PMT15-03051 City of Menifee Permit No.: PMT15-03051
29714 HAUN RD.
�CCF_LA_ MENIFEE, CA 92586 Type: Residential Demolition
Hw�AS;4" ' MENIFEE Date Issued: 1 010 812 01 5
PERMIT
Site Address: 25692 SOLELL CIR, MENIFEE, CA 92585 Parcel Number: 329-380-018
Construction Cost: $4,310.00
Existing Use: Proposed Use:
Description of DEMO SLAB FOUNDATION
Work: TR 29495-7
LOT 1
Owner Contractor
STRATA CVE, LLC MENDOZA GRADING& PAVING INC
4370 LA JOLLA DRIVE, STE 960 11259 JUNIPER AVENUE
SAN DIEGO, CA 92122 FONTANA, CA 92337
Applicant Phone:9098220738
FH II, LLC License Number: 1002375
MENIFEE, CA
Fee Description g,yt Amount 1El
Building Permit Issuance
Demolition Permit 1 140.00
GREEN FEE — — . 1 1�
$168.00
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA Bldg_Permit_Template.rpt Page 1 of 1
City Of-Merffee
tr-1203 M AR�ST�I(�td� t���; 0 1 biri exempt from ficiensure under the Contractors'Plate License Law foe the
I hereby afffrfn under penally or perjury that I am licensed under proVlstoris of following reason:
Chapter (commsheing.with sedtion 7000)of Division 3 of the Business"and By my signature below I acknowledge that,except for my personal residence In
Prafeeslan$go"de d my license is In full force and effect. t1/ which I must have reslded for at least one year prior to completion of
UrsI se'u Ile '=+L?Yv hsa w.. c S� `/� Im rovements covered b' this ermit, I cannot le all sell e,structure that I have
a Qr P Y P 9 y.
f built as an ownerbullding if it has not been constructed In its entirety by licensed
n+ -_ contractors. I Understand that a copy of the applicable law,Section?044 of the
tt tUObERS h z S:Tit7NiDHYIL•'A t 9usinessand Professions Code,Is available upon request when this application is
ll�ytv— -v--v' "-"` "-' submltte8 of at the following Web site:
0 I.hereby affirm under penalty of pedury one of the.folloving declarations: hho•6www.ledinfo ca.govfcalaw.html.
I have and will maintain a certificate.of consent of self-insure for workers'
compensation,Issued b9 the Director of Industrial Mailons as provided for by Date
Section;3700 of the Labor Code,for the performance of work for which this
permit Is Issued. Property Owner orAuUlorked Agent
Pa 0.By my Signature below, I cerilfy to Aach of the following: I am the properly
XowneI have and will maintain workers'cdmpenselian Insurance, as required by
r or authorized to act on the property owners behalf. I have read this
floh 3700 of the Labor po.'de,for the padomiance 0the work far which this application-and the Information I have provided is coned 1 agree to comply
permit is isssCsueedLd.,::My workewpompanTsetlon insurance-carder and polioy numberare: with all applicable city and county ordinances and state laws relating to building
'O" :S_.�t(.I'I'C �mQ censtruc➢oh.l authorize repiesenta6ves of this city or county to enter the above-
{';ap; r 5 11,, r '1 Y1LA Identified-properly for the Inspection purposes.
Dale
�- �--°• Pfoperty0wrierorAutM1oitzedAgenl
(Thls:section need Dgt tie,completed If the permit is for Cily Business-Ll'cense#
.one-hundred dollars($166)or less)
HAZARDOUS MATERIAL DECLARATION
0 I certify that In the performance of the Work for which This permit is issued,i '
shall not sinuloV an persons in any manner so ss to became subject lo.the Will the applicant or future building occupant handle hazardous materiel or a
workers'compansaton laws of California,,and agree that If I shculB become mixture containing a hazardous material equal to or greater that the
suhJec" the workers'compensation proisions.of 9ectton 3700 of tha Labor amounts specified on the Hazardous Materials Intonation Guide?
Cede,I shall t'o finu cam with those provtaion[s. _ Dyte ONO
isi L� i.J ?�(S WN iftwintended use of the building by the applicant or future building
ocedpanl require a permit for the construction of mots ficalion from South
'WARNING; :ILURE TO SECURE WORKERS' Coast Alf Quality Management District(SCAQMO)R See Permitting checklist
COMPENSA ION OVEkAGE IS UNLAWFUL, AND ,SHALL forg cigl1ne.a
SUBJECT AN EMPLOYER TO CRIMINAL. PENALTIES AND DYES .ONO
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
(iiab,0oill ADDITION TO THE COST.OF'COMPENSATION, WIII the proposed building ormodlfied facility he within 10100 feet of the outer
.DAMAGES AS P .OVIDED FOR IN SECTION 3746'OF THE boundaryof aschodl?
LABOR CODE,INTEREST,AND ATTORNEYS FEES ❑YES ❑,NO
CONSTRUCTIOWLENDING AGENCY I have readthe Hazardous Material Information Guide and the SCAQMD
I hereby affirm that under the penalty of perjury thereis a construction lending permitting-checklist.I understand my requirements under the State of
agency for fine,performance of the work which this permit is issued(Section Oellfonfla Health&Safety Code,Seaton 25505 and 25534 conceming
3097 Civil-Code) hazardous material Yeportlng.
OWNER BUILDER DECLARATIONS OYES ❑NO
I hereby affirm 'under penally of,perjury that I am exempt from the Cenlraclor's "
Date
License Law for the reason(s)Indicated below by the checkine.gs)I have placed PROPERTY OWNER OR AUTHORIZED AGENT
next to the applicable ftem(s)(Section 7031.5 Business and Professions Code:
Any city or county that requires a permit to construct,alter,improve,demolish, 'EPA-RENOVATION.REPAIR AND PAINTING(RRPI
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 The EPARenovagon,Repair and Painting(RRP)Rule requires contractors
provisions of the Contractor's Slate License Law(Chapter 9(commencing with receiving compensation for most work that disturbs paint in a pre-tfd7S
Section 7000)of Division 3 of the Business and Professions Caoe)or that he or residence.or childcare facility to be RRP-cerified arms and comply with
she is."exempt from llcensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their
a civil penally of not more than($500).) employees.For more information about EPA's Renovation Program visit:
www.'epa.gov/lead or contact the National Lead Information Center at
❑ I, as owner of the property, or my employees with wages as their sole 1.800-424-LEAD(6323).
compensation,will do( )all of or( )porting of the work,and the structure is
not Intended or offered for sale.(S'action 7044,Business and Professions Code;
The Contractor's State Ucensa Llaw does not apply to an owner of a properly ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
who, through employees' or personal effort,builds or Improves the property,
provided that the improvements are not Intended or offered for sale.If,however, Certified Firm Name:
the building or Improvement Is sold within one year of completion,the Owner-
Bullder.will have the burden or proving That It was not built or Improved for the Firm Certification No.:
purpose of sale).
❑ 1, as owner of the property an exclusively contacting with licensed 0 No EPA Lead-Safe Certified Firm is required for this project because:
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's License Law does not apply to an owner of a property
who builds or improves thereon, and who contracts for the projects with a
licensed contractor(s)pursuant to the Contractors Stale License Law). If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
4�
Menifee
DATE 1010112015 PERMIT/PLAN CHECK NUMBER 5
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION []ALTERATION ❑✓ DEMOLITION []ELECTRICAL [:]MECHANICAL
[-]NEW ❑PLUMBING ❑RE-ROOF-NUMBEROFSCIUARES
DESCRIPTION OF WORK Demolish existing concrete slab for Lot No. I of Tract No.29495-7
PROJECTADDRESS 256 12- 1`��leII OA I .l
ASSESSOR'S PARCEL NUMBER 1570—Z 0--0( 'b LOT TRACT 17Cl q
PROPERTY OWNER'S NAME STRATA CVE, LLC; Strata Equity Group, Inc.
ADDRESS 4370 La Jolla Drive,Suite 960,San Diego, CA 92122
PHONE EMAIL
APPLICANT NAME FH II, LLC
ADDRESS 8300 Utica Ave,Ste 300, Rancho Cucamonga,CA 91730
PHONE (909)354-8000 EMAIL ttucker@frontier-enterpOses.com
CONTRACTOR'S NAME Mendoza Grading&Paving, Inc. OWNER BUILDER? ❑YES❑d NO
BUSINESS NAME Mendoza Grading&Paving, Inc.
ADDRESS 11259 Juniper Avenue, Fontana,CA 92337
PHONE (909)822-0738 EMAIL everett@mendozapaving.com
CONTRACTOR'S STATE LIC NUMBER 1002375 LICENSE CLASSIFICATION C-12
VALUATION$ $4.310.00 (SOO,'FT 2155 L SO FT
AICANT'S SIGNATURE Q, °` 11 DATE
PPL 10/01/2015
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP K
INVOICE /�yy�� PAIDAMOUNT
AMOUNT CZ -co CAS OCHECK# OCREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES 0 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
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