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PMT15-03057 City of Menifee Permit No.: PMT15-03057 29714 HAUN RD. Type: Residential Demolition MENIFEE, CA 92586 Gwemxre S�Mxn MENIFEE Date Issued: 1 010 8/2 01 5 PERMIT Site Address: 25620 SOLELL CIR, MENIFEE, CA 92585 Parcel Number: 329-380-024 Construction Cost: $4,310.00 Existing Use: Proposed Use: Description of DEMO SLAB FOUNDATION Work: TR 29495-7 LOT 7 Owner Contractor MENDOZA GRADING&PAVING INC STRATA CVE, LLC 4370 LA JOLLA DRIVE, STE 960 ONT F JUNIPER AVENUE SAN DIEGO, CA 92122 ONTANA, CA 92337 Applicant Phone:9098220738 FH II, LLC License Number: 1002375 MENIFEE,CA Fee Description OQt Amount Building Permit Issuance 40.00 -------- - — 1 140.00 Demolition Permit ---------- - _ _ 1 1.00 GREEN FEE - --- $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 building operations being varied on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise slated,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. Page 1 of 1 AA_Blog Permit_Template.rpt City Of Merifee i fLIC€NS'E r 6}Cff?C IMa ., .;+ ❑ lain exempt frah111censuYe underlha Contractors'Slate License Lew for the I hereby affirm under penalty or perjury that I am licensed under provlslogs of following reason: Chapter 9(commencing.with sedtion 7000)of Division 3 of the Business and By my signature below I acknowledge that,except for my personal residence In P,rofessiyne,Gode d my license is In flilfforce and effect. which I must have resided for at least one year prior to completion of �� Llde Ise�i& C✓ ,,_,r,� 5(✓ I� Improvements covered ti this ermlF I cannot le al sell.e.structure that I have P Y .� P 9 ty d. fpjr 3( �( Lafii built as an owner-building if It has not been constructed In its entimly'by licensed '— contractors: I understand that a copy of the applicable law,Section 7044,of the {1K( ERSGO R 5 "R� t D hlA rON, Business and Professions Code Is available upon request when this applicallon is '°' " subml0ed of at the following Web site: 'O t he[etiy efiirm under penalty of perjury one of the.fallowing declarations: http9hviyiv leeinfo ca.aovlcalaw.hlmh I.have and will maintain a certificate.of consent of self-Insure for workers' comppensatlon,Issued by the Director of Industrial Motions as provided for by Date Sect 3700 of the Labor Code,for the performance of work for which this permit Is issued. Property Owner orAulhorized Agent P ) O,Autry Signature below, I certify to"oach of the following: I am the property XI 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 lion 3700 of the Labor Code, for the palformanoe of'the work for'w iich this apPlicatioh-and the Information I have proyfded is correct. I agree to comply permit Is Issued:My Wodcers'compeosa0on Insurance carder and policy number are: with all applicable city and county ordinances and stale laws relaling to building 1 con'stluc➢gh.I authorize reptesentativesof this city or county to enter the above- k +n5 �YtU idenllled.property for the Inspection purposes. 1' ( fo!�lZfo lS tP} f 5� ZolS� Date Prd(isrty OWnerdrAutiodzed Agent (This section need not be.completed b the permit is for Cily,Business License Ik .one-Hundred dollars j$100)or less) O I certify that In the performance of the work for which this permit(a issued,I 'HAZARDOUS MATERIAL DECLARATION shall e of 'o any persons in any manner so as to become subject to the Will this applicant or future building occupant handle hazardous material or a workers'compensation Iowa of California,,and agree that If I should become mixture containing a-hazardous material equal to or greater that the subject tothe workers'c.mpensation provisions of Section 3.700 of the Labor .amounts spedified on the Hazardous Materials Information Guide? Code, shell fodhwilh cram with those provisions. ❑YES ONO 4Z A�pttea Lf flr i �� i� ?O�S Will the intended use of the building by the applicant or future building occupant require a permit for the.Onstruction.or modification from South "A TO §EClJI2E .WORKERS' Coast Air Quality Management District(SCALIMD)7 See permitting checklist WARNING 'ILURE COMPENS ION OVERAGE IS UNLAWFUL, AND $HALL forguideline's 'SUBJECT AN EMPLOYER TO ,CRIMINAL. PENALTIES.AND DYES O.NO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($160,00b),JN ADDITION TO THE COST OF COMPENSATION, Will the proposed building ormadiled faolllty be within 1000 feelof the outer DAMAGES AS PROVIDED FOR IN SECTION 3706'OF THE boundary of a;scbool? 'LAEOR'CODE,INTEREST,AND.ATTORNEYS FEES DYES ONO CONSTRUCTION.LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD hereby that under the penalty of perjury there:is a construction lending .permitting'checklst.I understand my requirements under the Stale.of agency for Ina performance of the work which this permit Is issued ISeGion California Health d Safely Code,Section 25505 Ehd25534 concerning 3(97 Civil rode) ha?eidou4:meteilal repdrting. OWNER BUILDER DECLARATIONS OYES ❑NO I hereby affirm :under pans"Ity of perjury that I am exempt from the Contractor's Date Llcense.Law for the reasons)Indlcaled below by the chedkinark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT next to the applicable item(s)(Section 7031.5 Business and Professions Code; EPA REIN REPAIR AND PAINTING RRP Any city or county that requires a palmilt to construct,alter,Improve,demolish, (RRP) or repair any structure, prior to Its Issuance,also requires the applicant for the permit to lie a signed statement that he or she Is licensed pursuant to the The EPA-Reho.'vallon,Repair and Painting(RRP)Rule requires contractors provisions of the Contractor's State License Law(Chapter 9(commencing with receiving compensation for most work that disturbs paint in a pre.4978 Section 7000)of Division 3 of the Business and Professions Code)or that he or residence,or childcare facility to be RRP-oer illed firms and comply with she is eriempt from licensure and the 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($500).) employees.For more information about EPA's Renovation Program visit: ❑ I, as owner of theproperty, or to ein employees with wages as (heir sole www;eps.govllead or contact the National Lead Information Center at Y P Y 9 1-800-424LEAD(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 Professions dodo; The Contractor's State License.Law does not apply to an owner of a property ❑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- Builder will have the burden of 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 O 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 ctontractor(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 4.• Meniiee DATE 10/01/2015 PERMIT/PLAN CHECK NUMBER5- 1 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.--7of Tract No.29495-7 PROJECTADDRESS 2S-& ZC7 so(eM `jl C JLA-> C ASSESSOR'S PARCEL NUMBER jZ�-2J jO'C rj* LOT 7 TRACT �� J 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 DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING ffRE GREEN SMIP X INVOICE PAIDAMOUNT `� AMOUNT O CASH O CHECK# C CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# 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 92 586 951-6 72-6777 www.cityafinenifee.us Inspection Request Line 951-245-6213 _PAPILLOY__ _ COURT1- r sC) e b z 4 _� 1 � a � •� •� •. •� a F V .�i -l. V�L I IV vxx we SOLELL _--- CIRCLE 11 At�i II j. 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