PMT15-03071 City of Menifee Permit No.: PMT15-03071
29714 HAUN RD.
ham. MENIFEE, CA 92586 Type: Residential Demolition
s`o", MENIFEE Date Issued: 1 010 81201 5
PERMIT
Site Address: 25642 PAPILLON CT,MENIFEE, CA Parcel Number: 329-380-038
92586 Construction Cost: $4,310.00
Existing Use: Proposed Use:
Description of DEMO SLAB FOUNDATION
Work: TR 29495-7
LOT 21
Owner Contractor
STRATA CVE, LLC MENDOZA GRADING& PAVING INC
4370 LA JOLLA DRIVE,STE 960 11259 JUNIPER AVENUE
SAN DIEGO, CA 92122 FONTANA, CA 92337
Applicant Phone:9098220738
FH II, LLC License Number: 1002375
MENIFEE,CA
Fee Description gyt Amount($)
_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 buillding 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 sic
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.rpt Page 1 of 1
City.Of M"ehifee
ci I ant exempt from ficensure udder the Contractors'Staid License Law forlhe
following reason!
I hereby affirm under penalty or perjury that I am licensed under provsJoris of
Chapter 9(gommushoing.with section 7000)6ftivislon 3 of the Bustn"s and By my signature below I acknowledge that,except for my personal residonce In
it. d iny,license is In full force and effect which I must have resided for at least one. year prior to completion of
Pro'les iWons Go de a
al Improvements covered by this pefirnit,I cannot legally-sell s structure that I have
R
V50"WAR 1) - "
4A. —P111 — ;. x
1 M20( ii- ,7'.':: . I J built as an owner-bulldng if it has not been constructed In IN entirety by licensed
g Eli
contractors.t understand that a copy of the applicable law,Section 7044 of the
Business and Professions Code Is available upon request when this application is
za d
. .. ... submitted or at theficillowing Web site.
0 1 hjergby affirm under penalty of perjury one of the.Following declarations,
I have and will maintain a certificate of consent of self-insure'for workers; hftb.,//WA�w.leqfnfo.es.00v/calaw.htmI
compensation,Issued b the Director of Industrial RdIlatfurris as provided for by Date
Section 3700 of the Labor bode,for the performance of Work for Which this
permit Is Issued. Property Owner orAuthdrIzed Agent
[I Symy Signature below. I cprilry,to each of the following: I am the property
X 1,have and will maintain Workers' compensation Insiurainc6, as required by owner or authorized to act on the property owners behalf. I have need this
as lim performance p.o.the Work* required
, opollciatkiii-and.the Information I have provkFaO is pmect.]Agree to comply
permit 13700 of the Labor Code, for the OeIrfor f, - " for this
6 Issilad;MyWorkeraPomperisation Insurance carriarind po9oyrium0irars, with all applicable city and county ordinances and stale laws relating to building
dorisatfiA I solli repi.resentatives of this city or county to enter the above-
Pit n F�4 n6 Identified property for the Inspection purposes.
(Ocu Z(e 15 g T Date
1 412-01��:
Prboarty0wrivrairAuthoiizodA§ent
(This-section need Do be.completed If the permit is for
.one-hundred dollars(si 00)or less) City Business License 9
0 1 certify thefts the performance of the work forwhich this permit Is issued. HAZARDOUS MATERIAL DECLARATION
shall not iffilil a I ny persons In any manner so as to become subject to the WIll the applicant or future building Occupant handle hazardous material or a
workers'w pensalron laws of ]a,and agree that if I should become mixture containing a hazardous material equal to or greater that the
subject to a 'o kers'compenpation, provisions of action ', go of the Labor amounts spilsolfied 66 the Hazardous Matedals InfohmatIon Guide?
