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PMT16-00749 City of Menifee Permit No.: PMT16-00749 29714 HAUN RD. Type: Mobile Home <ACCEL/? MENIFEE, CA 92586 MENIFEE Date Issued: 03/17/2016 PERMIT Site Address: 27863 MONROE AVE,MENIFEE,CA Parcel Number: 329-172-008 92585 Construction Cost: $2,950.00 Existing Use: Proposed Use: Description of ADD PERMANENT FOUNDATION TO EXISTING MOBILE HOME Work: SERIAL#: KBCASNA915036 HUD LABEL#: 12249 SERIAL*. KBCASNB915036 HUD LABEL#: 12250 Owner Contractor SIERRA ASCENCION PERMA-BRACE CONSTRUCTION 27863 MONROE AVE 21690 VINE ST MENIFEE, CA 92585 WILDOMAR, CA 92595 Applicant Phone:9512459373 BELINDA FARQUHAR License Number.636757 PERMA-BRACE CONSTRUCTION 21690 VINE ST WILDOMAR, CA 92595 Fee Description ,O0tt Amount IEI Manufactured Permanent Foundation 1 240.72 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 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 CITY OF MENIFEE LICENSED DECLARATION property who builds or Improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that 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 a I am exempt from licensure underthe Contractor's State License Law for Professions Code and my license is in full form and effect. the following reason: -1 — By my signature below I acknowledge that,except for my personal residence License Class LA' License No. Expires Signature in which I m ust 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 DECLARATION have built as an owner-builder if it has not been constructed in its entirety by o 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-insu re for worker's 7044 of the Business and Professions Code,is available upon req uest when compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website: by Section 370D of the Labor Code,for the performance of work for which this permit is issued. www.IeRInfo.ca.goy/mIaw.htrnL Policy# C`k09-7 13`40- Date o I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which ci By my signature below I certify to each of the following:I am the property this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this number are: application and the information I have provided is correct I agree to comply Carrier z C� with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives ofthis city orcounlyto Policy# 9 Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT o I certirYthat in the performance of the work for which this permit is issued, I shall not employ any persons in any ma nner so as to become subject to the CITY BUSINESS LICENSE# worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the work compensat!pD4�ftiorns FofS tion 3700 of the Labor Code,I sh I P,, rnh th I Will the applicant or future building occupant handle hazardous material or a -5) n11(:,1 mixture containing a hazardous material equal to or greater that the Applica amounts specified on the Hazardous Materials Information Guide? WARNI TO SECURE WORKER'S COMPENSATION COVERAGE IS ciYes oNo UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UPTO 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 SECrION 3706 OF THE LABOR CODE,I NTEREST,AN D ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY o Yes o No 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 boundary of a school? (Section 3097 Civil Code) o Yes o No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of California Health&Safety Code,Section 2S505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hazardous material reporting, checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ciYes o No Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED AGENT issuance,also requires the applicant forthe permit to file a signed statement that he or she is licensed pursuant to the pruitislons of the Contractor's State EPA RENOVATION,REPAIR AND PAMITING(FIRM License Law(Chapter 9(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 rece.m.ng 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 permit 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 a 1,as owner of the property,or my employee with wages as their sole employees.For mom information about EPA!s Renovation Program visit: compensation,will do( )all of or I I portion of the work,and the structure is www.epa.govIl�c!or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Cocle;The Contractor's 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 am 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. o No EPA Lead-Safe Certified Fim is required for this project bemuse: 0 1,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's 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 SAFETYPERMIT/PLANAPPLICATION A Wenifee DATE E PERMIT/PLAN CHECK NUMBERPMU ' y TYPE: 0 COMMERCIAL 0 RESIDENTIAL 0 MULTI-FAMILY MOBILE HOME 0 POOL/SPA 0 SIGN SUBTYPE: )<ADDITION 0 ALTERATION 0 DEMOLITION 0 ELECTRICAL 0 MECHANICAL O NEW O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK c-Xc5N ; co PROJECTADDRESS `.-) Rory kr-)�\c� ASSESSOR'S PARCEL NUMBER 3a•� _I�l -CAS- OT ��J� TRACT OWNER NAME c7 :Si ITU2.tQ� G�(Ze � � ADDRESS `� �j3 rY'Ky1RC]C� A(-� PHONE EMAIL City of Menifee Y Pt. APPLICANT NAME VI V�� ADDRESS PHONE 91-5� `��{`j ��3��3 EMAIL CONTRACTOR'S NAME -e.