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PMT16-03530 City of Menifee Permit No.: PMT16-03530 29714 HAUN RD. <;%CCIEI-i��' MENIFEE, CA 92586 Type: Mobile Home MENIFEE Date Issued: 11/01/2016 P E R M I T Site Address: 23740 NORMA DR, MENIFEE, CA 92587 Parcel Number: 350-261-029 Construction cost: $30,000.00 Existing Use: Proposed Use: Description of INSTALL 36'X 24'MOBILE HOME Work: SERIALM CAFU08A31970CD12 HUD#; PFS1023260 SERIAL#:CAFL708B31970CD12 HUD* PFS1023261 Owner Contractor JOSE LUNA P 0 BOX 604 VALLEY CENTER, CA 92082 Applicant License Number JOSELUNA P 0 BOX 604 VALLEY CENTER, CA 92082 Phone:9512177600 Fee Description Amount($ Manufactured Install 240.72 Permit Fee 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 orfrom preventing bulliding operations being carried on thereunderwhen in violation of the Building Code of 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_Perrnit-Ternplate.rpt Page I of 1 CITY OF IVIENIFEE 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). Chaptei-9(commencing with section 7000)of Division 3 of the Business and Orann 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 m ust have resided for at least one yea r 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 in 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 P f ssl Code,i's available upon request when rcn: following website: ro c by Section 3700 of the Labor Code,for the performance of work for which a 11 th: om pensation,Issued by the Director of lndustri;l ialati.ns as p rovided for this application is so I a o'ess if.c civ w.h this permit is issued. =.Ieginfo.ca. ov aw.h Policy# 2"aDate ci I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AffTbORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which a By my signature below I certify to each of the following:I a m 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 withn all applicable city and cou ty ordinances and state laws relating to ' "ap ' building constructil .I auth ze representatives of this city or county to I Policy It Expires entertheabovei n red op. y f . ection purpose (This section need not to be completed is the permit is for one-hundred dollars($100)or less Date 0 UT 17 GENT -T P PERTYOWMOiAUTHORIZkfAGENT a I certify that in the performance of the work for which this permit is issued, I shall not empi 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 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 IS 0Yes allo UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the build Ing by the applica nt or future building AN D CIVIL FINES UP TO ONE H UNDRED THOUSAND DOLLARS($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist forguidellnes 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) u Yes a No OWNER BUILDER DECLARATIONS I have mad the Hazardous Material Inform ation Guide and the SCAQM D I hereby affirm under penalty of perjury that I am exempt from the perm itting checklist.I understa nd my neq uirements under the State of Contractor's License Law for the reason(s)Indicated below by the Ca lifumia Health&Safety Code,Section 25505 and 25534 concerning checkma rk(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting. Business and Professions Code).Any city or county that requires a permit to uYes u No construct,alter,Improve,demolish or repair any structure,prior to its Date issuance,also requires the applicant for the permitto file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT that he or she Is licensed pursuant to the provisions of the Contractor's 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 licensure and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving com pensartlion for most work that disturbs paint in a pre-1978 an Applicant for a permit