PMT16-03392 City of Menifee Permit No.: PMT16-03392
29714 HAUN RD. Type: Mobile Home
<A—CCIEL;�> MENIFEE,CA 92586
MENIFEE Date Issued: 10/1412016
PERMIT
Site Address: 29751 ALICANTE DR, MENIFEE,CA Parcel Number: 327-420-001
92585 Construction Cost: $3,000.00
Existing Use: Proposed Use:
Description of RETROFIT PERMANENT FOUNDATION ON EXISTING MOBILE HOME
Work: SERIAL#:CAFL2A848091481 HUD#:CAL131180
SERIAL#:CAFI-213848091481 HUD#:CAL131181
Owner Contractor
WILFRED GREGG FOUNDATION BRACES INC
29751 ALICANTE DRIVE 26206 VISTA PLACE
MENIFEE, CA 92585 HEMET, CA 92545
Applicant Phone:9519261315
KEVIN BROWN License Number: 926465
FOUNDATION BRACES INC
26206 VISTA PLACE
HEMET, CA 92545
Fee Description ON Amount(S)
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 mquiring the correction of ennors in the plans and
specifications or from preventing builiding operations being carded 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.
A&_Bldg_Pemit 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 o 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 followling 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
improvements covered by this permit.I cannot legally sell a structure that I
WORKEWS C MPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
ci 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 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 3700 of the Labor Code,for the performance of work for which
this permit is issued. www.leginfo.ca.gov/calaw.11tml.
Policy# ' Date
1--r5ave 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 o 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
with all applicable city and county ordinances and state laws relating to
Carrier 11� building construction.I authorize representatives of this city or county to
Policy# I 02�C( 5 —Expires S&Z enter the above identified property for inspection purpos�.
(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 certify that in the performance of the work for which this permit is issued,
Ishallnotemplo 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
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shalffortilwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applica Date 1'f 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 o Yes a No
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
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FO occupa nt req ulre a permit for the construction or modification from South
R Coast Air Quality Management District(SCAQM D)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY a 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) oyes UND
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQUID
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjurythat I am exemptfrorn the California Health&Safety Code,Section 2550S 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 ltem(s)(Section 7031.5 oYes a 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 for the permit to file a signed statement
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 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-certlfied 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 more information about EPA's Renovation Program visit;
compensation,will do I )all of or I )portion of the work,and the structure is www.epa.goy/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 2-800-424-LEAD(5323).
Code;The Contractoes State License Law does not apply to an owner of a a An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through em ployees'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. o No EPA Lead-Safe Certified Firm is required for this project because:
a 1,as owner of the property a in exclusively contracting with licensed
contractors to construct the project(Section 7044,Business a nd 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 role please fill out the RRP
Acknowledgement.
CITY OF MENIFEgildcin"gy Of Menifee
8 Safety Dept. PUCK No: Permit No:
29714 Haun Road Date: 4:nli3O-0
Menifee, CA 92586 OCT 14 20116 N"Migitil'o
Phone: (951)672-6777 'Goum.. Amount:
EpLe-11 -10
Fax:(951)679-3843 Received 'Ek—# k W.
Building Combination Permit
To Be Completed By Applicant
Planning Case: F: L Rt R
Legal Description:I A2 ACRES GIRS IN PARS D,E&4 PM 040/007 PM9 I I I F
Property Address:29751 ALICANTE DRIVE,MENIFEE CA 92585 Assesssor's Pancel Number. 327-420-001
ProjectlTismant Name:WILFRED J GREGG BETTY L GREGG I Unit#: I Floor#:
Name:WILFRED J GREGG BETTY L GREGG Phone"951-926-1315 Fax No.
Property Address: Unit Number Zip Code
Owner SAME
Email Address:
Name�OUNDATION BRACES INC. Phone No'9,1-926-1315 Fax No.
