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PMT16-01658 City of Menifee Permit No.: PMT16-01658 29714 HAUN RD.MENIFEE, CA Type: Mobile Home �txEL/k� MENIFEE Date Issued: 06/24/2016 PERMIT Site Address: 26251 WHEAT ST, MENIFEE, CA 92585 Parcel Number: 330-180-044 Construction Cost: $21,358.00 Existing Use: Proposed Use: Description of NEW MANUFACTURED HOME INSTALL 2928 SO FT(REPLACEMENT) Work: SERIAL WS FLE220CA16-036792A,FLE220CA16-36792B, FLE220CA16-36792C, FLE220CA16-36792D HUD WS PFS1166600, PFS1166601, PFS1165602, PFS1166603 Owner Contractor CLAUDIA MARTINEZ DAVID GOODWIN MASONRY 26251 WHEAT ST 798 HARDING MENIFEE, CA 92585 HEMET,CA 92543 Applicant Phone: 9513235719 DAVE GOODWIN License Number.633914 DAVID GOODWIN MASONRY 798 HARDING HEMET,CA 92543 Fee Description ON Amount 1$1 Manufactured Install 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 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_Pe"it_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 D I am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: License Class L�ic/gnse No. By my signature below I acknowledge that,except for my personal residence Expires t7 -3 -11i YYI i�-� in which l must have resided for at least one year priorto completion of improvements covered by this permit.I cannot legallysell a structure that I WORKER'S COMPENSATION DECLARATION 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 workers 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.Ieginfo.ca.gov/caIaw.htmI.permit is issued. Pollicy# Date 'a I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,forthe performance of the work forwhich to By my signature below l 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 Carrier P't° 1_ COV•&P• t NS> i JN(� with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# Expires —f— �1 enter the above identified/property for inspection purposes. / (This section need not to be completed is the permit is for one-hundred "fih H4 ///i A! 7 VI:-v✓J Date dollars($100)or less PRR PER OWN R OR AUTHORIZED AGENT D I certify that in the performance of the work for which this permit is issued, rqI 1 shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# APDL_fY &Dix, workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compens tion provisions of Section 3700 of the Labor Code,1 shall fort ith com y OZfh use provisions. Will the applicant or future building occupant handle hazardous material or Applicant Date -r mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS aYes Io UNLAWFUL,AND SHALL SUIUECfAN 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 forguidelines CONSTRUCTION LENDING AGENCY Dyes 9A, 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 boun ary of school? (Section 3097 Civil Cade) D Yes o OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD 1 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 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardous mate I @porting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 es No Business and Professions Code).Any city or county that requires a permit to X Date`-` _ v r J� construct,alter,improve,demolish or repair any structure,prior to its pROP O f ER OR AUTHORIZED AGENT Issuance,also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPI 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)orthat 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 7032.5 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 pre ctices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves orthrough 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.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-BOD-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: ❑I,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. THIS SPACE FOR RECORDER USE ONLY STATE OF CALIFORNIA BUSINESS,TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS MANUFACTURED HOUSING PROGRAM RECORDING REQUESTED BY: WHEN RECORDED MAIL TO: NAME CLAUDIA MARTINEZ ADDRESS 26251 WHEAT ST. CITY,STATE,ZIP CODE MENIFEE CA 92585 ONLY THE ENFORCEMENT AGENCY MAY RECORD THIS DOCUMENT NOTICE OF MANUFACTURED HOME, MOBILEHOME OR COMMERCIAL MODULAR - INSTALLATION ON A FOUNDATION SYSTEM Recording of this document by the enforcement agency indicates compliance with California Health and Safety Code Section 18551(a). This document Is evidence that the enforcement agency has inspected the installation and issued a Certificate of