w Code,I she'll forthwith oorn with those provisions. 11YES 13 NO
10 LO '53 2015 Will the'fintendled use of the building by the applicant or fulure building
occupant-. . requires permit for the c6risbruction,of modification from South
WARNING 'ILURE TO SECURE WORKERS' Cbast Pit Quality Management District(SCAQMD)?See permitting checklist
C. MPENS ION OVERAGE IS UNLAWFUL, AND SHALL For buicefin
as
SUBJECTN EMPLOYER TO .CRIMINAL. PENALTIES.AND OYES [IND
CIVIL FINES UP ONE HUNDRED THOUSAND DOLLARS
($ioo,00bADDITION TO THE COST OF COMPENSATION, Will the proposed bull'ding or modified Facility be within 10,00 feet of the outer
DAMA6ES S PROVIDED FOR IN SECTION 3706:OF-(HlE boundary of a,school?
LABOR CODE,INTEREST,AND ATTORNEYS FEES*' DYES ONO
ONSTRUCTIO&L.IENDING AGENCY I have read the Hazardous Material Information Guide grid the SCAQMD
I hereby affirm that under t-he penalty of perjury there.Is 0 construction lending permitfing'checklist.I understand my requirements uhddr the State of
agency. for
I'a'erformance of the work which this permit Is lisueil(Section California Health&Safety Code,Section 25505 ahc[25534 concerning
,
40giC1,11 Code) hazardous material reporting.
OWNER BUILDER DECLARATIONS 13YES 0 NO
I hereby Ann under 08haltY of pedury that I am exempt from the Contractor's Date
License.Law for the reason(s)Indicated below by the chedkmaqs)I have placed PROPERTY OWNER OR AUTHORIZED AGENT
next to the applicable item(s)(Sectlan 7031.5.Business and Professions Code:
Any city or county that requires a permit to conitriicit.alter,Improve,demolish, EPA-RENOVATION.REPAIR AND PAINTING(RRP)
of kepalt 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 EPAReli0vallon,Repair and Painting(RRP)Rule requires contractors
orovi I slons of
I.the Contractor's State License Law(Chapter 9(commencing with receiving compensation for Most work that disturbs paint In a preml 978
Secilon7000)of Division 3 of the Business and Professions Code)or that he or rasiclance,or chlidmns faclilly to be RRP-certiffed 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 paint-disturbing work themselves or through their
a civil partially of not more than($500).) employees.For more Infornmatloh about EpNs Renovation Program visit:
wwwziepti.govilead or contact the National Lead Information Center at
0 1, as owner of the property, or my employees with wages as their sole 1-800-424LEAD(5323).
compensation,will do( )all of or( )porting of the work,and the structure Is
not intended or offered for sale;(Sectiori 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, through employees'or personal effort, builds or Improves the property,
provided that the improvements Are not Intended or offered forests.If,however, Certified Firm Name:
the building or Improvement Is sold within one year of completion,the
he Owner-
Btificler.will have the burden of proving that It was not built or improved for the Firm Certification No.:
purpose of sale).
El 1, as owner of the property an exclusively contracting with licensed 0 No EPA Lead-Sate 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
PERMIT/PLANBUILDING & SAFETY APPLICATION
f J
Menifee
DATE 10/01/2015 PERMIT/PLAN CHECK NUMBER1
TYPE: ❑COMMERCIAL QRESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA []SIGN
SUBTYPE: ❑ADDITION []ALTERATION ❑✓ DEMOLITION []ELECTRICAL El MECHANICAL
❑NEW []PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Demolish existing concrete slab for Lot No.2( of Tract No.29495-7
PROJECTADDRESS )-aO C 4I &v r 1 court �f �/q
ASSESSOR'S PARCEL NUMBER `J/i"l� LOT L f TRACT `q 17/
— 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.com
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 Ad7- .
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE EEN ` SMIP
INVOICE '' AA PAID AMOUNT
AMOUNT �.SK OCASH O CHECK ri OCREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH O CHECK p O CREDIT CARD VISA/MC
OWNER BUILDERVERIFIED OYES O NO DLNUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Deportment 29714 Houn Rd. Menifee, CA 925B6 951-572-5777
www.cityofinenifee.us Inspection Bequest Line 951-246-6213
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