PMT15-00915 i
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City Of Menifee Permit No.: PMT15-00915
��, 29714 HAUN RD.
rCCrE7,..7K MENIFEE, CA 92586 Type: Mobile Home
MENIFEE Date Issued: 04/10/2015
PERMIT
Site Address: 31645 MAYHEW LN, MENIFEE, CA 92584 Parcel Number: 360-240-007
Construction Cost: $3,200.00
Existing Use: Proposed Use:
Description of ADD PERMANENT FOUNDATION TO EXISTING MANUFACTURED HOME
Work: SERIAL#: GW20CALSC11554B HUD: RAD478826
SERIAL#: GW20CALSC1 1554A HUD: RAD478825
Owner Contractor
VERITAS CAPITAL, LLC PERMA-BRACE CONSTRUCTION
18032 LEMON DRIVE 21690 VINE ST
WILDOMAR, CA 92595
Applicant Phone: 9512459373
WENDY BROWN License Number: 636757
PERMA-BRACE CONSTRUCTION
21690 VINE ST
WILDOMAR, CA 92595
Fee Description gyt Amount isl
�vl,an�ffaclu�rCd Pei'anentFo�ind, ya„�tion�, � � t «�, . , 1 `��r �i 240 72
Permit Fee 1 27.00
$267.72
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_Template.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION
I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed
Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions
Professions Code a my license is in t INorc nd effect. Code:The Contractor's License Law does not apply to an owner of a property
License Class License NI� 7.5� who builds or improves thereon, and who contracts for the projects with a
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Expires/ 31-/6 Signature / licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENS D CE LAf2ATION
❑ I am exempt from licensure under the Contractors'Stale License Law for the
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❑ I hereby affirm under penalty of perjury one of the following declarations: following reason:
I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in
compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of
Section 3700 of the Labor Code, for the performance of work for which this improvements covered by this permit, I cannot legally sell a structure that I have
permit is issued.
Policy# built as an owner-building if it has not been constructed in its entirety by licensed
contractors. I understand that a copy of the applicable law, Section 7044 of the
1 have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is
section 3700 of the Labor Cade, for the performance of the work for which this submitted or at the following Web site:htti),//www.leginfo.m.goy/calaw.htm].
permit is issued.My workers'compensation insurance carder and policy number are:
Carrier 725:�_/i�//z/ Property Owner or Authorized Agent Date
Expires 1-1-1k Policy# 90 7g7 o
❑ By my Signature below, I certify to each of the following: I am the property
Name of Agent �' Phone# 6D ��i/P U<2 owner or authorized to act on the property owner's behalf, I have read this
(This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply
one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building
construction.I authorize representatives of this city or county to enter the above-
0 1 certify that in the performance of the work for which this permit is issued, I identified property for the inspection purposes.
shall not employ any persons in any manner so as to become subject to the
workers'compensation laws of California, and a as that if 1 should become
subject to the workers'compensation provisio of Section 3700 of the Labor Property Owner or Authorized Agent Date
Code,I shall forthwith comply with those pro ' i0
Date; Applican �.
�J���, City Business License#
--����-"--` ,
WARNING: FAILUR TO S CURE WORKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES ?y0- EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY �"'- SPECIFIED ON THE HAZARDOUS MATERIALS
I hereby affirm that under the penalty of perjury there is a construction lending
INFORMATION GUIDE?
agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE
3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name []YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address /RIND DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR
OWNER BUILDER DECLARATIONS GUIDE LINES
�I I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME:
License Law for the reason(s)indicated below by the checkmark(s)I have placed []YES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable item(s)(Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A
Any city or county that requires a permit to construct, alter, improve, demolish, 0 SCHOOL?
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
provisions of the Contractor's State License Law(Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or []YES INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to kMO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) COD' C3TMAN EP533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole
compensation,will do( )all of or( ) porting of the work, and the structure is PROPER R TH ED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.It,however,
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that It was not built or improved for the
purpose of sale).
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
r ell
Menifee
DATE PERMIT/PLAN CHECK NUMBER
TYPE: C:%COMMERCIAL ' RESIDENTIAL "% MULTI-FAMILY C^ MOBILE HOME O POOL/SPA J SIGN
SUBTYPE: C%ADDITION ",:,I ALTERATION O DEMOLITION O ELECTRICAL Q MECHANICAL
O NEW O PLUMBING <; RE-ROOF-NUMBER OFSQUARES DESCRIPTION OF WORK 74
PROJECTADDRESS Q 0
ASSESSOR'S PARCEL NUPBER J ) OT TRACT
OWNER NAME LLc // �
ADDRESS d 2. (J7� �--f
PHONE (�/� /23r/ EMAIL Building & Safety D pt.
APPLICANT NAME - APR 10 201
ADDRESS < ) Gc.C_
PHONE EMAIL
CONTRACTOR'S NAME ¢ OWNER BUILDER? C:YES : NO
BUSINESS NAME // n
ADDRESS _2 (f (
PHONE Z�,� EMAIL
CONTRACTOR'S ST E LIC NUMBER �� �QQQ,,, �S� Q LICENSE CLASSIFICATION
VALUATION $ -S FT l2 ! LSQ FT
APPLICANT'SSIGNATUREG% DATE
DEPARTMENT DISTRIBUTION j CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN IP
INVOICE I ^�-L PAIDAMOUNT 1a'
AMOUNT ace-1 �— O CASH .'CHECK# L.>CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT CASH G'CHECK If C>CREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES " NO DLNUMBER NOTARIZED LETTER '; YES O NO
City of Menifee Building& Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-5 72-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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Scr� nlot�REsg 316 A�5 NI,�_heHNlen"fee �
ASSES SM3 PARCELNUMBER�
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City of Menifee
CITY OF MENIFEE Bullding & Safety Dept.