Occupancy,form HCD 513C,for the unit described herein,upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real properly. ALL INFORMATION BELOW MUST BE ENTERED BY THE ENFORCEMENT AGENCY PROPERTY INFORMATON ENFORCEMENT AGENCY INFORMATION CLAUDIA MARTINEZ CITY OF MENIFEE REAL PROPERTY OWNER NAME(S) ENFORCEMENT AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 26251 WHEAT ST. 29714 HAUN RD. MAIUNGADDRESS MAILINGADDRESS MENIFEE RIVERSIDE CA 92585 MENIFEE RIVERSIDE CA 92586 CITY COUNTY STATE ZIP CODE CITY COUNTY STATE ZIPCODE SAME AS ABOVE PMT16-01658 95 1 672-6777 INSTALLATION ADDRESS(IT diflewl) BUILDING PERMIT NO. TELEPHONE NUMBER [IV EVIDENCE OF UNIT LIENHOLDER)S)RELEASE,OR CONSENTTO INSTALLATION Cm COUNTY STATE ZIP CODE PROVIDEDIATTACHED—SEE REVERSE SIGNATURE OF ENFORCEMENT AGENCY OFFICIAL DATE OWNER INFORMATON DEALER INFORMATION SAME AS ABOVE HORIZON MANUFACTURED HOMES, INC. UNIT OWNER Of also properly ownar,wale'SAME/ DEALER NAME(IT not dealer sale,wrile'NONE1 DL 1273578 MAIUNGADDRESS DEALER LICENSE NUMBER 7100 W. FLORIDA AVE. CRY COUNTY STATE ZIPCODE DEALER BUSINESS ADDRESS HEMET RIVERSIDE CA 92545 CRY COUNTY STATE ZIP CODE MANUFACTURED HOME/MOBILEHOME/COMMERCIAL MODULAR UNIT DESCRIPTION FLEETWOOD HOMES, INC. 220PX28704X 5/20/2016 MANUFACTURER'S NAME MODELNAMEINUMBER MANUFACTURE DATE FLE220CA16-36792A, FLE220CA16-36792B, FLE220CA16-36792C, FLE220CA16-36792D SERIAL NUMBER($) 72'X 53'4" PFS1166600, PFS1166601, PFS1166602, PFS1166603 LENGTH X WIDTH CA INSIGNIA(S)MUD LABEL NUMBER(S) 330-180-044 8815592 ASSESSOR'S PARCEL NUMBER HCD REGISTRATION DECAL NUMBER MCO NUMBER(New MH a*) REAL PROPERTY LEGAL DESCRIPTION 13947 ON FILE IN BOOK 78 PAGE(S) 24, OF PARCEL MAP RECORDS OR RIVERSIDE CO NTY CALIFORNIA DISTRIBUTION—Original to County Recorder,One Copy to HCD:One Copy to Applicant;One Copy to Enforcement Agency HCD 433A(Rev.10/2011) GENERAL GUIDE AND INSTRUCTIONS ON REVERSE THIS SPACE FOR RECORDER USE ONLY STATE OF CALIFORNIA BUSINESS,TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS MANUFACTURED HOUSING PROGRAM RECORDING REQUESTED BY. WHEN RECORDED MAIL TO: NAME CLAUDIA MARTINEZ ADDRESS 26251 WHEAT ST. CITY,STATE,ZIP CODE MENIFEE CA 92585 ONLY THE ENFORCEMENT AGENCY MAY RECORD THIS DOCUMENT NOTICE OF MANUFACTURED HOME, MOBILEHOME OR COMMERCIAL MODULAR - INSTALLATION ON A FOUNDATION SYSTEM Recording of this document by the enforcement agency Indicates compliance with California Health and Safety Code Section 18551(a). This document is evidence that the enforcement agency has inspected the installation and issued a Certificate of Occupancy,forth HCD 513C,for the unit described herein,upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. ALL INFORMATION BELOW MUST BE ENTERED BY THE ENFORCEMENT AGENCY PROPERTY INFORMATON ENFORCEMENT AGENCY INFORMATION CLAUDIA MARTINEZ CITY OF MENIFEE REAL PROPERTY OWNER NAME(S) ENFORCEMENTAGENCY ISSUING PERMfr and CERTIFICATE OF OCCUPANCY 26251 WHEAT ST. 29714 HAUN RD. MAILING ADDRESS MAIUNGADDRESS MENIFEE RIVERSIDE CA 92585 MENIFEE RIVERSIDE CA 92586 CITY COUNTY STATE ➢P CODE COY COUNTY STATE ➢P CODE SAME AS ABOVE PMT16-01658 ( 95 ) 672-6777 INSTALLATION ADDRESS(If diffemnl) BUILDING PERMTrNO. TELEPHONE NUMBER ❑✓ EVIDENCE OF UNIT UENHOLDER(S)RELEASE,OR CONSENTTO INSTALLATION CITY COUNTY STATE ZIP CODE PROVIDEDIATTACHED-SEE REVERSE SIGNATURE OF ENFORCEMENT AGENCY OFFICIAL DATE OWNER INFORMATON DEALER INFORMATION SAME AS ABOVE HORIZON MANUFACTURED HOMES, INC. UNIT OWNER(it Wee pmpedy owns,vote'SAME') DEALER NAME(B not dealer sale,wrile'NONE) DL1273578 MAILING ADDRESS DEALER LICENSE NUMBER 7100 W. FLORIDA AVE. CITY COUNTY STATE ➢PCODE DEALERSUSINESSADDRESS HEMET RIVERSIDE CA 92545 CITY COUNTY STATE ➢P CODE MANUFACTURED HOME/MOBILEHOMEICOMMERCIAL MODULAR UNIT DESCRIPTION FLEETWOOD HOMES, INC. 220PX28704X 5/2 012 0 1 6 MANUFACTURER'S NAME MODEL NAME/NUMBER MANUFACTURE DATE FLE220CA16-36792A, FLE220CA16-36792B, FLE220CA16-36792C, FLE220CA16-36792D SERIALNUMBE2(S) 72'X 53'4" PFS1166600, PFS1166601, PFS1166602, PFS1166603 LENGTH X WIDTH CA INSIGNIA(SyiUD LABEL NUMBERIS) 330-180-044 8815592 ASSESSORS PARCEL NUMBER HCD REGISTRATION DECAL NUMBER NCO NUMBER New MH ady) REAL PROPERTY LEGAL DESCRIPTION 13947. ON FILE IN BOOK 78 PAGE(S)24 OF PARCEL MAPS RECORDS OR RIVERSIDE COUNTY CALIFORNIA DISTRIBUTION-Original to County Recorder,One Copy to HCD;One Copy to Applicant One Copy to Enforcement Agency HCD 433A(Rev.10/2011) GENERAL GUIDE AND INSTRUCTIONS ON REVERSE .. STATE OF.CALIFORNIA - - NUMBER _ BUSINESS,CONSUMER SERVICES ANR HOUSING AGENCY ' - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Q DIVISION OF CODES AND STANDARDS of Menifee MANUFACTURED HOUSING PROGRAM Building 8 Safety Dept, JUN 2 4 201PANUFACTURER CERTIFICATE OF ORIGIN ❑ CHECK IF THIS IS A DUPLICATE MCO-ENTER ORIGINAL MCO NO. LA., MANUFACl7RE11N0MEtOf 'Mt1ITdFAMILY MANUFACTURED HOME 'rtrCti.T - - [NUM'E' t - . SFD,($INGLE FAMILY DWELLING)- .