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PMT15-03063 City of Menifee Permit No.: PMT15-03063 29714 HAUN RD. Type: Residential Demolition -(;i�C:CF_I_/-. MENIFEE,CA 92586 6w�nzx SMlwxe MENIFEE Date Issued: 1 010 81201 5 PERMIT Site Address: 25651 SOLELL CIR, MENIFEE, CA 92585 Parcel Number: 329-380-030 Construction Cost: $4,310.00 Existing Use: Proposed Use: Description of DEMO SLAB FOUNDATION Work: TR 29495-7 LOT 13 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 ON Amount($1 Building Permit Issuance 1 27.00 1 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_SIdg_Perrnit_Template.rpt Page 1 of 1 City Of Men'ifee �LIC�-A�506}tl6CuL�RAs' t p .;..,_Y_ y,��,N ,� �_�_,�.t-�jjr ❑ fain exemptfrolrt lkbnsufe under the Cantraclors'State License Law for the hereby affirm under penalty or perjury' that I am licensed under provisions of following reason! Chapter (commencing with sedtion.7000)of Division 3 of the Buslness'and By my signature below I acknowledge that,except for my personal residence In Professlons,Gode d my license is In full force and effect. Sa`f"� which I must have resided for at least one year prior to completion bf l e� `9^�age itssh 1 Improvements covered by this permit;I cannot legally sell a structure that I have AN � e bull[as an owner-bulklIng if it has not been constructed In its entirely by licensed contractors. I understand that a copy of the applicable law,Section 7044 of the f1iUbR ERS'rGOMR r -`T)ONrDE".YifAR I N Business and Professions Code,Is available upon request when this application is submitted of at the following Web site: ❑ 1 hereby affirm under penalty of perjury one of the.following declarations: ngp:rrwww Ieginfo ca.govrcalaw.niml. I have and will malntaln a'certificate.of consent of self-Insure tar workers' compensation,Issued by the Director of Industrial Rdaafioris as provided for by Date Section 37-_ of the Labor Code, for the'performance of work for which this permit is issued. Property Owner orAuthdrized Agent Fy�dOW O:By My Signature below, I cerllly to,each of the following: I am the property � 1 have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owners behalf I have feed this /section 370D of the Labor Code,for the p6dormanco.of the work for which this OpPlicellon rend the Information I have provided is correct.]agree to comply Permit is Issued.My workers'compensation Insurance carder and policy number arel. with all applicable city and county ordinances and stale laws relating to building �__�^t�,�_,r�' -f' n 1 coltoruclioh.Iaulhonie rap,resentatives of this city or county to enter the above. ( 'a TfAPd algi-r. CJ rot -4-11s YZU Identlfled Properly fortis inspection purposes. tHel}e '� j �ZOI� Date Property OwnerorA(dhodzed Agent (This section need not be,completed if the permit Is for CIty.Business License 9one-hundred dollars(s10o)or less) O I certify that to the performance of the wgrk far Which this permit Is Issued,I HAZARDOUS MATERIAL DECLARATION shall pot arii6lo any persogs In any manner so.as to become subject to the Will the appliwntor future building occupant handle hazardous material or a Wolkers'compensation laws of California,and agree that if 1 should become mixtureconfaining a-hazardous material equal to or greater that the subfeot to the workers'compensation provisions of Section 3700 of the Labor amounts sp'ec'Ified on the Hazardous Materials Information Guide? Coda,I shall forthwith com ly with those provisions. _ ❑YES ❑NO l D, ke i �� � i>�201s Will the Intended use of the building by the applicant or future building _ odctlpant require a permit for the construction or modification from South WARNING: :ILURE TO SECURE WQ$KERSS 'Coast Alt Quality Management Dlstrlct(EcAOMD)?See permitting checklist COMPENSA ION OVERAGE IS UNLAWFUL, AND. SHALL -iorluidettne's SUBJECT ON EMPLOYER TO ,CRIMINAL. PENALTIES. AND DYES ONO CIVIL FIN UP TO ONE HUNDRED THOUSAND DOLLARS ($100.00 6 1N ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be Within 1000 feetof the outer .DAMAGES AS PROVIDED FOR IN SECTION 3706'OF THE boundary of&school? LAEOR toIIIE,INTEREST_AND ATTORNEYS.FEES' DYES ❑NO CONSTRUCTIDN.LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm that under{he penalty of perjury there Is a construction tending .permitOng'chocktist.I understand my requirements under the State of agency for the performance Of the work which this permit Is Issued(Section Callfomla Health&Safety Code,Section 25505 and25584 concerning 3097 Clvll Corte) h'azardousinatedal reporting. OWNER BUILDER DECLARATIONS DYES D NO I hereby aRrm under penally of,perjury that I am exampt from the Contractor's Date Licensestawforthereason(s)Indlcated below by the checkrnark(s)I ha"placed PROPERTY OWNER OR AUTHORIZED AGENT next'to the applicable item(s)(Section 7031.S. Business and Professions Code: Any city or county that requires a permit!t to construct alter,Improve,demolish, 'EPA.RENOVATION.REPAIR AND PAINTING(RRPI 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 The EBARenovefion,Repair and Painting(RRP)Rule requires contractors proAsigns of the Contractor's Slate License Law(Chapter9(commencing with receiving corilperisation for most work thatdis[urbs paint fn a pre=4978 Section 7000)of Division 3 of the Business and Professions Code)or that hei or residence:or chlldeare facility to be RRP-certified firms and comply with she le exempt from'licensure 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: wwwtepe,govIlead or contact the National Lead Information Center at ❑ I, as owner of the property, or my employees with wages as their sole 1.800-424-LEAD(5323). campansalion,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 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 theImprovements 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- Builder will 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 Slate License Law). If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION 56. Wenifee 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-NUMBEROF SQUARES DESCRIPTION OF WORK Demolish existing concrete slab for Lot NOt3 of Tract No.29495-7 PROJECTADDRESS Z��S I 1k L t Lil.-f Li'.Xj� c ASSESSOR'S PARCEL NUMBER .3�'(_-_3 /JQO—t..X�O LOT `� TRACT 61 L4 9 J 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? OYES[Z]NO 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 $ $4,310.00 SO 2155 L SQ FT APPLICANT'S SIGNATURE DATE 10/01/2015 CITYSTAFFUSEONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIPINVOICE X AMOUNT PAID AMOUNT U$ O CASH O CHECK# O CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISAIMC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Deportment 29714 Houn Rd. Menifee, CA92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 i 13 d�-1Ii TFT \C jA0. _10--7 IvJ.�. ;SBO/3<--36 n� I PIPILLOY _ _ COURT a i ` 9 A + F B 7 S SOLELL CIRCLE OINGPp _ ecc, milli ill; Ilie 6 rnirs -rir - -• 9E!�EdItYE�f'B�EaaHiCl�iiii � �,g/" ge�gggggg€PPPPtPiPPIPP'PP�P� s • Ef E a 9. i _ Jill ess:'si'sii�iilii i iiiiiii! z 6 Y o O a z =_aicaeisr'ii:ia N av -n H m Tm �s�aY ;9vsxE rsfi� s5ei mas z t8'"i Er eq s3C�bg a ,., � 'gs• 2 ��Eae� i€e�n 6 �• � v � a -as A" P 2 g fai� � v o c n s r YE'A am m 0 y i m $ �Fa sc s3 f n $ ro a t — i 5 R E 91 nZ rC 3i 5 tle V T mm Z 6