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PMT15-02909 City of Menifee Permit No.: PMT15-02909 _ 29714 HAUN RD. MENIFEE, CA 92586 Type: Mobile Home MENIFEE Date Issued: 0911812015 i 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 i City Of Menifee I i 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 kRR -- �� Qt1 ` r �arti . ��, � � IVea� �i V\cLS — qcck%l CA i I ' I i ( DEPA 6lcc. 5� gal DATE construed t be a permit for,or and GS l v ( bow isions of the federal,state or city _ of approvei I plans must be kept on the II a �p J b a C{c C Notes: r l � �➢ ) t i 3 w pie (-s 0m, -ev�eN y 1' 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 ° ° ...z 3 `�fll Ij,. w 1 i 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. i Sep 16 2015 3: 33PM HP LRSERJET FAX pat ' = gsac2l'rifi1;t¢mb8v-M30 1�1n1r(�eoma ` ';i r]Flbtt�mgHomy t � ry F Y1 / l trouclty p� '�a� Bar►iard3Tla ; ' SC1'I47j�u{bfrPR/ff�r�(N�nlbd� � r � in a Y E. t SI3L`5'f�W6 q �� Ir .'• q. 'kit � Lo +ttdrla/`FJaM� � �` ,tRY ti pb{{ ^yty 4�iZ �`F{ X�+3. 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Dui, Frlsllk(LLL3 tC1a�1t3C P�afiliy r S `fr dj IN n 2 k 3ti ux�` yr P' L• 4Yf P 1 P ➢ 11 J1� '�pef�.yaaxep1�' ta�to='the�`(Sd�n.a Yd��P;�# bp� '�^f�J $ tuepoa tL REM fdaLyzr'rt0 i a r,a s ��# a r§ i r E } ` err r k•� A�Fd £Y �8", �� tYutlL0otp2yabY 1� dnF?�i3h $ XKIYPQ(1 Yys LDS{ y'"'" 1•�-.J. ' , �, +�My I' t Yt t qi Thfscer➢{ficate�� l� fadater � u 74yb � Za T11ete day b q supplinettal ass�ssrnent not Col erefl :3 tivs"TaX Cr`atlee CeiCif cate" ��}loch ma}' crateriditiabal hill: PON nu tyT gkl�ctot Soto -911 0261s by ` Tony R Ilsa�a���osf7n� taepwv� I i i I APNs. Click on the APN to display the Assessor's Map 329-233-006-8 OV�7 qgR� �VIE t iv '�"r7 k ��a�=�5����'� < ��r s`r, e i�' f`�L x + t r�• � + t p, � s �OZA�/jl(.Fl$LEONLII;IE 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: