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PMT14-03231 City of Menifee Permit No.: PMT14-03231 29714 HAUN RD, MENIFEE, CA 92586 Type: Residential Re-Roof MENIFEE Date Issued: 1 210 812 01 4 PERMIT Site Address: 29514 AVIDA DR, MENIFEE, CA 92584 Parcel Number: 339-223-003 Construction Cost: $7,000.00 Existing Use: Proposed Use: Description of REMOVE EXISTING 1 LAYER REROOF WITH COMP SHINGLES Work: Owner Contractor GLENDA ARRELLANO LEONEL HOLGUIN - 29514 AVIDA DR 12149 INDIANA AVENUE#84 MENIFEE, CA 92584 RIVERSIDE, CA 92503 Applicant Phone: 7148650257 LEONEL HOLGUIN License Number: 993644 LEONEL HOLGUIN 12149 INDIANA AVENUE#84 RIVERSIDE, CA 92503 Fee Description O_yt Amount($) Inspections not specified 98 98.00 E `l3 $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,orwhere 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 �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-L—?el Ng, who builds or improves thereon, and who contracts for the projects with a ExlpiresRA/aySignature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION 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 I have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is Is" on 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:hh»ttp'//wwwIeginfo.ca.gov/caIaw.htfflI. permit is issued.My worke(rss''mmplensation insurance carrier and policy number are: 1 Carrier S'{��-2 `V'r / f� +f Property Owner or Authorized Agent Date Expires OCI 02 t H L1 Policy# 51 V IS -T �y 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 stale laws relating to building construction. I authorize repr ❑ inspection 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 perty for the ep'cm7 ion 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 rope/P rty Uwner or Huth rued Agent Date Code,I shall forthwith comply with those provisions. City Business License# Date; 12�� Applicant; WARNING: FAILURE O 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 ,.Q.IttO EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY '—\ SPECIFIED ON THE HAZARDOUS MATERIALS I hereby affirm that underthe 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 Lender's AddressO 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 OYES 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, kO 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 OYES 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 ,ENO 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 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 PERM IT/PLAN CHECK APPLICATION PMenifee DATE 2 D� PERMIT/PLAN CHECK NUMBER PNt 3a 3I TYPE: :) COMMERCIAL RESIDENTIAL 0 MULTI-FAMILY 0 MOBILE HOME O POOL/SPA L)SIGN SUBTYPE: <)ADDITION C)ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL 0 NEW O PLUMBING RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK c ollif &X/:s n PROJECTADDRESS ASSESSOR'S PARCEL NUMBER //' � LOT "J� TRACT �3 +5 OWNER NAME ADDRESS �/7 7 _ L / k6l:dC4 Jor PHONE 9'3'_0 CSC. EMAIL APPLICANT NAME ea Cl 11-0 / / y� ADDRESS /30 p/' 7 `Oro pp (. 92W 8L PHONE W I/- 06S- OZL5 � EMAIL JeO© ofo f Er�_ CONTRACTOR'S NAME eaA6 Ui OWNERBUILDER? :)YESX NO BUSINESS NAME 0 `- ,Q r ADDRESS �J� p 2/V l a OYIG Cfi 2-ep PHONE ��% -" 0�-S ` �Z��y / EMAIL oo- G'/ D 9, n e� p CONTRACTOR'S STATE LIC NUMBER !Z91,7 VL/ LICENSE CLASSIFICATION VALUATION SO,FT L SO FT APPLICANT'S SIGNATUR EOTYSTAFFUSEONLY DATE 'g DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I� SMIP INVOICE I�JO PAID AMOUNT AMOUNT C)CASH Ci CHECKN %CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT OfASH OCHECKH %CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES () NO DLNUMBER NOTARIZEDLETTER C) YES 0 NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line951-246-6213 -�,O Prescriptive Certificate of Compliance: Residential Reroof CF-1 R-ALT-ReRoof Project Address: r� r _ �+ �1 Climatie Zone P 0Y 10 11I I�� 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)iHi, 152(b)iHlf, 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 16 with a sleep-sloped roofs(greater pitch than 2:12)and product weight less than 5llb/fie. Alternatives to §152(b)1H1 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 ❑ In climate zones 10,12 and 13,with 1 ftZof free ventilation area of attic ventilation for even/ 150 ft"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(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)1 Hi it, Low-slope roof(pitch<_2:12) ❑ 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 251b/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§118(i)are not applicable. Oo not fill fable below. Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Number' <_ 2:12 >2:12 < 51b/ft2 > 51b/ft' Type2 Reflectance"' Emittance SRI5 ❑ ❑ El El Cl ❑ ❑ ❑ ❑4 Note:line 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 tnnv.coolroofs.oro/orodur_ts/search oho 2.indicate the type of product is being used for the rooftop,i.e.single-ply roof,asphalt roof,metal roof, NO. . 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(o2+0.7(p,,;r r-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. 5. Calculate the SRI value by using the SRI-Worksheet at htto.71,,r;ra.enerov.ca.00v/title24/and enter the resulting value in the SRI Column above and attach acopy 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 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-01 for final inspection. Declaration Statement • I cedi(y under penally of perjury,under the laws of the State_of California,the information provided on this form is accurate.and complete. • I certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24,Parts 1 and 6 of the California Code of Regulations, Name: Signature: 141RUr Company: We 19or Date: L Address: I l �`L n Licanse.�/��/���/�/, / City/State/Zip: /'Ofo it 0. A f�� ZC4�1 Z�J Phone T� / — C� SY— 0ZS-;z- Far assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.