PMT18-05389 City of Menifee Permit No.: PMT18-05389
29714 HAUN RD. Type: Residential Re-Roof
MENIFEE, CA 92586
MENIFEE MENIFEE Date Issued: 11109/2018
PERMIT
Site Address: 27876 MURRIETA RD, MENIFEE, CA Parcel Number: 335-141-002
92586 Construction Cost: $9,000.00
Existing Use: Proposed Use:
Description of TEAR ALL EXISTING ROOFING LAYERS, INSTALL NEW COOL ROOF SHINGLES
Work: CRRC#0668-0117
Owner Contractor
MILDRED JOHNSON
27876 MURRIETA ROAD
MENIFEE, CA 92586
Applicant License Number:
MENIFEE, CA
Fee Description Q-t( Amount f$1
Building Permit Issuance 1 27.00
Inspections not specified 98 98.00
GREEN FEE 1 1.00
General Plan Maintenance Fee- Building 1 4.90
$130.90
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_Tem plate.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class License No.
By my signature below I acknowledge that,except for my personal residence
Expires Signature in which I must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
o I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for worker's 7044 of the Business and Professions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website:
by Section 3700 of the Labor Code,for the performance of work for which
www.leainfo.ca.aov/calaw.html.
this permit is issued.
Policy# Date
I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below I certify to each of the following:I am the property
this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
Carrier building construction.I authorize representatives of this city or county to
Policy# Expires enter�e abov dentifi roperty for inspection purpose
(This section need not to be completed is the permit is for one-hundred n Date ( .
dollars($100)or less
PROPER OWNER OR AUTHORIZED AGENT
❑I cerflfy that in the performance of the work for which this permit is issued,
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
Applicant Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS XYes ❑No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY o Yes kNo
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) ❑Yes A\No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the hazar us ma;$eal repo mg.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5q ❑No -(
Business and Professions Code).Any city or county that requires a permit to '
,- 'l/�� Date
construct,alter,improve,demolish or repair any structure,prior to its p OPER OWNER OR AUTHORIZED AGENT
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 EPA RENOVATION,REPAIR AND PAINTING(RRP)
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with
an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves or through their
❑I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.epa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Ar MENIFEE
DATE: PERMIT/PLAN CHECK NUMBER
PLANNING CASE NUMBER
TYPE: COMMERCIAL RESIDENTIAL MULTI-FAMILY MOBILE HOME POOL/SPA SIGN
SUBTYPE: ADDITION ALTERATION DEMOLITION ELECTRICAL MECHANICAL
NEW PLUMBING X RE-ROOF NUMBER OF SQUARES 1-
DESCRIPTION OF WORK g. MKCV, 7 it-t'q i3 Sl ry Nl>1L�5 ANA 14-rLPri lni:'►fti (gip oi.i 140s-'
PRO!ECT ADDRESS 20 '�712 SUN ZIP 4/_5 sb- --- —,-
ASSESSOR'S PARCEL NUMBER �y` �� LOT TRACT
OWNER NAME pity o nifee
5lA, Vil��►� 0-01-i N �oN / a in Dept.
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ADDRESS 7 9'74a 1" l Ale-r°V S(:'� Cll)".� �A - (12,5 5(r ZU��
PHONE C vl t' �7� EMAIL
APPLICANT NAME Myujwb ZLXA P";Cr j ived
ADDRESS �] 7 �F%i2�Z j!� SU►J �� '� 'r
PHONE EMAIL
CONTRACTOR'S NAME OWNER BUILDER-? --KYES NO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION'$ C( 06_ o j) SQ FT .�^�� L SQ"T
(/ zAPPLICANT'S SIGNATURE DATE
OTYSTAFFUSEONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: �7 CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE 1`'V
INVOICE TOTAL q0 GREEN 1 SMIP Ty
OWNER BUILDER VERIFIED YES `:::i NO DRIVERS LICENSE# NOTARIZED LETTER YES NO
City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
Gsr of
www.cityofinenifee.us
ENIFE
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS - REROOFING •
CEC-CF1 R-ALT-01-E(Revised 06/14) 1 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E REROOFING
Prescriptive Residential Alterations for Reroofing in Climate Zone 10 (page 1 of 2)
A. GENERAL INFORMATION
Site address: A,� Existing roofing type: SPN
`'�%(t lZrtT�4 Z i�• New roofing type:
City,Zip Code: MENIFEE, CA Total roof area(sgft): 4 r
Building Type: '?? Single Family Dwelling ❑ Multi Family Dwellings Total reroof area(soft): S
Climate Zone: 10 %reroof area: 100
r
C.ROOF REPLACEMENT(COOL ROOF)*
1 2 3 4 5 6 7 8 9 10 11 12 13
Method of Roof CRRC Product R-value Proposed Minimum Required
Compliance Pitch Exception Product ID Type Deck Initial Aged Thermal SRI Aged Thermal SRI
>2:12 number Insulation Solar Solar Emittance (Optional) Solar Emittance (Optional)
Reflectance Reflectance Reflectance
-I 0.20 0.75 16
0.20 0.75 16
NOTES
• Roof area covered by building integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied coatings must comply with installation criteria from section 110.8(i)4.