�rA.P�2�`C'C OWNER BUILDER? 0 YES NO BUSINESS NAME &-Zj1AC'e ADDRESS \��Q �If\P S-E . �i l( jy�•.AIL PHONE Cj'j ,o1`{S-Cj 3�3 EMAIL -dLl'w Ilr�e E h 11C� •� CONTRACTOR'S STATE LIC NUMBER � �5�T- LICENSE CLASSIFICATION. VALUATION$I� ;�q Sd l C2�� SQ FT / L SQ FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN i SMIP INVOICE PAID AMOUNT ^ AMOUNT &LO O�� • OCASH ()CHECK# OCREDITCARD VISAIMC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES 0 NO DLNUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92596 951-672-6777 www.cityofinenlfee.us Inspection Request Line 951-246-6213 SITE PLAN PERMIT NO: NAME: ASCENCION SOTO SIERRA, & TORIBA GARCIA SANTOS 0 SITE ADDRESS: 27863 MONROE AVE CITY: ROMOLAND LL ASSESSOR'S PARCEL NUMBER: 329-192-008-2 U LL 50.00' city of MenifeeO 70' Building & Safety Dept. MAR 11 2016 IXISITING SHED Received IXISTING PATIO EXISTING DOUBL'EWIDE MANUFdCrURED 19 14' 12' HOME 48'R 24' %6TING AWNINVM .w„ING CITY OF MENIFEE G BUILD NG AND SAFETY DEPARTMENT o PLAN APPROVAL REVIEWED BY DATE 30' '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 MONROE AV ions and ordinances. This set of approved plans must be kept on the 1. obsite until com letion. FRONT PROPERTY LINE Manufactured Home on a Permanent Foundation System on a lot zoned for conventional single-family residential dwelling must comply with the following requirements: A. Rooting Matarlal.Any roof material pormittad under Ardlnanee 457.90,except metal roofing,maybe utilli;ad. B. Siding Material.Any siding material permitted under Ordinance 457.90, except metal siding maybe utilized. C. All Manufactured homes shall be no less than 750 square feet. D. The requirements of this section shall not apply if the manufactured home is already in place on lot. Branch:S06,User:4000 Comment: Station Id:B2K4 Recording Reque.----1,r.1 By First Arriericarl Titic Wiripany Doc 2003—OSSM06 05129/2003 08:153A Foo:7.00 png, I of I Doc T T— Pass] 0 RECORDING REQUESTED By R,cordad in official Racards, Ca�ty of Riverolds Cory L. Oran AND WHEN RECORDED MAIL TO; Aawazzar Comty Clark & Recardor 6 ASCENCION SOTO SIERRA Uj TORIBIA GARCIA SANTOS c/o C-21 -AMELIA ARIAS IN 111111�1 11111111 0 17122 SLOVER AVENUE.STE 109 — FONTANA,CA 92337 S u LL I r LL 1AA 0 A,P.N.:3t9-172-008-2 TRA#:Q'9A<3aCX- R �L 0 GRANT DEED TNE UNDERSIGNED GRA.NTOR(s)DECLARE(,)THAT DOCUMENTARY TRANSFERTAX IS!couNw$71.50 X] on full value of p rty conveyed,or con"n' In of lieu,or encunbramcs remaining at time of salc� ca7lp=on full value less MVIK unincorponuedarea; L_1=CWj=0 ILW FOR A VALUABLE CONSIDERATION,Receipt of which is hereby acknowledged. DONALD L.DAVIS and PAMELA C.DAVIS,Husband and Wife as Joint Tenants hereby GRANT(S)to ASCENCION SOTO SEERRA and TORIBIA GARCIA SANTOS,Husband and Wife as Joint Tenants the following described property in the County of Riverside State of California; City Of Menfto LOT25II'TOWNSITEOFROMOLAND,ASPERMAPONFWE IN BOOK 13, PAGES 8 AND 9, 6#!MM� Safety Dept. RECORDS OF RIVERSIDE COUNTY,CALFIORNU. MAR 17 2016 0. &�� Received DONALD L.DAVIS PAMELA C.DAVIS Decurnent Date: April 1, 2003 S C�Af 0 1,CA TE T JU OF e4es /,�z U Ty OF N TOY beb me 4(bre M, Ily ppca�d waally.ppeared peMMfly 1pa"W me(Gr Imaved to me an die basis ofsatisfiCtDrY 0vidCa=)10 be sbe P�fs)wb=mmo(s)W�bbsanl�d to the vvidiin insnumm aM acknowledged m me thn hdsb �ecxed the same in he�w udkodud capa��(ks)2M dw by on the finma� n � 'ecand 6.ialmmvaL thcp�n(s)orthesnfiryupo bchV9vh"tbcPcrwn(s)2-wd.� WITNESS my hand and ofsici2l stat. Sisnzasra 4 , ThLs axca for ofEcial macarial sed. HT COMIM11112131392 NOTARY PUBLIC-CUORWIA flivulwt coanty I Ny came.Etpht Aqan 6.203 Mail Tax Swernesus to: SAME AS ABOVE or Address Noted Below RIVERSIDE,CA Pagge I of I Printed on 3/14/2016 1:25:27 PM Document:DD 2003.385506 S_TME OF C.ALIFORNIA-BUSINESS.CONSUMER SERNCES,AND HOUSING AGENCY EDMUND G.BROWN JR.Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT O39INGq� Division of Codes and Standards s 0 Q ® n Z 3 1" w Title Search °ti��0 Date Printed: 03/03/2016 Decal#: LBH8448 Use Code: SFD Manufacturer: KAUFMAN/BROAD Original Price Code: AED Tradename: CANYON CREST Rating Year: 1978 0 Model: Tax Type: LPT Manufactured Date. 00/00/1978 Last TLT Amount: U, Registration Exp: Date ILT Fee Paid: V Fast Sold On: 11/28/1978 ILT Exemption: NONE LU U. Serial Number HUD Label/Insignil Length Width 0 KBCASNA915036 12249 48' 12' KBCASNB915036 12250 48' 12' Record Conditions: PPF Exempt Voluntary Conversion to LPT City of Menifee Registered Owner: Building tt Safety Dept. ASCENCION SOTO SIERRA TORTBTA GARCTA SANTOS(Joint Tenants with Right of Survivorship) MAR 17 2016 27863 MONROE AVE ROMOLAND,CA 92585 ,�gg Last Title Date: 01/10/2006 Last Reg Card: 01/10/2006 Sale/Transfer Info: Price$25,000.00 Transferred on 05/29/2005 Situs Address: 27863 MONROE AVE ROMOLAND,CA 92585 Situs County:RIVERSIDE Inactive Decal/DMV: DECAL AAT7467,DMV SN2247 Title Searches: WFG TITLE COMPANY OF CALIFORNIA 650 HOSPITALITY LN SUITE 300 SAN BERNARDTNO,CA 92408 Title File No: Gus *** END OF TITLE SEARCHnow *** O