PMT16-00123 City of Menifee Permit No.: PMT16-00123
29714 HAUN RD. Type: Mobile Home
':XCCELX- MENIFEE,CA 92586
`"'"1fg- .— MENIFEE Date Issued:
07129/2016
PERMIT
Site Address: 25870 GARBANI RD, MENIFEE,CA Parcel Number: 358-240-03B
92584 Construction Cost: $120,000.00
Existing Use: Proposed Use:
Description of INSTALLATION OF NEW MANUFACTURED HOME 2187 SO FT
Work: SERIAL#'S PER037217CAA, PER037217CA B, PER037217CAC, INSIGNIA#'S RAD1517362,
RAD1517363, RAD1517364
Owner Contractor
CRAIG WATTS GREAT OAKS ENTERPRISES INC
820 BROOKLYN AVE P O BOX 391306
PLACENTIA,CA 92870 ANZA,CA 92539
Applicant phone:9517634009
JAMES SHERIDAN License Number:885346
GREAT OAKS ENTERPRISES INC
P O BOX 391306
ANZA, CA 92539
Fee Description ON Amount 191
Manufactured Install 1 240.72
Permit Fee 1 27.00
Plan Check Fee 615 615.00
$882.72
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 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_Pennit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe projects
I hereby affirm under penalty of perjurythat I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class License No. 9�g r 3 Y By my signature below I acknowledge that,except for my personal residence
Expires 10 11 Signature `� in which l must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARATIOt have built as an owner-builder if it has not been constructed in its entirety by
D I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for worker's 7044 of the Business and Professions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website:
by Section 3700 of the Labor Code,for the performance of work for which www.leginfo.ca.eov/calaw.html.
this permit is issued.
Policy If Date
PROPERTY OWNER OR AUTHORIZED AGENT"
❑I have and will maintain workers compensation insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which o By my signature below I certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
Carrier building construction.I authorize representatives of this city or county to
Policy p Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dolls $100)or less PROPERTY OWNER OR AUTHORIZED AGENT
certify that in the performance of the work for which this permit is issued,
1 shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE It
workers compensation laws of Saliforma,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers in tion provisions of Section 3700 of the Labor
Code,I sh I forthwith I I th those provisions. Will the applicant or future building occupant handle hazardous material or
Applicant Date I')� mixture containing a hazardous material equal to or greater that the
amounts spec d on the Hazardous Materials Information Guide?
WARNING: IL RE TO SECURE WORKER'S COMPENSATION COVERAGE IS D Yes erl�o
UNLAWFUL,AND SHALL SUBJECTAN EMPLOYER TO CRIMINAL PENALTIES Will the Intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelin}'
CONSTRUCTION LENDING AGENCY in Yes Flo
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer bounday fa school?
(Section 3097 Civil Code) D Yes
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQh4D
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the hazar ous material rep
checkmark(s)I have placed nextto the applicable Jtem(s)(Section 7031.5 -9 M, Jt
(�
Business and Professions Code).Any city or county that requires a permit to Date d f— J6
construct,alter,improve,demolish or repair any structure,prior to its PROPS TY OW(ER OR AUTHORIZED AGENT
issuance,also requires the applicant for the permit to file a signed statement !Cf/
that he or she is licensed pursuant to the provisions of the Contractors State EPA BEN ION.REPAIR AND PAINTING(RRP)
License Law(Chapter9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with
an Applicant for a perm it subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves or through their
D I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.aov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-80D-424-LEAD(5323).
Code,The Contractors State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because:
❑1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
yF
'fit
DATE l Je- /(p PERMIT/PLAN CHECK NUMBER "lwe DO 3
TYPE: O COMMERCIAL -e-KESIDENTIAL O MULTI-FAMILY e-60BILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLU/MBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK �eio LG f 2/ 37 � J
IUVLO PKAr .57- 8,9,
PROJECTADDRESS :2 5 6(w-g ai g O/4r>
ASSESSOR'S PARCEL NUMBER S58 -,QL(Q - 0g) LOT .7 TRACT
OWNER NAME G GA IZ�n I JP-FT S
ADDRESS
PHONE (q$/ EMAIL zoT OAkscoo sT �AWFoD- nt
APPLICANT NAME J AWl -t> S H(E(21
ADDRESS
PHONE tl'9sj 8',51/�ZG3 S— EMAIL
CONTRACTOR'S NAME �Q (�' S^T• - OWNER BUILDER? OYES O
BUSINESS NAME
ADDRESS 70 - IS 3 o - 11 O A vtzr-,- (1• 9 Z.