� MFMH(MULTIFAMILYMANUFACTURED HOME):. TRANSPORTABfE SECTIONS 4 COMMERCIALMODULAR: 06CUPANCY GROUP MANUFACTURER NAME: _ MANUFACTURER LICENSE NUMBER; Fleetwood Homes, Inc. MF"1200755 MANUFACTURER ADDRESS: SUGGESTED RETAIL PRICE: (S 7A07 Jurupa Ave. (City) Riverside (State) CA (Zip) 92504 MANUFACTURER TRADE NAME:.. MODEL NAME AND/OR NUMBER: DATE.OF MANUFACTURE: Crownpointe Xtreme 220P)(28704X 05120/2016 NAME OF DEALER OR TRANSFEREE(OWNERSHIP TRANSFERRED TO): CALIFORNIA DEALER NUMBER OR DATE OF TRANSFER: HORIZON.MANUFACTURED.HOMES INC.. TREE DESIGNATION: DL 12 "DEALER OR TRANSFEREE ADDRESS: " 06/03/2016 (st�,100 W. FLORIDA AVE (CIty) HEMET CA 92645 INV66r CREDITOR NAME: _ INVENTORY CREDITOR ADDRESS: (Street) ' (City). . . (Shale) ZI 6E0'LIpN ^tNf7ND1�L' JRi±lit.5 -Ai�Ef Ty,.,� 43,,, �+FIBE�IVUWIf? l3. '' G)'N:�i TI('*� t.a�M1�d' e-ji% FLE220CA7636792A"- - PF$1766600864 30,250 ' 2 ' . 'FLE220CA16.-36792B. PFS1166601 . 864 180 25,000: 3 FLE220CA16-36792C PFS1166602 384 140 . 19,800 4 FLE220CA1636792D PFS1166603 384 140 20,306 TRANSPORTER NAME: Doyle Transport TRANSPORTER ADDRESS: " 27648 Vanilla " Menifee CA 92585 (.,treat) ' - (City) (State) (zip) DESTINATION FOR UNIT DESCRIBED ABOVE: ... NAME Street y) (Slate) - . -I certify under penalty'of pedury under the lawsof-the State of California thatthe above factsarelhue and correct. .. Executedon ' 06102016 at Rivers'd Riverside CA _.(Date) ._ :(D. (County) SIGNATURE OFAUTHORIZED AGENT:. - DISTRIBUTION; ORIGINAL(PINK) FORWARD TO THE INVENTORY CREDITOR,UNLESS THERE IS NONE,THEN FORWARD TO THE PURCHASER(DEALER ORTRANSFEREE). COPY 1(WHITE) FORWARD TO THE DEPARTMENT AT P.O.BOX 1828.SACRAMENTO,CA 95812-1828,WITHIN FIVE(5)DAYS OF RELEASE. COPY2(YELLOW) DELIVER TO THE TRANSPORTER TOACCOMPA14Y THE UNITTO ITS DESTINATION. COPY 3(GOLDENROD) TO BE RETAINED BYTHE MANUFACTURER. HCD 483.0-Side 1(Rev.07/15) -FLEETW• •D HOMES 7007 Jurupa Ave. INVOICE Note:This Home may have usatl tires,rime androradesxfilrhhevebeen N02015-47664.00 Riverside,CA 92504 inspeCed relative to appearance and the ap rirabls safety standards. Phone:(951)351-2494 Fax-(951)352-0784 Date Shipped Invoice Date Brand Name/Model Year Model a Cavco Company 06/03/2016 06/03/2016 Crownpointe Xtreme/220PX28704X 2016 Serial Numbers Total Width Total Length Bedrooms Baths FLE220CA16-36792A 53' 4" 72-0" 6 4 FLE220CA1636792B 72'0" Retailer HORIZON MANUFACTURED HOMES,INC. F1.E220CA16-36792C 32'0" 7100 W.FLORIDA AVE FLE220CA16-36792D 32'0" HEMET,CA 92545 ASM Ph:951.926-1176 Fax:951-926-1088 Purchase Auth./Verbal/P.O.Number Gabriel Aguilar Ship To Horizon Manufactured Homes,Inc. ❑ STOCK 7100 W.Florida Avenue Customer Name THIS HOME CONTAINS INSULATION AS FOLLOWS: Hemet,CA 92545 Location Ceiling Wall Floor R-Value 21 11 11 MARTINEZ Approximate Thickness 5518.1 3 112" 3 1/2" Appliance/Fumace Serial Numbers: FURNACE-WLA6318383/RGG160120779 RANGE-R61812541 Financed by REFRIGERATOR-HR54710918/VS01798829 WATER HEATER-M141605676/M121613110 COD-50% Deposit DISHWASHER-F60530344 GARBAGE DISPOSAL-16031409634/16031409679 Approval Number: Where used in this home,Medium Density Fiberboard(MDF)materials complywith the CARB Phase II formaldehyde emission standards in CCR 93120.2. Fas ces home Is not eligible for FHA Title 1 financing unless the appropriate"FHA invoice Supplement"Is attached and certified. ome Is not eligible for VA Manufactured Home Financing unless It has been stamped with the appropriate VA Certification igned by a manufacturer's manager. wood Homes certifes Met,to the best of Its knowledge and belief,this manufactured home,is constructed in rmance with the Federal Mobile Home Construction and Safety Standard in effect on the date of manufacture. wood Homes certifies that(1)this invoice Is In compliance with the Truth in Invoicing Practices Statement approved by resolution of the Manufactured Housing Institute on September 13,2004; (2)that the manufacturer,In preparing and certifying this invoice and any disclosures required to be made by the Statement,is providing to the best of its knowledge and belief accurate,complete,and truthful Information,and that(3)the manufacturer a pressly acknowledges that lenders and Insurers rely on invoices and any disclosures required to be made by the Stateme o make finance, insurance,and purchase decisions. 