Applicant Addres"�6206 VISTA PLACE H EMET CA Unit Number Zip Code
Email Addressi(EVINBROWNCONTRACTOR@GMAIL.COM
Name--SAME AS APPLICANT Phone No. Fax No.
Contractor Address; city te I Zip Code
I Contuactor's City Business License No. TF59&—gor's City State of California License No- IC[assiricalion:C47
Number of Squares:
Square Footage
Description of Work:RETROFIT PERMANENT FOUNDATION TO EXISTING MFG.HOME st of Work:$3,000.00
Applicar-irs Signature 77=
1 Date: 12 OCTOBER,2016
To Be Completed By City Staff Only —
Indicate As R-Received or NIA-NotApplicable
5 Completes sets of fu;ly dimensioned.drawn to sale plans which include: 1 set of documents whicAmclude
Title Sheet [] Elevations [I Electrical Plan 0 Goo Tech/Soils Report(on cd only)
Plot/Site Plan El Roof Plan 0 Mechanical Plan Title 24 Energy(on 8%x 11)
FoundationPlan El Cross section Plumbing Plan Structural Calculations
El Single Line diagram for elec.services over 400 AMP
0 Floor Plan StructuraFrarringPianiliDetails Shoring Plan 1 0 Sound Report-Residential
Class Code: Indicate New Construction Alteration* Addition* Means/Methods
Work Type: Repair' Retrofit* Revision to Usting pannir Required? YES NO
I H H
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: If Stories: Will the tuilding Have a Basement? Y of N
Bldg.Code Occupancy Group Indicate Indicate 0 Indic to all Geo-tech.Haz-Zone
At Project Sprinklersed YES or NO
0
Completion: Construction that apply: Coastal Zone
Type(s): C Of 0 Y Noise Zone
lRequired? 10 1 ster!on H Sonic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Amit.Review Board Plarm ng Comm for
Fee Exempt: City Project I JElec.Vehicle Charge Seismic Retnofitl�PeGlal U2se:Bldg
Official Approval
Expedite Project(s): Child Care City Project Green Building I I Landmarkl I Affordable Housing
For Staff Use unry
I Buildingisafety I Peunii�Ipeclslisl City Planning I Emil Engineering EPWM-Admin I Transportation mgmt I Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
..112112� THIS SPACE FOR RECORDER USE ONLY
STATE OF CALIFORNIA
BUSINESS,TRANSPORTATION AND HOUSING AGENCY
WDEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS
MANUFACTURED HOUSING PROGRAM
RECORDING REQUESTED BY� City Ot Menifee
Building & Safety Dept.
WHEN RECORDED MAIL TO' OCT 14 20%
NAME
COUNTY OF RIVERSIDE BUILDING & SAFETY
ADDRESS Received
4080 LEMON STREET 9TH FLOOR
CITY.STATE,ZIP CODE
RIVERSIDE, CA, 92501 ONLYTHE 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 HCD513C,forthe unitdescribed herein,upon
the real property described with certainly,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 constructiw 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 INFORMATION ENFORCEMENT AGENCY INFORMATION
WILFRED J GREGG AND OR BETTY L GREGG COUNTY OF RIVERSIDE BUILDING AND SAFETY
REAL PROPERWOMNER NAME(S) ENFMCEMENTAGENMSSUINGPBMrT�CMflFl�MOFMC(JPANCY
