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PMT15-03067 City of Menifee Permit No.: PMT15-03067 29714 HAUN RD. <;�CCEL-A MENIFEE,CA 92586 Type: Residential Demolition MENIFEE Date Issued: 1 0/0 812 01 5 PERMIT Site Address: 25690 PAPILLON CT, MENIFEE, CA Parcel Number: 329-380-034 92585 Construction Cost: $4,310.00 Existing Use: Proposed Use: Description of DEMO SLAB FOUNDATION Work: TR 29495-7 LOT 17 Owner Contractor STRATA CVE, LLC MENDOZA GRADING&PAVING INC 4370 LA JOLLA DRIVE, STE 960 11259 JUNIPER AVENUE SAN DIEGO,CA 92122 FONTANA, CA 92337 Applicant Phone:9098220738 FH II, LLC License Number: 1002375 MENIFEE, CA Fee Description City Amount($) Building Permit Iss nau ce 1 27.00 Demolition Permit 1 140.00 GREEN FEE' 1 '1A0 $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_Permit Template.rpl Page 1 of 1 City Of Menifee �'�'?LICENSE6r©rS R iT•I`O'N� :�� O fain axe,rapt from Ilcensure underlhe Confraco.W Slate License-Law for the I herebyaffirm under Penalty or perjury that I am licensed under rov ska s of following reason: P Y P I ry n P, i n Chapter 9(commencing,Wi1M1 section 7000)of Division 3 of the Business.and BY my signature below I acknowledge that,except for my personal residence In Professip s Ctode d my license is in full force and affect / which 1 must have resided for at least one year prior to completioh bf I r^L 'TTI § Zr(8 seNbv 5� 1� Irtiprovemegts covered by this permit,I cannot legally sell a structure that i have •yj 3( � ! �.- bull@ as an owner•6ullding If it has not been constructed In its enliraty'by licensed contractors.1 understand that a copy of the applicable law,Section 7044 pf the Buslcese and Professions'Code Is available upon request when this appllcaGoo is submitted or at the following Web Oa ❑ 1 hereby affirm under penalty of perjury one of the.following declarations: htto•Ihvww laefnfo ca eovfcalaw html. I have and will maintain a certificate of consent of self-Insure for workers' comppensation,Issued by the Director of Industrial Marlow;as provided for by Date Section;3700 of the Labor Code,for the'performance of work for which this permit Is Issued. Prdpedy Owner arAulltorized Agent PRIM ;, q.By my 51gnalure below, I certify lo:each of the following: I Am the property �y,t7 I have and will maintain workers' compensation.Insurance, as required by owner or authorized to act on the property owner's behalf. I have read this Ise lion 3700 of tha Labor Code,for the pedormance At.the work for which this aPPllcatlon and the Information I have Provided is conee4 I agree to comply permit is issued:My workers'pompensatlon insurance carrier and policy number are: with all applicable city and county ordinances and state laws releling to building �M�•-f-�S 1 Ia hstruclion.I aWhoriie rep esentatives of this dry or county to enter the-above- , i;i•,"a, rRer g © 1 -F- r1a emptied property for the Inspection purposes. f??wer7 � �Zl� �S IrP!@Fktu"�t�14 Date Prdperty Owner orAuthoriied Agent (This section need not be.completed If the permit Is for Cilysusiness-License# one-hundred dcllars($160)or less) HAZARDOUS MATERIAL DECLARATION ❑ I certify that In the performance of the work for Which this permit Issued,I Shall of a to any persons In any manner so as to become subject to(he Wf11 the applicant or future building occupant dandle hazardous material or a Workers'compensation laws of California,and agree that If I should became mixture containing ahazardous material equal to or greeter that the su61ectto the workers'compensation provisions of Section 370D of the Labor amounts specl8ed bd the doug material Info inatiori Guide? Cade,I shell forthwith cam with those provisionts1 _ pYEs O NO Will the'Intetrdeid use of the building by the applicant or future building occupant require a'perfnitfor the construction or modifflicallon from South WARNING: :ILURE TO SECURE WORKERS' Coast Alr Qualky Management District(SCAQMD)?See permitting checklist ,CQMPEN$ ION OVERAGE IS UNLAWFl1L, AND ;SHALL for guideline's SUBJECT AN EMPLOYER, TQ ,CRIMYNA•L. PENALTl.E3 AND DYES ❑.ND CIVIL FINES UP TO'ONE HUNDRED THOUSAND DOLLARS ($16b,Qob),1N AID 10N TO THE COST OF:COMPENSATION,. Will the proposed building or modified facility be within 1000 feet-of the outer .DAMAGES, AS PROVIDED FOR IN SECTION 3706 OF THE boundary of asclrcot? LABOL2 CODE,INTEREST,,AND ATTORiNEYS FEES ❑YES ONO CONSTRUCTION.LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm that underthe penalty of perjury there Is-a construction fending permitting'checklist. I understand my requirements under the Slate of agency for the performance of the work which this permit Is issued(Sectlon California Health&Safety Code,Section 25405 and 25534 concerning 3097 Civil Code) - hazardous_material reportIng. OWNER BUILDER DECLARATIONS OYES ❑NO l I hereby aflkm 'under penally of perjury That I am exempt from the Contactor's Date License Law for the reeson(s)Indicated below by the checkrnarK(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT next to the applicable items)(Section 7031.5,Business and Professions Code: Any Illy 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 ERA Renovallpn,Repair and Pam g(RRP)Rule requires contractors proAsiorrs of the Contractor's State License Law(Chapter g(commencng with recelving compensation for most work that disturbs paint In a pro.-1g78 Seclion 70(10)of Division 3 of the Business and Professions Code)or that he or residence or childcare fadlity to be RRP-certified 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 7031.6 by any Applicant for a permit subjects the applicant to managers who do the pain(-disturbing work themselves or through their a civil penalty of not more than($500).) employees.For more information about EPA's Renovation Program visit: ❑ I, as owner of theproperty, or rn ern employees with wages as their sole www.'epe,govpead or contact the National Lead Information Center at Y P Y 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.Taw 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a properly ❑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 comple0on,the Owner- Bullder.w111 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 O 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. BUILDING • SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE 10/01/2015 PERMIT/PLAN CHECK NUMBER 0-1 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.l-7 of Tract No.29495-7 PROJECT ADDRESS 2s (Ocl Q TD h I���bZ.JI.Ar-� -7 ASSESSOR'S PARCEL NUMBER SZ�(-J�O -Q`� LOT 1-7 TRACT 29 L4 q5- 9 PROPERTY OWNER'S NAME STRATA CVE, LLC;Strata Equity Group, Inc. ADDRESS 4370 La Jolla Drive,Suite 960, San Diego,CA 92122 PHONE EMAIL APPLICANTNAME 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 SO 2155 L SO FT APPLICANT'S SIGNATURE DATE 10/01/2015 CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GRE N SMIP X INVOICE PAIDAMOUNT `� OCASH OCHECKII OCREDITCARD VISA/MC AMOUNT PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# 0CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.CityOfineni(ee.us Inspection Request Line 951-246-5213 Y� • g g3 PAPILLOY_ . COURT ___ _ 1• _ e1 "'3 '. .•h1 � 5 �� a yh el 6 U a M 3 A. 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