5. TIPS 2004 compliant:www.manufacturedhousing.org Authorized Many cwmr Repreaenmtive VEP 2—Thus house qualifies for a Volume Incentive or Volumc Enhancement payment that may exceed 8%of the invoice amount HUD label No. BASE PRICE $54,435.00 PFS116660 TOTAL OPTIONS $ 64$ .00 1 PFS1166601 PFS116660 PFS1166603 MATERIAL SURCHARGE 050 0.00 MISC FEES/DUES/DISCOUNTS $ 2,465.00 SUBTOTAL $120,952.00 FREIGHT $ 0.00 SALES TAX $ 0.00 TOTAL HOME COST $120,952.00 FINANCE AMOUNT $1209952.00 Lender Invoice No: 2015-47664-00 Part Number/Description Quantity Price Extension 220PX-Crownpointe Xtreme-28704X 1 $54436.00 $54435.00 PACKAGES STRUCTURAL: Fee - Structural Change #2 8950 $1.00 $8950.00 SPRINKLERS STRUCTURAL: Fee - Structural Change #3 0 $1.00 $0.00 INSTALL SPRINKLER RISER & WATER INLET AT MASTER BEDROOM WALK-IN CLOSET SIDEWALL (SEE PRINT) INSTALL (1) SEWER OUTLET ONLY @ A-HALF UTILITY ROOM SIDEWALL. INSTALL GAS INLET AT HITCHEND STRUCTURAL: Hitch - Removable 1 $0.00 $0.00 STRUCTURAL: Fee - Structural Change #1 25750 $1.00 $25750.00 BUILD PER CUSTOM PRINT TOTAL BOX SIZE: A-HALF: 15'X72' B-HALF: 15'X72' ADD TAG: C-HALF: 1118" X 32' D-HALF: 11.8-X 32' PLUMBING: Water Shut Off Valves T/O 1 $0.00 $0.00 PLUMBING: Washer & Dryer - Plumb & Wire Only 1 $0.00 $0.00 PLUMBING: Dryer - Gas - Plumb Only 1 $0.00 $0.00 BOTH PLUMB FOR GAS AND WIRE FOR ELECTRIC ELECTRICAL: Electric Service - Overhead Mast Head 1 $102.00 $102.00 . ELECTRICAL: Dryer : Wire Only 1 $66.00 $66.00 BOTH PLUMB FOR GAS AND WIRE FOR ELECTRIC ELECTRICAL: Light - Can Recessed - 4 $56.00 $224.00 LIVING ROOM ELECTRICAL: Fee - Electrical Change #1 1390 $1.00 $1390.00 ADDITONAL 29 GALLON WATER HEATER ADDITIONAL 56 GAS BTU FURNACE (2) PROGRAMABLE THERMOSTATS ELECTRICAL: TV & Phone Raceway 3 $36.00 $108.00 (1) LIVING ROOM Lender Invoice No: 2015-47664-00 Part Number/Description Quantity Price Extension (1) FAMILY ROOM (1) ACTIVITY ROOM 1" CONDUIT ELECTRICAL: Furnace - Gas - 90 BTU 1 ELECTRICAL: Wtr Htr - 40 Gallon Gas $ $ .00 1 $128.00 28.00 $12828.00 ELECTRICAL: Air Conditioner - Wire Only 2 $107.00 $214.00 ELECTRICAL: Light - Pendant 2 $59.00 $118.00 OVER ISLAND - PER PRINT ELECTRICAL:: P-ackage - Vogue Lighting Package 2 $295.00 $590.00 Includes: 5-Arm Chandelier, MBath Vanity, GB Vanity, Front Door, Rear Doors, (6)Recessed Can Lights - (5)Kit a (1)Hall per Print, White 6" Light Fixture (Walk in Closets) Morning ROOM, Ceiling Light in BEDS, BATHS, UTILITY CEILING LIGHT IN WALK-IN CLOSET @ FAMILY ROOM ELECTRICAL: Ceiling Fan - Wire and Brace Only - Additional 10 $77.00 $770.00 ALL BEDROOMS, LIVING ROOM, ACTIVITY ROOM, DEN, OFFICE BONUS ROOM ELECTRICAL: Switch - Interior Rocker T/O 1 $0.00 $0.00 ELECTRICAL: R-ReeCCept-}Combo w/USB Charger Port (ea) 1 $0.00 $0.00 KITCHEN ELECTRICAL:: Meter Base - 200 AMP 1 $255.00 $255.00 FAMILY ROOM-HITCHEND ELECTRICAL: Roof Vent - 17x17 w/5 Way Switch 1 $153.00 $153.00 HALLWAY OUTSIDE OF BATH #4 (SEE PRINT) ELECTRICAL: Floor Register - Toe Kick (Ea) 6 $75.00 $450.00 KITCHEN, ALL BATHROOMS, AND SINK AT ACTIVITY ROOM ELECTRICAL: Fee - Electrical Change #2 0 $1.00 $0.00 FURNACE @ C-PIECE TO BE CONNECTED TO DUCTS THAT RUN ON C&D PIECES ONLY FURNACE @ A-PIECE TO BE CONNECTED TO DUCTS THAT RUN ON A&B PIECES ONLY ELECTRICAL: Fee - Electrical Change #3 105 $1.00 $105.00 3-WAY SWITCHES @ KITCHEN CAN LIGHTS, LIVING ROOM CAN LIGHTS, AND HALLWAY CAN LIGHTS (SEE PRINT) CABINETRY: Shelf - Utility - Wire 1 $36.00 $36.00 CABINETRY: Pantry/Linen - 6 Door 1 $310.00. $310.00 Lender Invoice No: 2015-47664-00 Part Number/Description Quantity Price Extension DINING ROOM (INSTALL T&T HEADER OVER LINEN) - PER PRINT JAMOCHA GRANITE FORMICA COUNTERTOP, EDGE, AND BACKSPLASH @ BASE CABINET @ HALLWAY CABINETRY: Fee - Cabinetry Change #2 - 249 $1.00 $249.00 CUSTOM 2x6 ISLAND PLUS 12^ 'OVERHANG ON LIVING ROOM ROOM SIDE (SEE PRINT) CABINETRY: Base Cab - Drawer Bank in Bath 1 $107.00 $107.00 BATH #2 CABINETRY: Hardware - Hidden Hinges 1 $0.00 $0.00 CABINETRY: Hardware - Cabinet Knobs Round Nickel 1 $0.00 $0.00 CABINETRY: Drawer Guides - Side Mount 1 $0.00 $0.00 CABINETRY: Cabs - Lined Overheads - White 1 $0.00 $0.00 CABINETRY: Base Cab - Drawer Bank in Kitchen (4) 1 $0.00 $0.00 CABINETRY: Overhead Cab - Over Refrigerator 2 $97.00 $194.00 24" DEEP OVER REFER IN KITCHEN 6 ACTIVITY ROOM KITCHEN DECOR - KIT: Appliances - Black 1 $1645.00 $1645.00 Includes: 25 CF S x S Refrigerator Self Cleaning Range Upgrade Dishwasher APPLIANCES: Garbage Disposal 2 $92.00 $184.00 (1) KITCHEN (1) ACTIVITY ROOM SINK APPLIANCES: Faucet - Single Lever w/ Sprayer 1 $0.00 $0.00 APPLIANCES: Sink - 6" Deep Stainless Steel 1 $0.00 $0.00 MISC - KITCHEN OPTIONS: Fee - Kitchen Change #1 .1235 $1.00 $1235.00 ADDITIONAL SINK, GARBAGE DISPOSAL, REFER, SINGLE LEVER FAUCET, WITH SPRAYER, 6" DEEP STAINLESS' STEEL SINK, AND ADDITIONAL EXHAUST FAN (SEE PRINT) INSTALL 18 CUFT. "BLACK" REFER @ 2ND KITCHEN IN ➢-SECTION "*INSTALL BASE CAB ONLY WITH 12" OVERHANG AT CABS BY MARRIAGE LINE (SEE PRINT) *-*INSTALL JAMOCHA GRANITE C-TOP, EDGE, AND BACKSPLASH "'PREP FOR FUTURE RANGE WITH GAS INLET NEXT TO SINK @ ACTIVITY ROOM INTERIOR FLOOR COVERING: Carpet Pad - Rebond Upgrade 1 $179.00 $179.00 MISC - INT: Blinds - 2" Faux Wood Blind (ea) 21 $30.00 $630.00 MISC - INT: T 6 T - Rounded Outside Corners 1 $255.00 $255.00 MISC - INT: Shelves - Wood w/Pole - White 1 $150.00 $150.00 MISC - INT: Fee - Interior Change 41 150 $1.00 $150.00 GUEST COAT CLOSET IN HALLWAY - MISC - INT: T&T - Wet Areas 1 $815.00 $815.00 MISC - INT: T s T - Closets T/O 1 $355.00 $355.00 Lender Invoice No: 2015-47664-00 Part Number/Description Quantity Price Extension MISC - INT: T 4 T - Dry Areas 2 $2950.00 $5900.00 MISC - INT: Door - Interior,- Raised Arch 2 Pnl w/Tulip Knobs 4 2 Hinge 1 $0.00 $0.00 MISC - INT: Ceiling - Knock Down 1 $0.00 $0.00 MISC - INT: Door - Interior Casing - Small 1 $0.00 $0.00 MISC - INT: Molding - Baseboard - T/O - 2" 2 $255.00 $510.00 EXTERIOR: Insulation - 21-11-11 1 $0.00 $0.00 EXTERIOR: Roof Load - 20 lb 1 $0.00 $0.00 EXTERIOR: Foundation Ready 2 $420.00 $840.00 EXTERIOR: Fee - Exterior Change 81 695 $1.00 $695.00 2314" PLANT ON DORMER WITH NO EAVE AT SIDEWALL FOR TAG EXTERIOR: Overhang - Front - 12" 1 $0.00 $0.00 EXTERIOR: Eaves - 6" 1 $0.00 $0.00 EXTERIOR: Porch - Covered Porch w/12" Bx Cols w/Lp E 8" Up Pat (SQ FT) 68 $35.00 $2380.00 1318"X5'0" PORCH AT B-HALF HITCHEND INCLUDES: +12"X12" BOX COLUMNS WITH LAP SIDING BETWEEN CORNER TRIM AND 8" UPPER POSTS (EXCLUDE UPPER POST AT (2) POSTS @ CENTER OF DOOR +WHITE VINYL RAILING +FLAT HEADER +(2) RECESSED CAN LIGHT. "GREY" PORCH DECKING EXTERIOR: Roof Pitch - 3:12 1 $0.00 $0.00 EXTERIOR: Roof - Shingle 1 $0.00 $0.00 EXTERIOR: Airfoil 1 $0.00 $6.00 EXTERIOR: Overhang - Rear - 12" 2 $194.00 $388.00 12" FRONT OVERHANG ON AGB PIECES 6" RAVE @ A-HALF SIDEWALL 6" EAVE @ B-HALF SIDEWALL 12" REAR OVERHANG @ A5B PIECES ENDWALL 12" EAVE @ C-PIECE SIDEWALL 6" EAVE @ D-PIECE SIDEWALL 12" OVERHANG @ CGD PIECE ENDWALL EXTERIOR: Exterior Trim - 4" Choice Window, Door 6 Corner Trim 2 $405.00 $810.00 EXTERIOR: Fascia - Choice Trim 10" (per foot) 268 $2.00 $536.00 EXTERIOR: Fee - Exterior Change #2 1200 $1.00 $1200.00 LVL RIDGE BEAM INSTALLED ON ALL (4) SECTIONS OF HOME $1,200 DOORS & WINDOWS DOORS: Door - Interior - Raised Arch 2 Panel Add't 3 $128.00 $384.00 Lender. Invoice No: 2016-47664-00 Part Number/Description Quantity Price Extension DOOR AT UTILITY ROOM/HALLWAY PASSAGE DOOR AT UTILITY ROOM/ACTIVITY ROOM PASSAGE 24" PAINTED WHITE LOUVERED DOOR AT FURNACE COMPARTMENT IN UTILITY ROOM DOORS: Hardware - Door Interior Knobs Tulip Nickel 1 $0.00 $0.00 DOORS: Hardware - Hinges Mortised Nickel (2) 1 $0.00 $0.00 DOORS: Fee =-Door Change #1 295 $1.00 $295.00 ADDITIONAL 36" 6-PANEL EXTERIOR DOOR' DOORS: Door - Exterior - 6 Panel inswing - 36" Front 1 $0.00 $0.00 DOORS: Door - Exterior - 6 Panel Inswing - 36" Rear 1 $125.00 $125.00 EXTERIOR WINDOWS: Skylight - Tube 1 $230.00 $230.00 BATH #2 �L EXTERIOR WINDOWS: Window - Ventilated - Guest Bath 2 $112.00 $224.00 3610 - OBSCURE @ BATH #3 AND BATH #4 EXTERIOR WINDOWS Window- Vinyl Dual Glazed T/O 1 $0.00 $0.00 BATHS MASTER BATHROOM: Diverter - Single Lever - Chrome 1 $0.00 $0.00 MASTER BATHROOM: Exhaust Fan 1 $0.00 $0.00 MASTER BATHROOM: Faucet - Single Lever - Chrome 2 $0.00 $0.00 MASTER BATHROOM: Towel Bar 6 Tissue Holder (each bath) 1 $0.00 $0.00 MASTER BATHROOM: Vanity - 36" High 1 $0.00 $0.00 MASTER BATHROOM: Bath - Glamour 1 $1140.00 $1140.00 INCLUDES: OVAL DROP-IN TDB 