subjects the applicant to a civil pena Ity of not more residence or chIldcare facility to be RRP-certifted firms and comply with than($500). required practices.This includes rental property owners and property managers who do the paint-disturbing work themselves or through their P<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.epa.90y/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractor's State License Law does not apply to an owner of a property who,through employees'or personal effort,builds or improves the ci An EPA Lead-Safe Certified Renovator will be responsible for this project 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. ci No EPA Lead-Safe Certified Firm is required for this project because; ci 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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION DATE PERMIT/PLAN CH CK NUMBER T"-b(o TYPE: 0 COMMERCIAL 0 RESIDENTIAL 0 MULTI-FAMILY )wMOBILE HOME 0 POOL/SPA 0 SIGN SUBTYPE: OADDITION OALTERATION ODEMOLITION CELECTRICAL OMECHANICAL ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK PROJECTADDRESS TRACT ASSESSOR'S PARCEL NUMBER LOT OWNER NAME S: ADDRESS 'r)q�� PHONE0 ( EMAIL 4T?Jg Ce, 'Y Ui MU1111".— f APPLICANT NAME NIS<- Builgng & safety Dept. ADDRESS Nny o 1 2016 PHONE EMAIL CONTRACTOWS NAME tA&E)'VeU BUILDER? 0 YES ONO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ QFT LSQFT , APPLICANT'SSIGNATURE DATE CITY STAFF USE ONLY -1w DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAIDAMOUNT AM UNT I 1 0 CASH 0 CHECK# 0 CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT I 1 0 CASH 0 CHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED 0 YES 0 NO DI-NUMBER NOTARIZED LE17ER 0 YES 0 NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92585 951-672-6777 www.cityofmenifee.cis Inspection Request Line 951-246-6213 s City of Menffee Building & Safety Dept. NOV 0 1 2016 Received IS CITY OF- ENIFEE BUILD N. AND SAFETY DEPARTMENT S06 PLAN P ROVAL tF D N P I R§VIE VE BY DATE */;noval c'the plans shaa nut construed to be a permit for,or an a ly approval of, an olation of any provNo.ns of the federal,state or city regulations;rid 0 dinances. This set of approved plans must be kept on the e jah5ite dilti! etion. 0 �\JOCL!ng bc,-lvir- STATE OF CALIFORNIA-BUSINESS,CONSUMER SERVICES,AND HOUSING EDMUND G.BROWN JR.,GOVERNOR DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS Title Search Date Printed: Oct 31,2016 Decal 4: LBJ5776 Use Code: SFD City of Menifee Manufacturer: FLEETWOOD HOMES CA INC Original Price Code: ATP Building & Safety Dept. Tradename: CARRIAGE MANOR Rating Year: NOV 0 12016 Model: 3403B 2008 Tax Type: LPT Received Manufactured Date: 10/26/2007 Last ILT Amount: Registration Exp: Date ILT Fees Paid: First Sold On: 11/14/2007 ILT Exemption: NONE Serial Number HUD Label/Insignia Length Width CAFL708A31970CD12 PFS1023260 36' 1 F8" CAFL708B3]970CD]2 PFS1023261 36' 11 8" Registered Owner: VIRGINIA CASILLAS 10626 LILAC RD HESPERIA,CA 92345 Lost Title Date: 06/26/2008 Last Reg Card: 06/26/2008 Sale/Transfer Info: Price$72,715.00 Transferred on 11/14/2007 Situs Address: 10626 LILAC RD HESPERIA,CA 92345 Situs County: SAN BERNARDINO Legal Owner: 21ST MORTGAGE CORP PO BOX 477 KNOXVILLE,TN 37901 Lien Perfected On: 12/03/07 10:18:58 ***END OF TITLE SEARCH*** STATE OF CALIFORNIA -DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Manufactured Home Decal No: LBJ5776 Manufs�cturer ID/Name Trade Name Model DFS RY Exp.Date .90005 FLEETWOOD HOMES CA INC CARRIAGE MANOR 3403B 2008 7 1 11/1412007 Serial Number Labellinsignia Number Weight Length Width SPC SCC Exempt Use Type '600 CAFL708A31970CD12 PFS1023260 r16,600 36, 11.8.. PF 1 1 1.3 000 36 SFD LPT CAFL70OB31970CD12 PFS1023261 13,000 36' ii.a. Issued Total Fees Paid Jun 26.2008 !ti $57.00 Addressee OX)51NG 21ST MORTGAGE CORP PO BOX 477 ?E3 '.4 Z KNOXVILLE, TN 37901 W Registered Owner(s) VIRGINIA CASILLAS 10626 LILAC RD OAK HILLS, CA 92345 Situs Address 10626 LILAC RD OAK H ILLS, CA 92345 Legal Owner(s) 21ST MORTGAGE CORP PO BOX 477 KNOXVILLE, TN 37901 Lien Perfected On: 12/03107 10:18:58 LEGAL OWNER COPY INFORMATION ONLY IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN. 5379302 06262008- 530 Recording Requested A/ ' FirsthmaricaiTill-GICor. DOC #2016-0121827 RECORDING REQUESTED BY.- 03/2612015 12:06 PM Fees: $28.00 In'-diRWAvenue Escrow Page I of 2 Doc T Tax Paid Order No.4832379 Recorded in Official Records Escrow No.TM-509 County of Riverside -261-029-2 Peter Aldana - Parcel No.350 Assessor,County Clerk&Recorder AND W111LIN RECORDEDIMAIL TO: JOSE LUNA *This document was electronically submitted to the County of Riverside for recoI P.O. BOX 604 Receipted by:smEzA 'Y CA Ing & Safety Dc 'VALLEY CENTER, City ot Menifee CA 92082 Build VV 1:4C01DERS USE NOV 0 1 2016 GRANT DEED THE UNDERSIGNED GRANTOI DECLARE(S)THAT DOCUMENTARY TRANSFER TAX IS$27.50 and CITY S X computed on full value of property conveyed,or �Roceived 0 computed on full value less liens or em;Ltnn�nm es remaining at the time of sale. El unincorporated-hrea--- - me enifee,and FOR A VALUA13LE CONSIDERATION,receipt of which is hereby acknowledgecl,Tammie Coronado,a single woman and Vanessa Coronado,a single woman,as joint tenants hereby GRANT(S)to Jose Luna a Married Man the following described real property in the County of Riverside,State of California: Lot 56 Block"I"Lake Elsinore Lodge Subdivision No.3,as shown by Map on file in Book 13, Page 13 and 14 of Maps, records of Riverside County, State of California More commonly known as:23740 Norma Drive,Vacant JLand ;50-2261-029,Menifee,CA 92587 Date FIgbagiry26,2015 Tamunie Coronado Vanessa Coronado A notuy public or other officer completing tthis cote verifies only the identity of�he indivi aal who signed the docume to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document STATE OF CA COUFNTYOFU)akM CtOS-Jj� 1S.S. -C On-MoLr k 5 1 before in, personally appeared qonp- CC21-0�ct A 0 ---—-------, who proved to me on the basis or satistactory evidence to be the person(ft)whose name(f)(Ij%m subscribed to the within instrument and acknowledged to me that hWI executed the same in hisiptheir authorized capacity(i9s), and that by his&their sigrmture(�on the instrument the person(p),or the entity upon behalf of which the person(fi)acted,executed the insuumenL I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WnWESS my li�n�and official seal. VICTORIA MERAZ is 196 Signature- Comm Sion 1967985 to Califo 1 Z m l5a zz pucosta County f arY Public-California z (Seal) Z Not Z Contra Costa County -C ra MY Comm.Expires Feb 26.2016 - - - -'I Mail Tax Statement to:SAME AS ABOVE or Addrm Noted Bclow C7 " f) fN4 -1- *,3 g l:o 3F DEPARTMENT OF ENVIRONMENTAL C 416fWnif4i CERTIFICATION OF EXISTING SUBSURFACE DISPOSAL SYSTEM Land Use&Water Resources NOV 0 12016 Western Riverside County : Eastern Riverside Cou 3880 Lemon Street-Suite 200- Riverside-CA-92502 fR"jnpjyed 47-950 Arabia Street-Suite A-Indio-eA�-' Phone:(961)955-8980-Fax:(951)955-8988 Phone:(760)863-7570-Fax.,(760)863-7013 Property Information: APN: 3 C;n— C�(.0 C) ;-,.)01 Date of Inspection: 3/4/2015 1. Owner: Address: 237iO Norm Drive City: Quail Vallev FAILURE TO PROVIDE ALL REQUIRED INFORMA77ON SHALL PREVENT OWNER FROM OBTAINING ENVIRONMENTAL HEALTH APPROVAL 2. Show design and location on a scale of 1:20 or 1:40 of the sewage disposal system and 100%expansion area in relation to attached dwellings,structures,wells,rocks,watercourses,eto. 1 a. I examined existing subsurface sewage disposal system at the above location an 3/4/2015 and determined that the tank capacity is 750 gallons and that there is 150 sq,ft.of leach line bottom area. There are bedrooms in the dwelling and there are fixture units. b. There are 1 leach line(s),each 50 ft.long. W Rock Ll Plastic Chamber d. There are 0 Seepage pills),each in.diameter.and ft.TD. ft, BI e. The leach bed is ft.by ft.,total sq.ft.of leached area. 4. a. Construction of septic tank(Please check one of the following): M Concrete Q Fiberglass EI Steel 0 Other. b. Internal dimensions of septic: Length 7 ft, Width 4 ft. Depth 5 ft. c. Condition of tank(please check yes or no for each question): Inlet Tee present? 0 Yes EI No Tank Structure deteriorated? EI Yes 0 No Outlet Tee present? 10 Yes 0 No Effluent Filter Present? GI Yes Q No Two compartments? 0 Yes L] No d. Condition of D-Box: Level? 13 Yes 13 No Replaced? L3 Yes EI No Septic Effluent? UYes 0 No 5. a. While pumping the tank,did effluent flow back into tank from absorption system? L]Yes 12 No b. Prior to pumping,was the liquid level in the tank above the outlet tee? 13 Yes MNo c. Was the area around the lids oxildized? 0 Yes 92 No d. Is design of system gravity feed? 0 Yes 0 No e. Were well(s)observed on this or adjacent property? El Yes Cl No If yes,indicate distance of well from: Septic tank ft. Leach lines Seepage Pits fi. I. Distance from springs,lakes,and natural water courses(check all that apply) El Septic Tank ft. 0 Leach lines ft. L3 Seepage Pits ft. g. Is sewer is within 200 ft.of system and abuts property line? El Yes M No Additional Comments: There is no warranty on leach lines or seepage pits. h. How long has dwelling been vacant?(if applicable) months weeks 9 NIA 6. a. 3 It is my opinion that the system appears to be in good working order and can be expected to function property with proper maintenance. No repairs are necessary at this time. b. L3 It is my opinion that the system is not in good working order and will not function property without the following repairs: I car*underpenalty of podury that the foregoing is true and correct Signature: \�') ,, — C' . &�— — Print Name: Wayne c. Rice EnteX=iSeS Contractor License NcL 583643 ExplrationDate: 12/31/2015 Pumper Co.: Phone Number 951-538-8283 Address: P.O. Box 642 Ci:��ElsiLnore ZIP: 92530 Rev.10/12 29 M 0 R T C A G E CORPORATION PURCHASE AGREEMENT The undersigned party or parties (the"Buyer") hereby agrees to purchase from Seller identified below(the"Seller")the manufactured home described below. Seller hereby agrees to sell the"Home"described below to the Buyer and Conditions of Sale indicated below for the cash price indicated herein, upon the terms and provisions set forth herein. SELLER: 21st Mortgage Corporation Buyer: Jose Suarez &Jose Luna Remarketing Department 29629 Camino Cristal 620 Market Street, Suite 200 Menifee, Ca 92584 Knoxville, TN 37902 800-955-0021 REPO ID NUMBER: #206989 MANUFACTURED HOME Manufacturer. Fleetwood Model: Carriage Manor Year and Approx Size: 2007 24x36 Serial Number: CAFL708A/B31970CD12 TERMS: • PURCHASE PRICE $30,000 • Buyer agrees to pay any back taxes (including but not limited to real, personal, sales, and/or excise tax)that may be due on the above-referenced home. • Buyer responsible rent. N/A • THIS HOME IS A USED HOME AND SOLD AS IS. • Funds must be received by September 30, 2016 OR THE AGREEMENT MAY, AT THE SELLER'S DISCRETION, BE DECLARED NULL AND VOID. This home is owned by 21"Mortgage Corporation and there are no warranties or guarantees implied or expressed. Buyerhashad reasonable OPPORTUNITY TO INSPECT the home and appliances and accepts their present condition. Buyer acknowledges that the home is sold WHERE IS and agrees to indemnify and hold harmless the Seller against any claims arising from the property owner as a result of the home being situated on or removed from the property.It is the responsibility of the Buyer to coordinate acceptable arrangements with the property owner for the home to either remain where it is or be removed. Buyer fint-ther acknowledges receipt of a true copy of this agreement and the complete transaction is understood;the specifications,price,and all other aspects and terms of the transaction are accepted. Seller and Buyer agree that this sale has been closed and acknowledges THERE IS NO RIGHT AND/OR WAIVES ANY FURTHER RIGHT OF RECISSION. This home is being financed by: 0 Local Bank or Lender Name of Local Bank or Lender: X Check here if no Bank/Lender involved This home will be used as: (Check one) x Primary residence 0 Vacation home or secondary residence EIRelative El Rental property Re-sale Buyer Date Seller—zlskMoggage Date Not valid unless signed by an authorized representative of Seller. STATE OF CALIFORNIA BUSINESS, CONSUMER SERVICES AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM BILL OF SALE SECTION 1. DESCRIPTION OF UNIT This unit is a (check one): E2( Manufactured Home/Mobilehome Commercial Modular Floating Home F-I Truck Camper The Decal (License) No.(s)of the unit is: LZ-) r)-i-ju The Trade Name of the unit is: coyy'lcick� moncly- The Serial No.(s)of the unit is: CAQ --io A-31ci -1nC1212 I CAEL-712SP�';Icl :Iff.P12 SECTION IL STATEMENT OF FACTS For the sum of-816A)MUSUM J011OKST111)(7— -dollars and/or other valuable consideration in the amount of the receipt of which is hereby acknowledged, I/we did sell,transfer and deliver to Buyer Phone Number on the day of 20_, my/our right title and interest in and to the above- described unit. SECTION Ill. SELLER'S CERTIFICATION INVe certify under penalty of perjury under the laws of the State of California that the following is true and correct: (1) I/we are the lawful owner(s) of the unit, and (2) Vwe have the right to sell it, and (3) I/we guarantee and will defend the title to the unit against the claims and demands of any and all persons arising prior to this date and (4) the unit is free of all liens and encumbrances, except for the lienholder shown below*, whose lien presently exists and has not been paid. Executed on at Date City State Signature of Seller Date Phone Number Signature of Seller Date Phone Number Address Street Address or P.O.Box city State Zip Code SECTION IV. LIENHOLDER*S INFORMATION NOTE: The space below is NOT for liens created by the buyer in this transaction. *Lienholder 21st agage i2 M0 G6 Orp 5 4o. Eo ; Address -7q Street Address'or P.O.Box City State ZfNde HCD 475.1 (Rev. 11/14) STATE OF CALIFORN[A BUSINESS, CONSUMER SERVICES AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM STATEMENT OF REPOSSESSION SECTION 1. DESCRIPTION OF UNIT This unit is a (check one): Is6anufactured Home, Mobilehome.Multifamily Manufactured Home 11 Commercial Modular El Truck Camper El F�IoatingHome The Decal (License)Number(s)is:J-56d 5-1-1(0 The Trade Name is: __CaLLLQ_9 bnano r The Serial Nurnber(s)is: CA FQ O'A 31 n r.0 12 1 GA E L-1 2 13 2,19 -1 0c SECTION 11. REPO]S—SESSING CREDITOR INFORMATION REPOSSESSING CREDITOR STATUS(Check One): YfLegalOwner E]Junior Lienholder 0 Inventory Creditor El=ther Name: 21s,IVIOVa�qe Carp� Address: Wreet or P.0.Box Guy state zip Date of Security Agreement:--I L A-?W] SECTION III. DEFAULTING PARTY INFORM ATION Name: C'a r'l 11615 Mailing Address:. 