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PMT18-04321 City of Menifee Permit No.: PMT18-04321 29714 HAUN RD. AF MENIFEE,CA 92586 Type: Residential Demolition MENIFEE MENIFEE Date Issued: 08/31/2018 PERMIT Site Address: 33303 HWY 215, MENIFEE, CA 92584 Parcel Number: 384-180-024 Construction Cost: $9,500.00 Existing Use: Proposed Use: Description of DEMO 60 X 30 FIRE DAMAGED DETACHED STORAGE BUILDING Work: Owner Contractor GABRIEL MORIEL KARL SCANLAN COMPANY INC 33303 US HWY 215 33291 BAILEY PARK BLVD. MENIFEE, CA 92584 MENIFEE,CA 92584 Applicant Phone:9513010601 KARL SCANLAN COMPANY INC License Number: 724701 33291 BAILEY PARK BLVD. MENIFEE,CA 92584 Phone:9513010601 Fee Description Oty Amount(5) 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 builiiiing 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_81dg_Pemni1 Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)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 force and effect. the following reason: License Class /' Ui 7 L1—70 1 By my signature below I acknowledge that,except for my personal residence Expires 14-30—94D Signature ((ll in which I must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legallysell a structure that I have built as an owner-builder if it has not been constructed in its entirety by • 1 hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section nave 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 this permit is issued. www.leginfo.ca.gov/calaw-html. Policy# I Date I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT -action 3700 of the Labor Code,for the performance of the work for which ❑By my signature below I certify to each of the following:I am the property this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: ! application and the information I have provided is correct.I agree to comply Carrier(` Y'Y+v..r 1 R r t with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy#1 f6 V SL yam(It 56W-.Expires 1-1—eT 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 emolov any persons in any manner so as to became subject to the CITY BUSINESS LICENSE# workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall fort p - those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date ?f—lai mixture containing a hazardous material equal to or greater that the amounts specified an the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes OWc, 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 ion occupant require a permit for the construct car modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SC ion or See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑Yes -6No 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 O�No 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 Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 2SS34 concerning hazardous mat checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 rep i Business and Professions Code).Any city or county that requires a permit to mYes o N Date construct,alter,improve,demolish or repair any structure,prior to its 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRP) 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 work themselves 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.eoa.eov/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 Contractors 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. o 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 Contractors 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 MENIFEE DATE: '3 (' I PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION -)DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES (( 0n DESCRIPTION OF WORK pub pq,a,.m �'I^2 4my v, ld(t PROJECTADDRESS 13SQ3 !l 1 i 'h q 0,15 ZIP y a-S ELI ASSESSOR'S PARCEL NUMBER 3`� <Q LOT TRACT OWNER NAME Q YDf­e I ' Ivf 1� I ADDRESS `3�j30 US PHONE -7iL{ -aI %q EMAIL APPLICANT NAME cl%� M �/s e l /� �-i• Q ADDRESS � rJ�J U �f' l LJr P^ L� M'(n �-� `�� ` �U Lf PHONE C)5) -S(� 6 - �i4�J EMAIL 1 II r CONTRACTOR'S NAME L C, ( Gcin`c,� Co NC- OWNER BUILDER? O YES ONO BUSINESS NAME ,(�,� ADDRESS t Y �c„ z G�1C I31!