BUILDING AND SAFETY DEPARTMENT APR 10 2015 S Ilk
S PLAN APF'?OVAL
Received '
E REVIEWED 3Y
P DATE
R R
0 'Approval of then . m5trued to be a permit for,or an O
p �n approval of,any vic ions of the federal,state or city P
rj% regulations and ord:• .et of approved plans must be kept on th
R jobsite until complet,.
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STATE OF CALIFORNIA•BUSINESS.CONSW SERVICES.!NO HOUSING AGENCY EDNUND G.BROWN JR Governor
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ,� G
DiJsion of Codes aW Standards G1T'
• e •
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Title Search °ti o
Date Printed : 04/05/2015 nay
Decal #: LAP1814 Use Code: SFD >
Manufacturer. 09248 GOLDEN WEST HM Original Price Code: AFD i
Tradename: GOLDENWEST Rating Year: U
Model: SC400F4 Tax Type: LPT
Manufactured Date: OUl9/1989 Last ILT Amount: L
Registration Exp: Date ILT Fee Paid: U
First Sold On: 08/27/1990 ILT Exemption: NONE
LL
LL
Serial Number HUD Label/Insignia Length Width Q
GW20CALSC I 1554B RAD478826 44' 13'6" ofMenilee
GW20CALSCI 1554A RAD478825 44' 1�81d g &Safety Dept.
Record Conditions: PPF Exempt APR I 0 2015
Registered Owner:
VERITAS CAPITAL LLC Received
18032 LEMON DR#C
YORBA LINDA,CA 92886
Last Title Date: 02/212014
Last Reg Card: 02/21/2014
Sale/Transfer Info: Price$80,000.00 Transferred on 01/06/2014
Situs Address:
31645 MAYHEW
SUN CITY,CA 92381
Sims County:RIVERSIDE
*** END OF TITLE SEARCH ***
Branch :S06,User:4001 Comment: Station Id :AYM7
RECORDING REQUESTED BY; DOC # 20 14—@@211 @4
AND
WHEN RECORDED MAIL TO: 01/17/2014 02:11P Fea:31.06
Page 1 of 3 Doc T Tax Paid
VE.i-kar'Gapd-t LV- Recorded in Official Records
18032I EMON DR NC County of Riverside
Larry W. Ward
YORBA LINDA,CA 92886 Assessor, County Clerk a Recorder
� Il�flllllllllll ��� IIIIIN �� Illifl �� lu
Forward Tax Statements to Address listed above ( 1�
TS Na 12-0011584 S R U PAGE SIZE DA I MISC LONG I RFD COPY
Title Order No. I2-0019321 i
M A L 1 485 1 426 O NCOR 'MF CHG cox
J(J 1
T. (TYA UNI afl1
SPACE AROVETMS LINE FOR RECORDER'S USE
,
TRUSTEE'S DEED UPON SALE City 81 Safety Ot Mesita Dept_
Buiidin9 524
APR 1 U 2015
APN9 360-240-007.0 TRANSFERTAX:S Ne Shew
The Grantee herein was not the beneficiary i
The amount of the unpaid debt was$282,960.13
The amount paid by the Grantee was S No f kso -
The property is in th"RyofMENIFEE,County of RIVERSIDE
RECONTRUST COMPANY, N.A.,as the duly appointed Trustee(or successor Trustee or substituted
Trustee),under a Deed of Trust referred to below,and herein called'Trustee,does hereby grant without
covenant or warranty to;
VERITAS CAPITAL LLC
herein called Grantee,the following described real property situated In RIVERSIDE County,California:
SEE ATTACHED LEGAL DESCRIPTION - -
This conveyance Is made pursuant to the powers conferred upon Trustee by the Deed of Trust executed by
GENE D TARDY AND BONNIE L TARDY,HUSBAND AND WIFE AS COMMUNITY PROPERTY
WITH RIGHT OF SURVIVORSHIP,as Truster,recorded on 11/092004,instrument Number 2004-
0891149(or Book,Page)Official Records in the Office ofthe County Recorder of RIVERSIDE County.
All requirements of law regarding the recording and mailing of copies of the Notice of Default and
Election to Sell,and the recording,mailing,posting,and publication of the Notice of Trustee's Sale have
been complied with.
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RIVERSIDE,CA Pagel of 3 Printed on 4/9/2015 4:26:51 PM
Document:FD 2014.21104
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Branch:S06,User:4001 Comment: Station Id :AYM7
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TS No. 12-0011584
Title Order No. 12-0019321 11
Trustee,in compliance with said Notice of Tmstea's Sale and In exercise of its power under said Deed of Trust sold said real t
j property at public auction on 01/06M 14. Grantee,being highest bidder at said sale became the purchaser of said property for
the amount bid,which amount was4404001ft
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DATE: JANO tJ 1�14 RECONTRUS O PANY, N.A. i
u 6
,IANp g 7At4 €
av: i
State of California
County er^ V Darlene Real-Gomez,Asst.Vice Preeldent
Il1RA__ _)
9
On JAN Q 9 2014 before me, I.G.Garay notary public,personally appeared {
Darlene Reald3omat who proved to me on the basis of satisfactory evidence to be
the person(&)whose name(s)is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the
same In his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the pcnon(s),or the entity
upon behalf of which the person(s)acted,executed the instrument.
1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and I
correct.
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WITNESS my hand and official seal.
Signature _. ``�-----_(Seal) �Aµv rpup,t�p`a
I,G. Garay
(I�IIII�II�III I�I�I��I III )Itll�IIII�II II�I�II�II'I III 012t01 a 0023�04h� {
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Document: FD 2014.21104