PMT15-02909 City of Menifee Permit No.: PMT15-02909
_ 29714 HAUN RD.
MENIFEE, CA 92586 Type: Mobile Home
MENIFEE Date Issued: 0911812015
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PERMIT
Site Address: 27577 MONROE AVE, MENIFEE, CA Parcel Number: 329-233-006 `
92585 Construction Cost: $1,100.00 j
Existing Use: Proposed Use:
Description of SITE PREP FOR INSTALLATION OF MANUFACTURED HOME 896 SQ FT
Work: SERIAL#PH4361A INSIGNIA#CAL252395
Owner Contractor
VERONICA PULIDO
27577 MONROE AVE
MENIFEE, CA 92585
Applicant License Number:
VERONICA PULIDO
27577 MONROE AVE
MENIFEE, CA 92585
Phone: 9518505574
Fee Description QQtt( Amount($1
Residential Factory Built Site Prep 1 196.00
$223.00
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 building 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
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City Of Menifee
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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 I
contractors. I understand that a copy of the applicable law, Section 7044 of the �l
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: htip://www.leainfo ca aov/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 Date
Section 3700 of the Labor Code, for the performance of work for which this
permit Is issued. Property Owner or Authorized Agent
Policy# 143y 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. 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: aim
y and county ordrize re esenl fivCarrierr lhe' spe on pPolicy# Expiresuthorized Agent
(This section need not be completed if the permit is for City Business License#
one-hundred dollars($100)or less) y
❑ I 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 pecif. don the Hazardous Materials Information Guide?
Code,I shall forthwith comply with those provisions. ❑YES pe
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 guidelin a
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND ❑yES I
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 boundaryo school?
LABOR CODE, INTEREST,AND ATTORNEYS FEES El YES O
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 permlit. hecklist. I underst no my requirements under the State of
agency for the performance of the work which this permit is issued (Section Californi 4ad h Safety C e,Section 25505 and 25534 concerning
3097 Civil Code) hazardo s materi reportin
OWNER BUILDER DECLARATIONS )YEj ❑NO �n
I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date
(/�'I 1 (�
License Law for the reason(s)indicated below by the checkmark(s)I have placed PROP�T 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
❑ 1, 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.:
as owner of the property an exclusively contracting with licensed - Ne EPA Lead-Safe Certified Firm is required for this project because:
contractors to construct the project (Section 7044, Business and Professions y�
Code:The Contractor's License Law does not apply to an owner of a property C) 7a\
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
Acknowlerinamanf.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
''Menifee
DATE 09/18/2015 PERMIT/PLAN CHECK NUMBER q
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: [—]ADDITION ❑ALTERATION ❑DEMOLITION ❑✓ ELECTRICAL ❑MECHANICAL
❑NEW ❑PLUMBING RE-ROOnF-�NU�M�BER OF SQUARES
DESCRIPTION OF WORK
PROJECTADDRESS 27577 Monroe ave Romoland Ca 92585
ASSESSOR'S PARCEL NUMBER 329-233-006 LOT 9- 1. TRACT C)g — 2i0Z
PROPERTY OWNER'S NAME Veronica PUlido
ADDRESS PO Box 1748 Perris Ca 92572
PHONE (951)850-5574 EMAIL vpulido_113@yahoo.com
APPLICANTNAME \j I2-0t`C 0
c/ kL I
ADDRESS F- C� �O�C l��-{ b �L.f L S C� O( 0,-K
PHONE cEM IL ., ik� LCt C-("
CONTRACTOR'S NAME + WNER BUILDER? ❑YES❑NO
BUSINESS NAME W`aC yLU-C,
,,JJ _�
ADDRESS t�l ���CQ S� �Sl( w
PHONE ,p�EMAIL 'Y\, YVJ
CONTRACTOR'S STATE LICNU BER S p— I LICENSE CLASSIFICATION C—I0 -C(tr✓+Y\(y-1-k
VALUATION$ L SQ FTI
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONL Y
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT OCASH 0 CHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT +;.CASH OCHECK# v`CREDITCARD VISA/MC
OWNER BUILDER VERIFIED `C'YES O NO DL NUMBER NOTARIZED LETTER YES C% NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-5777
www.cityofinenifee.us Inspection Request Line 951-246-6213
City of Menifee
Building & Safety Dept.
