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PMT15-03064 City of Menifee Permit No.: PMT15-03064 29714 HAUN RD. Type: Residential Demolition �CCFL—A> MENIFEE,CA 92586 MENIFEE Date Issued: 1 010 812 01 6 PERMIT Site Address: 25663 SOLELL CIR, MENIFEE,CA 92585 Parcel Number: 329-380-031 Construction Cost: $4,310.00 Existing Use: Proposed Use: Description of DEMO SLAB FOUNDATION Work: TR 29495-7 LOT 14 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 GO,yt Amount($1 .Bu —__---__—__�.. _ T — ilding Permit Issuance 1 27700 Demolition Permit 1 140.00 — ---- --- ---- GREEN FEE T 1 100 $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_PermiL Template.rpt Page 1 of 1 City Of Meniifee 'r7LIC NSEbab L, t 1fi"©N`' ',: ❑ Iam exempt from hc'ensureupderlho Contractors'State License Law for the hereby affirm under penalty or perjury that I am licensed under provisions of following reason Chapter 9(commencing with section 7000)of Division 3 of the Busingsa and 13y my signature below I acknowledge that,except for my personal residence In Professiphs ode d my license is In full forcete'nd effect. which 1 must have resided for at least one. year prior to completion of AMMO MA-91 L+rt� e`,t�l 5� � Improvements covered by this permiQ I cannot legally Sella structure that.I have glr� built as an ownerbullding if it has not been constructed In its entirety by licensed '"'- - con(reclora: I understand that a copy of the applicable law,Section 7044 of the t'GYb ER9;JGrtO � � +DLYi". 7- a�� Business and Prolessions Code Is available upon request when This application is lk• ' �--�- •-�' "" '-' -"^ submittM of at the following Web site' ❑ I hereby affirm under penalty of perjury one of the.following declarations: hhtgdrwivwlealnfo ca bov(calaw.hlml. I,have end will malnteln a certificate of consent of self-insure for workers' compensation;issued by the Director of Indushial ReYaibns as provided for by Date Secllori 3700 of the Labor Code,for the'performance of work for which this permit is Issued. - Property Owner orAUlgorized Agent P�d O:qy my Signature below, I certify to each of the fallowing: I am the properly I nave add will Maintain workers' compensation Insurance, as re by owner or authorized to act on the property owners behalf. I have read this use an 3700 of the Labor Code, for the performance of the work for which this s pollcatlon-apd the Information I have provided is correct I agree to comply permf Is fssit60:Myworkers`,compennsfatlon Insurance carrier and policy number are: with all applicable city and county ordinances and state laws relating to building coh'sku66.l authorize representatives of this city or county to enter the above, IdenOfed property for the Inspection purposes. Rn `� ��412L�ISp � n-1 i l I zalS� t•^^= � `I; PropartyQwneror Authorized Agent Date (This section need not be.completed If the permit Is for CIIy.Susiness License one-hundred dollars($100)or less) - 'HAZARDOUS MATERIAL DECLARATION ❑ I certify that In the performance of the work for Whldrthis permit is issued,l shall pot emo16' any persons in any manner so.as to become subject to,the Will the.applicant or future building occupant handle hazardous material or a Workers'compensation laws .1 balifomia,and agree that it I should become mixture Curtaining a hazardous material equal to or greater that the subject to the workers'compensation provslone of Section 3700 of iha L'aber amounts specified on the Hazardous'Materials Information Guide? Code,I shall forthwith corn with these provisions. DYES ❑NO 'yg tTM•o D. ., .�f �'�6 T� ?mow WIII tne'Intendeo use of the building by the applicant or future building occupant require a permit for the.construclion or modification from South WARNING: '[LURE TQ SECURE WORKERS' Coast Air Quality Management District MID)? permlifng checklist ,CQMPENSA ION OVERAGE IS UNLAWFUL, AND SHALL forgulgelnes SUBJEdT 11N EMPLOYER To .CRIMINAL. PENALTIES AND DYES 'QNO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($160 D06),5N ADDITION TO THE COST OF<COMPENSATION, WIII the proposed building or modified facility be within 1000 feet of the outer Dd.NIP.GES AS PROVIDED FOR IN SECTION 370613F'THE boundarydfa.school? LABOR CODE,INTEREST,;AND.ATTORNEYS FEES ❑YES ❑:NO CONSTRUGTION.LENDING AGENCY 1 Have read the Hazardous Material Information Guide and the SCAQMO I hereby affirm that under the penalty of perjury there Is a construction lending :permlfing'chackfsl.I understand my requirements under the Stale of agency for the.performance of the work which this permit Is issued(8ecgon California Health&Safety Code,Section 25405 and 25534 concerning 3097 civil Code) hazardous.mat_erlal reporting. OWNER BUILDER DECLARATIONS DYES ❑NO I hereby,affirm under penalty of,pedury that I am exempt from the Contractor's Date License.Law for the reasorl(s)Indicated below by the checkrnarkjs)I have placed PROPERTY OWNER OR AUTHORIZED AGENT next to the applicable Item(s)(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 The EPARisno'vstlon,Repair and Painting(RRP)Role requires contractors provisions of the Contractor's State License Law(Chapter 9(commencing with recelving compensation for most work that disturbs paint In a =197S Section 7000)of Division 3 of the Business and Professions Code)or that he or residence orchildcare facility to be RRP-certilted firms and compprely with she is. exempt from licensors and (he 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 EPNs Renovation Program visit: ❑ I, as owner of theproperty, or my employees with wa es as their sole www.epa,govjlead or contact the National Lead Information Center at 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 Contractor's State License.Lew 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 for sale.If,however, Certified Firm Name: the building or Improvement Is sold within one year of completion,the Owner- - Bul(der.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 11 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 cbntractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. x, r BUILDING • FETY PERMIT/PLAN CHECK APPLICATION _ - Menifee gal DATE 10/01/2015 PERMIT/PLAN CHECK NUMBER -CEDCAO LA TYPE: [-]COMMERCIAL ❑✓ RESIDENTIAL [-]MULTI-FAMILY ❑MOBILEHOME POOL/SPA ❑SIGN SUBTYPE: []ADDITION ❑ALTERATION ❑✓ DEMOLITION ❑ELECTRICAL [-]MECHANICAL ❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Demolish existing concrete slab for Lot ND.t4of Tract No.29495-7 PROJECTADDRESS �lO arcLL ASSESSOR'S PARCEL NUMBERS2-"--6. 3` 0703( LOT TRACT ZgyG 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 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 Q FT 2155 L SQ FT APPLICANT'SSIGNATURk DATE 10/01/2015 CITYSTAFFUSEONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING F G EEN SMIP INVOICE PAIDAMOUNT I W AMOUNT OCASH OCHECK# 0CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# 0CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER C YES O NO City of Menifee Building&Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-6 72-6 777 www.cityofinenifee.us Inspection Request line 951-246-6213 d4i I . PAPILLOY__. 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