�J 1 '\-eotcue cL, 'i�-s��l PHONE aS 1 ' I -'OG,n i EMAIL CONTRACTOR'S STATE LIC NUMBER -7 3.4 —20 1 LICENSE CLASSIFICATION VALUATION$ q Sln0f SQ FT L SO FT APPLICANT'S SIGNATURE ::= DATE DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL I I GREEN SMIP OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee,CA 92586 (951)672-6777 www.cityofmenifee.us ENIF� � sn•aaf!uawfoXjjommm ZZq-ZC9-CL9-IS698SZ6 VJ'aaf!uayy py unoH trZ6Z luawuoda(l f;alos g OL ippng aaf!uapy fo.farj 51"to Sn G� ssadPPd A4 adoJd 1 art JO I *)J(A rj� awnN sraumo A4jadOJd >MR 3NSl�qtl dObd 1NOZU / am Q City of Menifee `� Building Dept. LU AUG 3 1 tots CMD C3 Received °L T m vll m 70 � m • m 4 ,0�0 $� C2V $' Q/ P �4? 3NTl Alb3dObd 21V3;d NIV'Id a.LIS/101d South Coast Air Qualtt f Management District r:o5liodir.:roomer 21865 Copley Drive,Diamond Bar,CA 91765-4182 - - - Phone:(989)385-2336 wvnv.agmd.go. Rule 1403 Notification of Procedure 1 Asbestos Removal Please maintain a copy of this Natjficadon at the job site,either electronic or pope;. Project Typ r Project Type Asbestos Removal Project Urgency Routine a 0 ��✓j Completed 8y Jennifer Cabal Phone Number (714)590-2800 -c, 0 N vow Contractor Information O-.c: Lo / 4 Company Name VETERAN ED'S INC Address 10372 SFANFORD AVE City GARDEN GROVE State CA WI Zip 92840 CSLB Ucense;: 653896 OSHA REG: 0855 Supervisor:i Roger Prudencio Phone (714)590-2800 Site Information Site riame Gabriel Moriel Project C 0076-ABT SAL Street 33303 Street Name US Highway 215 Cross Street Site County City 8 St ate ate CA 9254 Zip 9258 Contact Name Gabriel Muriel Contact Phone (714)936-2184 Site Oviner Gabriel Moriel Ovmer Address 33303 US HIGHWAY 215 City MENIFEE State CA ZIP 92584 ^ Project Start Date 8/20/2018 Project End Date 8/23/2018 51rt�a� Pmjea Work Shift(s) Day Buidhq Size in Sq.ft 1.362 6 Numt:a..r of Floors 1 Budding Age(years) 64 i Number of Bullding/[)�ailiing Units 1 Budding Prior Use House asbestos Survey Yes Asbestos Found Yes Asbestos Removed No Building to be Demolished No Describe Work Asbestos Abatement Describe Work Location Exterior Project Information Asbestos Information Amount of Asbestos in each type in Sq.Ft Acousuc Ceiling 0 Linoleum 0 insulation 0 Fire Proofing 0 Ducting 0 Dry Wall 0 Masdc(Non-friable) 0 Flax Tiles(Non-friable) 0 Tmrtdte 0 Roofing 0 Stucco 405 Plaster 0 Other(friable) D Coal Tar.;rap 0 Mastic(Friable) 0 Floor TAe(Friable) 0 omer(naMrlsMe) o AsbestosAmount to be Removed In sq.Ft FRIABLE 0 CLASS I 405 aaSS 31 0 TOW 405 Asbestos Removal Fiore Srrfatav Control Procedures 1 Ads Oetectlon Proxdure(s) Survey waste Information Waste Transporter ECTI Address 953 WEST REECE STREET City SAN BERNARDINO State - CA Zip 924U tantH A=W land Reclamation Address 12U W Giarlstonest City Aaea State CA Zip 91702 Fee Paynrent Total Amount of Asbestos to be Removed in sq.R 403 Taddng Number 33276SO Project Size Fee 62.92 Addd1oW Fee 0 Total Fe: $62.92 Payment Made $62.92 Bdarue Due $0 6y cucldng the Sip&Subm%bOttoq I oatffytiat an huRvidural trained In the peavtdorra of SCAQFm Rule 1403 and the Ashostos NBNAP(CFR Title 40,Part 61,Subpart t)WM be onsi a durhrg the demolition or reawation and evider m Rat the mquIred trelrtffig has been aowm;:Wred by Wa person wm be evallMe for lospectlm duzMg mamlat business hours In addiffoN I mrttly that ag of the IMon ation mrrtalned headn and inf mmation submRt®d with tlds Notiflratioo istnze and aorre& published by a.4.KELLER E ASSOCIATES.INC.".Neenah.Wl•USA•(aIX8327-6968•vM'•v.hkellm.com•Primetlln tiro United States 167-BLS-C6 10495 Fonn Approved.OM13 No.2050-0039 Hot or type.