48" WALK-IN SHOWER WITH ENCLOSURE DRAWER BANK BETWEEN LAVYS 3-DOOR LINEN (2) 40X54 WINDOWS ABOVE TUB DECK MASTER BATHROOM: Levy - Upgrade in Master Bath 2 $61.00 $122.00 GUEST BATHROOM: Diverter - Single Lever - Chrome 1 $0.00 $0.00 GUEST BATHROOM: Exhaust Fan 1 $0.00 $0.00 GUEST BATHROOM: Faucet - Single Lever - Chrome 1 $0.00 $0.00 GUEST BATHROOM: Towel Bar 6 Tissue Holder (each bath) 1 $0.00 $0.00 GUEST BATHROOM: Tub/Shower One Piece 60" - Guest Bath 1 $0.00 $0.00 DRYWALL OVER FLANGE. GUEST BATHROOM: Levy - Upgrade in Guest Bath 1 $61.00 $61.00 GUEST BATHROOM: Fee - G/Bath Change #1 1990 $1.00 $1990.00 ADDITIONAL 3RD BATH INCLUDES: DIVERTER-SINGLE LEVER-CHROME EXHAUST FAN FAUCET-SINGLE LEVER-CHROME (WE DO NOT OFFER DUAL LEVER BATH FAUCETS) Lender Invoice No: 2015-47664-00 Part Number/Description Quantity Price Extension LAVY UPGRADE TOWEL BAR S TISSUE HOLDER 60" 1-P/C TDB/SHOWER 30" WIDE PASSAGE DOOR ADDITIONAL 4TH BATH INCLUDES: DIVERTER-SINGLE LEVER-CHROME EXHAUST FAN FAUCET-SINGLE LEVER-CHROME (WE DO NOT OFFER DUAL LEVER BATH FAUCETS) LAVY UPGRADE TOWEL BAR 6 TISSUE HOLDER 60" TUB/SHOWER "MINERAL JET" FORMICA ON COUNTERTOP Engineering Fees 1 $1530.00 $1530.00 National Dues 1 $35.00 $35.00 HUD Fees (Multi) 1 $700.00 $700.00 State Fees 1 1 $200.00 $200.00 Lender BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE PERMIT/PLAN CHECK NUMBER - b TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY WMOBILEHOME O POOL/SPA O SIGN SUBTYPE: OADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL (AEW O PLUMBING O RE-ROOF-NUMBER OFSQUARES DESCRIPTION OF WORK P ' t y t� U c. ✓2t / .1, Z�. ri, n PROJECTADDRESS F SkZjZ -S 611 A • G'L S- ASSESSOR'S PARCEL NUMBER 130 - r as- oL-4 LOT 1+ TRACT OWNERNAME 0jAuQlA ADDRESS U -S I Wk-e'A -5uil V nn )'F A . c7 'Ls S PHONE ccjsl 'Cn'-LL( - 03TJ EMAIL -� APPLICANT NAME DPI v.,_. _/ WI'� )C✓1 "'� 0� �'f" ...{. ADDRESS �'( // h G7 ry' S ,.rl, 9 2- PHONE l Q b� L 30 EMAIL v c ,/ ,r :. -� l7 A 7 (, r� A .�,.,J lr�, o CONTRACTOR'S NAME (��� OWNERBUILDER7 OYES 0 BUSINESSNAME hvn g;^Jf ADDRESS B I� �Z S "r• ti✓11c.:�' CA , I2S/q� PHONE IC"�jlY�i 'jJ� EMAIL L / CONTRACTOR'S STATE LIC NUMBER 33 LICENSE CLASSIFICATION VALUATION$4^�� 'S`� SO FT 1CM3 L SO FT APPLICANT'S SIGNATURE DATE --- DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUICWNG PLANNING ENGINEERING FIRE GREEN SMIP INVOICE •�'y PAIDAMOUNT AMOUNT a ` / O CASH O CHECK# 0 CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0CASH O.CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED 0 YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Sojety Department 29714 Houn Rd. Pdeoifee, CA 92586 951-672-6777 a vwW.rityafmenifee.us Inspection Request Line 951-240'-5213 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjurythat I am under provisions of with a licensed contractors)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from Iicensure under the Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: License Class— �Liicc/ense No. By my signature below 1 acknowledge that,except for my personal residence Expires 1 Z-33 Signature yY/bt?C-45 in which I 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 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-insure far workers 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.ieeinfo.ca.gov/calaw.html. this permit is issued. policy#������ Date a I have and will maintain workers compensation insurance,as required by PROPERTY OWN OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which tdey 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: (y'� application and the information I have provided is correct I agree to comply Carrier 2h) I l_ Uwe t AA, eyy,(,� with all applicable city and county ordinances and state laws relating to (� c, building construction.I authorize representatives of this city or county to Policy# 3&3�3 J'W Expires —f—u enter the above identified property for inspection purposes. q� / (This section need not to be completed is the permit Is for one-hundred -�-n y y � ��,-W J Date dollars($100)or less PRdPERTy OWNER OR AUTHORIZED AGENT o I certify that in the performance of the work for which this permit is issued, q I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# /1 �.-lN yrtm, TT— worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compens tion provisions of Section 3700 of the Labor Code,I shall fort ith com y h those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date .'-r ^ mixture containing a hazardous material equal to or greater that the c" amounts specified an the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 oYes brNo 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 guidelines CONSTRUCTION LENDING AGENCY o Yes r/Na 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 b oun ary of a school? (Section 3097 Civil Code) o Yes o OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD 1 hereby affirm under penalty of perjury that 1 am exempt from the permitting checklist.I understand my requirements underthe State of California Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardous matey I @porting. checkmark(s)I have placed nextto the applicable Rem(s)(Section 7031.5 glles No ) Business and Professions Code).Any city or county that requires a permit to Date Al r Jr construct,alter,improve,demolish or repair any structure,priorto its PROPERTY O ER OR AUTHORIZED AGENT issuance,also requires the applicant forthe permitto file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP) 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 Iicensure 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 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 o 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.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-SOD-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a in 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 Lea 2 �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. Troy Matthews From: Abby Durham <abby@ho6zonmh.com> Sent: Friday, May 20,2016 9:57 AM To: Troy Matthews Subject: Martinez- Serial numbers Attachments: Fleetwood expire 2017 foundation plan.pdf Serial FLE220CA16-36792A FLE220CA16-36792B FLE220CA16-36792C FLE220CA1 --36792D L 0123 Factory Contact Gabriel Aguilar (951)356-6567 Edgar 760-475-3586 Dustin 951-543-3175 Abby Cell 951-956-6217 Thank you, Abby Durham Construction Coordinator Horizon Manufactured Homes Inc. Abby@horizonhomecenter.com Office: 951-537-6850 Direct:951-537-6853 Fax:951-926-2664 i RECORDED AT THE REQUEST OF DOC # 2016-0155386 CHICAGO TITLE-INLAND EMPIRE 04/20/2016 09:41 AM Fees: $28.00 Page 1 of 2 RECORDING REQUESTED BY: Recorded in Official Records Trinity Escrow,Inc. County of Riverside Order No.7101600468-CB Peter Aldana Escrow No.22054-TL Assessor-County Clerk-Recorder � Parcel�No.3130-'1880-044-9 - A 'ter/ lyl� — t q % "-This document was electronically submitted AND WHEN RECORDED MAIL TO: to the County of Riverside for recording" CLAUDIA M. MARTINEZ Receipted by:MARIA VICTORIA#411 P.0.BOX 2207 SUN CITY,CA 92585 SPACE ABOVE THIS LINE FOR RECORDERS USE GRANT DEED THE UNDERSIGNED GRANTOR(S)DECLARE(S)THAT DOCUMENTARY TRANSFER TAX IS SR&T11911 and CITY Slb? ❑ computed on full value of property conveyed,or ❑ computed on full value less liens or encumbrances remaining at the time of sale. ❑ unincorporated area 61� Menifee, and FOR A VALUABLE CONSIDERATION,receipt of which is hereby acknowledged,Claudia M.Martinez hereby GRANTS)to Claudia M. Martinez,a single woman the following described real property in the County of Riverside,State of California: Parcel 4, in the City of Menifee,County of Riverside, State of California,As shown b f IA&4h a f%$jgn file in Book 78, Page(s)24,of Parcel Maps,Records of Riverside County,California. building More commonly known as:26251 Wheat Street,Menifee,CA 92585 MAY 2 7 IN Date January 28,2016 Borrower's Signature Received NC[.cin1J>.�a ck� L �ncn�urL t Claudia M.Martinez A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. STATE OF CALIFORNIA COUNTY OF R(VCAS el••- IS.S. On {l bea.s a.. 01 y U I(-,before me, m P2.'fl+Ia C. K USIn Ru j011 G personally appear laudia M. Martinez who proved to me on the basis of satisfactory evidence to be the erson(#) whose name(t)is/arsubscribed to the within instrument and acknowledged to me that he/she/tbW executed the same in4jS/her/t3jce authorized capacity(i6), and that by 4s/her/UOpr signature( on the instrument the person(*), or the entity upon behalf of which the person( acted,executed 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 eal. Wiii A C.RUSH COtAMI.i1Z04� Signa Sea �T A•OW,V rr� M1I�111C[COIIMTY 11)p Calve,6�Yle�r,�tl Mail Tax Statements to:SAME AS ABOVE or Address Noted Below DOC#2016-0155386 Page 2 of 2 NOTARY CLARITY UNDER THE PROVISIONS OF GOVERNMENT COSE 27361.7,1 CERTIFY UNDER THE PENALTY OF PERJURY THAT THE NOTARY SEAL ON THE DOCUMENT TO WHICH THIS STATEMENT IS ATTACHED READS AS FOLLOWS: Name of Notary: Notary Identification Number: a L16 Y� County Where Bond Is Filed: Date Commission Exp: Manufacturer No: en DATE: / / //2016 SIGNATURE: AMBER HUMPHRIES/CHICAGO TITLE z � m s 80 o _ _ 03 sA 3 CLO CD 0 goo aI' (D ro w 3 o = < N �<m CD o a Q o cn m m v i § i•n• I' I u oz O g c o 1 . - K ;4t CUSTOMER: HORIZON—MARTINEZ ORDER NO: 547664 vera x�xxx ro oN - you r r J m a 3 � e3°z co C -w •+' na ' .ni 'r m £ . � . � � � �a ❑ , \ \ � ELI ] � ) � ( 2 or-Iq \ CD n ZZ q | / j < ~ \% | ( ) C k CL 2\ ° � ® . m m m � OO ❑ y z13 n F x m lu o c fn H O 3 L�7 7y o x 0 o o Pd o C'] H P z z c o i 3 e � H rn z m eh � � N N y m O - J mz=_ tim O 0 0 m O g 0 o r 3 m Z p �. Z '9 xi •3 m M 2015-0298379 07/09/2015 03:14 PM Fee: $ 31.00 Page 1 of 3 Recorded in sd Records County of Riverside Peter Aldana Asse,s1llI'sor-County 'IIIrRR-CNNo{{unEyyJJy{,Clle`wLn`h'rk-Re"coprd1etr'l'Iur. Ill"11117f1��1171f11�1171��IlI lf�1"1'�,7 �IIII R I A Exam: J Page DA PCOR Mlsc Long RFD 3stP6 Add Ps Cert CC SIZE NCOR SMF NCHG 7: �- Recording requested by: f 1 tle2 Space above reserved for use by Recorder's Office When recorded,mail to: {� ` Document prepared by: , -- - •Name:CIQfl_eh'(I ti t1(lr+llni-7. Name -In Address: P O- Env �Q() 1 �j Address City/State/Zip_ Jl In 04 , CN CO 6 City/State/Zip Clii6 10 qa5 8eo 7 Property Tax Parcel/Account Number:J3©` O ` () I n�ra o,m:l�-hrans der/ a } her aU3h- e r- � Quitclaim Deed This Quitclaim Deed is made on n P Q5-L� 0 15 between fMn r"}i ()e-57 Grantor,of City of ,State of 1 Y 1(2 , and Grantee,of I City of Sun State of C a l t o y n l ei- For valuable consideration,the Grantor hereby quitclaims and transfers all right,title,and interest held by the Grantor in the following described real estate and improvements to the Grantee,an •his or her heirs and assigns,to have and'holdforever o ted at ` rJ I- W I ea� J ' ,City of l ,State of 0 (11 (�c°ce14 qs shot�n by ()aree1 Ma.p 1, 94q �. on ' e I n 'QOOK 93 Po - aLf of Parke I Ma s ; reeards&a4"Riverside C©0 , Cal d hornkc�( A p>�'i 33Y- zB `J Co monly ..11i QU) •n a� c� a5 1 11� eat S� Sun Cal,►�-'or r���a• q'a5 Subject to all easements,rights of way,protective covenants,and mineral reservations of record,if any. Taxes for the tax year of 015 shall be prorated between the Grantor and Grantee as of the date of recording of this deed. Quitclaim Deed Pg.l(11-12) r gym.,.,-...�...�,. .....� ..e..,...e.a,....._�,.�.,., DOC#2015-0298379 Page 2 of 3 Dated: Signature ot br�antor Y • Et.,-1, v" Name of Grantor Signature of Witness#1 Printed Name of Witness#1 Signature of Witness#2 Printed Name of Witness#2 State of County of On ,the Grantor, personally came before me and,being duly sworn,did state and prove that he/she is the person described in the above document and-that he/she signed the above document in my presence. Notary Signature Notary Public, In and for the County of State of My commission expires: Seal Send all tax statements to Grantee. 9ultciclm Deed Pg.2(11-12) ucmu�,®namu Iq1 u e•+mMuv. mY w+rtamlmema.. DOC#2015-0298379 Page 3 of 3• CALIFORNIA ALL PURPOSE ACKNOWLEDGMENT ; I I I A notary public or other officer completing this certificate verifies only the identity of the individual who signed I the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that j document. ' I ISTATE OF CALIFORNIA } I COUNTY OF 4S9 on t i7 "T_beforeme, iPublic, • Date (here insert same aad title oftho officer) t (personally appeared ����_( • ��� t I I i i !who proved to me on the basis of satisfactory evidence to be the persono whose name$)is/are jsubsm'bed.to the within instrument and acknowledged to me that heldwAhey executed the same jin his/he Oteir authorized capacity(io,and that byhis/lmAieirsignatm4s)on the instrument (the person(s),or the entity upon behalf of which the person acted, executed the instrument. i 11 certify under PENALTY OF PERJURY under the laws of the State of California that the n a foregoing paragraph is true and correct. WITNESS my hand and official seal. SONIA NALLAN Commisslon#2021617 z ::a Notary Public-California i z ' Banta Clara Counly My Comm.Expires May 21,2017 i i I (Sign - (seal) OPTIONAL I IDescriptiori of Attached DO ITit1e or Type of Document: n—t umber of Pages: ' jVocument Date: Other: law Aeostille SwAm 7012225551 wwuy Calif)n7 ADosfillens Cairomie Mobile Notery Network WWWCANINNcom