PMT15-03060 City of Menifee Permit No.: PMT15-03060
29714 HAUN RD.
CCEI /� MENIFEE, CA 92586 Type: Residential Demolition
...... s""" MENIFEE Date Issued: 1010812015
PERMIT
Site Address: 25615 SOLELL CIR, MENIFEE, CA 92585 Parcel Number: 329-380-027
Construction Cost: $4.310.00
Existing Use: Proposed Use:
Description of DEMO SLAB FOUNDATION
Work: TR 29495-7
LOT 10
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 gy Amount(S)
—_-__-T— —___._ _ _ _..._._..._--__—__._.._— --__.—
Building Permit Issuance 1 27.00 I
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 staled,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_Pennit_Template.rpt Page 1 of 1
�1 City Of Menfee
t T?LI NS �11f)6CIIFl PFilt11 ICI ❑ I a n exem 1 froth INenau under the Contractors!Slate License Lew foe the
1 hereby affirm under penalty or perjury that I am licensed under 0,rovislons of following reason:
Chapter 9(commencing with section 7000)of Division 3 of the Buslness and By my signature below I acknowledge that,except for my personal residence In
ProtessjQ s ode d my license is In full Yorce and effect. r which I must have resided for at IBaSC one year prior to completion of
r �A+wb`(oo`tls;;�tboa' G S� I!d Improvements covered by this permit,I cannot legally sell a structure that I have
"vJ g).r S ,3( gal ,�Igrfat�E�e "tj built as an owner-building if it has not been constructed In its entiretyby licensed
- contractors. I understand that a copy of the applicable law,Section 7044 of the
susfness and Professions Code,Is available upon request ehen this application is
ll''='�Y---v-�" —� - "�• submitted Drat the following Web site:
❑ 1 hereby effirm under penalty of perury one of the.following declarations: htto:l/www ledinfo.ca.govlcataw.hlml.
have end will rnentsln a cortlficate.61 consent of self-insure for workers'
compensation;Issued by the Director of Industrial Matlons as provided for by Date
Section 3700 of the Labor Code,for the Performanceof work for which this
permit Is Issued. Prdperty Owner orAuthorized Agent
P l 4 Ay my Signature below, I oedlfy to:each of the following: I am the property
�y,�y I have and will maintain workers'compensation Insurance, as required by owner or authodzed to act on the property owner's behalf. I have read this
XsebVon 3760.of the Labor Code, for the performance of the work(or which this appllcation and the Information I have provideo is correct I agree to compjy
parmil-is issue(I:Myv➢arkeW oompennfsation Insurance*carder and policy number are: with all applicable city and county ordinances and state laws relaflng to building
{ �tYl } t15 y construction.I authorize mpfesentatives of this city or county to sister the above-
jj Trl r, P �n'a r Identified property for the lnspectlon purposes.
Date
Prcpady OwnerorAulhorized Agent
(This section need not be.compleled If the permit Is for Cily Buslness License fF
-one-hundred dollars($1➢0)or less]
❑ I certify that In the performance of the work for vfifch this permit is Issued,I
HAZARDOUS MATERIAL DECLARATION
shall not emolov anyy persogS In any manner so es to become subject to the. Will iheapplioantorTuturebuilding occupant handle hazardous material ore
wofkers'compensation laws of California,and agree that if I should become Will the
econtaiant r future
build material equal to handle
ius the
mat
subject to the workers'compensation provisions of Section 3700 of the Labor Mixamounts specified on the Hazardous Materials Idronrialloh Guide?
Code,I shall forthwith com with those provisions.
_ OYi S i7 N0
A be ;;1 �•'�•¢.', „i�o �j3 �S Will the intended use of the building by the applicant or future building
,11 occupant requires permit for the construction or modification from South
'WARNING: ?LURE TO SECURE WORKERS' Coast Alt Quality Management District(SCAQMD)?See permitting checklist
.CQMPENSA ON OVERAGE IS UNLAWFUL, AND SHALL for guldellne's
SUBJECT AN EMPLOYER. ' ,CRIMINAL. PENALTIES AND AYES ❑NO
CIVIL FINES UP TO ONE HUNDRED,THOUSAND DOLLARS -
($70 O.Ob),IN ADDITION Tb THE COST&COMPENSATION, Will the proposed building or modified facility be within ig➢0 festof the outer
.DAI 0Ni4GES AS PROVIDED FOR' IN SECTION 3706'bFTHE boundary ofaschodl?
LABOR CODE,INTEREST,AND ATTORNEYS FEES" DYES ❑:NO
CONSTRUCTION.LENDING AGENCY I have read the Hazardous-Material Information Guide and the SCAQMD
I hereby affirm that under penalty of perjury there is a construction lending permitting'checklist.I understand my'requirements under the Stale of
agency for the performance of the work which this permit Is Issued(Section California Health&Safety Code,Section 25505 and 25534 concerning
3097 Civil Code) hazardous enstarlal reporting.
OWNERBUILOER DECLARATIONS DYES ❑NO
I hereby.affirrn under penalty of.perjury that I am exempt from the Contractor's Date
UcenseLaw for the resson(sj fndicaled below by the checkmark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT
next•to the applicable item(s)(Section 7031.5. Business and Professlons Code:.
Any city or county that requires a permit to construct,-atte Improve,demolish, EPA RENOVATION.REPAIR AND PAINTING(RRP)
or repair any "structure, prior to its lasuencer also requires the applicant for the
permit to flle a signed statement that he or she Is licensed pursuant to the. The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
provisic.ns of the Contractor's State License Law(Chapter9(commenting with receiving compensation for most work that disturbs paint In a pre.-1978
Section.7000)of Division 3 of the Buslness and Professlons Code)or that he or residence.or childcare facility to be RRP-certified firms and comply with
she Is exempt from ticensure 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:
www.spa.govpead or contact the National Lead Information Centar at
❑ 1, as owner of the property, or my employees with wages as their sole 1.800.424-LEAD(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 Code;
The Contractor's State License Law does not apply to an owner of a properly ❑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-
Bullderwill have the burden of proving that it was not built or Improved for the Firm Certification No.:
purpose of sale).
❑ I, as owner of the property an exclusively contracting with licensed ❑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 rule please fill out the RRP
Acknowledgement
BUILDING & SAFETY PERMIT/PLAN CHECK A. • •
4�y
Menifee
DATE 10/01/2015 PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME OPOOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑✓ DEMOLITION []ELECTRICAL ❑MECHANICAL
❑NEW ❑PLUMBING ❑RE-ROOF-NUMBEROOFSQUARES
DESCRIPTION OF WORK Demolish existing concrete slab for Lot No.I GfTract No.29495-7
PROJECT ADDRESS 2S� f S S(-Q- L LilrcU., n�, �7
ASSESSOR'S PARCEL NUMBER IS Q—O2� LOT t () TRACT 2PggS- !
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 SQ FT
APPLICANT'S SIGNATUR — -� DATE 10/01/2015
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE G N ( SMIP x'
INVOICE \ PAIDAMOUNT �AMOUNT OCASH OCHECK# OCREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/N1C
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 951-672-6777
www.cityofinenifee.Us Inspection Request Line 951-246-6213
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