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PMT15-03056
City of Menifee Permit No.: PMT15-03056 29714 HAUN RD. �CCF_1..A7. MENIFEE, CA 92586 Type: Residential Demolition MENIFEE Date Issued: 1 010 812 01 5 PERMIT Site Address: 25632 SOLELL CIR, MENIFEE, CA 92585 Parcel Number: 329-380-023 Construction Cost: $4,310.00 Existing Use: Proposed Use: Description of DEMO SLAB FOUNDATION Work: TR 29495-7 LOT 6 Owner Contractor STRATA CVE, LLC MENDOZA GRADING&PAVING INC 4370 LA JOLLA DRIVE, STE 960 11259 JUNIPER AVENUE SAN DIEGO, CA 92122 FONTANA, CA 92337 Applicant Phone:9098220738 FH II, LLC License Number: 1002375 MENIFEE, CA Fee Description Oty Amount($) Building Permit Issuance — — --_._ _--_----. _-- - 1 — _ 27.00 Demolition Permit 1 140.00 GREEN FEE 1 1.00 j $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 "'-1C{IL NSE©rdECL R`7(TIO`N, ' +t ❑ I am exempt froth Ilcensure uptlAr the Contractors'State License Law forthe t"i.`G........ ..........� �"tea, p I hereby affirm under penally or perjury that 1 am licensed under probjslons of following reason: Chapter 9(commencing_With section 7000)of Division 3 of the Business.and By my slgiiature below I acknowledge that,except for my personal residence in Prof I.ps�Qode d my license Is In full force and effect which 1 must have resided for at least one year prior to completion of 14i�t 'ts a�fi 'rp�L+f�r ,,e ,( . S � Improvements coveted by this permit,I cannot legally sell.a structure that f have 4= pfr f,, •3( 1 =44019�fU _ built as an owner-building If It has not been constructed In its entirely by licensed contradws.I understand that a copy of the applicable law,Section 7044 of the n+ al, I iislness and Professions Code,Is available upon request when this application Is 1.jWbSRS'©a PEl05:T wD P 9 PP h _ -- submitted or at the following Web site: 13 I hereby affirm under penalty of perjury one of the,following declarations: httn•Uwww leofnfo ca.aovlcalaw.html. I haye and will maintain a certificate of consent of self-Insure Yor workers' pompensation;Issued by the Director of Industrial R@Yatloris as provided for by Date Sectlon.3700 of the Labor Code,for the'performance of Work for which this permit is Issued. Property Owner orAuthorhad Agent R.By my Signature below,I certify to:each of the following: I am the property �yl/ I have and will maintain workers' compensation Insurance, as required by owner or authorized to act on the property owner's behalf. I have read this �seLliort 3700.of the Lao or Code, for the performance.gf.the work for v t lch this apPllcatl I and IAe Information I have provided 'is codeot. I agree to comply pelmtt is Issued.My warkerW compensation Insurance carrier and policy number are,. with all applicable city and county ordinances and stale laws relating to building G � I �M� -F-Y1S . YtU coriethuckin.I authorize,mprespematives of this city or county to enter the above. (;16•a A,er ' I Ideintlilad!property for the Inspactlon purposes. P is 4 rlcr T�Z��S �i Li IZGI� Dale Prdpd*Owner drAulhodizedAgent (Thls section need not be.completed If the permit is for CItybusiness License# .one-hundred dollare($100)or less) ❑ Icedifythatlnthaperibrmanceofthaworkforvihlchihispermlt(sissued,l HAZARDOUS MATERIAL DECLARATION shall not a' 16' any persons In any manner so as to become sub got to.the WIII the applicant or building occupant handle hazardous material era workers'compensation laws of California,and agree that I(I should become mixture containing a hazardous material equal to or greater that the subject to the workers'compensation provisions of section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide? Code,I shall fodhwIt in with those provisions. _ Ol'LS ONO WIII the'lnteoded use of the building by the rapplicant or future building occupant require a pernril for the construction or modification from South 'WARNING: (LURE TO SECURE WORKERS' Coast Alr Quality Management