PMT15-03058 City of Menifee Permit No.: PMT15-03058
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Demolition
MENIFEE Date Issued: 10/0812015
PERMIT
Site Address: 25608 SOLELL CIR, MENIFEE, CA 92585 Parcel Number: 329-380-025
Construction Cost: $4,310.00
Existing Use: Proposed Use:
Description of DEMO SLAB FOUNDATION
Work: TR 29495-7
LOT 8
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 ll,LLC License Number: 1002375
MENIFEE,CA
Fee Description gty. Amount fSl
Building Permit Issuance 1 ; 27:00
Demolition Permit 1 140.00
;GREEN FEE 1 1.00
$168.00
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing building operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA Bldg_Pemrit_Template.rpt Page 1 of 1
City Of Me,nifee
,7101 afq�wb 13 1 am exempt(Mlil ficbmurp under the Contractors'$laid License Law forlhe
I hereby affirm uncleir penalty Or perjury that I am licensed under pibvjsIons of following reason!
Chapter 9(commencing With section 7000)6flAvislon 3 of the Buithess'and By my signature below I acknowledge that,except for my personal residence In
pro gi set license Is and a which I must have resided for at least one. year Prior to completion of
Cl g1pps qQ MY Se
s 101 ImproVennents coveted 69 this permit., I cannot legally sell a structure that I have
0 S F20 W built as an-owner-building if It has not been constructed In its entirety by licensed
j
contractors.I Understand that a copy of the applicable law,Section 7044 of the
lnAs*and Professions a available upon request when this application is
submitted or at the following Web site:
...... s6s � � bode.I
13 1 46r@by affirm under pent of perjury one of the following declarations:
I have and Will malntsln a ce- lificeite.of consent of self-Insure for workers'
hROJA�vM.Ieqlhfo.omovlcalaw.himI
oDmpensatloni Issued h the Director of Industrial Rdatiorfso6 provided for by Data
Secttlor�3700 of the Labor bode,for the performance of Work for which this
permit Is Issued. P600arty Q*er orAuthorIzed Agent
E(pylmy Signature below,I oarilly to Aach of the following: I am the property
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
Xse tion 3700 of Code, 'the Work for.-which A 00 a
for the performance at his 011clation and the Information I have provided is ppriect..1 agre to comply
the Lall
parmttlsissued:mvwor�lialporhb.e6siiionlnsum66-ci!iiierind'policy number ere: with all applicable city and county ordinances and state laws relating to building
donsirucli6it.I alutioN.0 reIp.res.66tatives of this city or counlyto enter the above.
Identified property for the Inspection purposes.
Property OwnerdrAuthdrized A itent Date
(This section need ng—t 0e.compfeted If the permit Is for City Business License
.one-hundred dollars($10.0)or less)
D I certify that to the perfO rice of the work for which this this permit is is HAZARDOUS MATERIAL DECLARATION
shall hot armil any .1. "0 .. , .,sued.I
persons In any manner so as to become sub)ect to.the
W1111 the.applicant or future building occupant handle hazardous material or a
workers'compensation laws of California,and agree that Irl should become mixture containing a hazardous material equal to or otsatbr that the
subject to the workers'compensation provisions,of Section 3100 of the Labor aindunts;spre6l0ed On the Hazardous Materials Ifilbimallori Guide?
Code,14 6,11 forthwith coin with those provisions. DYES 0 No
eY
Will the Intended use of the building by the applicant or future building
occupant require Man nit for thetbr(structibn or modification from South
WARNING: ILURE TO SECURE WORKERS' Quality gement DIstd6t(SCAQMD)?See per
checklist
COMPENSA ION OWIRAGE IS UNLAWFUL, 'AND SHALL for g�ulclellnes
SUBAECT.A, .N EMPLOYER_I To 'OtIMNAL. PENALTIES-AND DYES 0 NO
CIVIL FINES TO ONE UNDRED THOUSAND DOLLARS
(tiqo,00b) ADDITION T THE COST.OF COMPENSATION, Will the Proposed building or modified facility beWIth1n 1000 festal the cuter
:DAMAGES AS PROVIDIED, FOR IN SECTION 3706:OF THE boundary of a,school?
LABOR CODE,INTIERIESTAND ATTORNEYS.FEES OYES DJN0
PONSTRUCTION.LENDINGAGeNCY I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm I I hot-underthe penalty of perjury there Is 9 construction lending permittling'checklist.I understand my requirements under the State of
agency for the performance of the WoA Whichthis pelmit is issued(Section California Health&Safety Code,Section 2,5405 oh:125534 concerning
3097 Civil Code) h#ardoUsinaterial usporling.
DYES D NO
OWNER BUILDER S Date
I.hareloy,offlim Under Penalty of peduqr that I am exempt from the Contractor's
License Law for the reason(s)indicated beloW by the chedkmark.(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT
next:to(he applicable Item(s)(Section 7031.r5.Business and 0iollesshims Code: . .
Any city or bounty that requires a.permit to Con.sinict.oteir.Imorciva.,demolish, EPA RENOVATION.REPAIR AND PAINTING(RRP)
or repair any'structure,prior to its Issuance, also requires the applicant for the
permit.to.Ifie a signed statement that he or she Is licensed pursuant to the The ERRRero'vallon,Repair and .a riling(RRP)Rd a requires contractors
Provisions of the Contractor's State Ucense Law(Chapter 9(commencing with racalving compensation for osfworx that disturbs paint Ina pre11978
Sech6n70.00)of Division 3 of the Business and Professions Code)or that hem residence or childcare fa.clilly to b.be R.P-cerfiffed firms and comply With
she is-exempt from Ilcensure 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:
wwwzbpa.govilead or contact the National Lead Information Cantor at
0 1, as owner of the property, or my employees with wages as their sole 1-800-42ZLEAD(6323).
compensation,will do all of or parting of the work,and the structure Is
not Intended or offered for sale:(Section 7044,Business and Professions Code:
The Contractor's State License Law does not apply to an owner of a property D An EPA Lead-Safe Certiffied 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.It,however. Certified Firm Name:
the building or Improvement Is sold Within one year of completion,the Owner-
Builider will have the burden of proving that It was not built or improved for the Firm Certification No.:
purpose of sale).
0 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 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 ruts please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
4�
Menifee
DATE 10/01/2015 PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION []ALTERATION [Z]DEMOLITION ❑ELECTRICAL ❑MECHANICAL
❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Demolish existing concrete slab for Lot No.0 of Tract No.29495-7
PROIECTADDRESS 2 O,,E7 yo teA ` ��iW —j
ASSESSOR'S PARCEL NUMBER�G LOT U TRACT 2� �G S I
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-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 S 2155 L SO FT
APPLICANT'S SIGNATUR — DATE 10/01/2015
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING E GREEN SMIP X
INVOICE
AMOUNT PAIDAMOUNT 1 „
�rG O CASH O CHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED O YES 0 NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-5213
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