*ROOF REPLACEMENT(Prescriptive Alteration.Section 150.2(b)1H)
When 50%or more of the roof is being replaced the roofing requirements are triggered.Any areas of roof covered by building integrated photovoltaic panels and solar thermal panels(the area
of roof not covered by photovoltaic panels would still need to meet any applicable cool roof requirements).Additionally,there are many alternatives/exceptions when a cool roof is required.
When the roof is steep slope(pitch>2:12)the roof requirements include a cool roof in climate zones 10-15.The minimum requirement is 0.20 aged solar reflectance,0.75 thermal emittance,
or a minimum SRI of 16.When the roof is low slope(pitch<_2:12)cool roof is NOT required in climate zone 10.
Instructions for sections with column numbers are given below:
1. Method of Compliance:indicate if the method of compliance is going to be based on Aged Solar Reflectance and Thermal Emittance,the Solar Reflectance Index(SRI),or an Exception.
2. Roof Pitch:Expressed as 4:12,for example,which means the roof rises 4 foot within a span of 12 feet.When roofs have multiple pitches the requirements are based on the pitch of
50%or more of the roof.
3. Exception:If meeting one of the exceptions.Indicate which exception is,or will be,met.
EXCEPTIONS AND ALTERNATIVES FOR STEEP SLOPE ROOFS:
a) Mass roof 25 Ibs/ft2 or greater(uncommon situation such as sod roof);
b) Air space 1"from top of roof deck to bottom of roofing;
c) Roofing product has a profile ratio of rise to width of 1 to 5 for 50 percent or greater of the width of the roofing product;
d) Ducts already meet Section 150.1(c)insulation and duct leakage requirements;
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E REROOFING
Prescriptive Residential Alterations for erc i `n li. a'h Zone 1Q (page 2 of 2)
e) Roof has R-38 insulation;
f) Roof has a radiant barrier;
g) No ducts are installed in the attic;or
h) R-4 insulation above the roof deck.
NOTE:If one of the exceptions above has been selected than the rest of Section C is Not Required.
4. The CRRC Product ID Number is obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.org/products/results.Products are listed by manufacturer,
brand,type of installation,roofing material,and color,as well as product performance.
5. Product type:See Cool Roof Rating Council's directory.Generally product types include single-ply roof,wood shingles,asphalt roof,metal roof,and tile roof.
6. R-value Deck Insulation:If one of the exceptions selected includes adding roof deck insulation,indicate the R-value of insulation.
7. Proposed Initial Solar reflectance: base on the product chosen from the Cool Roof Rating Council's Rated Product Directory.If using default assumption indicate NA since the Aged solar
reflectance is available.
8. Proposed Aged Solar Reflectance:Value is from the Cool Roof Rating Council's Rated Product Directory.If the aged value is not available,calculate the calculated Aged Solar reflectance
using the Solar Reflectance Index(SRI)Calculation worksheet located on the California Energy Commission website or the aging equation paged=[0.2+Rlpinitial-0.2],where pinitiai=the
initial solar reflectance and soiling resistance R is listed by product type below.
VALUES OF SOILING RESISTANCE R BY PRODUCT TYPE
Product Type CRRC Product Category l3
Field-Applied Coating Field-Applied Coating 0.65
Other Not A Field-Applied Coating 0.70
9. Proposed Thermal Emittance:From the product specification default value.If using a'calculated SRI place the thermal emittance used to calculate SRI.
10. Proposed SRI:It is optional to meet either the SRI but if chosen to do so,use the Solar Reflectance Index(SRI)Calculation Worksheet found on the California Energy Commission
website http://www.energy.ca.gov/title24/.
11. Minimum Required Aged Solar Reflectance:Based on climate zone and roof slope.
12. Minimum Required Thermal Emittance:Based on climate zone and roof slope.
13. Minimum SRI:Based on climate zone and roof slope.
NOTE:If the cool roofing requirements will be met by a liquid field applied coating,Section:110.8(i)4 requires the coating be applied across the entire roof surface and meet the dry mil
thickness or coverage recommended by the manufacturer.
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
•1 certify that this Certificate of Compliance documentation is accurate and complete. 41
Name:G, V(c,r__ ❑Owner ❑Authorized agent ❑Contractor Signature:
Company: Contractor icense :
Address: g� U --t' Phone: q 5,j `7 q
City/State/Zip: SO Date: f
For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300.
Ci#y of M nifee
Limited Power of Attorney Building Dopt,
NOV 0 9 2018
Receive�
I authorize Greg Kover to act in my behalf in securing any permits and
materials and oversee any repairs to the property located at 27876
Murrieta Road, Sun City, California 92586.
This Limited Power of Attorney shall remain in force for the next 180
(one hundred and eighty) days or until all repairs are completed
whichever comes first.
Signature of Property Owner:
g p Y
Mildred L Johnson
Date:
Notary:
5/a3 ao��
Date: 4A5
NOW Eli
DRIVER'S LICENSE
osos�a oLNO.051001230 Doe 05/08/1949
CLASS C Exp 05/08/2025
MILDRED LOUISE
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CONYERS,GA 3009At724-�=
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