PMT15-03055 City of Menifee Permit No.: PMT15-03055
29714 HAUN RD.
�CCEL/�k MENIFEE, CA 92586 Type: Residential Demolition
Gw�mnx 3:dMse MENIFEE Date Issued: 1 010 81201 5
PERMIT
Site Address: 25644 SOLELL CIR, MENIFEE, CA 92585 Parcel Number: 329-380-022
Construction Cost: $4,310.00
Existing Use: Proposed Use:
Description of DEMO SLAB FOUNDATION
Work: TR 29495-7
LOT 5
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 Ott Amount l8l
Building Permit Issuance 1 27.00
Demolition Permit 1 140.00
GREEN FEE 1 1.00
$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_Pemit_Template.rpt Page 1 of 1
City Of Menifee
13 1 am exempt from Ilobrisure under the Contractors'State License Law foe the
I hereby affirm under Penalty or perjury that I am licensed under Provisions of following reason.,
Chapter 9(commencing With section 7000)6f*0lvfsloTi 3 of the Buslhetssohd By my signature below I acknowledge that,except for my personal residence In
Prole'SIO A d d F license Is In full force end effect.M _9 which I must have resided for at least one. year prior to completion of
9,SAW I �J
g,.�rq ,* 9 g�QLK�l Improvements coveted 69 this permit I cannot Is at y J. structure t
g. 11 1 U f s6 a tru a that I have
,,r&
-2-D -7 built as an ownet-buildlng If It has not been constructed in its enfirety*by licensed
contractors, I Understand that a copy of the applicable law,Section 7044 of the
BuslRes.a and Professions Code,Is available upon request when this application is
submitted or at the following Web site:
0 1 hereby affirm under penalty of perjury one of the following declarations: hhb:/Ak,%�w.leafnfo.ca.gov/calawhtmi.
I have end. will maintain a certificate.of consent of I self-Insure, for workers'
compensation,issued by the Director of Industrial RdelOo—nsm proVIded for by Date
Secgort 3700 of the Labor bode, for the performance of Work for which this
permit Is Issued. Prdoefty Owner orAulhorized Agent
I EjRy my Signature below, I qedIfy to Aach of the following: I am the property
X 1,lave and will maintain workers' compensation Insurance, as roqUired by owner or authorized to act on the property owner's behalf. I have read this
,a got so'Ilea an Information J agree to comply
wh p it -ekrkd the Inform III n I have provided is Aorrect
370D of"the Labor Code, for the performance of the work for ich this
parmiltisissued:My workers'compensation Insui.rarce carrier and Policy number are: with all applicable city and county ordinances and state laws relating to building
corilsitud6n.I sulborize representatives of this city or county to enter the above-
9plog q
Identified property for the Inspection purposes.
Q - r 4 Data
y�ft o� g� Pecjoor.tyOwrierorAuthodiodAgent
(This-sequDn need mt 4e,comptehId If the permit Is for
one-hundred dollars($100)or less) City Business License 9
D 1 certify that In the performance of the Work for which this permit Is Issued,I HAZARDOUS MATERIAL DECLARATION
Shall not em I , art ,,iy Persons in any manner so as to become sub)erA 16 the
I . . .- ,Ifllhs ap,,,I'cant or future building occupant handle hazardous material or a
=ojrnpar sation laws of California,and agree that If I should becamemixture" siting a hazardous material equal to or greater that the
the workers'compensation provisions of Section 3100 of the Labor amounts specified 60 the Hazardous Materials Information Guide?
Code.I shall forthwith cam with those provisions.
DYES ONO
A,7pTl C)
- Will the'latbrided!use of the building by the applicant or future building
occupant requite a pLarinit for the.construct(on.of modification from 96ath
WARNING Li , 1; TO SECURE WORKERS,
Coast Aft Quality Management DIstd6t(SCAQMP)?Be91 permitting checklist
C_MPENS ION BE IS UNLAWFUL, AND SHALL for W141144 '
SU b.A.Edt IN EMPLOYER TO ,CRIMINAL. PONACTIjES AND
CIVIL FINES
INES UP TO I ONE HUNDRED.THOUSAND DOLLARS DYES O.NO
(S100,000), IN ADDITION TO THE COST OF COMPENSATIONi Will the proposed bulking or modified faciffly,be Within 1000 feet.of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE boundairy daschDOI?
