PMT15-03073 City of Menifee Permit No.: PMT15-03073
29714 HAUN RD.
MENIFEE,CA 92586 Type: Residential Demolition
MENIFEE Date Issued: 10/0812015
PERMIT
Site Address: 25618 PAPILLON CT,MENIFEE, CA Parcel Number: 329-380-040
92586 Construction Cost: $4,310.00
Existing Use: Proposed Use:
Description of DEMO SLAB FOUNDATION
Work: TR 29495-7
LOT 23
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 gty. Amount
Building Permit Issuance_ 7;00
Demolition Permit 1 140.00
GREEN FEE 9
$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_Templatexpl Page 1 of 1
City Of Menifee
5. ,
t F'?rhbi� ( IsRWr4�1 ❑ I am exempt from Ilcensure under the Contractors'State License Law for the
I hereby affirmunder penally or perjury that I am licensed under provisions of following reason:
Chapter 9(commencing.with section 7000)ofDiviston 3 of the Business.and By my slghature below I acknowledge that,except for my personal residence In
Pro(essrlons-code d my license is In full•force and effect. t1 which 1 must have resided for at least one year Odor to completion of
14 � a as' �r c"Rr se fJ R L J�Q` ` 6 Improvem .is coveted l this ermit, I cannot le al ell a structure that,I have
C.U,�1 - E , ,gh �r y .. P g Na.. .
?Jgs r r ' '3 ?Al J rfaJ�Ye built es an'owner-bullding If it has not been constructed In its entirely by licensed
contractors.I understand that a copy of the applicable law,Section 7044 of the
i1N,D.RIFFR9 RTI<NhDEi;(�1 r Business and Professions Code Is available upon request when this application is
1j�z'�> '�'_-� '" - ^' '^• submitted or at the following Web site:
❑ t hereby affirm under penalty of perjury one of the following declarations: hand/www.ladfnfo.ca.aov/calaw.html.
I have and will maintain a certificate of consent of self-insure for workers'
compensation;issued by the Director of Industrial R& lons as provided forby Data
Section 3700 of the Labor Code,for the performance of work for which this
permit is Issued. Property OwnerorAuthodzedAgent
P Q.By my Signature below, I eerflfy to:each of the following: I am the property
�q�,r 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 11oa 3700 of the Labor Code for the perfm rumce of the work for which this opPllcatlon and the Informalon I have provided'a coned I agree ao comply
permtl is issued:Myworkers"pompeosatlon Insurance carrier and pofiey ndrpber are, with all applicable city end county oMinances and stale laws relating to building
�1�, •T donslrution.I authorize representatives of this city or county to enter the above-
Gf arlj r' CaM��riS .FT j t- Identified property for the Inspection purposes.
Date
- ^ 1•,.:"` �^ -r - Pruparty Owner or Authorized Agent
(This section need not be,completed if the permit is for oily Business Llrznse#
one-hundred dollars($100)or less)
Oo.I certify that 10 the performance of the work for which this.permit is issued,( HAZARDOUS MATERIAL DECLARATION
-shalt o e to any persons in any manner so.as to become subject to the W,QI the applicant or future building occupant handle hazardous material ore
workers'compensation Is s�qf California,and agree that Ii I should become mixture containing a-hazardous material equal to or greater that trio
subject to the Workers'compensation provisions of Section 3700 of the Labor amdunts specified on the Hazardous Materials Information Guide?
code,I shell fohthwI com wlth those provisions. OVSS b NO
yh�, cl
400% ,1am1j .1:.L0 �'E�20(S Will gtelntended use of the buildinga thea applicant or future building
� • occupant require a"permit for the construction or modification from South
WARNING: :ILURE TO SECURE WORKERS' Coast Nf Ouallty Management Dls616t(SOAQM))?See permitting checklist
COMPENSPh ION OVERAGE IS UNLAWFUL AND SHALL forguidelinhi's
SUBJECT AN EMPLOYER. TO ,CRIMINAL. PENALTIES. ANO OYES ❑NO
cIVIL FINES UP TO ONE HUNDRED T,MOUSAIN DOLLARS
($100,000), IN ADDITION TO THE COST.OF:GOMPENSATION;_ Will the proposed building ormod'ified facility be within 1600 feet of the outer
.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF•TWE boundary of a.school?
