PMT18-04317 City of Menifee Permit No.: PMT18-04317
l%r29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Demolition
MENIFEE MENIFEE Date Issued: 08/31/2018
PERMIT
Site Address: 29983 CADENA DR, MENIFEE, CA 92585 Parcel Number: 327-440-017
Construction Cost: $42,000.00
Existing Use: Proposed Use:
Description of COMPLETE STRUCTURAL DEMO OF 4 BUILDINGS-3456 SQ FT HOUSE, LIVERY BARN 1890 SQ
Work: FT,GARAGE 983 SQ FT,AND OUT BUILDING 216 SQ FT. l rbM �� I-7_2 383
Owner Contractor VVGG
SHELLPOINTE MORTGAGE SERVICING GRAHAM CRACKERS-DEMO INC
75 BEATTIE PL#300 25125 FELSWOOD LANE
GREENVILLE,SC 29601 RAYMOND PAUL GRAHAM
Applicant Phone: 9512442235
MENIFEE,CA License Number:745828
Phone:9512442236
Fee Description City Amount IS)
Building Permit Issuance 1 27.00
Demolition Permit 4 560.00
GREEN FEE 1 2.00
$589.00
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 building operations being carded 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.rpt Page 1 of 1
CITY OF MENIFEE
{'l LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
f I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractors)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full farce and effect. the following reason:
License Class C?A Licerpe No. By my signature below I acknowledge that,except for my personal residence
Expires (52--ZO Signature 't in which l must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
.#it hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
/have and will maintain a certificate of consent of self-insure for worker's 7044 of the Business and Professions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website:
by Section 3700 of the Labor Code,for the performance of work for which www.IeRinfo_ca.aov/calaw.htmL permit is issued.
Policy# Date
*have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which D By my signature below I certify to each of the following:I am the property
this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this
number are: LL�// � rr 1 application and the information I have provided is correct.I agree to comply
Carrier ST3T'C 1'l.(Y� with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# / 90 p7116 Expires 10 E6191 enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred
Date
dollars($100)or less
PROPERTY OWNER OR AUTHORIZED AGENT
❑I certify that in the performance of the work for which this permit is issued,
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should become Q HAZARDOUS MATERIAL DECLARATION
subjectto the worker's compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
Applicant Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes l(lo
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCr10N LENDING AGENCY ❑Yes a4No
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) ❑Yes PdNo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
California Health&Safety Cade,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the hazardous ma ria reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 N
Business and Professions Code).Any city or county that requires a permit to V_ ✓ d-_ Date
construct,alter,improve,demolish or repair any structure,prior to its J PROPERTY OWNER OR AUTHORIZED AGENT
issuance,also requires the applicant for the permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRP)
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with
an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing workthemselves or through their
❑I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.epa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION ` IENIFEE
_V101N - . AFFTV
DATE: b 7J PERMIT/PLAN CHECK NUMBER V
GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: ®COMMERCIAL ®RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA 0 SIGN
SUBTYPE: (E)ADDITION O ALTERATION •DEMOLITION O ELECTRICAL O MECHANICAL
O NEW OPLUMBING ORE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK ()&u( ` e-mp q,4
OCCUPANCY GROUP CONSTRUCTION TYPE II -II SPRINKLERS O YESS ®NO
PROJECTADDRESS Zgi93 CidP� T 'f. Romoland ZIP 2.58S
ASSESSOR'S PARCEL NUMBER 12_7-4q6-0(7 LOT TRACT
OWNERNAME ` 1 j
ADDRESS Q{ neemMle cXi 9 too
PHONE EMAIL
nr
APPLICANT rNAME
ADDRESS
PHONE q,rj1-Z 772~j EMAIL S (ah mCC' C fS em0 . o
CONTRACTOR'S NAME ,/- --TT---- OWNERBUILDER? QYESQNO
la
BUSINESS NAME c v) h-�Cke� v,(, , .111C ADDRESS 2.51 RIS' Iv 1� . p I c
PHONE C`i51- 2-44-?z?,5 EMAIL C, hanlGr CKP�Sc,12rY10, CGr
CONTRACTOR'S STATE LIC NUMBER -745g2'R' LICENSE CLASSIFICATION
VALUATION$ 14, _l SO F[TrjL}j L SO FT Q
APPLICANT'S SIGNATURE QI.A4, /l (1�"/di7Yt) DATE
CITY STAFF USE ONL Y
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING EN INEERING FIRE I o
INVOICE TOTAL VV I GREEN 2� SMIP
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
City of Menifee Building & Safety Department 129714 u ONIMge, CA 92586 (951)672-6777
www.cityofinenu$11ng Dept.
