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PMT15-03061 City of Menifee Permit No.: PMT15-03061 29714 HAUN RD. Type: Residential Demolition !K -. CCIE J_k> MENIFEE, CA 92586 6m'A smM . MENIFEE Date Issued: 1 010 812 01 5 PERMIT Site Address: 25627 SOLELL CIR, MENIFEE, CA 92585 Parcel Number: 329-380-028 Construction Cost: $4,310.00 Existing Use: Proposed Use: Description of DEMO SLAB FOUNDATION Work: TR 29495-7 LOT 11 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 —city. Amount(81 7 ding PermiF Issuance 1 27.00 Demolition Permit 1 140.00 GREEN FEE 1 -9-0 $168.00 The Issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing builiding operations being carded on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA_Bldg_Pennit_Tempiate.rpt Page 1 of 1 City Of Menifee ❑ 1 am exempt from Ikensute Uri at the Contractors'State License Lew forthe fallowing reason: I hereby affirm under penalty or perjury that I am licensed under provisions of Chapter 9(commencing_With section 7000)of Division 3 of the Business and By my signature below I acknowledge that,except for my personal residence In Pr'ofes* s. Ode d my license is In full force and effect. t1 which 1 must have resided for at Ideal ono year prior to completion of Improvemgnts covered by this penult,I cannot legally sell a structure that.I have ` . �' ' f "'F' built as on owner-bulldin If it has not been constructed In Its entire ti licensed'. '3( 7�t asY�!at4 g n y co'nlrectors: I Understand that a copy of me applicable law,Section 7044:of the Business and Professions'Code.Is available upon request when this application is submitted or at the following Web site'. ❑ f hereby effmrm under penalty,of perjury one of the,following deciaratlons: litto-Hwww leainfo.ca.aovlcalamintml. I have and will maintain a certificate of consent of self-Insure far workers' compensation;Issued by the Director of Industrial Relations as provided for Date Section 3700 of the Labor Code,for the'performance of work for which this permit Is Issued. Properly Owner orAuthorized Agent P ��r4a'� R$y my Signature below,1 cmilfy to;each of the following: I am the property �y.,�r I have add will maintain workers' compensation Insurance, as required by owner or authorized to act on the property owners behalf. I have read this �seDtion 3704 of me Labor Code,for the performance. of.'the work for which this application and the Information I have provided is correq. l agree to comply with all applicable city and county ordinances and state laws relaling to building permit is issueo.My,workers`,compensation Insurance carrier and polley number are: Y �-t— � 1 cohsirucGon.I autilodze representatives of this dtyor county toenterthe aoove- t`"a'7aT R +L COMFT r "nan'5 • Identified:property for the Inspection purposes. t�Xz, F '-5 (0�1 Zfo 15 { }@i,,.',I I �i� - Dale P(dperty ownerorAulhorized Agent (Thts sectign need not be completed If the permit Is for one-hundred doltars($t.tlg)or less) CIlgl3usinessticense#- 0 I certify that In the performance of the work for which this permit is Issued,I HAZARDOUS MATERIAL DECLARATION shall not Ern- 1 any persons in any manner so as to become subject to the Wffi the-applicanlor future.buiiding occupant handle hazardous matedel ora Workers'compensation Jews Of California,and agree that If I should become mixture containing a hazardous material equal to or greater that the subject to the workers'compensation provisions of Section 8700 of the Labor .amounts specified on the Hazardous Materials Irifotha0on Guide? Cade,I shall forthwith oom with those provisionss. ❑YES ONO laQ ca ra:a k WIII the'Intended use of the building by the applicant or future building occupant require a permit for the construction or modification from South WARNING: :ILURE TO SECURE WORKERS' Coaa1Ak Quality Management District(SCAQMD)R See permitting checklist .CQMPENSA ION OVERAGE IS UNLAWFUL, AND SHALL for guideline's SUBJECT AN EMPLOYER TO .CRIMINAL. PENALTIES AND DYES O.NO CIVIL PINES UP To ONE HUNDRED THOUSAND'DOLLARS ($106 o.00),7N ADDITION TO THE COST OF:COMPENSATION, Will the proposed building or-modified facility be within 1000 feet of the outer D*10A6ES As PROVIDED FOR IN SECTION 3706'OF'THE boundary ofa.sobool4 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 the penally of peq'ury there Is a construction lending permitting checklist.I understand my requirements uhdef the State of agency for the performance of the work which this permit Is issued(Section California Health 8 Safely Code,Section 25405 and 25534 concerning 3097 Clvll Code) hazardous:materal reporting. OWNER-BUILDER DECLARATIONS ❑YES ❑NO I hereby,affirm 'under penally of.perjury that I air exempt from ilia Contractor's Date License Law for the reason(s)indicated below by the checkmark(s)I have plated PROPERTY OWNER OR AUTHORIZED AGENT next to the applicable items)(Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct alter,Improve,demolish, EPA.RENOVATION.REPAIR AND 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 This EPA Renovation,.Repair and Painting(RRP)Rule requires contractors provisions of the Contractor's State License Law(Chapter 6(commencing with recaIVing compensation for most work that disturbs paint in a prept978 Section 7000)of Division 3 of the Business and Professions Code)or that he or residence.or childcare facility to be RRP-certified firms and complywlth she is. exempt from llcensure 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 tfian($500).) employees.For more information about EPA's Renovation Program visit: ❑ I, as owner of theproperty. or m din employees with wages as (heir sole www:epa.govAead or contact the National Lead Information Cantor at Y P Y 9 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 Corliractor'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 far sale.if,however, Certified Firm Name: the building or improvement is sold within one year of completion,the Owner- Boulder 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 contracting with licensed O No EPA Lead-Safe Certired Finn Is required for this project because: contractors to construct the project(Section 70441 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 Men ifee DATE 10/01/2015 PERMIT/PLAN CHECK NUMBER TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL [_]MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION []ALTERATION ❑✓ DEMOLITION ❑ELECTR.ICAL [-I MECHANICAL ❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Demolish existing concrete slab for Lot No. ( of Tract No.29495-7 PROJECTADDRESS c/ 1 ASSESSOR'S PARCEL NUMB ,�22 ER V�-.>"p�.i LOT l( TRACT (/CI LH S-7 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 SO FT 2155 L SO FT APPLICANT'S SIGNATURE DATE 10/01/2015 CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP x' INVOICE PAIDAMOUNT AMOUNT OCASH OCHECK q OCREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT OCASH OCHECK II OCREDITCARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building E Safety Deportment 29714 Houn Rd. Menifee, CA 92556 95 1-612-5 77 7 www.cityofinenifee.US Inspection Request Line 951-246-521 -=1 --- — �� �. PAPILLOP_ COURT _ 4 tv cl p�� •� -�_�__ SOLELL CIRCLE a V ljl Fipf op ` ®® ®- 6 taP>tat etoti - -s e #E_lii€� �Mi�3FA#iiisn�ega9e `o• ,a a IS173 MEN!g � ; lE€Ee@zE@&E�"eE;lEeE! Y Sieis z a Aeia::Al_ep A:its Tao• � � 3 o d w D C =°aAxR e. 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