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
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