SEP 18 2015
Received
\ SITE PLAN PTsRMITNO,
ianm$ \I�i MC 1pl+Il�t Plim, f ��l LSD-5s
SITEADDRESS;�9 —f KUWDe �Ve, u tam ca a2"K�
ASSESSORS NUMSER53 �b' PARCEL, NUMI3ER5Zq'2-3300(,,q
Provide North Arrow REAR PROPERTY LINE
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DATE
construed t be a permit for,or and
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isions of the federal,state or city _
of approvei I plans must be kept on the
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CITY OF MENIFEE
BUILDING AND SAFET
PLAN APPROVAL
REVIEWED BY(A
*Approval of these plans shall nut r
approval of,any violation of any pi
regulations and ordinances. This sE
jobsite until completion.
STATE OF CPLIFORNIA-BUSINESS CONSUMER SERVICES,PNO HOUSING AGENCY _ EDMUND G. BROWN JR.Governor
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT pstvc
—_ Division of Codes and Standards •.t.0 '1+. j
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Title Search DE�F�04�
Date Printed : 09/16/2015
9
Decal #: LBB6047 Use Code: SFD
Manufacturer: 7239 COMMODORE Original Price Code: ADN
Tradename: WILDWOOD Rating Year:
Model: 81559 Tax Type: LPT
Manufactured Date: 03/29/1983 Last ILT Amount:
Registration Exp: Date ILT Fee Paid:
First Sold On: 04/09/1983 ILT Exemption: NONE
Serial Number HUD Label/ Insignil Length Width
PH4361A CAL252395 64' 14'
Registered Owner:
DOLLY JEAN GRACEFFO
19816 HWY 58 SP 15
HINKLEY,CA 92347
Last Title Date: 08/26/2000
Last Reg Card: 08/26/2000
Sale/Transfer Info: Price$500,00 Transferred on 12/22/1999
Situs Address:
19816 HWY 58 SP 15
HINKLEY,CA 92347-9768
Situs County: SAN BERNARDINO
Inactive Decal/DMV:
DECAL LAD4080
Title Searches:
VERONICA PULIDO
PO BOX 1748
PERRIS, CA 92572
Title Pile No: 002
` END OF TITLE SEARCH x**
STATE OF CALIFORNIA-BUSINESS,CONSUMER SERVICES,AND HOUSING AGENCY
EDMUND G. BROWN JR.Goverm I
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ugtae 6
Division of Codes and Standards O
��
_— Registration and Titling '6
P.O.Box 1828 O^m �r� r w
Sacramento,CA 95812-1828
3G��Y DE�F�0a� 111
Sep 16, 2015
y
File #: 002 i
VERONICA PULIDO
PO BOX 1748 Decal #: LBB6047
PERRIS, CA 92572 ID #: PH4361A
Make: WILDWOOD
Your title search request for the above described manufactured home/commercial modular has been
received. The attached title search reflects the status of this record as of the date of this notice.
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APNs.
Click on the APN to display the Assessor's Map
329-233-006-8
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ADDRESS:
329-233-006
27577 MONROE AVE
ROMOLAND,CA.92585
`MAILINGrADDRESS
I.6EE'� W
� Z�
2758
LEGAL DESCRIPTION:
RECORDED BOOK/PAGE:MS 1318
SUBDIVISION NAME:ROMOLA
LOT/PARCEL:292,BLOCK:NOT AVAILABLE
TRACT NUMBER:NOT AVAILABLE
[RE'O . LOYSI + .� "�"t�.d.`�•Y�y+, y r'S a k. n v :.