LAEIOR CODE,INTEREST,.ANUATTORNEfS"FEES" GYPS ❑:NO
CONSTRUCTION.LENDING AGENOY I have read the Hazardous Material Information Guide and the SCAQMD
I hefeb'y affirm that under4he penally of perjury there;Is construction lending permittin'g'checklist. I understand my'requirements under the State of
agency for the performance of the work which this permit Is issued(Secdon Califomle Health&Safety Code,Section 25505 and25534 concerning
3097 Civil Code) hazardous[patedal reporting.
OWNER-BUILDER DECLARATIONS OYES ❑NO
I hereby:affirm under penally of perjury that I am exempt from the Contractor's - Date
Llcrose;Law for the reeson(s)militated below by the checkrnark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT
nextto the applicable item(s)(Section 7031.5 Business and Professions Code:.
Any city or bounty 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 EPA Renovation,Repair and Painting(RRP)Rule requires contractors
provistgns of the Contractor's State License Law(Chapter 9(commencing with receiving compensation for most work that disturbs paint In a pre•1978
$.eclion 7000)of Division 3 of the Business and Professions Code)or that he or residence.or childcare facility to be RRP-cerlifled firms and oomply with
she is. exempt from Ilcensure 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 penalty of not more than($500).) employees.For more idonnatloh about EPA's Renovation Program visit:
wwwlepa.govAead or contact the National Lead Information Center at
❑ I, as owner of the property, or my employees with wages as their sole 1-8004124-LEAD(5323).
compensation,will do( )all of or( )porting of the work,and the structure Is
not Intended or offered for sale.(Section 7044,Business and Professions Cede:
The Contractor's State License Law does not apply to an owner of a property ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
who, through employees or.personal effort, bgilds or Improves the property,
provided that the Improvements are not Intended or offered for sale.If,however, Certified Finn Name:
the building or Improvement Is sold within one year of completion,the Owner-
Bullder 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.
h•
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
`Menifee
DATE 10/01/2015 PERMIT/PLAN CHECK NUMBER —
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION []ALTERATION ❑✓ DEMOLITION ❑ELECTRICAL ❑MECHANICAL
❑NEW ❑PLUMBING ❑RE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK Demolish existing concrete slab for Lot Noll�of Tract No.29495-7
PROJECTADDRESS �U//�j (L� /J 2
ASSESSOR'S PARCEL NUMBER,-"GDt�3So-o40 LOT LJ 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
APPLICANTNAME FH II, LLC
ADDRESS 8300 Utica Ave, Ste 300, Rancho Cucamonga, CA 91730
PHONE (909)354-8000 EMAIL ttucker@frontier-enterpdses.com
CONTRACFOR'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 SO FT
APPLICANT'S SIGNATURE�- DATE 10/01/2015
CITY STAFF USE ONLY hill
DEPARTMENT DISTRIBUTION Y CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIR GREE 1 i SMIP
INVOICE PAID AMOUNT
AMOUNT OCASH CI CHECK# OCREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD 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 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
w lii
e
I I l
7 1 aI J l PAPILLON __ COURT
1
1L e � F^
SEI I
ip SFy� LI
�E �
SOLELI. CIRCLR__—
r■ SSP L r � f I(h�—,Y n Oa mo DY -- A J\ ,/� W
ILI
v l\V/� e
i@ 11 I'yl
OPII
—
e ® ®_
cc E CI,YISii g -.
❑P �� 1 6k-1NI�Will ltll.g 977 AMAX lM9 Adi
all �a5 tdd'd d ._ . ��sdtsd9d�'s 5
v e r C eQ®il]ls 3°::E@iDi?4[.!i3AEBIiEE:illii
9 St st;tts tt a as a E -3
:EE.A1 EEEB4ES.EE@@€@eEs@€°Yte°ee°e0 m
till III 3EE�l.�@aEEIE@€jLm.
� c `< e � Q �a=� E:e: aiiiaeiiaElElAri:6e"s! 2
ILI
a o a
o d •'+ _ Q n i=i;_Yeide�i mi i AEIE E'AE 11�
^ _ c M
N
m
m
�g
TI p�v'C�'Y 3"l62 ii��1 F5:"e � _"'"@ 3'5
rm ga"e-�EgiRF 3deE 1 Cv!tl €-EsT 3 i 6 a N! F' HH
iu o' � sgkb i ®�ie9k
I z m s
-0 9 m Z S i
N M l ao m i
d n i eX g tleE
ti Y 3"
m a o I� �'g Ai
In a s V � ! Y!i $ 11
� 3� � , as .Y al 6
J e a g [ YY9.
E
i V Y