PMT15-03059 City of Menifee Permit No.: PMT15-03059
29714 HAUN RD.
�CCEL/�1 MENIFEE, CA 92586 Type: Residential Demolition
MENIFEE Date Issued: 1 010 8/2 01 5
PERMIT
Site Address: 25603 SOLELL CIR, MENIFEE, CA 92585 Parcel Number: 329-380-026
Construction Cost: $4,310.00
Existing Use: Proposed Use:
Description of DEMO SLAB FOUNDATION
Work: TR 29495-7
LOT 9
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 Oft Amount f8l
--__T
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—Permit—Template.rpt Page 1 of 1
City Of Menifee
g_�wq �F p I bin exempt from llcensure under the Coritraclars!Staid License Law foe the
following reason:
I hereby affirm under penalty or perjury that I am licensed under povisipria of
-Chapter 9(commencing,with sedflor,7090)of Division 3 of the Business And By my signature below I acknowledge that,except for my personal residence In
Par.0fel Q lic
ense I q" an,!1 my cense Is In full force and effect. WhIch .1 must have resided for at least one. year prior to completion of
Wipirovemerds covered by this permit,I cannot legally sell a structure that I have
d d
bulk as anowner-bulldlog Nit has not been constructed in its entire ty by licensed
_I�A ad
contractors. I understand that 6 copy of the applicable law,Section 7944 of the
04" b &Aa Code,Is available upon request when this application is
1. . "I'l Business and Professions
submitted or atiho following Web slid'.
13 1 h0reby affirm under penalty, of perjury one of the,following declarations:
I have end,will maintain a certificate:of consent of'self-Insurefor workers' hUt),/A��.locilnfo.ca.aovtcalaw.htmi.
compensation,Issued by the bilrechar of Industrial RdTations as provided for by Date
Section 3700 of the Labor bode,for the performance of Work for which this
permit Is Issued. PrbOP4 owner orAuthorIzed Agent
d.By my Signature below, I codify to each of the following: I am the properly
XI have and will maintain workers' compensation Insurance, as reqUired by owner or authorized to act on the properly owner's behalf. 1 have read this
se da I. Labor Cad application and Information I have pro ad is A90eqL.I agree to comply
n 3700 of the a, for the performaRce.of the%ptlk W.Which 'is rvJd
permit is Issued,My workeWcampensatIon insurance carrier. end I policy number are:. with all applicable city and county ordinances and state laws relating to building
dofiistrutlidin.I authorize representatives of this city or county to enter the above-
Identified property(or the Inspection purposes.
rgf4Z(0- Property OwderdrAuIhoflzedAgent Date
n�
(Thsaaction need r-ol be.corn0feted If the permit Is for City Busbuss s License 0
.one-hundred dollars($1110)or less)
0 1 certify that 10 the performance of the work for which this permit Is Issued,( ?HAZARDOUS MATERIAL DECLARATIONshall of din',plo, a I ny persons In any manner do as to become!subject to a Will the applicantor future building occupant handle hazardous material ora
mixture containing alhazardous material equal to or greater that the
subject to the Worke compensation provisions of Section 31013 of the Labor amounts specified on the Hazardous Materials Information Guide?
}Coda,I s a'1111 forthwith in , with those provisions. Elyts El NO
AWRI-01Z, Will the'Intended use of the building by thei applicant or fultre building
occu"pant require h permit for thebsnstructioR or modification from South
WARNING: -ILURE TO SECURE WORKERS' Coastgir Quality Mauitidement District(SCAqMp)?See immiding checklist
COMPENS OR OVERAGE Ip UNLAWFUL AND SHALL for gqljqllnes
SUBJECT AN E .PL,,YE TO ,ORIIIWINAL. PENALTIESAND DYES 0 NO
CIVIL FINES UP TO QNE HUNDRED.TfH[bUSAND DOLLARS
($100,006);JN ADDITION TO THE COST..OF'COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the outer
,DAMAGES As PROVIDED FOR IN SECTION 3706:6FTHEE boundary df af.sci*611
LABOR'CODE,INTEREST,,AND;qTORNEYS`Plitt' I❑-]YES 11NO
CONSTRUCIrION,LENDING AGENCY I have read-the Hazardous Material Information Guide and the SCAQMD
I hereby affirm that under the he penalty of perjury therals a construction lending permitting,checklIst.I understand my requirements unddf the State of
a . . I t performance of the work which We permit Is i (Section .California Health&Safety Code,Section 25405 and 25534 concerning
ggency for the issued a 7 C vIl Cade) reporting.
OWNER BUILDER DECLARATIONS DYES 0 NO
I hereby.Am under penalty of perjury that I am exempt from[he Contractor's Date
License.Law for the reasons)Indicated below by the chedkina.4s)I have plated PROPERTY OWNER OR AUTHORIZED AGENT
next to the applicabld item(s)(Saictlon 7031.6. Business and Professions Code:
Any city or county that hetiulres a pEfrrfill to consllruct,altei lrrpirovi,demplidit, EPA RENOVATION.REPAIR AND PAINTING(RRPI
or repair any structure, prior to its Issuance,asi.6 requires the applicant for the
permit to file a signedstatement that he or she Is licensed pursuant to the The EPARemovallan,Repair and PaintirIg(RRP)Rule requires contractors
provisions. of.the.Contractor's State License Law(Chapter 6(commencing with receIVI-ng compensation for most work.that disturbs paint In a preml 978
Beckon7Q(10)of Division 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 '.censure and (he basis for the alleged exemption. Any required practices.this Inch]des 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:
www.epa.govilead or contact the National Lead Information Center at
0 1, as owner of the property, or my employees with wages as Their Sole 1-800-424-LEAD(6323).
compensation, do( )all of or I )porting of the Work,and the structure Is
not I offered for sale.(Section 7044,Business and Piofessjon6 Code;
The Contractor's State Umma Law does not 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, 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-
BuIlderwIll have the burden of proving that It was not built or improved for the Firm Certification No.:
purpose of sale).
0 Ij as owner of the property an exclusively contracting with licensed D No EPA Lead-Safe Certified Firm Is required for this project bemuse:
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 contract's 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
SAFETYBUILDING & • 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.9 of Tract No.29495-7
PROJECT ADDRESS 2SG03 22 1,e [ l /t-_rZA.R� �j(� �A —7
ASSESSOR'S PARCEL NUMBER3ZC1`J�O`O2Y/ LOT TRACT' ` -I S— f
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
,1
APPLICANT'S SIGNATURE �\ ' t DATE 10/01/2015
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIF EE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE EEN 1� SMIP x
INVOICE PAIDAMOUNT 1 w
AMOUNT Vl O CASH O CHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building& Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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