29751 ALICANTE DRIVE 4080 LEMON STREET 9TH FLOOR
MAIUNGADDIRESS MAIUNGADDRESS
ROMOLAND RIVERSIDE CA 92585 RIVERSIDE RIVERSIDE CA 92501
CRY Co� STATE ZIP CODE CITY COUNTY STATE ZIP CODE
SAME BMR (951) 955-1800
INSTALI-ATION MAILING ADDRESS(if dWkmO BUILDING PERMIT NO. TELEPHONENUMBER
[1� EVIDENCE OF UNIT UENHOLDER(S)RELEASE,OR CONSENTTO INSTALLATION
CITY COUNTY STATE ZIP CODE PROVIDEDIATTACHED-SEE REVERSE
SIGNATURE OF ENFORCEMENT AGENCY OFFICIAL TA-T—E
OWNER INFORMATON DEALER INFORMATION
SAME NONE
UNUT OMER(if NwpropWy=nw,wSe-SAME-) DEALER NAME(If�.d.W� 'NONE')
MINUNGADDRESS DEALER LICENSE NUMBER
CITY COUNTY STATE ZPcoGE DEALER BUSINESSADDRESS
C" COUNTY STATE F—WDE
MANUFACTURED HOMEWOBILEHOME/COMMERCIAL MODULAR UNIT DESCRIPTION
FLEETWOOD BARRINGTON 1978
MANUFACTUREIRs NAME MOOR NAMEINUMBER MANUFACTUWD—kTE
CAFL2A/B848091481
SERKNUMBER(S)
60'X24' CAL131180/1
LENWHXWMTH CA INSIGNINS)MUD LABEL NUMBERCS)
327-420-001 AAV4766
ASSESSOR'S PARCEL NUMBER HCO REGISTRATION OECAJ-NUMBER MOO NUMBER(Nm FH—wly)
REAL PROPERTY LEGAL DESCRIPTION
1.42 ACRES GRS IN PARS D, E&4 PM 040/007 PM 9433
DISTRIBILTHON-Odginal W C..ty R=,de,.O�-Cpy W HCO;0..Cw W Appoamt;O�-C-py W Enfo,=ment Agen�
HCD 433A(Rev.0712011) GENERAL GUIDE AND INSTRUCTIONS ON REVERSE
DOC # 2011-011757B
03/16/2011 08:00A Fea:18.00
Page I of 2
RECORDING REQUESTED BY Recorded In Of(Icial Records
LAW OFFICE OF JOHN T. HRANEK County of Riverside
Larry U. Ward
SBN#176300 Assessor, County Clark & Recorder
AND WHEN RECORDED MAIL TO
BETTY L. GARDINER
28785 TRADEWINDS DRIVE D cqPy
ROMOLAND, CA 92585 R U �AJE �IZE I DA I MISC LONG RF
TitleOrderNo. APN# 327-420-001-7 465 426 PCOR NCO SMFINCHG
Escrow No. T: TY UNI
Affidavit - De nt Tenant
MQjNRFD
CHG
T UNI
STATE OF CALIFORNIA
C NTY OF
OU T RiVerSide
RFTTy L. GARDINER—akaBFTTY L. GREGG of legal age, being first duly swom, deposes and says:
That WILFRED J. GRLGC' the decadent mentioned I
,p.the attached Certified
UITY Of MenifeG
copy of Certificate of Death,was the same personas WILFRED JAMES CREGG Building & Safety DOpt.
named as one of the parties in that certain GRANT DEED dated
executed by PAM SUBTTH ivu(
to WILFIRFIT) J� GRLQ9'2 AND
as joint tenants, recorded as Instrument No. DD1987.5522L— on 02/27/1287 In
l3ook Page of official Records in the Office of the County Recorder of
RIVERSIDE County, State of California. covering the follovAng described property situated in
the Countyof Riverside
State of California;
PARCEL 4 OF PARCEL MAP NO. 9433, AS SHOWN BY KAP ON FILE IN BOOK 40, PAGE OF PARCEL MAPS,RECORDS OF
RIVERSIDE COUNTY, CALIFORNIA.
STATE OF CALIFORNIA
COUNTY OF RIVERSIDE
On I I before me,
Tot , lw-'41�111r' 13ETTYJC. GARDINER aka BETTY L� GREGG
(here insert n me and title of the officer)
personally appeared BETTY I,. GARDINFdR AFA
BFTTY 1,, GREGG
4.
COUM.
0 NOTARY PONUO-CALIFORJO
W
Ding.cWty
who proved to me on the basis of satisfactory evidence to be the
person(e)whose nomeW 131aw subscribed to the within instrument and
acknowledged to me that ii executed the same in bidher
nbw authorized capaclty(laa�,and that by lOwber/Iiwir signature*on (This area for official notarial seal)
the instrument the person>y. or the entity upon behalf of which the
person(irracted.executed the instrument.
I certify under PENALTY of PERJURY under the lam of the State,Of
California that the foregoing paragraph is true and correct.
WITNESS my hand and official Baal.
Signature RELAD12
NMI
COUNTY OF RIVERSIDE
r RIVERSIDE,CAUFORNIA
CERTIFlCATE OF ClEATH
_.JAMES 13'
WILFRED GREGG
01/26/1921 so m 12/21/2001 1815
DAIA Ks 12
VALLEY SCHOOL DIST
WHTTE El---
�7.
ELECIRONIC SPECIALIST MAINMAINANCE 25
29751 ALICANrE DR
__T.- - -I..�AT�
7
,cr
RIVERSIDE I
92_585_�Z_
HEM Bym
WILLACE ACE
KS
nm JULIA
1 2/28/2001 RIVERSIDE NATI CEMETERY,22495 VAN BUREN S&VD.,RlTERS=,CA.92518
ED HOT EMBALMED
Foms 12/27/2001
CYPRESS
Z�4)mms RIVEP
E.,
or
9025 COLORADO AVE RIVERSIDE
El,. El.
MY0CXRDL1&.INFAR=lCN mma-
DISEASE YRS
IM 0 V.. IN
NONE
NO
CIAWI�
RICHARD LEWIS, M.D.
11/27/200f 12/20/2001 10917 mAG"IA AVE., RrVERSID0,CA. 92505
39137r,7775��
1329-16 —T-7 la ic 1' F F I "
CESTIFIED COPY OF VITAL RECORDS
STATE OF CALIFMNIA
COUNTY OF RIVERSIDE
Tra is a�and exact roomducdon of the document atedeSy m&WW md M.D.
ploced on%a In&a dtlw of C�ty of RWersldo,Dsparbrnwl of HaAh. Locw PAUMW
Ftri"CeCOUNTYCAUFORNK ,
DATEISSUED 01 /02/2002
This copy v
m elki eal...pmpw,4 I.wps�.d�di.piying ad lia�If Rlj�.
................ ....................
DOC # 2011-0117579
RECORDING REQUESTED BY: 03/16/2011 08:00A Fee:25.00
Page I of I
LAW OFFICE OF JOHN T. HRANEK Recorded in Official Records
SBN: 176300 County of Riverside
AND WHEN RECORDED MAIL THIS DEED AND,UNLESS Larry W. Uard
OTHERWISE SHOWN BELOW.TO: Assessor, County Clerk & Recorder
BETTY L. GARDINER, TEE
28785 TRADEWINDS DRIVE
ROMOLAND CA 92585
A U PAPE] SIZE DA MISC LONG RFD _f�Y
'Order No.:
Escrow No.: A L 46 1 426 COR CO 'S I NCHG
A.P.N.: 327-420-001-7 T CTY UNI
TRUST TRANSFER DEED IK013'.
GRANT DEED (Excluded from Reappraisal Under Proposition 13, i.e., Calif.Const.Art 13A§1 et seq.) 13
THE UNDERSIGNED GRANTOR(S)DECLARE(S)UNDER PENALTY OF PERJURY THAT THE FOLLOWING IS TRUE AND CORRECT:
DOCUMENTARY TRANSFER TAXIS$ 0
Computed on full value of property conveyed,or M computed on full valueless value of liens and encumbrances remaining
at time of sale or transfer.
[XI There is no Documentary transfer tax due. (State reason and give Code§or Ordinance number).TRANSFERS TRUSTOR-S
INTEREST INTO REVOCABLE LIVINa TRUST, PURSUANT TO R & T CODE SECTION 11930
Xj Unincorporated area: = city of ROMOLAN D AND
This is a TrustTransfer under§62 of the Revenue and Taxation Code and Grantor(s)has(have)checked the applicable exclusion:
[XI Transfer to a revocable trust; = Transfer to a short-term trust not exceeding 12 years with trustor holding the reversion;
Transfer to a trust where the trustor or the trustor's spouse is the sole beneficiary; = Change of trustee holding title;
Transferfrom trust to trustor or trustor's spouse where prior transfer to trust was excluded from reappraisal and for a valuable
consideration,receipt of which is acknowledged.
Other: COMMONLY KNO N AS 29751 ALICANTE, ROMOLAND,CA 92585
GRANTOR(S): BETTY L. GARDINER, A WIDOW
hereby GRANT(S)TO: BETTY L. GARDINER, TRUSTEE OF THE LEE R. GARDINER III AND BETTY L.
GARDINER LIVING TRUST, DATED FEBRUARY 23, 2011 AND ANY AMENDMENTS THERETO
the following described real property in the County of RIVERSIDE .State of California:
PARCEL 4 OF PARCEL MAP NO. 9433, AS SHOWN BY MAP ON FILE IN BOOK 40, PAGE 7 OF PARCEL MAPS,RECORDS OF
RIVERSIDE COUNTY, CALIFORNIA.
Oated:MARCH 2, 2011
de — - -a,��
BETTY e GARDINER
STATE OF CALIFORN[A
COUNTY OF RIVERSIDE ISS.
OnMARCH 2. 2011 before me, R. L. KAYE Notary PUBLIC
(here insert name and title of the officer)
personally appeared BETTY L. GARDINER
who proved to me on the basis of satisfactory evidence to be the personW whose name(M is/.We subscribed to the within
instrument and acknowledged to me that Wshe/th"executed the same in biedherfilbeir authorized capacity.0se),and that by bielher
A
,bs'wsIgnaIure;*)on the instrument the personLa�,or the entity upon behalf of which the persorjW 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.
R.L.KAYE
comm.41766717
WITNESS my hand and offi I sea]. NOTARY Pusur-CALIFORNIA
0 Orpole CowtV
Signature 4 C�E,01refOrA 2011
( �_� [a ai-SVD
This area for 0 01;�6n
MAIL TAX STATEMENTS AS DIRECTED ABOVE RE-879
Hou�mq and community Dav�'iopmcnt
Requestor Account
Unit Search Results
Unit�Tearch Fund Deposit Transaction Log List Agents Change PIN Help I Logouo
Lilly Or menifee
Requestor Account Building &Safety Dept.
R00616 - KEVIN BROWN CONTRACTOR
KEVIN BROWN CONTRACTOR OCT 14 2016
20479 BRYANT STREET
WILDOMAR , CA 92595
Account Balance: $305.00 Received
ATTENTION:The information provided on this page does not reflect the complete ownership,title and registration status of
the unit.A Title Search must be processed to obtain the complete information.
Decal AAV4766
Serial No [HUD/Insignia] CAFL2A848091481 [CAL131180]
CAFL213848091481 [CAL131181]
Date of Manufacture 00/00/78
Manufacturer FLEETWOOD
Trade BARRINGTON
Model
Unit Location 29751 ALICANTE
ROMOLAND,��92585
Registered Owners WILFRED I ClRtGG---�
BETTY L GREGG
Process rnformal Title Prgces s Formal Title Process Escrow Ovening
Requa5tor 1kccount—Unit Search Results
Housing and Community Development—Logged in as: KEVIN BROWN—Fri Aug 26 14:43:31 PDT 2016
Email questions about processing your title searches to: ContactRT@hcd.ca.gov
HCD Home I Legislative Division I Community Affairs
Housing Policy Development I Codes and Standards I
Submit Housing Comments via the HCD Comments Form
or
Send Web Technical Comments to:rtcoms@hcd.ca.go-v
State of California
BUSINESS, CONSUMER SERVICES AND HOUSING AGENCY
SITE PLAN
PERMH NO.: BMR
N,A,tVffi: GREGG PHOJE!(951) 926-1315
SnTADDRESS: 29751 ALICANTE DR ROMOLAND
ASSESSOWS PARCEL NUMBER: 327-420-001
PROMENORTHARROW UM PROPERTY LINE
200'
city of menlise
S Building & Saiety Dept.
