PMT15-03066 City of Menifee Permit No.: PMT15-03066
29714 HAUN RD.
�CCEL MENIFEE,CA 92586 Type: Residential Demolition
MENIFEE Date Issued: 10108/2015
PERMIT
Site Address: 25687 SOLELL CIR, MENIFEE, CA 92585 Parcel Number: 329-380-033
Construction Cost: $4,310.00
Existing Use: Proposed Use:
Description of DEMO SLAB FOUNDATION
Work: TR 29495-7
LOT 16
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 t$1
ilding Permit Issuance 1 27.00
Demolition Permit 1 140.00
GREEN FEE 1 1.00 j
$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_Perrnit Terrplate.rpt Page 1 of 1
City Of Menifee
El I a exempt from licensure urkilar the Contractors`State License Law for the
I hereby affirm under penalty or perjury thatIs licensedunderprovIsionsof f ollowIng reason:
Chapter 9(commehoing,with section 700 of Division 3 of the BiJiIh6zsshd By my signature below I acknowledge that,except for my personal residence In
profes I I'L(?fs,9ode:pd my Icende,is In ftill rGe an.effect
Which I must have resided for at least one. year prior to completion of
�;?i
98a
Improvements covered by this permit;I cannot legally sq�lja structure that I have
lAct
bulitas a'
A., _qx I.,. ......
n owner-building If It has not been constructed In its entirely by licensed
contractors.I Understand that A copy of the applicable law.Sechoa 7044 of the
LA Code.Is available upon request when this application is
Business and Professions
submitted or at the following Web site:
D I hereby affirm under penalty, of pequry one of the.following declarations,
I hays and will maintain a certificate of consent of self-Insure for workers' htti):IA�Wwleginfo.ca.gov/calaw.html.
componsatlo.n,I Issued b the Direotorof Industrial R6Ya11_1o_r(sa6 provided for by
Section 3700 of the L%or bode,for the'performance of Work.for Which this Date
permit Is Issued. Pedoefty QWner orAuthiorizqd Agent
a By my plgriqture below, I certify to Akch of the following: I am the property
have arid will maintain workers' tompansallon Insurance, as required by owner or authorized to act on the property owner's behalf. I -have read this
tion, 3700 of the Labor Pad' 1 .10". "' . ffv, � �. oppildlefidii-dnd the Information I have provided Is porrect..1 agree to comply
Cads, for the per ropricQ.41.fie Work for which this
permit is lsmiied:My workers'gortiparisation Insurance carrier a I nd policy numbir are: with all applicable city and county ordinances and state laws relating to building
cowrucf6o.I ablK.PrIze hipireetentalives of this city or countyllo enter the above.
,r gJ
Identified properly for the Inspection purposes.
4 Date
• pp ,I
Pr*rlYOwnardrAuthorIzedA§ent
(This paqtIon need n2t becpmpletecl If the permit Is for
one-hundred dollars($100)or less) City Business License
O.1 cairtit that n,the p .rm- t!AZARDOUS MATERIAL DECLARATION
all 6 e 11 apy P'iarsons in any memner so As to become
subject to!the Will the.applicant or future building occupant handle hazardous material or a
Workers'
1 s.of California,and agree that Iri should become mixture c6nitaining a hazardous material equal to or greater that tire
subject t the Workers'c.mpenpation provisions of Section 3700 of the Labor amounts specified an the Hazardous Materials Infoirriallon Guide?
Code,I s illi forthwith oom withthose provisions. lac)( Ilyffs CIINO
VAII thelatisndled use of the building bythei applicantorfutu building
'WARNING'S.G, -ILURE To SECURE WORKERS' occupant require a peftnit for thib construction or modification from South
CbaitAJr Quality Management Olsm6t(SCAQMD)?See permitting checklist
A�COMPENS ION OVERAGE IS UNLAWFUL, AND SHALL tdriq[44116a
1§0121JEbt AN EMPL6,ViER To ,OIRIMIINAL PENALTIES AND
CIVIL FINES up to ONE 14UNDRED THOUSAND DOLLARS DYES ONO
($100,130b)JN ADDITION TO THE COST OF.COMPENSATION, Will the proproeadbulkling DrmodMed facility be within 1000 feet.of the outer
DAMAGES As PROVIDED FOR IN SECTION 3706:01FTHE boundary of a Scbo6l7
I LAEI&R CODE,INTEREST,.AND XtTORNEY6 FEES DYES 0 NO
CONSTRUMION.LEIND[NameNdY I have read the.Huardous Material Information Guide and the SCAQMD
I hereby affirm that qnder:the penalty of perjury there Is a construction lending permItting'chocklist.I understand my requirements under the State.of
"K"'qy for the performance of the work which this permit Is issued(Sectloh .California Health&Safety Code,Section 2,5&05 and 25534 concerning
7 Code) hazardo i6a dal rdporting.
30 dlvil us Is
OWNER BUILDER DECLARATIONS OYES D NO
I hereby affl-an under penally of perjury that I am exempt from the Contractor'sData
License law,for the reason(s)lindicaled below by the checkmark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT
next to the applicable items)(Section 70315 Business and 0 1 rolesslons a: . .
Any city or county that requires a permit to wnsirUcL altei.Improve,demolish, EPA RENOVATION.REPAIR AND PAINTING(RRP)
or repair any structure;prior to Its histiancei also requires the applicant for the
permit
to file a The EPA-Rentivallon,Repair and Painting(RRP)Role requires contractors
signed statement that he or she Is licensed pursuant to the
provisions f the Contractor's State License Low(Chapler-9,(commencIng with receiving compensation for must work that disturbs paintIna pre-1978
§ecilcm 70 )of Di41on 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certlfted firms and comply with
she is exempt from ficensure 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 EPA's Renovation Program visit:
11 1, as owner of the property. or My employees With wages as their sole Www.epa.govnead or contact the National Lead Information Cohtor at
11-800-42ii-LEAD(5323).
compansatkin,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 D An EPA.Lead-Safe Certified Renovator Will be responsible for this project
who, ttfroujh 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-
Bdilderwill have the burden of proving that it was not built or Improved for the
purpose of sale). FIrm Certification No.:
0 1, as owner of the property an exclusively contracting with licensed D 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 State License Law). If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement
SAFETYBUILDING & • • . • • •
,Menifee
DATE 10/01/2015 PERMIT/PLAN CHECK NUMBER LD
TYPE: []COMMERCIAL ❑✓ RESIDENTIAL MULTI-FAMILY ❑MOBILEHOME POOL/SPA ❑SIGN
SUBTYPE: [-]ADDITION ❑ALTERATION ❑✓ DEMOLITION [:]ELECTRICAL ❑MECHANICAL
❑NEW ❑PLUMBING El RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Demolish existing concrete slab for Lot No.t(pofTract No.29495-7
PROJECTADDRESS --7 6,oCe. ! Cwcj
ASSESSOR'S PARCEL NUMBER LOT �_ TRACT
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 S 2155 L SQ FT
APPLICANT'S SIGNATURE DATE 10/01/2015
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING G EEN SMIP )t
INVOICE I PAIDAMOUNT 0CASH 0CHECK# 0CREDIT CARD VISA/MC
AMOUNT
PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# 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 951-572-677Y
www.cityofinenifee.us Inspection Request Line 951-246-6213
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