(Form designed for use on elite(12-pitch)lypea'dter.) 4.Manifest Tracking Number 1.Generaror ID Nbmber 2.Page 1 of 3.Emergency fte9,wbee Phone 017 2 82353 JJ K IFORM HA7ARODUS �tjOU'S3�S�S'''U NASTE MANIFEST Cryeooz9�7 G23 C Gvmramfs Sile Address(ifdigaent titian maifug address) SeneraloYs Name and Aseilrtg Address MprJ 5'y,r7n Kly 5,fr 3^x�v 3 US 41)Aw'7 21 f c/fr E r�<ArF« cA �Zti� 51 meratofs Phone: -`1 U.S.EPAIDNumber l`ran/salmicampanYName --,r f �IY (y Z�7OO C�1"L000Y'Z nI� S^) V t;l-Ercr'F"� Fn) Nt. V"A Oil L' nu'�°rT>h{n�A LLS.... Numtar frensponer 2 Company Name U.S.EPA ID Number Designated Fam7ty,Name and Site Address .L. 5p CR Wit TZ'eff Ic--his AZVSA r [� 11�Z ialdys Phone: (&Z4` 'dli • 6-�( 10.Containers 10otal 12.Unit 13.WasleCodes a Bb.US.DOT Descripton(urcluding Proper Shipping Name,Haiard Class,ID Number. NOI Type Duanety 'NWoI. IM aid PaclugGrolany)) Opt-IS( 'L I t 2. 3. 4. g - Nrti x III W. tiN Haldlin Instructions and Md:ticval in l ZyI�2c� 'KEoo .�af-soLs3 / ( // (U"3 d2 ST^IIfZ,'71l f7�.r. S,•i><i. S. L94�n Gt2✓.t. gf:?1 ' �oi+4 envlraIrllml:f _ / 1 L F CH ai III�lo lO9 S56 zuoo I ^'"'711tr R wme,aNaredasSfo afage4. 15. GENERATOR'S!OFFEROR'S ERTIFICATIDN:IM1ereby tledare Uet the contan6 of this rgnsynmentmhleuilnlematonaa dyra8onal go mental regulztems Itevpon shpmenl and l am the Primary { marked and lahlndlosurded,and we in all respects in proper candill fa aans(nd according to apPi Exporter.I cranially that the contents of this consignment canlerm to the lemis of the attached EPAAcknvatedgmanl of Consent' mgone ra qnth O Year 'I certfy that lhe rvasrn irvmiatan s^'^m enl identldedind8 CFR 2-0 1 (if l am a large quantity SignatureSignaturea(b)pll amasma generaloO is we. Mon ay i GeneratotyOgamfs PdnLdRyped Name N A a F J •U+lrn ll I�.tl11i/ I i 16.1memaBonal Sltipmenls �Imppd to U.S. ❑Fxporl6om U.S. Pat of on At_- Gate leaving U.S.: Transporter senators,Qa expels amy): Month--Day 71.iranspaferAanudsdgrtert olRecetplal7.SaledtJs Signalum Month Transporter 1 Pdmed'Typad Nam a Id IITa/' Oay Year Sigwlum I Trampe r 2 Pdnted/Typad hands Ia.Discrepancy Partial Rejection ❑Ful RejetBan i 18a.Disvepancy lndkaton Space � puantty Type []Residue 0 Manifest Reference Number U.S.EPA ID Number 18b.Ntemate Facility for Generator) i s s!onlh Day Year Facility's Phone: j 1&.SignaNre oftilemalc Fadiuy(ar Generator) is S 1g.Ilarallous Waste Report Management Mall Codes(I codes far haraNws rva5lo treatment.tlisposat,and recycling systems) a i, J 1 2. 3 i Chris Meyer From: Bill Payne <billp@imperialsprinkler.com> Sent: Friday,August 31,2018 1:21 PM To: karlscanlan@verizon.net Subject: Authoriztion Letter Attachments: SKMBT_C35180831131900.pdf Chris, Here is the authorization letter Thanks Bill Bill Payne Vice President Operations and General Manager Imperial Sprinkler Supply Ph (714)-696-7501 W WW.IMPERIALSPRINKLERSUPPLY.COM Imperial G ;P.VNkLERWPFLY LEGAL CONFIDENTIAL:The information in this e-mail and in any attachment may contain information which is legally privileged. It is intended only for the attention and use of the named recipient. If you are not the intended recipient,you fl are not authorized to retain, disclose, copy or distribute the message and/or any of its attachments. If you received this e-mail in error, please notify me and delete this message.Thank-you. 6 S THE MORIEL REAL ESTATE LLC 1485 N. Manassero St. Anaheim, CA 92807 LETTER OF AUTHORIZATION August 31s�, 2018 City of Menifee To whom it may concern: This letter serves as an authorization for Chris Meyer from Karl Scanlan Company, Inc, to pull permits for Moriel Real Estate LLC, and Gabriel Moriel in regards to the following ` property. 33303 US Highway 215, Menifee, Ca 92584 Owner's signature: Sincerely, Gabriel Moriel Moriel Real Estate LLC. I