PMT15-03069 City of Menifee Permit No.: PMT15-03069
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Demolition
emmie2nt S.lMse MENIFEE Date Issued: 1 010 81201 5
PERMIT
Site Address: 25666 PAPILLON CT, MENIFEE, CA Parcel Number: 329-380-036
92585 Construction Cost: $4,310.00
Existing Use: Proposed Use:
Description of DEMO SLAB FOUNDATION
Work: TR 29495-7
LOT 19
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 Il, LLC License Number: 1002375
MENIFEE, CA
Fee Description Qtv Amount I81
Building Permit Issuance 1 27.00
Demolition Permit 1 140.00
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 Pennit_Template.rpt Page 1 of 1
City Of Menifee
t l f�`'C�ad �laF+:uRPAff�iQN - :��t ❑ I am exempt froth Ilcensuie underthe Contractors'State License Law firths
' rI hereby affirm under penalty or perjury that I am licensed under provisions of following reason:
Chapter 9(commencing with section 7Q00)of Division 3 of the business and By my,signature below I Acknowledge that,except for my personal residence In
Pro(essr„lo s,Cde d my license Is In full force and effect LL/ which 1 must have resided for at least one year prior to completion of
(a�t� a lf`(�"�js¢ 1 j G Ste' Improvements covered by this permit, I cannot(agony sell a structure that I have
60111 as an owner-building if it has not been constructed in its entirety by licensed
contractors.I understand that A copy of the applicable law,Section 7044 of the
((V + -RS � � :TION DeG ousiness and Professions Code Is available upon request when this application Is
t:l�.rt,..=�-� _ �•" � submitted of at the following Web site;
-0 1 hereby affirm under penalty of perjury one of the.following declarations: brio•//wviw:leolnfo.ca.gov/Caiaw.hlml.
I haye and, will mainteln a certificate,of consent of self-Insure for workers'
pompensallonm Issued by the Director of Industrial Relallohs as provided for by Date
Sectloa 3700 of the Labor Code,for the'performance of work for which this
permit Is Issued. Property Ctimer orAulhadzed Agent
O:by my Signature below, 1 certify to;each of the fallowing: I am the property
�g.fr 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
Xse 11on 3700 bf the Labor Code, for the performance of,the work for.which this applicatiob and the Information I have provided is correct..)agree 0comply
perm8 is issued:Myworkers',compenwilon Insurance canierand pugay number are: with all applicable city and county ordinances and state laws relaling to building
construtvn.I authorize representativesof this city or county togriler the above-
['Ge, J@f,�.�lU' C.VMP .4-Y15 . YtCa Idenllfiedproperty(or the Inspection purposes.
lsfi ��"f-�Z�ei IcJ ,?ti,�i 4 ZC7(� PrdRdrty9WnerarAulhorizedAgent Dale
(Thts section need PQ be.completed ff the permit is for bity�Businesa License
.one-hundred dollars($100)or less) -
❑ I certify that In the performance of the work for which this permit is Issued,I 'HAZARDOUS MATERIAL DECLARATION
shatinciterhold any persons In any manner sp ps to become subject to(he Will Ina applicant or building occupant handle hazardous material or a
workers'cofnpensatlon.laws.of California,and agree that if I should become mixture containing a hazardous material equal to or greater that the
subject fo the workers'compensation provl;ions of Section 3700 of the Labor ambUnts specl0ed on the Hazardous Materials Infonhation Guide?
Cade,I shell forthwlth cob ly with those provisions. _ DYES d Nil
AQ'P 6 ,r;.a �'`.,O• 'ei„i Lo� T-��Z��S Will tielntendeH use of the building by the applicant or future building
occupant require a'permit for the.construction,or modification from South
'WARNING'c :ILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist
:COINPEN$Pr (QN .OVERAGE IS UI9LAWFLI.LI AND ;S,H-— for guldellne's
SUBJECT A14 EMPLOYER TCt .URIMINAL. PENALTIES AND OYES D.NO
CIVIL FINES UP TO:ONE 14UI40RED.THOUSAND'DOLLARS
($100,000),IN.ADDITIOIN TO THE COST OF COMPENSATION, Will the proposed building ormocilfied facility be within 1000 feet.of the outer
AMAGES AS PROVIDED FOR- IN SECTION 3706 OF THE boundary df a.school?
'A'
AEtORCODE,INTEREST.AND..ATTORNEYS FEES- ❑YES El NO
CONSTRUCTION.LENDING AGENCY I have read the HazardousMaterial Information Guide and the SCAQMD
I hereb.'y aPorm that underIhe penalty of pequry there IIs a construction lending permitting of I understand my requirements uhdor the State.of
agency for the performance of the work which this permit Is issued(Sectioh California Health&Safely Code,Section 25505 and25534 concerning
3097 civil code) hazardous material reporting.
OWNER BUILDER DECLARATIONS OYES ❑NO
I hereby:afilim uhdor penalty of perjury that I am exampl from the Contractors Date
License_Law for the reason(s)Indicated below by the checkrnark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT
next to the applicable item(s)(Section 70315 Business and Professions Code:
Any city or county that requires a permit to constrac(ra)ter Improve,demolish, EPA.RENOVATION,REPAIR AND PAINTING(RRP)
or repair shy structure,prior to its Issuance; also requires the applicant for the
permit to file a signed statement that he or she 1s licensed pursuant to the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
provislgns of the Contractor's State License Law(Chapter 9(commencing with receNing compensation for most work that disturbs paint In a pre-1978
Sso(on.70.00)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility 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 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their
a civil penally of not more than($500).) - employees.For more Information about EPA's Renovation Program visit:
❑ I, as owner of theproperty, or m ern employees with wages as their sole www`bpa,gov/lead or contact the National Lead Information Center at
Y P Y g 1.800-42ZLEAD(6323).
compansallon,will do( )all of or( )porting of the work,and the structure is
nol inlended ar offered(or sale.(Section 7044.Business and Professions Code;
The Contractor's State Ucense Law does not apply to an owner of a property O 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-
Builder 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 ❑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 PERMITIPLAN CH ECK APPLICATION
4L4
il,
_ Menifee
DATE 10/01/2015 PERMIT/PLAN CHECK NUMBER S
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.19 of Tract No.29495-7
PROJECTADDRESS ZS�`CJ(0 q� �7�7'
ASSESSOR'S PARCEL NUMBER 3Z�i-�(Jy LOT 1 TRACT li"l`tC(S--7
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.00m
CONTRACTOR'S STATE LIC NUMBER 1002375 LICENSE CLASSIFICATION C-12
VALUATION$ $4,310.00 SQ FT 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 FIRE EN 1 SMIP X
INVOICE PAIDAMOUNT
AMOU 1tVNT OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Sofety Department 29714 Haun Rd. Menifee, CA 92586 951-672-5777
www.cityofnvenifee.u.s Inspection Request Line 951-246-6213
IN!
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