District(SCAQMD)?See permitting checklist :COMPENSA ION - .OVERAGE IS UNLAWFUL, AND SHALL for guideline's SUBJECT AN EMPLOYER,TO CRIMINAL. PENALTIES.AND OYES ❑NO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($rion,00b),iN ADDITION TO THE COST OF COMPENSATION, Will the proposed building Drmodlfied facility be within 1000 feel.of the outer OAM' ES AS PROVIDED FOR IN SECTION 3706.OF THE boundary df a.school? LABOR CODE,INTEREST,,AND ATTORNEYS FEES OYES El NO CONSTRUCTIOKLENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD I hereti'yaffrm that under the penalty of perjury there Is 9 construction lending permitting checklist.I understand my requirements under the State of agency for the performance of the work which this permit Is issued(Sectlon Callforrila Health 8 Safety Code,Section 25g05 and25534 concerning 3097 Civil Code) - hazardous:iriatenafrepgrling. OWNER BUILDER DECLARATION OYES ❑NO S I hereby affirm under penalty ofpedury that I aim exempt from the Contractors - Date License Law for the reason(s)Indicated below by the checkinark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT next to the applicable Item(s)(Section 7031.5 Business and Professions Code: Any city or county that requires a permit to construct,alter, Improve,demolish, EPA RENOVATION.REPAIRAND PAINTING(RRP) 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 c6mp atlas,Repair and Painting(RRP)Rulespo requires contractors provisions of the Contractor's State License Law(Chapter 9(commencing with receiving urompensadon far most work lhatdislurhs paint In apre-1g78 Sectlon 7000)of Diviakm 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with she is-exempt from licensors 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 penalty of not more than($500).) - employees.For more information about EPA's Renovation Program visit: ❑ 1, as owner of the property, or my employees with wages as their sole www,apa.govllead or contact the National Lead Information Center at 1-800-42ZLEAD(5323). compensation,will do( )all of or( )porting of the work,and the structure is not intended or offered for sale:(Section 7044,Business and Professjons Code: The Contractor's State License_Law does not apply to an owner of a property O An EPA Lead-Safe Certified Renovator will be responsible for this project who, through employees'or.personal effort, builds or Improves the property, provided thatthe 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.wlll have the burden of proving that It Was not built or improved for the Firm Cedificafion No.: purpose of sale). ❑ 1, as owner of the property an exclusively contracting with licensed O No EPA Lead-Safe Codified 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 State License Law). If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE 10/01/2015 PERMIT/PLAN CHECK NUMBER TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑✓ DEMOLITION ❑ELECTRICAL ❑MECHANICAL []NEW [-]PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Demolish existing concrete slab for Lot No. 6ofTract No.29495-7 PROJECTADDRESS 2�J(03�- �SCleI � lAXCLU �f ASSESSOR'S PARCEL NUMBER -SCO' O -02-25 LOT TRACT Zq- `�S 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 tfucker@frontier-enterprises.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 11101/2015 APPLICANT'S SIGNATURE A. DATE TYSTAFFUSEONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN , SMIP X INVOICE AMOUNT � PAID AMOUNT �1 w tY O CASH O CHECK# O CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT OCASH OCHECK# 0CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6177 www.cityofinenifee.us Inspection Request Line 951-246-6213 �S a.'s.,YjjYa !I CRAr_� 1vJJ.S 3BJ/34.-30 . _PAPILIOY . _ COURT _—_— �— En (`1 I1 SOLELL CIRCLE __ i. �✓✓ �� l�f Uc"- I0. ?.J--I ll_.R 3�1✓E37 JO 9GpF BB B� g 5b i� 95.3$914r97e! ?ie71+;1+�91�Iil9`y9�ye 1,14 . 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