D ocT 14 2016 D
E Fieceived E
P P
HED
R OX
3 24 R
0 0
P 6 EXISTING P
E ALUMINUM AWNING E
R 12'X56' 50' R
T EXISTING DOUBLE WIDE MANUFACTURED HOME T
Y 24'X56' Y
L L
I I
N N
E EXISTING E
ALUMINUM AWNING
60'
FRONT PROPERTY LINE
Manufactured Home on a Permanent Foundation System on a lot zoned for a conventional single-family residential dwelling must
comply with the following requirements:
A. Roofing Material. Any roof material permitted under Ordinance 457.90,except metal roofing,maybe utilized.
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.
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
enifee Buildin &Safety
A R S
2 1 H nR
C . A .ZI CODE
a f C 2586 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 property.
ALL INFORMATION BELOW MUST BE ENTERED BY THE ENFORCEMENT AGENCY
PROPERTY INFORMATION ENFORCEMENT AGENCY INFORMATION
WILFRED J GREGG BETTY L GREGG CITY OF MENIFEE BUILDING&SAFETY
REAL PROPERTY OWNER NAME(S) ENFORCEMENT AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
29751 ALICANTE DRIVE 29714 Haun Rd.
KAJUNGADDRESS MAILINGADDRESS
ROMOLAND RIVERSIDE CA 92584 Menifee,CA 92586
CITY COUNTY STATE ZIP CODE CITY/P
�U%dZ SIATE -WOODE
INSTALLATION MAILING ADDRESS(IF.Iffemni) BUILDINGPIERM!"NO. TaEPHOMENUMBER
O�' EVIDENCEOFU!C!� N 0 ORER S)RELEASE OR CONSENTTO INSTALLATION
HED_ 'L�7
CITY 0011M STATE ZIP CODE PROVIDEWAI CHED- R ERSE
c
SIGNATURE OF ENFORCEMENT AGENCY OFFFC—IAL
OWNER INFORMATON DEALER INFORMATION
SAME NONE
UIffTOWNERprn.wpony�,%nt.-sAme) DEALER NAME Mnotttd.ehecc�.write-NONE)
MAIUNGADDRESS DEALER LICENSE NUMBER
CITY COUNTY STATE ZIPODDE DEALERBUSINESSADDRESS
CITY COtJNT)` STATE F—CODE
MANUFACTURED HOMEIMOBILEHOMEICOMMERCIAL MODULAR UNIT DESCRIPTION
FLEETWOOD BARRINGTON 1978
MANUFACTURERS ME MODEL NAIJE/NUMBER NUINUFACTUVE WDATE
CAFL2A/B848091481
Sam NUMBERS)
60'x24' CAL13118011
LBCMXWIDTH CA INSIGNANSMIUD LANE.NUMBEIRIS)
327-420-001 AAV4766
ASSESSORS PARCEL NUMBER HCO REGISTRATION DEcM-NUMBER NCO NUMBER(N.
REAL PROPERTY LEGAL DESCRIPTION
1.42 ACRES DRS IN PARS D, E&4 PM 040/007 PM 9433
DISTRIBUTION-Ongirtal to cwnty Recordeq,one copy W HCOr.One Cow to Applicant One COPY to EfflOncernent Agency
HCD 433A(Rev.07/2011) GENERAL GUIDE AND INSTRUCTIONS ON REVERSE