//``
PHONE ( 951) 83Y- tc ,S' EMAIL
CONTRACTOR'S STATE LIC NUMBER 5SFSS�ClS� LICENSE CLASSIFICATION —�
VALUATION$ 1120,600C' S FT L SQ FT
APPLICANT'S SIGNATURE DATE I -(
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE I PAID AMOUNT
AMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH 0CHECK# 0CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
-1. u, Rd. I1/1e17i�ee, a_72 -'
�ICZ/�r�-�S/"� •` Z JY CEO C) �c•_ '��'�V� WIC/
11/22/2015 Print
Subject: FW: serial number for Watts
From: Abby Durham (Abby@horizonhomecenter.com)
To: greatoaksconst@yahoo.com;
Date: Saturday, October 17, 2015 10:30 AM
Good morning Jim,
Here is the serial number for Watts (located in Menifee). 1 know you need it for permit
purposes.
=T3r-RO37217CAA
Please let me know if you need anything else. Thank you very much.
Please have a nice day.
Best regards,
Abby Durham- Construction Coordinator
Abbyghorizon}1 omecenter.com
Office: 951-537-6850
Direct: 951-537-6853
Fax: 951-926-2664
7100 W. Florida Ave.
Hemet, CA 92545
h4sl/u m96.mail.yahoo.can/neoAamoh?.rand=lkhs6vcj7g7W1649305.5061 1/3
WHEN RECORDED RETURN TO:
N.James Watts
820 Brooklyn Ave
Placentia,CA 92870
QUITCLAIM DEED
THE GRANTOR(S),Anna L Pond, Neil James Watts Bonnie L Baker
AS TRUSTEES OF THE LORY 0. WATTS AND WILMA L.WATTS FAMILY TRUST DATED APRIL 23
1996
for and in consideration of:one dollar and other good and valuable consideration
conveys and Quitclaims to,
N.James Watts and Glenda J watts
The following described real estate,situated in the unincorporated area of County of Riverside
State of California,together with all after acquired title of the Grantor(s)therein(legal description):
Parcel 3 of Parcel Map#6621as shown by Parcel Map on file in Book 22, Page 20 of Parcel Maps,and
Riverside County Records
Most commonly known as:25870 Garboni Road,Sun City, CA
Tax Parcel Number:358240030-1 /
DATED Z 3 DATED l�! 3 DATED
Anna L. Pond-Trustee Neil mes Watts-Trustee Bonnie L. Baker-Trustee
State of California }
}ss
County of of=:ne- }
On this day personally appeared before me Anna L Pond and Neil James Watts and Bonnie L Baker,
Grantor(s),to me known to be the individual(s)described in and who executed the foregoing instrument,and
acknowledged that s/he signed the same as his/her free and voluntary act and deed for the uses and
purposes therein mentioned.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true
and correct.
GIVEN ender my hand and official seal this 2 sy day of �CZ 2013.
N y IC in and for the State of Califomia,
i ng�f/ IL)
M commission expires Lek . \9" Doll MUNAWAR ARIF LAKHANI
COMM. #21304648 z
s
s I� Notary Public-California p
z Orange County
Comm.Ex ires Jan.19.2017
DOC # 2014-0193545
05/27/2024 05:00P Fee:28.00
Page 1 of 2
PLEASE COMPLETE THIS INFORMATION Recorded in official Records
RECORDING REQUESTED BY: County of Riverside
Larry IJ. Ward
Assessor,
CountyJlJl C1lerIkl& JIRecorder
AND WHEN RECORDED MAIL TO: I IIIIII I�IIlII III�IIIIII IIII III�I III�II III!IIlI Ilil IIlI
r - & L�vet f, S R i U PAGE SIZE DA MISC LONG RFD COPY
M A ! L I 4M j 426 PCOR NCOR SMP NCHG `x
T. CTY UNI n(_,
$Dace above this line for recorders use only
TRA: :49`
DTT: 0 C\
Title of Document --Q-'
"'T H0A RED E A F OR
R E L�M=R
UUJ 8 Er- ON
THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION
($3:00 Additional Recording Fee Applies)
WHEN RECORDED RETURN TO:
N.James Watts
820 Brooklyn Ave
Placentia, CA 92870
QUITCLAIM DEED
THE GRANTOR(S),Anna L Pond Neil James Watts,Bonnie L Baker
AS TRUSTEES OF THE LORY O WATTS AND WILMA L.WATTS FAMILY TRUST DATED APRIL 23, 1996
for and in consideration of:one dollar and other good and valuable consideration
conveys and Quitclaims to,
N.James Watts and Glenda J.Watts
The following described real estate,situated in the unincorporated area of County of Riverside
State of California,together with all after acquired title of the Grantor(s)therein(legal description):
Parcel 3 of Parcel Map#6621 as shown by Parcel Map on file in Book 22, Page 20 of Parcel Maps,and
Riverside County Records
Most commonly known as:25870 Garbani Road, sun City, CA
Tax Parcel Number: 358240030-1
DATED DATED 1 r i DATED
:W1r--i n..;�'✓ JYlni:—:= ,cJ �
Anna L.Pond-Trustee l Neil'James Watts-Trustee Bonnie L. Baker-Trustee
J:
STATE OF CALIFORNIA
COUNTY OF::ORANGE (,
On zLzo.' L/ before me. 1�< t:t,l ( A ( (.L�'L;. i,-.i�-•SF�tiC'-1 •.,•':�l=`�
(Date) (Insert name and title of the officer)
personally appeared Anna L.Pond and Neil James Watts and Bonnie L.Baker.
(Name(s) of Signers)
who proved to me on the basis of satisfactory evidence)o_be the persots)'whose nam�s)is r�subscribed to the
within instrument and ackn�o,YYw�ledged to me that he/sh the executed the5ame in his/herie� uthorized capacity
(ie ,and.that by his/her, heirsignatur€,(s soon the instrument the perso (- 'or the entity upon behalf of which the
person(Zted,execute 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 official seal-
COMM COMM...1997484
' NOTARY PL(iIICsAII fi7RNtA-f
G `" ORANGE COMITY td
Nly Term Exp.4ae 9.20tfi
Place Notary Seal above
(Signature of Notary Public)
Riverside County Fire Department I Fire Protection Planning Section
E�.
Riverside ire:2300 Mallet 9L,91e.160,Riverside.C 92501 Ph.(951)95541777 Fax(951)955-0898
Palm Desed Mce: 77.933 Las Mantanas Rd.,a 201 Palm Desert,CA 922114131 Ph.1760)863-8886 Fax(760)863-7072
Fire Department Clearance/Release
Date: 07/06/16
To: ccarlson(Mcitvofinenifee.us: brivera@citvofinenifee.us: mbinnall cityofinenifee.us
Tract/Parcel Map#:
Permit/Lot#: 16-MENI-PMT-0124(16-PMT-0124) Site Prep.
Job Site Address: 25870 Garbani Rd.
❑ Final For Recordation
5� Release For Building Permit(s)
❑ Shell Final Only(No Tenant)
❑ Final For Occupancy
❑ Release For Residential Sprinkler Installation
Building Plan Check Fees Paid,Water Requirement Met-if water applicable
❑ Building Plan Check Fees Not Paid
Residential Sprinkler Plan Check Fees Paid
Residential Sprinkler Plan Check Fees Not Paid
❑ Other Fees
❑ Fees Not Required
If you should have any questions, please contact the appropriate Riverside County Fire Protection Planning office for
further assistance.
Frank Martinez
Print Name of Plan Reviewer/Inspector Approved Release
Frank Martinez
Sent By:Print Name
Form D—Revised 3N1n012
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r USING gAV STATE OF CALIFORNIA NUMBER -
u d. BUSINESS,TRANSPORTATION AND HOUSING AGENCY
O 'JC !I. � :�� Z DEPARTMENT OF HOUSING AND COMMUNITY-DEVELOPMENT
DIVISION OF CODES AND STANDARDS L , ';' .
