PMT15-02894 City of Menifee Permit No.: PMT15-02894
29714 HAUN RD. Type: Mobile Home
L. MENIFEE, CA 92586
MENIFEE Date Issued: 0911712015
PERMIT
Site Address: 33315 NANCY LN, MENIFEE, CA 92584 Parcel Number: 384-100-002
Construction Cost: $18,000.00
Existing Use: Proposed Use:
Description of INSTALL NEW MANUFACTURED HOME ON PERMANENT FOUNDATION
Work: "*INSPECTOR TO VERIFY U/G GAS TANK&LINE"* '.
SERIAL#B6SC8314CA HUD#HWC168549
SERIAL#C6SC8314CA HUD#HWC168550
SERIAL#A6SC8314CA H U D#HWC 168548
Owner Contractor
ARTHUR TRUE
33315 NANCY LANE
MENIFEE, CA 92584
Applicant License Number:
ARTHURTRUE
33315 NANCY LANE
MENIFEE, CA 92584
Phone: 9519705623
Fee Description City,+ Amount
is
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 thereunderwhen 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,orwhere 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 ❑ 1 am exempt from licensure under the Contractors'State License Law for the
following reason:
I hereby affirm under penalty 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:
❑ 1 hereby affirm under penalty of perjury one the following declarations: htt ://www,le i'nfo.ca. ov/calaw.html.
I have and will maintain a certificate of consentt of self-insure for workers' ��^^''' .�J�� p '
compensation, issued by the Director of Industrial Relations as provided for by L� /—�/t Dale /
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 representatives of this city or county to enter the above-
Carrier identifl prop for '-sspp�ection purposes.
Policy# Expires — a-� "'/� 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
ITI certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION
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. DYES IT 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 EYES ❑ 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 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
IT 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.:
A1, as owner of the property an exclusively contracting with licensed ❑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
s
BUILDING
SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE 09/17/2015 PERMIT/PLAN CHECK NUMBER -p &
TYPE: ❑COMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY ✓❑MOBILE HOME ❑POOL/SPA ❑SIGN
I
SUBTYPE: ❑ADDITION ❑ALTERATION ❑✓ DEMOLITION [:]ELECTRICAL [—]MECHANICAL
[—]NEW ❑✓ PLUMBING [:]RE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK Switch out current manufactured home for a different manufactured home using the current septic
well and electrical, move the propane tank
PROJECTADDRESS 33315 Nancy Lane
ASSESSOR'S PARCEL NUMBER 384-100-002 LOT 4 TRACT 040/008
PROPERTY OWNER'S NAME Arthur Melvin True and Beri Jo-Erb True
ADDRESS 33315 Nancy Lane, Menifee, Ca 92584
PHONE (951)970-5623 EMAIL berijo@aol.com
APPLICANTNAME 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
VALUATION $ I SCQ FT L SO FT
APPLICANT'S SIGNATURE DATE
aTYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT CASH7� CHECK N C>CREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT CAS OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED 0 YES -- NO DL NUMBER NOTARIZED LETTER ,:` YES 'C) 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
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SEP 1 7 2015
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'Approval of these plans shall not be construed to be a permit for,or an
approval of,any violation of any provisions of the federal,state or city
regulations and ordinances. This set of approved plans must be kept on the
jobsite until completion.
EM
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SITE PLOT PLAN �en�RTaRMTiRUE Ma DENNISDEVORE
aaa CA.CYlN
MENIFEE G.925M
STATE OF CALIFORNIA-BUSINESS,CONSUMER SERVICES,AND HOUSING AGENCY EDMUND G.BROWN JR.Governor
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT )SING
Division of Codes and Standards .j.0 ADO
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Title Search 3G� oaF
Date Printed: 09/04/2015Cit?Y DEAF~
Menifee
Decal#: LAP6957 Use Code: SFD Buil ng&f
d Safety Dept.
Manufacturer: 09881 SILVERCREST Original Price Code: AWH
Tradename: SILVERCREST Rating Year: SEP 1 ] 2015
Model: BUCKINGHAM Tax Type: LPT
Manufactured Date: 07/21/1989 Last ILT Amount: Received
Registration Exp: Date ILT Fee Paid:
First Sold On: 09/27/1989 ILT Exemption: NONE
Serial Number HUD Label /Insignia Length Width
B6SC8314CA HWC168549 61'4" 13'6"
C6SC8314CA HWC168550 23' 8" 13'6"
A6SC8314CA HWC168548 66' 13'6"
Record Conditions: -An application for title or registration change is pending with the department. For
information regarding this application,please call 1-800-952-8356 and request to
speak with a customer representative.
Registered Owner:
ARTHUR M TRUE
BERI JO-ERB TRUE(Community Property with Right of Survivorship)
33315 NANCY LN
MENIFEE,CA 92584
Last Title Date: Pending Title
Last Reg Card: Pending Reg Card
Sale/Transfer Info: Price$35,000.00 Transferred on 08/27/2015
Situs Address:
33315 NANCY LN
MENIFEE,CA 92584
Situs County: RIVERSIDE
*** END OF TITLE SEARCH ***
RECORDrNG REQUESTED BY: DOC # 201 2-0272722
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
Mfu'rieta, CA 92563 _ III IIIIIIIIII IIIIIIIIIIIIIII III IIIIII
ASSESSOR'S PARCEL NO.:384-100-002-6 S R U PAGE LSIZE I DA I MISC LONG RFD COPY
TITLE ORDER NO.:31862
ESCROW NO.:36468-CM
- -r�,,� r�1 1K M A L 465 426 rPCO13 NCOR M� NCHG EXAbt
r UtcY'•Or�1D 1 1
T CTY UNI
GRANT DEED City of Men ee
The undersigned Gmntor(s)declare that the DOCUMENTARY TRANSFER TAX IS: Budding & Safety Dept. �!
3 86.35 Coualy tyy���
XX compmedonthefull value ofthc interest ofpropeny conveyed,or SEP 1 7_-2015
compiled on the full value less the value of liens or encumbrances remaining thereon at the time of sale
OR transfer is EXEMPT from tax for the following reason y�'''y� 043
FOR A VALUABLE CONSIDERATION of S78,100.00,receipt of which is hereby acknowledged,Grantor:Received
annie A/K/A Fetleral'tJ
National Mortgage Association organized and existing under the laws of the United States of America
HEREBY GRANT(S) to Grantee: Arthur Melvin True and Beri Jo-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:See exhibit "one" attached for complete legal
description -
Commonly Known As:33315 Nancy Lane,Menifee, CA 92584
Dated:May 29,2012
STATE OF �CX-C` } Fannie Mae A/K/A Federal National Mortgage
COUNTY OF Association organized and existing under the laws of the
On r/ ��62. , before me, United States of America
V�Z'""'- �t- Notary Public
(here insert name and title of the officer)
personally appeared 1®HN WESLEY
Who Proved to me on the E,s b sa is aetory evidence to be the tSST
person(s) whose names) is/are subscribed to the within instrumentWESLEY
and acknowledged to me that he/she/they executed the same in PRESIDENT
his/her/their authorized capacity(ies), and that by his/her/their
signature(s) on the instrument the person(s), or the entity-upon
behalf ofwhich the person(s)acted,executed the instrument.
f 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 r- VER Public,
c, CRRRB JJJ
Notary Public,State of
My Commtsston's"
I ' No�,embel11, 201