LABOR CODE,INTEREST,.AND ATTORNEYS FEES 11YE6 ri'No
CONSTRUCTIOWLENDINGAGeNCY I have read the Hazardous Material Information Guide and the SCAQMD
I ho?e4y affirm that under the penalty of perjury there Is 9 construction lending petmittling'cliecklist.I understand my rejuirertients unddf the$laid of
agency for far the per6rnance of the*Work wfilch this permit(9 Issued(Section ballfdrrilb Health&Safety Code,Section 25405 and 25534 concerning
afil Civil Code) hazardotieffiabeflal rdpartinj.
OWNER BUILDER S DYES DNO
I hereby.affirm under penalty of perjury that I am exempt from the Contractor's Date
Ucense Law for the reasom(s)Indicated below by the chetlunairk(s)I have o'ielce PROPERTY OWNER OR AUTHORIZED AGENT
next to the epplicabld item(s)(Section 7031.5.Business and Professions Coda!
Any city or county that requires a permit to colnefinict,alter,lrnorb4a,demolish, EPA RENaynoN.REPAIR AND PAINTING IRRFJ
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 EPA Renovation,Repair and Painting(RRP)Rule requires contractors
"a"'
"cns of the Contractor's State License Law(Chapter 9(commencing with receiving compensation for most work that disturbs paint In a pre,-1978
Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRIP-certifled firms and comply with
She Is exempt from ficentrurs and (he basis for the alleged exemption. Any required practices.this Includes rental property owners and property
Violation of Section 7031.6 by any Applicant for a Permit subjects the applicant to managers who do the paint-disturbing work themselves or through their
a civil penalty of not more than($600).) employees.For More Information about EPXs Renovation Program visit:
www.'eloa.govilead or contact the National Lead Information Center at
❑ 1, as owner of the property, or my employees with wages as their sole 1-800-42ZLEAD(5323).
COMP=will deOdl tar
,)rlllalO01( )PDI.Ingofthb work,and the strppturels
not In offer Sle:1(Section 7044,Business and Professions Code;
The Contractors State License.Law does nol apply to an owner of a property D An EPA Lead-Safe Certified Renovator will be responsible for this project
who, through employees'or personal effort, bulks 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 v.Athin one year of completion,the Owner-
Budder.wIll have the burden of proving that It was not built or Improved for the Firm Certification No.:
purpose of sale).
13 1, as owner of the property an exclusively contracting with licensed D 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 Low 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 State License Law). If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK
Menifee
DATE 10/01/2015 PERMIT/PLAN CHECK NUMBER 6
TYPE: ]COMMERCIAL [a RESIDENTIAL []MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: [—]ADDITION ❑ALTERATION ❑✓ DEMOLITION ❑ELECTRICAL ❑MECHANICAL
❑NEW ❑PLUMBING ❑RE-ROOF-NUMBTEEROF SQUARES
DESCRIPTION OF WORK Demolish existing concrete slab for Lot No.�J of Tract No.29495-7
PROJECT ADDRESS z✓ "'[�2 I t_�l�t"Ci� C
ASSESSOR'S PARCEL NUMBER2V—q`—, 7�j C)'(0 ZZ LOT TRACT
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-enterpdses.com
CONTRACTOR'S NAME Mendoza Grading&Paving, Inc. OWNER BUILDER? ❑YES❑✓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 SO FT 2155 L SO FT
APPLICANT'S SIGNATURE DATE 10/01/2015
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE 1 PAID AMOUNT 1 w flCASH OCHECK# 0CREDIT CARD VISA/MC
AMOUNT tY
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECKa OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6717
www.cityofinenifee.us Inspection Request Line 951-246-6213
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