PMT15-02892 i
I
I
City of Menifee Permit No.: PMT15-02892
29714 HAUN RD. i
MENIFEE, CA 92586 Type: Residential Demolition
MENIFEE Date Issued:
09/17/2015 !�
PERMIT
Site Address: 33315 NANCY LN, MENIFEE, CA 92584 Parcel Number: 384-100-002
Construction Cost: $0.00
Existing Use: Proposed Use:
Description of DEMO EXISTING MOBILE HOME ON PERMANENT FOUNDATION
Work:
Owner Contractor
ARTHUR TRUE ,
33315 NANCY LANE
MENIFEE, CA 92584
Applicant License Number:
ARTHUR TRUE
33315 NANCY LANE
MENIFEE, CA 92584
Phone: 9519705623
@Fee Description Oft r Amount I$1
Demolition Permit 1 140.00
$167.00
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 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
i
I
City Of Menifee
LICENSED DECLARATION ❑ I am exempt from licensors under the Contractors'State License Law for the
I hereby affirm under penalty or perjury that I am licensed under provisions of following reason:
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 1
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:
❑ 1 hereby affirm under penalty of perjury one of the following declarations: htt :/Iwww.le info.ca. ov/calaw.html.
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
Section 3700 of the Labor Code, for the performance of work for which this �� '� Dale
permit is issued. Property Owner or Authorized Agent
Policy# ❑ By my Signature below, I certify to each of the following: I am the property
❑ I have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. ) 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.1 authorize representatives of this city or county to enter the.above-
Carrier identifi prop for sdnspection purposes. 1
Policy Expires � "' %.� Date
Property Owner or Authorized Agent
(This section need not be completed if the permit is for City Business License#
one-hundred dollars($100)or less) y
ElI certify that in the performance of the work for which this permit is issued, I HAZARDOUS MATERIAL DECLARATION
shall not ample, any persons in any manner so as to became 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. DYES ❑ 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 El YES ❑ 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 ❑YES ❑ NO
I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date
License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT
next to the applicable hem(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 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 EPAs Renovation Program visit:
www.epa.gov/[ead 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 purpose of sale). Firm Certification No.:
A,I, as owner of the property an exclusively contracting with licensed El 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 contractors)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP
PERMIT/PLANBUILDING SAFETY APPLICATION
Menifee
DATE 09/17/2015 PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL []RESIDENTIAL ❑MULTI-FAMILY ❑✓ MOBILE HOME ❑POOL/SPA [-]SIG,.
SUBTYPE: ❑ADDITION ❑ALTERATION ❑✓ DEMOLITION ❑ELECTRICAL ❑MECHANICAL
❑NEW ❑✓ PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Switch out current manufactured home for a different manufactured home using the current septic
well and electrical, move the propane tank O
PROJECTADDRESS 33315 Nancy Lane
ASSESSOR'S PARCEL NUMBER 384-100-002 LOT 4 TRACT 0401008
PROPERTY OWNER'S NAME Arthur Melvin True and Bed Jo-Erb True
ADDRESS 33315 Nancy Lane, Menifee,Ca 92584
PHONE (951)970-5623 EMAIL berijo@aol.com
APPLICANT NAME Arthur True
ADDRESS 33315 Nancy Lane
PHONE (951)970-5623 EMAIL berijo@aol.com
CONTRACTOR'S NAME Arthur and Bed Jo-Erb True OWNER BUILDER? ✓❑YES❑NO
BUSINESS NAME
ADDRESS 33315 Nancy Ln Menifee ca
PHONE (951)970-5623 EMAIL berijo@aol.com
CONTRACTOR'S STATE
}LIC�NUMBER LICENSE CLASSIFICATION
VALUATIONS l / SO FT L SQ FT
APPLICANT'S SIGNATURE DATE
ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT 0CASH +CHECK# J CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT v' CASH OCHECK# CCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER 'C" YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
RECORDING REQUESTED BY: DOC # 2012-0272722
Commerce Title 06/13/2012 03:06P Fee:31.00
Page 1 of 3 Doc T Tax Paid
Recorded in Official Records
WHEN RECORDED,MAIL TAX STATEMENT TO: County of Riverside
Arthur Melvin True Larry W. Ward
27333 Sierra Madre Drive Assessor, County Clerk & Recorder
Mlsrietar CA 92563 _ 1111111111111111111111111111111111111111111111111111111
ASSESSOR'S PARCEL NO.:384-100-002-6 S R U PAGq SIZE I DA I MISC LONG RFD COPY
TITLE ORDER NO.:31862 7
ESCROW NO.:36468-CM
M A L 465 _42
6 rPCCR. NCOR Mj NCHG ExAM
T CTY UNI 11!
GRANT DEED City of Menifee
The undersigned Grantors)declare that die DOCUMENTARY TRANSFER TAX IS: Building & Safety Dept.
S 8635 County
XX computed on the full value ofthe interest of property conveyed,or SEP 1 72015
computed on the full value less the value of liens or encumbrances remaining thereon at he time of sale. -
OR transfer is EXEMPT from tax for the following reason pp((++pp �1,u.J G43
FOR A VALUABLE CONSIDERATION of$78,100.00,receipt of which is hereby acknowledged,GraBttlf:"C"IASi'Vvitae.A/K/A Federal
National Mortgage Association organized and existing under the Iaws of[he Uni[ed Slates of America
HEREBY GRANT(S) to Grantee: Arthur Melvin True and Bed Jc-Erb True, Husband and Wife as Community Property with Right of
Survivorship
All that real property situated in the City of Menifee, County of Riverside, State of CA,described as: Sec exhibit "one" attached for complete legal
description
Commonly Known As:33315 Nancy Lane,Menifee,CA 92584
Dated:May 29,2012
STATE OF RS } Fannie Mae A/K/A Federal National Mortgage
COUNTY OF / ( ( } Association organized and existing under the laws of the
On 7�G'L , before me, - United States of America
UDC''"'t- ✓�� J✓ Notary Public
(here insert name and title of the officer)
personally appeared JOHN WESLEY
who proved to me on the asis'o sa is -dory evidence to be the
person(s) whose name(s) is/arc subscribed to the within instrument tSST
NNWESLEY
and acknowledged to me that he/she/they executed the same in CEPNESIDENT
his/her/their authorized capacity(ies), and that by his/her/their
signature(s) on the instrument the person(s), or the entity-upon
behalfofwhich the person(s)acted,executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State
of California that the foregoing paragraph is true and correct.
WITNESS my hand and o cial
Signature I 1 VERNON A.CURRY,dR
=Notary Public Stateof Texd^
MyCommissionExpiros