PMT15-03068 City of Menifee
Permit No.: PMT15-03068
29714 HAUN RD. Type: Residential Demolition
�%CCFa- MENIFEE,CA 92586 Date Issued: 1 010 812 01 5
MENIFEE
PERMIT
Parcel Number: 329-380-035
92585
Site Address: PAPILLON CT,MENIFEE,CA Construction Cost: $4,310.00
92585
Proposed Use:
Existing Use:
Description of DEMO SLAB FOUNDATION
Work: TR 29495-7
LOT 18
Contractor
owner MENDOZA GRADING&PAVING INC
STRATA CVE, LLC 11259 JUNIPER AVENUE
4370 IA JOLLA DRIVE, STE 960 FONTANA, CA 92337
SAN DIEGO, CA 92122 phone:9098220738
Applicant License Number: 1002375
FH II,LLC
MENIFEE,CA
� Amount
Fee Description - - '_ -- - 27.00 1
-- — — — —�-- -- 140.00
Building Permit issuance -- 1
00
Demolition Permit ------ -_------- -- -- — 1
GREEN FEE —
$168.00
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
permit construction under which no work is commenced within six
specifications or from preventing builiding operations being cartied on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee. Except as otherwise stated,a
shall ex ire,and fees paid shall be
months after issuance,or where the work commenced is suspended or abandoned for six months, P
forfeited.
Page 1 of 1
AA_Bldg_Permt_Templale.rpl
City Of Menifee
EA4 0 1 am exempt from 11censure under the 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 sedfibin 7000)of Division 3 of the Business and By my signature below I acknowledge that,except for my personal residence In
Profes 1 111 Lo a gods d my license a In full force and effect. must have resided for at least one. year prior to completion of
Which I
0 A eree eE;C>Li-�6 impiiovements covered by this fremilti I cannot legally-sell a structure that I have
built as an owner-bulliflog if It has not been conlitrOcted In its entirely by licensed
4 contractors. I Understand that a copy of the applicable law.Se-.0 on 7944 Of the
,4iwldii,�,1, .1
Business and Professions Code,Is available upon request when this application is
submitted of at the following Web site:
1:1 1 hereby affirm under penal%of perjury one of the,following declarations:
I have and Will maintain a ce- Ificitz of consent of self-insurd for workers! fittb:IA4��w.leafnfo.ce.goy/calaw.htmI
compensation,Issued by the.Director of Industrial Rdailerfsas provided for by Date
Section 3700 of the Labor bode,for the*performance of Work for which this ---
permit Is Issued. Property Owner crAulhidrhgd Agent
ft By my Signature beJow, I certify to Aach of the following: I am the property
I have and will maintain workers' compensation Insurance, as required by owner or allthodzed to act on the property owners behalf. I have feed this
section 3700 of the Letice Code, for the performance.of..the work for which this applic.h.t1ofi rand.the Information I have provided Its.correct..11 agree 0 comply
permit 16 Issued:myworkers,pompensdon Insurance. . carrier and 1policiriumbar are: with all applic able city and county ordinances and stale laws relating to building
corstflucfion.I authorize rdppqe6talives of this city or county to enter the above-
pq� Idemlifiedl property(or the Inippec(lon purposes.
PrdortV Owner or Authorized Agent
ggl 4 2-0��(�� Date
,g
(This saggon need n2t_be.comoleted V the permit Is for
one-hundred dollars($100)or less) bfiybusinessUcensek
O*I cerhtythatln the performs of lhewQ .for . Ic Is per it Is I a ;HAZARDOUS MATERIAL DECLARATION
shall not a- 'lo 1 any persons in manner so m a aa sub any a a '.I. the
h 'pe sation laws ofCalifornia,, , and agree that 1 1 Will the.applicant or future building occupant handle hazardous material or a
s a oufd become mixture cOnfahing a hazardous material 9quel to or greater that the
a ect To a Workers'compensation provisions of Sactkin 3700 of the Labor .amounts spacIffed on the Hazardous Materials Information Guide?
Cade,14 all forlhwlth those provisions. oYffs b NO
ANN, % jk
W! LO Will theInderided use of the building by the applicant or future building
occupant requires permit for the construction or modification from South
WARNING: -ILURIE TO SECURE WORKIERs' Coast Air Quality Managernent DIstd6t(SCAqMD)?See permitting checklist
.0. PENSP ION OVERAGE I IS UNLAWFUL, AND SHALL 116t.6411allnes
SUBJECT 'N EMPLOYER. To ,OPIMINXL. PENALTIES. AND DYES D.1,10
CIVIL.F.IN P ONE HUNDRED THOUSAND
(t100,000), ADDITION TO THE COST OF-COMPENSATION, Will the proposed building or modified facilly be within 1000 feet.of the outer
DAMAGES; As PROVIDED FOR IN SECTION 3706'OF -(HE boundary draschool?
LAboR CODE,INTEREST,AND AT TPIRNEYSTEES' DYES DNO
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide grid the SCAQMD
I heee4y affirm that under the penalty of perjury there is a construction lending permittirig'checkfist.I understand my requirements under 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) hazardouisifiateirl4l reporting,
omeg sUiLbrik DECLARATIONS DYES 0 NO
I hereby alflorn ender penalty of perjury that 1.am exampt from the Contractor's — Date
License Law for the reason(s)Indicated below by the cbeckinaks)I have placed PROPERTY OWNER OR AUTHORIZED AGENT
next to the applicable llem(s)(Section 7031.5.Business and Professions Co
de:.
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 fie a signed statement that he or she Is licensed pursuant to the The EPA-Rimovallon,Repair and Painting(RRP)Rule requires contractors
Provisions of
I.the Contractor's State License Law(Chapter 6(commencing with receiving c6rinpehiatlori for most work that disturbs paint In a prq4978
Section 70.00)of Division 3 of the Business and Professions Code)or that be or residence:or childcare facility to be RRP-cerfiffed firms and comply with
she is exempt from licensure and (fie 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 thke 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.'epa.gov/16ad or contact the National Lead Information Center at
0 1, as owner ol"the property, or my employees with wages as (heir sole 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. sctkn7044,Business and.Professions Code;
The Contractor' Tlawdoes.nol apply to an owner of a property D 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 Asia.If.however. Certified Firm Name:
the building or Improvement Is sold vdlhln One year of completion,the Owmer-
Buillder.will have the burden of proving that it was not built or Improved for the Firm Certification No.:
purpose of sale).
0 11 as owner of the property an exclusively contracting with licensed 0 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 therbon, 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 & SAFE TY PERM IT/PLAN CHECK
Menifee
sk
DATE 10/01/2015 PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL QRESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA []SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑✓ DEMOLITION ❑ELECTRICAL ❑MECHANICAL
❑NEW ❑PLUMBING [I RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Demolish existing concrete slab for Lot No.1'&of Tract No.29495-7
PROJECTADDRESS
ASSESSOR'S PARCEL NUMBER32Cj—ScjC) "0-5 LOT I l) TRACT2GI
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❑✓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 SIGNAT i DATE 10/01/2015
CITY STAFF USE ONLY L
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING PIE GREEN `- SMIP X
INVOICE PAIDAMOUNT lA.
AMOUNTILQS— �r OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT I O CASH O CHECKk O CREDITCARD VISAIMC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Sofety Deportment 29714 HDun Rd. Menifee, CA 92586951-672-6177
www.cityofinenifee.us Inspection Request Line 951-246-6213
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