3 �C£ MANUFACTURED HOUSING GROGRAM
G��TS"DENF'yO �.
MANUFACTURER CERTIFICATE OF ORIGIN
CHECK IF THIS IS A DUPLICATE MCO-ENTER ORIGINAL MCO'NO �. ..
MANUFACTURED HOME OR�MULTIFAMILY MANUFACTURED HOUSING
NUMBER OF
'5FD(SINGLE FAMILY DWELLING) ,0 MFMH(MULTIFAMILY MANUFACTURED HOUSING) TRANSPORTABLE SECTIONS `
COMMERCIALMODULAR: ' -
OCC kg-AI`ICYGROUP - -
`MANUMOTURER NAME' -' - :MANUFACTURER LICENSE NUMBER '
MANUFACTURERADDRESS,. _ 'SUGGESTED RETAIL PRICE:
F_ PIS rL.I PaUlS, 5 7
. Street) r - - Cit L. Stale Zip .
'MANUFACTURER TRADE NAME: - MODEL NAME ANDIOR NUMBER: - :DATEOF'MANUFACTURE:, -
SF G _ : �ru.l F
'NAME OF DEALER OR.TRANSFEREE(OWNERSHIP TRANSFERREO,TO): - -CALIFORNIA DEALER NUMBER.OR -"DATEOFTRANSFER: -
_TRANSFEREE DESIGNATION:
DEALER OR TRANSFEREE ADDRESS'
(City) : ., (State) - Zi..
--INVENTORY:CREDITOR NAME:-
INVENTORY CREDITOR ADDRESS - -
.__ . _ 'r
$tieet _ OI State Zi 1"
SECTION, °f- '' t uR - td• +� LENGTH wwH WEIGHT
MANUI-ACTURER SERIAL�NUMBERnr-xHGDIINSIGNIA"OJ3 HUp"tL4118EL NUMBER
TI - _ INCHES _.DttCHES .-POUND51
.. -: - .
7
'TRANSPORTER NAM - -
,TRANSPORTER ADDRESS
r (city) (State). 21P1
. .BESTINATIONFORUNR DESCRIBED ABOVE'-
(NAMEI C 1-__ _, __ _. Stet.) _0 -
I ceitity under penallyo(pequryun`der.trfie laws oYthe$late oT CallfornIS ifiai(fie.sbove(dCls ere me and correct '-
(County)' ISlal9) '-
SIGNATURE OF AUTHORIZEDAGENT:-
DISTRIBUTION: :ORIGINAL(PINK) - TO THE INVENTORY CREDITOR,UNLESS THERE ISNONE.THEN FORWAROTO THE PURCHASER(DEALER ORTRANSFEREE) -
- :COPY I(WHITE) FORWAROTOTHE DEPARTMENT AT P.O,BOX 1628:SA.CRAMENTO.CA958124828,WITHIN FIVE(5)DAYSOFRELEASE.'
OOPY2(YELLOW) DELIVER TO T14E.TRANSPORTER T.O'ACCOMPANY THE DNfT To ITS DESTINATION _
"COPY3(GOIDENROD)cTO BERETAINED BY TH-c AIANQFACTURER.
HCD Ia 0-Side 9-(Rev.01/12) -
&)51NG qry STATE OF CALIFORNIA NUMBER
BUSINESS,TRANSPORTATION AND HOUSING AGENCY
r, DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 1 (1 A�]
0�m 0 -'IIII - W DIVISION OF CODES AND STANDARDS 8 C�,L V L 2
MANUFACTURED HOUSING PROGRAM
O
P�6 DENe� MANUFACTURER CERTIFICATE OF ORIGIN
❑ CHECK IF THIS IS A DUPLICATE MCO-ENTER ORIGINAL MCO NO. -
MANU ACTURREO HOME OR MULTIFAMILY MANUFACTURED HOUSING NUMBER OF
❑ SFD(SINGLE FAMILY DWELLING) ❑ MFMH(MULTIFAMILY MANUFACTURED HOUSING) TRANSPORTABLE SECTIONS
COMMERCIAL MODULAR:
OCCUPANCY GROUP
MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER:
OF W4,10; iffL It
MANUFACTURER ADDRESS. SUGGESTED RETAIL PRICE:
Street ` ' ^Cil Stale (Zip)
MANUFACTURER TRADE NAME- MODEL NAME AND!OR NUMBER DATE OF MANUFACTURE.