ttttttiiiiii I❑ NIF
AUG 31 2018
Received
CONSTRUCTION AND DEMOLITION
6NIFg *. WASTE DIVERSION PROGRAM
City of Menifee-Public Works/Engineering Department
29714 Haun Road,Menifee, CA 92566
Cit of Menifee Ph:951-672-6777
0 te: C se Num r-PP. UP,Etc.Project Description,
�M71�-- 6�31? .Zq1 S3 /tl(j�ECJ_h - rn e�t s�iuc�Uf� Demo..sr/c �
APN: ,,''^^ Project Adddress::
_IV-'4`0-0/7 a O 1 �nC� �Sr Zip Code:Applicant's Name:Name:
Daytime Phone: Estimated Start Date:
Chis Gr p L?sl-V5J-V31 F' 9 -2/-/fy
Applicant's Company Name: Applicant's Title: Estimated Date of Completion:
6 ham 0-(&? erx4erri o CFO 9 - ZP/?,
Con actor's Name:
Con
,,1 �& Daytime Phone: For RCOWR Only
"l rJ/�4�53��sa / Approved by:
PERFORMANCE
GOALS
This project will recycle, reuse, compost, and/or salvage—a minimum of 50% by weight of the
material and/or waste generated on site.
PERFORMANCE
Please read the following requirements, sign below and initial each box to acknowledge that
you agree to comp) with these conditions. Sign here:
Waste prevention & recycling activities will be discussed at the beginning of each safety meeting
The permit applicant shall provide each NEW subcontractor with copies of completed Form B
(Recycling Plan) and Form C (Reporting Form) The permit applicant shall provide each
subcontractor with a tour of the site's recycling areas.
All recycling containers will be clearly labeled and lists of acceptable and unacceptable materials will
be posted throughout the project site.
Form B - Recycling Plan must be approved by the City of Menifee prior to issuance of Building
Permits.
For C - Reporting Form must be approved by the City of Menifee prior to issuance of Occupancy
rForm
.
- Reporting Form MUST be accompanied by legible letters and/or original receipts including
weights, for all materials and/or waste recycled, reused, composted, salvaged, and/or
0) .
Waste Diversion must be calculated in TONS (Total Recycled Tons divided by Total Waste Tons=% Recycling Rate)
*StepF
he"Estimated Weight"of each Diverted or Lanpounds (Ibs).To convert volume to
, refertohttp://www.ccilities/CDI/Tools/Calculations.htm
*Stepe "Estimated Weights"of Diverted(Ibs)and Landfilled (Ibs)material and enter in Total box designated for
*Ste TOTAL Diverted and Landfilled lbs.to TONS (divide by 2000) ELeAof Estimated Diverted
pin BOX 1. Enter TOTAL of Estimated landfilled TONS in BOX 2
Step ulate Total Estimated Waste Generation for this project,add BOX . Enter this Total in BOX 3.
Step ulate Estimated Diversion Rate for this project divide BC��,� is Total in BOX 4.
clulrdmg Dept
WM Form 2100 AUG 3 Y 2018 �
Rev.4/18118 AY
RA(:AIVPH Pagel of
Authorized Hauler Estimated Estimated
Waste and Disposal Site Weight Weight
Management Comments
Materials or Diversion Diverted Landfilled
Method Facility (in Ibs) (in Ibs)
Asphalt
Brick/Masonry
Cardboard
Carpet/Carpet Pads
GS
Concrete ,Q�t`�(f' sun 3zG7W—
Drywall/Gypsum
Board
Fixtures (doors,
toilets, windows
Green Waste
Metal
Mixed Recyclables
bottles, cans, a er
Mixed Plastics# 1-7
no Film Plastic
Wood
Other- Explain
Refuse/Trash
Total Each Weight Column and Enter Total into Correct Box ►
Box 1 Total TONS Diverted► *4
Box 2 Total TONS Landfilled ► (gy ¢ens
Box 3 Total Waste Generation for this Project(tons) ► Z qq
Box 4 ESTIMATED DIVERSION %for this Project ► „�J/O
LEGEND FOR BOX OPTIONS
Waste Manaqement Method Authorized Hauler(Contact the Hauler for the project are
Reuse
Recycle Waste Management Inland Empire
Compost 1-800-423-9986
Salvage http I/www.keepinginiandempireclean.com
Landfill
W M Form 2100 Page 2 of 4
Rev.4118118 AY
Ma-t-oti.�at�nG I I�i
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City of Menifee
Building Dept.
AUG 3 1 2018
� � pf dui Lc�i ITS Received
&545 S-O--t ��al'
City of Menifee
Building Dept.
a A AUG 31 2018
eceived
25125 Felswood Road Phone 951-244-2235
Menifee,CA 92584 PROPOSAL Fax 888-885-9174
SUBMITTED TO:Cyprexx PROJECT: Romoland CA Residence Demo&Site Clear
TELEPHONE: 210-353-2222
EMAIL:Rhonda.l@cyprexx.com ATTN:Cheryl Marasco and Rhonda Lasseter
We propose to famish materials, labor and equipment(the work) in accordance with the specifications,terms and conditions as
set forth below for the sum of S 33,200.00 Payment due within thirty (30) days upon substantial completion of the
work. Payment for work completed the preceding month shall be received by the tenth (10i°) of the following month and
payment in full shall be made within thirty(30) days of completion. A charge of 1 1/2%per month (I8% per year)will be
charged on past due accounts. Payment in full shall be made if a break of continuity of work exceeds thirty-five (35) days.
Proposal good for 30 days after date of submittal.
Graham Crackers-Demo,Inc.hereby proposes the following scope of work:
Provide operated equipment, labor, dust control, trucking and dump fees to demolish 3456 sq. ft.
house, 983 sq. ft. garage, 261 sq. ft. outbuilding, 1890 sq. ft. livery style outbuilding. Price
includes demolition permit, AQMD notification, cutting/capping utilities, mobilization of
equipment plus removal of all foundations, concrete driveways, walkways, mise trash,
motorhome, boat and three large previously burnt trees. $33,200.00
Debris to be removed to leeal dump and/or recycling site.
CONDITIONS/EXCLUSIONS: One move-on,straight time work;no footings below feet;unidentifted/unusual below grade
structural concrete;slab removal based on four inches(4")or less,asphalt removal based on three inches(3")or less,extra
charges will apply for asphalt containing petromat.Excludes all bonds,permits,specialized insurance's;demolition plan,
engineer submittals,engineer monitoring/testing/inspection;survey; layouts;identification or location of underground utilities:
dewatering,,excavation,backfill,grading or compaction;disconnect or capping of utilities;removal of underground utilities;
removal of unforeseen material,erosion control,SWPPP's(storm water pollution prevention program),shoring or bracing;
fencing;barricades, traffic control,dust control,protective covers or canopies;underpinning or falsework;protection of finished
surfaces; removal of hazardous waste;concrete cutting or drilling for other trades;noise/vibration control;QA/QC Soils testing;
contaminate testing or disposal,hydrocarbon impacted soils,asbestos or lead paint detection or removal,handling/disposal of
hazardous or contaminated material by others:selective removals for other trades;Removal of grade beams,caissons or piles is
excluded. OUR CONDITIONSIEXCLUSIONS SHALL BECOME A PART OF THE SUBJECT CONTRACT AGREEMENT
SHOULD WE BE AWARDED THIS JOB.
Submitted By: Approved By:
Signature:
Paul Graham,President
Date of Submittal: Date of Acceptance:
California Contractors License#745828 Class C-21 Exp 2-28-2018
California Certified Small Business#30523