �[S 7 ❑4 ❑ ❑ ❑ ❑ ❑4 Note:If 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 Councils Rated Product Directory at wvpw coolrools.ore/oroducls/s=arch oho 2.Indicate the type of product is being used for the roof lop,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 Reflectance value_from the same directory and use the equation (0.2,0.7(p,,,;,,,,-0.2)to obtain a calculated aged value. Where p is the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. - S. Calculate the SRI value by using the SRI- Worksheer at hho:/hvwnv.eneroY.ca.Goy/littered/and enter the resulting value in the SRI Column above and attach atop/of the SRI-Worksheet to the CF-IR. o apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness orcoverage recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(i)4. Select the applicable coating: ❑ Aluminum-Pigmenle_d Asphalt Roof Coating ❑ Cement-Based Roof Coating ❑ Other NOTE: When a Cool Roo(is required, the installing contractor shall complete and submit the CF-613-E14V-01 for final inspection. Declaration Statement • I certify under penalty of perjury,under the a%vs of the State of California, the information provi ed on th'- tort,is accurate and complete- • I certify that the energy features and performance specifications identified on this Cer5ficat�o(G mplianc conform to the requirements of Title 24.Pans 1 and 6 of the California Code_of Renulations. Name: !(D - I 1 O Signature'. r' 7 Company: G Address _�� SC! UTVI �� V 8� License City/SL?te/Zip: Phone 2/6 For assistance or 4esttons regarding the Energy Standards, con lacI the Energy Hotline al: 1-600-772-3300,