NAME OF DEALER OR TRANSFEREE(OWNERSHIP TRANSFERRED TO)- CALIFORNIA DEALER NUMBER OR DATE OF TRANSFER
TRANSFEREEDESIGNATION: -
DEALER OR TRANSFEREE ADDRESS.
(Street)— �e'tiit"4i ii7 12k.. hPtClr;i, w45-. .. .(City) Slate (zip)
INVENTORY CREDITOR NAME'
INVENTORY CREDITOR ADDRESS.
Street City) (state) (ZIP)
SECTION LENGTH WIDTH WEIGHT
1�. MANUFACTURER SERIAL NUMBER HCD INSIGNIA OR HUD LABEL NUMBER INCHES (INCHES OUNDSI
TRANSPORTER NAME-
TRANSPORTER ADDRESS.
(City] (State) rZ,.)
DESTINATION FOR UNIT DESCRIBED ABOVE:
(Sh NAME' .. eet Crt r &.ate)
A'
I COR..p IlBltef Pa821Y 61 Pef)UfY UOdEf lbE 13W5 01 It1E$Id1E OI California that the db0Y2/eCIS 8!e true and CAIIECI.
Exe.md on at
(Detb) r.r :. (CITY) ICovnUi (Suite)
SIGNATUREOFAUTHORIZEDAGENT:
DISTRIBUTION: ORIGINAL(PINK) - -FORWARD TO THE INVENTORY CREDITOR.UNLESS THERE IS NONE,THEN FORWARD TO THE PURCHASER(DEALER OR TRANSFEREE).
COPY((WHITE) FORWARD TO THE DEPARTMENT AT P.O.BOX/1128.SACRAMENTO.CA 95812.1828.WITHIN FIVE(5)DAYS OF RELEASE
COPY 2(YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION.
COPY3(GOLDENROD) TO BE RETAINED BY THE MANUFACTURER.
HCD 483.0-Side 1-(Rev.01/12)
WHEN RECORDED RETURN TO:
N.James Watts
820 Brooklyn Ave
Placentia, CA 92870
QUITCLAIM DEED
THE GRANTOR(S),Anna L Pond Neil James Watts,Bonnie L Baker,
AS TRUSTEES OF THE LORY O WATTS AND WILMA L WATTS FAMILY TRUST DATED APRIL 23, 1996
for and in consideration of: one dollar and other good and valuable consideration
conveys and Quitclaims to,
N. James Watts and Glenda J.Watts
The following described real estate,situated in the unincorporated area of County of Riverside
State of California,together with all after acquired title of the Grantor(s)therein(legal description):
Parcel 3 of Parcel Map#6621as shown by Parcel Map on file in Book 22, Page 20 of Parcel Maps,and
Riverside County Records
Most commonly known as:25870 Garbani Road,Sun City,CA
Tax Parcel Number:358240030-1
DATED '��3 f� DATED DATED. /
Anna L.Pond-Trustee NeiVJames Watts-Trustee Bonnie L.Baker-Trustee
STATE OF CALIFORNIA
COUNTY OF:ORANGE
t�_ ?_{7r" , L'
On (14before me. \) `��,1 ( t l�•'L "\:-�Faix.�.i .Y•., 5 l:
(Date) (Insert name and title of the officer)
personally appeared Anna L.Pond and Neil James Watts and Bonnie L.Baker,
(Name(s)of Signers)
who proved to me on the basis of satisfactory evidence jo_be the person rL(s)-whose namrC(o) is rubscribed to the
to
within instrument and ackngWledged to me that heysh executed the same in hisRieW!@ �uthorized capacity
(ie ,and that by hislher/tfigir signatures,(s�on the instrument the perso (- or the entity upon behalf of which the
person�j%dcted,execute 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 official seal "'
O. MULDOON
nouRy PuBLIC•c'Nur;
ORANGE COU'IT`! `I
f / Lly Term Exp.Nov.B,20i8 x
Signatur l� Place Notary Seal above
(Signature of Notary Public)