PMT15-03062 City of Menifee Permit No.: PMT15-03062
29714 HAUN RD.
4W4 EL— MENIFEE, CA 92586 Type: Residential Demolition
G°,ASA", MENIFEE Date Issued: 1 010 812 01 5
PERMIT
Site Address: 25639 SOLELL CIR, MENIFEE, CA 92585 Parcel Number: 329-380-029
Construction Cost: $4,310.00
Existing Use: Proposed Use:
Description of DEMO SLAB FOUNDATION
Work: TR 29495-7
LOT 12
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 G3yt Amount f8l
Building Permit Issuance 1 27.00 j
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
0 1 am exempt from lbansupe under the Contractors'Stabi License Law fbi'the
I hereby affirm under penalty or perjury that I am licensed under provisions of following reason.
Chapter 9(commencing With section 70D0)of Division 3 at the Business and By my signature below I acknowledge that,except for my personal resldonce In
Pro-fe I license! full force grid 6floci which .1 must have resided for I at least one. year prior to completion of
Is q 9�2c—>LF16 Improvements coveted by this permit,I cannot legally si�la structure that I have
1k,,Is IM31; SN I�
1-4 H PIT _U,. (J NO as an owner-bulk1bg If it has not been constructed In its entirely by licensed
odritraclors. I Understand that a copy of the applicable law,Secdon 7044 of the
4, 64slnes;'5 and Professions Code,Is available upon request when this application is
submitted or at the following Web site:
'"[il hereby affirm under penalty. perjury pe one of the,following declarations:
I have and will maintain tain a cart.ffloate.6,f.consent of.self-insurg'for workers'
http;//Wv�wleoinfo.ca.ciovlcalaw.htmi
compensation;issued by the Director of Industrial Rdfatiorfsagprovided for by Date
Section 3700 of the Labor bode,for the performance of Work for which this
permit Is Issued. Property OWner crAuthartzgd Agent
By my Signature below,I qedify to:each all the following: I am the property
I have Arid will maintain workers' compensation Insurance, as required by owner or authorized to act an the property owners behalf. I have read this
.Compensation... application and the Informallon I have provided is xpriapt..1 a re to comply
>18(tion 3700 of the Labor Code,for the performance of the Work for,Wlikli We 9
permit is Issued.M,y workers'*cornpersa Ilan Insurance ca.riler and policy number are., with all applicable city and county ordinances and stale laws relating to building
r"Paislait-e-, digmtruckin.I authorize representatives of This city or county to enter the above-
d
Identified property for the Inspection purposes.
4 Date
mANq)(i:)Y Z(O—IS
Pf6oer.t.VowrierorAuthodzadAgent
(This section need net be,completed If the permit Is for
one-hundred dollars($100)or less) City Business License
Sj I that In a performance of the Work for .hich HAZARDOUS MATERIAL DECLARATION
Sjiaq - 'la. ' ' I
at an persons one to any manner so As to become subject (he
QJ"hil'compensation laws of Callfornl a.,and.agree that I I should become Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
subject to the workers!compensation provi.ilons of -action 3700 of the Labor amounts specified on the Hazardous Materials Information Guide?
Code,1061111 fodhwith Camly will h those provisions.
DYES El NO
T Glili Will the Intended use of the building by the applicant or future building
occupant require a permit for the construction or modification from South
WARNING: M SECURE WORKERS' Coast Air Quality Managernerl District(SCAqMD)?See permitting checklist
COMPENSA ION OVERAGE IS IUIINILA% IFUL, AND SHALL for guidelines
-SUBJECT i . d EMPLOYER, To d+RfMINAL P�NALTm AND DYES O.NO
CIVIL FINES
IN PTO E HUNDRED THOUSAND DOLLARS
(ti 6) IN ADDITION TO THE COST 0 F COMPENSATION I, Will the proposed building or modified facility be within 1000 feat-of the outer
.DAMAGES AS PROVIDED FOR IN SECTION 3706:OF:THE boundary of a.sctocil?
LA 0 DE,INTEREST,,ANDATTPIRNEY,FEES DYES 0 NO
CONSTRUCTIONLENDINGAGEmcy I have read the Hazardous Material InfoTmatfon Guide and the SCAQMD
I hereby affirm that under the penalty of perjury there Is a construction lending permittilh9cliockilst.I understand my requirements uhdef the State of
agency for I.he.performance of the iwork width this permit Is Issued(Section California Health&Safety Code,Section 25505 and 25534 concerning
aW Civil code) Kazarclousmaterial rdporlIng.
OWNER BUILDER DECLARATIONS DYES 0 NO
I hereby aff rm Under Penalty of perjury that I arm exempt from the Contractor's Date
Ucen,miaw for the reason(s)indicated below by the checkmark(s)I have 014bad PROPERTY OWNER OR AUTHORIZED AGENT
next to the applicable Item(s)(Section 7031.5. Business and Professlons Code:
Any city or county that nequlres a permit to ocinghci,aher,improve, demolish, 'EPA RENOVATION,REPAIRAND PAINTING(RRP
at 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 The EPA Ranovallon,Repair and Painting(RRP)Rule requires contractors
proVIslitiris o.f.the Contractor'sI 8 1 late License Law(Chapter 9(commencing with receiving compensation for most work that disturbs paint In a p`a'g7
Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certined firms and comply with
she Is exempt from ficensure and (he basis for the alleged exemption. Any required practices.This Includes rental properly owners and property
violation of Section 7.031.5 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 Informalloh about EPA's Renovation Program visit:
0 1, as owner of the property. or my employees with wages as their sole WWWi6pagovilead or contact the National Lead Information Center at
1-800-424-LEAD(6323).
bompensafldn,will do all of or porting of the work,and the structure Is
not Intended or offered for sale:(Section 7044,Business and Prcifessjon&Cade;
The Contractors State License,Law does hot 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-
Bdllder.wlll 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 13 No EPA Lead-Safe Certified Firm Is required for this project bemuse:
contractors to construct the project(Section 7044,Busindss and Professions
Code:The Contractor's License Law does not apply to an owner of a property
who bulldis or Improves thereon, and who contracts for the projects With a
licensed contractors)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-NUMBEE/ROFSQUARES
DESCRIPTION OF WORK Demolish existing concrete slab for Lot Noll-of Tract No.29495-7
PROJECT ADDRESS 6lJI.SL
ASSESSOR'S PARCEL NUMBER,!?)2 mil-SB(--)-QZG LOT TRACT •�^"` -( �I S /
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 ll, 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 SQ F 2155 L SO FT
APPLICANT'S SIGNATURE h, DATE 10/01/2015
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENITEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE G EEN SMIP x
INVOICE I I ,. '' ^^Q
AMOUNT I l.o PAID AMOUNT 1 W(J O CASH O CHECK p O CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH 0 CHECKN O CREDITCARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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