PMT15-03065 City of Menifee Permit No.: PMT15-03065
29714 HAUN RD.
/��CCELA—. MENIFEE,CA 92586 Type: Residential Demolition
MENIFEE Date Issued: 10/08/2015
PERMIT
Site Address: 25675 SOLELL CIR, MENIFEE, CA 92585 Parcel Number: 329-380-032
Construction Cost: $4,310.00
Existing Use: Proposed Use:
Description of DEMO SLAB FOUNDATION
Work: TR 29495-7
LOT 15
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 �t( Amount 1$1
Bing Permit Issuance 1 27.0
ulld 0
Demolition Permit 1 140.OD
GREEN FEE 1 1.00
$168.00
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee. Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire, and fees paid shall be
forfeited.
AA_Bldg Pemit_Template.rpt Page 1 of 1
City Of Menifee
t' , s ILfiNS bSU nRHil( 'tJ'=i :jl O 1 ant exempt from Ilcensute under the Contractors'$late License Law for the
I 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 Business'and By my signature below I acknowledge that,except for my personal residence in
Pre(esSsl,��p`s'` ode d rtiy license is In full;ferco and effect ry f which I must have resided for at least one year prior to completion of
�I [. Improvements covered by this permit;I cannot legally.sell a structure that I have
F7 p)� t '3( jjrrafll �' built as an owner•bulldlog If It has not been constructed In its enthety'by licensed
contractors.I understand.that a copy of the applicable law,Section 7044 of the
Business and Professions Code,ls available upon request when this application is
l•1� ,�-� -�• "`'Lai—
submitted or at the following Web site'.
'0 1 hereby affirm under penalty of perjury one of the,following declarations: htto•//www.leolnfo ca oov/calaw.html,
Lhave and will maintain a certificate of consent of selfinsure Sor workers'
compensation;Issued by the birector of Indusbiat Relations as provided for by Date
.Section;3700 of the Labor Code,for the'Performance of work for which this
permit is Issued. - Property Owner crAutharized Agent
R By my Signature below, I certify to each of the following: I am the property
�J`,(J � I have and will maintain workers'Compensation Insurance, as regalred by owner or authorized to act on the property owner's behalf. I have read this
Xsec0on 3700 of the Labor Code, for the performance.Of.the work for Which this apPllcatich and the Information I have provided is correct. I agree b comply
petrmll is isssuted:MyWorkie1rrs�s`compe—nssation Insurance carrier and policy number are: with all applicable city and oounly ordinances and stale laws relating to building
cob'sli i&n.I auNorizo representatives of this city or county to enter the above.
(� ,1 1 I ,, P YtfG'I tdenliged-property for the Inspection purposes.
P Itt`s S i 1 Y[O Tl 210 I1S K. ��I "t 2 Dille
� — L ..r-m• I — i%odrry Owner or Authorized Agent
(This:section need riot be..cpmpleted 9 the permit is for CIIy.Business License iF
.one-hundred dollars($100)or less)
❑ 1 eertifythat In the perfpmmance of the work for Which this,permit Is issued,I HAZARDOUS MATERIAL DECLARATION.
SW not emolov any parsons In any manner so as to become sutijeel to the Will the applicant or'future building occupant handle hazardous material or
wofkers'campensa on laves-of California,and agree that If 1 should become mixture containing a hazardous material equal to or greater that the
subject to the workers'compensation provisions of Section Vito of the Labor amounts speclfietl on the Hazardous Materials Information Guide?
Code,I she`ll forthwith com with those provisions.
QY�S ONO
.t1 .
U�2�[� Will the Intended use of the building by the applicant or fuWPe building
occupant require a'permit for the.cunstructionor modification from South
'WARNIN'G; _ _ILURE TO SECURE WORKERS' Coast Air Ousilly Management District(SCAQMD)?See permitting checklist
COMPE.NSA.ION OVERAGE I. UNLAWFUL, AND SHALL for guideline's
SUBJECT AN EMPLOYER' TO, CRIMINAL. PENALTIES. AND ❑YES ❑NO
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,Q0b),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 3706:0F'THE boundary of escbo6l7
LABOR CODE,INTEREST,.AND A_TTORN.EYiS FEES OYES 0 NO
CONSTRUCTION.LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD
hereby affirm that underthe penalty of perjury there Is a construction lending permitting checklist.1 understand my requirements uhdef the State.of
agency for the performance of the work which this permit Is issued(Section California Health&Safety Code,Section 25505 and 25534 concerning
3097 Civil Code) hazarclous:matedal reporting.
OWNER-BUILDER DECLARATIONS OYES q NO
I hereby.affum under penalty of,perjury that I am ekempt from the Contractor's Date
License:Law for the reasons)indicated below by thecheckinark(s)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 parmlt to cons6d,alter Improve, demolish, EPA.RENOVATION,REPAIRAND PAINTING(RRP)
or repair any shuclure;prior to its issuance;also requlres the applicant for the
permit to file a signed stalement that he or she Is licensed pursuant to the The EPA Renovation,Repair and Painting(RRP)We requires contractors
provisions of the Contractor's State License Law(Chapter 9(commencing with receming compensation for most work that disturbs paint Ina preA978
Section 7000)of Divialon S of the Business and Professions Code)or that he or residence orchildcare facility,to be RRP-certifled firms and comply with
she is 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:
www.spa.gov/lead or contact the National Lead Information Center at
❑ I, as owner of the property, or my ahiployees with wages as their sole 1.800424-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 Contractors 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-
Builder.wlll 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 ❑No EPA Lead-Safe Cer ifred Firm Is required for this project because:
contractors to construct the project(Section 7044,Business and Professions
Code:Tha 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.
SAFETY • APPLICATION
4I'y
onk"llMee
DATE 1 0101/2 01 5 PERMIT/PLAN CHECK NUMBER
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 No.tSof Tract No.29495-7
PROJECTADDRESS 50611 CA �C1/
ASSESSOR'S PARCEL NUMBER <S�� -J�Q —03Z LOT l TRACT 2-9 ^7 4 q C
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 ZNO
BUSINESS NAME Mendoza Grading&Paving, Inc.
ADDRESS 11259 Juniper Avenue, Fontana,CA 92337
PHONE (909)822-0738 EMAIL everett@mendozapaving.com
CONTRACTOR'S STATE UC NUMBER 1002375 LICENSE CLASSIFICATION C-12
VALUATION$ $4.310.00 SQ FT 2155 L SO FT
APPLICANT'S SIGNATURE _ DATE 10/01l2015
OR
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FtR I GIN I SMIP x
INVOICE — PAIDAMOUNT Q
AMOUNT %LO p O CASH O LHECKN O CREDIT CARD VISA/MC
PLAN CHECK FEES I PAID AMOUNT I 1 O CASH 0 CHECKM O CREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.Cityofinenifee.us Inspection Request Line 951-246-6213
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