".. i.¢N �. +rT" '�"z'mfi..`'f
R TERISTICS 't
WOOD FRAME 500 SQFT 2 BDRM/1 BATH 1 STORIDETACHED GARAGE(672 SQ\ CONSTD 1968COMPOSITION ROOF
CENTRAL HEATING CENTRAL COOLING
CITY BOUNDARY/SPHERE: � " "
CITY OF MENIFEE
NOT WITHIN A CITY SPHERE
ANNEXATION DATE:OCT. 1,2008
LAFCO CASE 9:2007-40-3&5
PROPOSALS:NOT APPLICAB`�L'E'
MG110
JOINT �OWERSU�HOEj1TY 3 r
NOT=1T'HE JURISDICT J011;(T POWERS AUTI{ORIIY`_ S,,, a; '`{ �' -" a3it v
INDIAN TRIBAL LAND:
NOT IN A TRIBAL LAND
M 110NVSfi LEYA�SDTRIC�S"Ta�011(OjRD 613) �r9c ti r y a .i f:� 5'
A f# —,...u �
9UPERVISORIAL DISTRICT (2D01 BOUNDARIES): F
MARION ASHLEY,DISTRICT 5
pT014 NSHIPdRRNGEx , t
�T§$3 VSEC�70r? ``z,�..•rx?, ,fr. r�,rs `r i x ens S 4`r , ✓ r 9 { ,� v r �`yT;. { cfi
ELEVATION RANGE:
1438 FEET
PREVIOUSAPN
e� A ._ ,- ,
ATA Hy I ABLE �-
PLANNING �.a,
LAND USE DESIGNATIONS:
Consult with the city for land use information. -
SANTA ROSA ESCARPMENT BOUNDARY
tN!OT IIN^7H>=SANSf.ROSH
AREA PLAN (RCIP):
HARVEST VALLEY/WINCHESTER
COMMUNITDVISORIYCOC1NCl).S�
!NOTvINA'COMIr1UI�ITYfa�VISORY COUN_GILAREA{ ' r ' L `t t' - �
GENERAL PLAN POLICY OVERLAYS: '"NOT IN A GENERAL PLAN POLICY OVERLAY AREA
GENERAsP�LAIV
{
ZONING CLASSIFICATIONS
See the city for mare information
,ZO,NING DISTj21CTS"ANb ZONING gREAS ,i �-
•NO['INA,ZONINGDfSTRIC /AREA
ti°'
6 '
DOC#2014.0267787
07/18/2014 01:03 PM Fees: $15.00
RECORDING REQUESTED.B�Y: — Page 1 of 1 Doc T Tax Paid
Fidelity National Title Recorded in Official Records
County of Riverside
AND WHEN RECORDED MAIL TO: Larry W.Ward
Miss Veronica Pulido Assessor, County Clerk&Recorder
663 E. First Street
San Jacinto, CA 92583 —This document was electronically submitted
to the County of Riverside for recording`"
Recelpted by:AGONZALEZ
THIS SPACE FOR RECORDER'S USE ONLY:
Title Order No.: 00018252— Escrow No.; 016870•MM
GRANT DEED
THE UNDERSIGNED GRANTOR(S) DECLARE(S)
DOCUMENTARY TRANSFER TAX is$66.00
[X]computed on full value of property conveyed, or
[ ]computed on full value less value of liens or encumbrances remaining at time of sale.
[ ] Unincorporated area [X] City of Menifee AND
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Virgil Ray McCain,Successor Trustee of The Ray and Ann McCain Family Trust dated January 7,1999
hereby GRANT(s)to:
Veronica Pulido,a Single Woman
the real property in the City of Menifee, County of Riverside. State of California, described as:
Lots 292 of Romoland Townsite, as shown by map on file in Book 13, Pages 8 and 9 of maps, recorded in the
office of the County Recorder of Riverside County, California.
Also Known as: Vacant Land-27577 Monroe Avenue, Menifee, CA 92585
AP#: 329-233-006-8 TRA#:026-202
DATED June 18,2014
STATE OF CALIFORNIA Virgil Ray McCain, Successor Trustee of The Ray and
COUNTY OF f{G Ann McCain Family Trust dated January 7, 1999
On w 2 2�I4t
before me, BY: �yM
A Notary Public personally appeared ✓roiln censor Trustee
Who proved to me on the basis of satisfactory evidence to be Vq l I Fny M C h VI
the person(t� whose name(s,) is/arg subscribed to the within
instrument and acknowledged to me that helx e/tkpzy
executed the same in his/h)srJtRair authorized capacity(tas), — JAIME HUTSELL
and that by his/hzr/tlleir signature( on the Instrument the Commission di 1933667
person(94, or the entity upon behalf of which the person(s) -a> Notary PuWk-Califomla
acted, executed the instrument. Butts county s
I certify under PENALTY OF PERJURY under the laws of the Stale Qd COmm.Ex iron Ma 4,2015
of California that the foregoing paragraph is true and correct `�"�'"�
WITNESS my hand and official seal.
..,J`qqq �(t��\ 0
Signature '�' '"-' (Seal)
MAIL TAX STATEMENTS TO PARTY SHOWN BELOW; IF NO PARTY SHOWN,MAIL AS DIRECTED ABOVE: