PMT15-02770 I
City of Menifee Permit No.: PMT15-02770
29714 HAUN RD. Type: Residential Electrical
MENIFEE, CA 92586
swe P MENIFEE Date Issued: 0 910 812 01 5
PERMIT
Site Address: 23841 LAKE DR, MENIFEE, CA 92587 Parcel Number: 350-202-054 pll�
Construction Cost: $0.00
Existing Use: Proposed Use:
Description of HOURLY INSPECTION TO INSPECT ELEC METER AND BUILDING CODE VIOLATIONS
Work: CE15-0816 O'GARA
Owner _ Contractor
GW SAN DIEGO PROPERTIES LLC DALE E GRIFFIN CO
110 N LINCOLN AVE 110 N LINCOLN AVE STE 100
SUITE 100 CORONA, CA 92882
Applicant Phone: 9515473500
JOHNNY RODRIGUEZ License Number: 605391
DALE E GRIFFIN CO
110 N LINCOLN AVE STE 100
CORONA, CA 92882
Fee Description city Amount is
,e
Inspections not specified 129 129.07
$166.07
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 am exempt from licensure under the Contractors'State License Law for the
following reason:
I hereby affirm under penally or perjury that I am licensed under provisions of
Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that, except for my personal residence in
Professions Code and my license is in full force and effect. which I must have resided for at least one year prior to completion of
License Class License No. improvements covered by this permit, I cannot legally sell a structure that I have
Expires Signature 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
WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application is
submitted or at the following Web site:
❑ I hereby affirm under penalty of perjury one of the following declarations: httpil/www.leginfo.ca.gov/calaw.htmi.
I have and will maintain a certificate of consent of self-insure for workers'
compensation,issued by the Director of Industrial Relations as provided for by Date
Section 3700 of the Labor Code, for the performance of work for which this
permit is issued. Property Owner or Authorized Agent
Policy# ❑ By my Signature below, I certify to each of the following: I am the property
❑ 1 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
section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comply
permit is issued.My workers'compensation insurance carrier and policy number are: with all applicable city and county ordinances and state laws relating to building
construction.I authorize reprep6m tives of this city or county to enter the above-
Carrier identife operty a sp ti n purposes.
Date
rty
Policy# Expires L�
Prop Owner or Authorized Age
(This section need not be completed if the permit is for City Business License#
one-hundred dollars($100)or less)
HAZARDOUS MATERIAL DECLARATION
❑ 1 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 Will the applicant or future building occupant handle hazardous material or a
workers'compensation laws of California, and agree that if I should become mixture containing a hazardous material equal to or greater that the
subject to the workers'compensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide?
Code,I shall forthwith comply with those provisions. ❑YES ❑NO
Applicant; Date; Will the intended use of the building by the applicant or future building
occupant require a permit for the construction or modification from South
WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES ❑NO
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
- ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a school?
LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑YES ❑ NO
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understand my requirements under the State of
agency for the performance of the work which this permit is issued (Section California Health&Safety Code,Section 25505 and 25534 concerning
3097 Civil Code) hazardous material reporting.
OWNER BUILDER DECLARATIONS DYES El NO
Date
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
_ License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT
next to the applicable item(s)(Section 7031.5. Business and Professions Code:
Any city or county 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
provisions of the Contractor's State License Law(Chapter 9 (commencing with receiving compensation for most work that disturbs paint in a pre-1978
Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with
she is exempt from licensure 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 information about EPA's Renovation Program visit:
www.epa.gov/lead or contact the National Lead Information Center at
❑ I, as owner of the property, or my employees with wages as their sole 1-800-424-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 Code;
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, builds or improves the property,
provided that the improvements are not intended or offered for sale. If,however, Certified Firm Name:
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 Firm Certification No.:
purpose of sale).
❑ 1, as owner of the property an exclusively contracting with licensed LJ 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.
BUILDING & SAFETY . • APPLICATION
- I
A.. Menifee
DATE 0j 90 1 15 PERMIT/PLAN CHECK NUMBER -
TYPE: O COMMERCIAL /RESIDENTIAL O MULTI-FAMILY MOBILE HOME - POOL/SPA O SIGN
SUBTYPE: 0 ADDITION 0 ALTERATION C%DEMOLITION 0 ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK 't4 IN5,PV?,T�00 -V9 �N E ?M4qLa1!v)
PROJECTADDRESS IM LAW M.
,I l r✓001 City of Menifee
ASSESSOR'S PARCEL NUMBER 351J- �Z•' o974 LOT TRACT
OWNERNAME W '* fl '[rjnS �.Gr� QQ¢
ADDRESS4- IO ` • N Cad AV� *boo oo UZ��" 'i= ived
PHONE 19A- 9-f'1'S5V0 x503 EMAIL �l`�"t`����EZ �r--t f`��lD'ENT�AL.. CZIA
APPLICANT NAME 31 ALA52
ADDRESS W `" &AE_— A.S i4W&vj�
PHONE aIr'JI' L�'�' " -`���P EMAIL �cr /cS P�&V'E'
CONTRACTOR'S NAME � N C -Y 91kt'CkN OWNER BUILDER? OYES ONO
BUSINESS NAME
ADDRESS pp,,// `
W 5+"�AA._- aB QCBWV
-1J PHONE - ';two EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION $ SO FT L SO FT
APPLICANT'S SIGNATURE DATE g 15
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN X SMIP x
INVOICE PAID AMOUNT �y //��
AMOUNT ISca �J10•V1 J CASH 0 CHECK# ;.SCREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O{ASH 0CHECK it 0CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER C% 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
DOC# 2015-0392424
TICOR TITLE 09/02/2015 08:00 AM Fees: $24.00
RIVERSIDE Page 1 of 4
.} � pL� Recorded in Official Records
`Y� County of Riverside
WHEN RECORDED MAIL TO: PeterAldana
Assessor-County Clerk-Recorder
GW San Diego Properties LLC
I10 N. Lincoln Ave. #100 "This document was electronically submitted
Corona, CA 92882 to the County of Riverside for recording"
Recelpted by:COLLEEN#771
City of Menifee
TRA#026172 Building & Safety Dept.
Trust No. 018465-CA SEP 0 8 2015
Parcel No. 350-202-054-1
Space Above This L n r c
'MAIL TAX STATEMENT TO: Documentary Transfer Tax$161.70
The Grantee Herein was not the Foreclosing
Same as above Beneficiary.
consideration$147,000.00
unpaid debt $106,558.43
_X_Computed on the consideration or value of
property conveyed.
_Computed on the consideration of value less liens
or encumbrances remaining at time of sale.
The undersigned declare under penalty of perjury
1 =
Signature of lieclarant or Agent
APN 350-202-054-1
I�tt j
TRUSTEE'S DEED UPON SALE ..
CLEAR RECON CORP. (herein called trustee) l
does hereby grant and convey, but without covenant or warranty, express or implied to GW San (�
Diego Properties LLC (herein called Grantee) the real property in the county of Riverside,
State of California described as follows:
LOT 10 OF BLOCK "Q",LAKE ELSINORE LODGE TRACT NO.2,IN THE CITY OF
MENIFEE,COUNTY OF RIVERSIDE,STATE OF CALIFORNIA,AS SHOWN BY MAP ON
FILE IN BOOK 12 OF MAPS PAGE 28 THEREOF,RECORDS OF RIVERSIDE COUNTY,
CALIFORNIA.MORE COMPLETELY DESCRIBED IN ATTACHED EXHIBIT A.
The street address and other common designation, if any, of the real property described above is
purported to be: 23841 LAKE DRIVE, CANYON LAKE AREA,CALIFORNIA 92587
This conveyance is made pursuant to the authority and powers vested in said Trustee, as Trustee,
or Successor Trustee, or Substituted Trustee, under that certain Deed of Trust executed by
ELIZABETH HOLMGREN, A SINGLE WOMAN AND VONNIE HOLMGREN, A
WIDOW AS JOINT TENANTS as Trustor, recorded 7/30/2010, as Instrument No. 2010-
Page 1 of 2
BSI CRC TDUS 09042014
TS #; 018465-CA 1
0358549, of official Records in the Office of the Recorded of Riverside County, California; and
pursuant to the Notice of Default recorded 7/18/2014, as Instrument No. 2014-0267204, of
Official Records of said County, Trustee having complied with all applicable statutory
requirements of the State of California and performed all duties required by said Deed of Trust,
including, among other things, as applicable, the mailing of copies of notices or the publication
of a copy of the notice of default or the personal delivery of the copy of the notice of default or
the posting of copies of the notice of sale or the publication of a copy thereof.
At the place fixed in the Notice of Trustee's Sale, said Trustee did sell said property above
described at public auction on 8/25/2015 to said Grantee, being the highest bidder therefore, for
$147,000.00 cash, lawful money of the United States, in satisfaction pro tanto of the
indebtedness then secured by said Deed of Trust.
Date: AUG 2 6 2015 CLEAR RECDN CORP.
By _ n .
Nicol ost
A notary public or other officer completing this certificate
verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the
truthfulness,accuracy, or validity of that document,
State of California)
County of San Diego)
--- -On --AUG-"2-6-?Q15_. _-_-beforeme; ___----ASHLEYJOHN50N-
a Notary Public, personally appeared Nicole Yost who proved to me
on the basis of satisfactory evidence to be the person(s) 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 bis/her/their signature(s) on the instrument the person(s), or
the entity upon behalf of which the person(s) acted, executed the instrument. I certify under
PENALTY OF PERJURY under the laws of the State of _CA.Uf;,0pN[A that the foregoing-
paragraph is true and correct.
WITNESS my 1 an official
$ -RBPiLEC81tteHt;tSignature t�u�dr COmR MAILTAXSTA TIM ABOVE MENTIONED ADD1tESS
C S10ft�e'€�if$93
9h359tC` G`a8ihle""
Sue Ota®O,COy '`
94, tEI17
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BSI CRC TDUS 09042014