PMT16-02383 City of Menifee Permit No.: PMT16-02383
29714 HAUN RD.
<A-CCF-U? MENIFEE, CA 92586 Type: Mobile Home
MENIFEE Date Issued: 07/25/2016
PERMIT
Site Address: 25870 TRUMBLE RD, MENIFEE, CA Parcel Number: 329-240-013
92585 Construction Cost: $7,500.00
Existing Use: Proposed Use:
Description of INSTALL PERMANENT FOUNDATION MOBILE HOME
Work: SERIAL#FLE220CA16-36884A HUD#PFS1169773
SERIAL#FLE220CA16-36884B HUD#PFS1169774
Owner Contractor
PATiU GROB ,
25870 TRUMBLE RD
MENIFEE, CA 92585
Applicant License Number:
MENIFEE,CA
Phone: 9515005726
Fee Description OOrt Amount IS)
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_Templale.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts far 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 70(30)of Division 3 of the Business and D 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. By my signature below I acknowledge that,except for my personal residence
Expires Signature in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I
have built as an owner-builder if it has not been constructed in its entirety by
❑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 4apn is submitted or at the following we651te:
by Section 3700 of the Labor Code,for the performance of work for which ,l
this permit is issued. ovPolity# Date0I have and will maintain worker's compensation insurance,as required by R OR AUTHORIZEDAGENT
section 3700 of the Labor Code,for the performance of the work for which 0 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 owner's behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
Carrier 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 enter the above identified property for inspection purposes.
(This section need not to he completed is the permit is for one-hundred
dollars($100)or less Date
PROPERTY OWNER OR AUTHORIZED AGENT
0 I certify that in the performance of the work for which this permit is issued,
I shall not emolov any persons in any manner 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
subjectto the workers compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date 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 15 0 Yes Woo
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 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(SCtionor modification
permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airplines
Qwua
CONSTRUCTION LENDING AGENCY OYes W"o
I hereby affirm that underthe penalty of perjurythere 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) 0 yes
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
Contractor's License Law for the reason(s)indicated below by the California Healt &Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous in6 1 r p ing.
h
Business and Professions Code).Any city or county that requires a permit to ys 0 /
construct,alter,improve,demolish or repair any structure,prior to its Date .7
issuance,also requires the applicant for the permit to file a signed statement PROP OITY OWN tR OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractor's 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)or that he or she is exempt from iicensure receiving compensation for most work that disturbs paint in apre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facilitytobeork thatertified
comply with
than
Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($500). p p rty
managers who do the paint-disturbing work themselves or through their
el as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-80D-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a 0 An EPA Lead-Safe Certified Renovator will he responsible for project
property who,through employees'or personal effort,builds or improves the p p 1
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or Improved for the purpose of sale. D No EPA Lead-Safe Certified Firm is required for this project because:
a 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
U LD Y g ? ✓ ---City of enifee 7t, -
[ ,is 7 ' f Building & Safety&afety Doj
Vlenifee
DATE PERMIT/PLAN CHECK NUMBER �J
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY " OBILE HOME rCfpOOL/SSPA OSSIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL C MECHANICAL
C NEW O PLUMBING O RE-ROOF-N MBER OF SQUARES
DESCRIPTION OF WORK hj.gr� _ O�/Le,
PROJECTADDRESS 7O u (L ^QINr .F�e G'� 925$S'
ASSESSOR'S PARCEL NUMBER 3;_9- 2,'l0- GJ3 LOT TRACT
OWNER NAME p
ADDRESS U" ,0, CNJt &e C)O- g' .SSS�
PHONE gj[— //00— 67.76 EMAIL
APPLICANT NAME
ADDRESS U', p ' C en,-1 l//,711t C 22 s,j
PHONE gS( -�aa- S72f� EMAIL
CONTRACTOR'S NAME OWNER BUILDER? rfES 0 NO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ 7 SQ L SO FT
APPLICANT'S SIGNATURE _ DATE
L:-. is
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE pglD AMOUNT
AMOUNT 0CASH 0CHECK# OCREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0 CHECK# C CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER C YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection RegUest Line 951-246-6213
i
City of Menifee
Building & Safety Dept'
JUL 2 5 2016 Permit#
Received
SITE PLAN
SITE ADDRESS a s 8 7t0 P-0; 14 6X)o�g, CA,
ASSESSORS PARCEL NUMBER_
Provide North Arrow REAR PROPERTY LINE
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FRONT PROPERTY LINE
284-77(Rev. 2/2012)
City of Menifee
STATE OF CALIFORNIA BUilding & Safety N
BUSINESS,CONSUMER SERVICES AND HOUSING AGENCY
DEPARTMENT OF HOUSING AND COMMUNITY DEV L�PME T Z 16 ��'h'-�'
DIVISION OF CODES AND STANDARDS J
MANUFACTURED HOUSING PROGRAM
MANUFACTURER CERTIFICA E� V6 SIN
❑ CHECK IF THIS IS A DUPLICATE MCO-ENTER ORIGINAL MCO NO.
M UFACTURED HOME OR MULTIFAMILY MANUFACTURED HOME NUMBER OF 2
SFD(SINGLE FAMILY DWELLING) ❑ MFMH(MULTIFAMILY MANUFACTURED HOME) TRANSPORTABLE SECTIONS
COMMERCIAL MODULAR: -
OCCUPANCY GROUP -
MANI.Ifi9CT,URER NA%MeS, Inc. MANUFACTURER
12OO75S NUMBER:
MANy�,=e@LujwuU�Fgp a Riverside CA 92504 SUGGESTED RETAIL PRICE:
(Street) (City) (State) (Zip)
MAN dr4($MR'1W5d f91 a MODELpIAMEAN8W NUMBER: DATE OF MANUFACTURE:
NAME OEA 1q nRIZR9N XLRJ lOWNERSHIP TRANSFERRED TO): CALIFORNIA DEALER NUMBER OR DATE OF TRANSFER:
LLAARR�t YP�FLFL IttAL T TR4W j28F=IGNATION:
D' TW fFWRIPLC LEb1VE,SUITE 106 MORENO VALLEY CA 92551 -
(Street) (City) (Slate) (Zip)
INVEPW CREDITOR NAME:
_ INVENTORY CREDITOR ADDRESS:
,(Street) (City) (State) (Zip) C
SECTION TURER SERIAL NUMBER HCD INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH wEIGHr
48 IN INC P U I
lob
}^
' S\
f�
TRANSPORTER NAME:
Quality Home Transport
TRAZV*Wjk^C=Ia Hemet - CA 92545
(Street) (city) (State) ON
DESTINATION FOR UNIT DESCRIBED ABOVE:
NAME (Street) C' State M
1 certify under penalty of perjury under the laws of the State of California that the above facts are true and correct.
Riverside Riverside CA
Executed on at
(Date) / (City) (County) (Stale)
SIGNATURE OFAUTHORIZEDAGENT:
i
DISTRIBUTION: ORIGINAL(PINK) FORWARD TO THE INVENTORY CREDITOR,UNLESS THERE IS NONE,THEN FORWARD TO THE PURCHASER(DEALER OR TRANSFEREE).
r COPY t(WHITE) FORWARD TO THE DEPARTMENT AT P.O.BOX 1828,SACRAMENTO,CA 95812-1828,WITHIN FIVE(5)DAYS OF RELEASE.
COPY 2(YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION.
COPY 3(GOLDENROD) TO BE RETAINED BY THE MANUFACTURER.
HCD 483.0-Side 1(Rev.07115)
Y
ROMOLAND SCHOOL DISTRICT
25900 Leon Road, Homeland, CA 92548 city of bleniiae
(951) 926-9244 • FAX (951) 926-2170 Building & Safety Dept.
Julie Vitale, Supetzntendent JUL 2 5 2016
Received
SCHOOL FACILITIES FEE WAIVER
Date: June 6, 2016 DEPARTMENT OF BUILDING &SAFETY
To: Whom it May Concern
Applicant's Name: Patricia Grob
Owner: Patricia Grob
Building Dept. Permit#(s):
Assessor Parcel#(APN):
Project Address: 25870 Trumble Rd
Romoland 92585
1
To Whom It May Concern:
The Romoland School District does not intend to collect School Facilities fees (Developer Fees) on the
above-mentioned project because of the following reason(s):
Replacement Mobile due to fire
Therefore, building permits for this project may now be issued by your jurisdiction.
Sincerely,
Karen Owen
r
', fgomoland chool District
Business Services Department
ce
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x,;i.,it=..._. i.NOBILENOl9E-INSTALUI?IDTTAPPLI •rrrn� -. ' .~. � .: .
/MOBIi EFIOAAE PARK S I 1 G MODUWi
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INDIV(DUAL•LOTS `
PERM k*..FOUNDATIO)J� _
NAME:OF2PARK
ADDRESS' : :.:' . ..t.
:... l::.. . . TELEPHONE NO: '
OWNER/AGENT
AD
DRE55 CE N0. .
MOBILEHOHE ;INSTALLER-,-
ADDRESS:, TELE
ifdNfNO.
INSTALLEPS 'CONTRACTOR'S LICENSE NO
/,/// o ^1' DATE OF'MAIIUF CTURE OF MOBILE %y!J WIDTH LENNGTHH LESS HITTCjH%�W
NEW RELOCATE- - , _ • MANUFACTURER
"4 RATE INSIL: ----'
'A - MODEL OR HL'A LABEL "[�$IT � '
SERIAL NUMBER j ,?,(LJ ROOF LIVE LOAD WIND AD_4_
APPLICANT .�,r• lx.r- -, ip l APPI A
(PRINT NAM ) LC
(SIGNATURE)' L
PARK OWNER/MANAGER PARK OWNER/MANAGER
(PRINT-NAME). - (SIGNATURE) `T
OFFICE USE ONLY '
COt4111NITY ZONE
CASE NO
LEGAL:DESCRIPTION �-
SETBACKS: PRINT r`J-U SIDE REAR,_��
ASSESSORPARCELN0. SITE PREP.NO. lSS �.6tF0p
DATE SIGNATURE OF LAND USE OFFICIAL
204-7I(Rev.
�v��y5�a�•�/�ilr'ir. �
4=a•^C Sro i � '�. 1
I.D.NO. S
PERMITNO. G,,,Sk 72 C/
ADDRESS OR LOCATION OF MOBILE1ICfI,mm, Q J LC M L�LC•' A.0
Owner's name:
f S{
Owner's address: 2 6 7'Q/ rr L'L"rrV < 6�, ? r
INSIGNIA OR HUD NUMBER: �Y 9 Jr• </95 c/
MANUFACTURBRIS NAME:�,FAIJJQ45'G
SERIAL NUMBER OR V.I.N."__r YEAR OFF,IMANUFACRIRE: I
arcw. t—�o en�m.wrbw d rb.rn (Ph"
t
IF THE MOSILEHOME IS MOVED OR RELOCATED, THE MOSILEHOME INSTALLATION ACCEPTANCE SHALL
BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOSILEHOME IS INSTALLED ON A FOUN•
r; DATIONSYSTEM.
2S4.:d3DIRev3IB� DIBTRIBUTtOId:W}I[TE:Owner,CANARY-Permltt6e„flNK-Otllce Fifes... i
lieu l� u i J :1�1� ooc ss z0oa—soae•t8
J 12/03/2002 08:60R Faa:62.00
Page 1 of 19
Recorded In Official Records
RecordingRequested B County of Riverside
e 9 y: I Gary L. Ora*
GMAC MortgageCorporation
Asnoxnar, County Clark Recorder
R IIII��III�IIlIII�IIIIIIIIIIIIII�II�IIIII�II�IIIII�I�
DBA ditech.com City of Menif¢
GMAC Mortgage Corporation Building & safety
DBA ditech.com
3200 Park Center Dr. Suite JUL 2 5 2016
150, Costa Mesa, CA 92626
AAIE
Prepared By: M s u PAEE a E ow Pe"" xocoa nr wse
Chiena Choe
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�r. {7�s ire Above 1Lis IJne h'or xecorawg v+ul
DEED OF TRUST
MIN 1000375065275994B5
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I
T DEFINITIONS
U Words used in multiple sections of this document are defined below and other words are defined in
1 Sections 3, 11, 13, 18, 20 and 21. Certain rules regarding the usage of words used in this document are
also provided in Section 16.
�) (A)"Security Instrument"means[his document, which is dated11/2412001
t together with all Riders to this document.
(B) "Borrower"is Cn
PATRICIA ANN GROB. AN UNMARRIED WOMAN N
9
Borrower is the ttustor under this Security Instrument.
(C) "Lender"is
GMAC Mortgage Corporation DM ditech.com
Lender isa Residential Mortgage Lender
organized and existing under the laws of Commonwealth of Pennsylvania
000652759948
CALIFORNIA-Single Family-Fannie MeolFreddis Mac UNIFORM INSTRUMENT WITH MERS Fnnn 3006 1101
40-6AICAI Ioco51 111�IIII111a„,,,IIIIII1II{I IIIt11It
Pqp 1 of 15 001
n1001531-T3 I IIIIIIII IIII IIII I,I,It IIII IIII IIII
VMP MORTGAGE FOAMS• 91
Lender's address is
3200 Park Center Dr. Suite 150, Costa Mesa, CA 92626
(D)11Trustee"is
Executive Trustee Services, Inc.
(E) '1MERS11 is Mortgage Electronic Registration Systems, Inc. MERS is a separate corporation that is
acting solely as a nominee for Lender and Lender's successors and assigns. MERS is the beneficiary
under this Security Instrument. MERS is organized and existing under the laws of Delaware, and has an
address and telephone number of P.O. Box 2026,Flint,MI 4MI-2026,tel. (888)679-MERS.
(F)"Note"means the promissory note signed by Borrower and dated 11/24/2001
The Note states that Borrower owes Lender
Seventy Two Thousand Dollars
(U.S.$72,000.00 )plus interest.Borrower has promised to pay this debt in regular Periodic
Payments and to pay the debt in full not later than December 1, 2031
(G) "Property" means the property that is described below under the heading "Transfer of Rights in the
Property.11
(H) "Loan" means the debt evidenced by the Note, plus interest, any prepayment charges and late charges
due under the Note, and all sums due under this Security Instrument,plus interest.
(I) "Riders" means all Riders to this Security Instrument that are executed by Borrower. The following
Riders are to be executed by Borrower[check box as applicable]:
0 Adjustable Rate Rider 0 Condominium Rider 0 Second Home Rider
Q Balloon Rider 0 Planned Unit Development Rider 0 14 Family Rider
Q VA Rider 0 Biweekly Payment Rider ®Other(s)[specify)
Schedule "A"
(,f) "Applicable Law" means all controlling applicable federal, state and local statutes, regulations,
ordinances and administrative rules and orders (that have the effect of law)as well as all applicable final,
non-appealable judicial opinions.
(K) "Community Association Dues,Fees,and Assessments"means all dues, fees• assessments and other
charges that are imposed on Borrower or the Property by a condominium association, homeowners
association or similar organization.
(L) "Electronic Funds Transfer" means any transfer of funds, other than a transaction originated by
check, draft, or similar paper instrument, which is initiated through an electronic terminal, telephonic
instrument, computer, or magnetic tape so as to order, instruct,or authorize a financial institution to debit
or credit an account. Such term includes, but is not limited to, point-of-sale transfers, automated teller
machine transactions, transfers initiated by telephone, wire transfers, and automated clearinghouse
transfers.
M "Escrow Items"means those items that are described in Section 3.
(N) "Miscellaneous Proceeds" means any compensation, settlement, award of damages, or proceeds paid
by any third party(other than insurance proceeds paid under the coverages described in Section S)for: (i)
damage to, or destruction of, the Property; (ii) condemnation or other taking of all or any part of the
Property; (iii) conveyance in lieu of condemnation; or(iv)misrepresentations of, or omissions as to, the
value and/or condition of the Property.
(0) "Mortgage Iusurance" means insurance protecting Lender against the nonpayment of, or default on,
the Loan.
(P) "Periodic Payment" means the regularly scheduled amount due for(i)principal and interest under the
Note,plus(ii)any amounts under Section 3 of this Security Instrument.
000652759948i'
IN11
-LAMA)10a061 Pp"3 of 16 Form 30D5 1/01
11111111 IN 1111111111111111111 III{1111 la aye Bala 98aaR
(Q) "RESPA" means the Real Estate Settlement Procedures Act (12 U.S.C. Section 2601 et seq.) and its
implementing regulation, Regulation X (24 C.F.R. Part 3500), as they might be amended from time to
time,or any additional or successor legislation or regulation that governs the same subject matter. As used
in this Security Instrument, "RESPA" refers to all requirements and restrictions that are imposed in regard
to a "federally related mortgage loan" even if the Loan does not qualify as a "federally related mortgage
loan"under RESPA.
(R) "Successor in Interest of Borrower"means any party that has taken title to the Property, whether or
not that party has assumed Borrower's obligations under the Note and/or this Security Instrument.
TRANSFER OF RIGHTS IN THE PROPERTY
The beneficiary of this Security Instrument is MERS (solely as nominee for Lender and Lender's
successors and assigns) and the successors and assigns of MERS. This Security Instrument
secures to ]ender: (i) the repayment of the Loan, and all renewals, extensions and modifications
of the Note; and (ii) the performance of Borrower's covenants and agreements under this
Security Instrument and the Note. For this purpose, Borrower irrevocably grants and conveys to
Trustee, in trust, with power of sale, the following described property located in the
County of Riverside
(Type of Recording Jurisdiction] [Name of Recording Jurisdiction]
The Assessor's Parcel Number (Property Tax ID#) for the Real Property is
329-240-013-6. DESCRIPTIO CONTAINED IN "EXHIBIT A" AITACHEDHERETO AND
MADE A PART HEREOF
Parcel ID Number: 329.240-013-6 which currently has the address of
25870 Trumble ROAD (ROHOLAND AREA) [street]
RIVERSIDE [City],California 92581- Izipcode]
("Property Address"):
TOGETHER WITH all the improvements now or hereafter erected on the property, and all
easements, appurtenances, and fixtures now or hereafter a part of the property. All replacements and
additions shall also be covered by this Security Instrument. All of the foregoing is referred to in this
Security Instrument as the "Property." Borrower understands and agrees that MERS holds only legal title
to the interests granted by Borrower in this Security Instrument,but, if necessary to comply with law or
custom, MERS(as nominee for Lender and Lender's successors and assigns)has the right: to exercise any
or all of those Interests, including, but not]'united to, the right to foreclose and sell the Property; and to
take any action required of Lender including, but not limited to, releasing and canceling this Security
Instrument.
BORROWER COVENANTS that Borrower is lawfully seised of the estate hereby conveyed and has
the right to grant and convey the Property and that the Property is unencumbered,except for encumbrances
000652759948
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