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
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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
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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
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marked and lahlndlosurded,and we in all respects in proper candill fa aans(nd according to apPi
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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