10W-b I ddcu CCVR�11 (; (A 9_23+5 Streef City state SECTION IV. REPOSSESSION AND SALE INFORMATION Asa result of the Public or Private Sale held on L-29-1to —the unit has been[Check applicable box(es) below]: Date 1. Sold to: Name of Buyer 2. [1 Retained by Repossessing Creditor(if subsequently sold, complete A or B below) A. Placed on Consignment with a Dealer and sold to a Private Party Dealer Name and Number. Name of Buyer(s): B. Sold to: Name of Buyer at a subsequent sale on Date SECTION V. CERTIFICATION I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that the described unit has been repossessed and the collateral disposed of in accordance with the provisions of the security agreement or conditional sale contract, applicable law, and Division 9(commencing with section 9101)of the Commercial Code. I Executed on 10 4,jae-111 at DXV I 1� Tj CRY State Signature Title HCD 476.0(Rev. 12M 4) ion 1 'V g� TV-- DEPARTMEN, 'AZI;R99th CERTIFICATION OF EXISTING SUBSURFACE DISPOSAL SYSTEm Land Use&Water Resources Western Riverside County 7: Eastem Riverside County 3880 Lemon Street-Suite 200-Riverside-CA-92502 47-950 Arabia Street-Suite A- Indio-CA-92201 Phone: (951)955-8980-Fax:(951)955-8988 Phone:(760)863-7570-Fax:(760)863-7013 Property Information: APN: .3 c:;n- c;t(p I _Q ��q. Date of Inspection: 3/4/2015 1. Owner: Address: 237�O Norma Drive City: -Q1ULlaji1L Vall Val Ley FAILURE TO PROVIDE ALL REQUIRED INFORMATION SHALL PREVENT OWNER FROM OBTAINING ENVIRONMENTAL HEALTH APPROVAL 2. Show design and location on a scale of 1:20 or 1:40 of the sewage disposal system and 100%expansion area in relation to attached dwellings,structures,wells, rocks,watercourses,etc. 3. a. I examined existing subsurface sewage disposal system at the ki!0ve location on 3/4/2015 and determined that the tank capacity is 750 gallons and that there is 150 sq.ft.of leach line bottom area. There are bedrooms in the dwelling and there are fixture units. b. There are 1 leach fine(s),each 50 ft.long. 0 Rock El Plastic Chamber d. There are 0 Seepage pit(s),each in.diameter,and ft.TD. ft. BI a. The leach bed is ft. by ft.,total sq.i f leached area. 4. a. Construction of septic tank(Please check one of the following): . 12 Concrete 0 Fiberglass 0 Steel 13 Other. b. Internal dimensions of septic: Length 7 ft. Width 4 ft. Depth 5 ft- c. Condition of tank(please check yes or no for each question): Inlet Tee present? Ja Yes EJNo Tank Structure deteriorated? 0 Yes 0 No Outlet Tee present? 10 Yes Q No Effluent Filter Present? 0 Yes 0 No Two compartments? M Yes L3 No d. Condition of D-Box: Level? []Yes Q No Replaced? L3 Yes El No Septic Effluent? D Yes El No 5. a. While pumping the tank,did effluent flow back into tank from absorption system? 0 Yes 12 No b. Prior to pumping,was the liquid level in the tank above the outlet tee? 0 Yes MNo c. Was the area around the lids oxidized? C3 Yes 09 No d. Is design of system gravity feed? 0 Yes 0 No a. Were well(s)observed on this or adjacent property? 0 Yes 131 No If yes,indicate distance of well from: Septic tank ft. Leach lines Seepage Pits ft. f. Distance from springs,lakes,and natural water courses(check all that apply) El Septic Tank ft. El Leach lines ft. 0 Seepage Pits ft. g. Is sewer is within 200 ft.of system and abuts to.roperly,line? El Yes M No Additional Comments: There is no warranty on leach liries or seepage pits. It. How long has dwelling been vacant? (if applicable) months weeks 12 NIA 6. a. 0 It is my opinion that the system appears to be in good working order and can be expected to function properly with proper maintenance. No repairs are necessary at this time. b. 13 It is my opinion that the system is not in good working order and will not function properly without the following repairs: I certify underpenalty of pedwy that the foregoing is true and correct. Signature: \S,� " — iz- -- a='— — PrintName: WaYne C. RiCe Enterprises Contractor License N0`: 583643 - Expirafion Date: 12Z31/2015 Pumper Go.: Phone Number. 951-538-8283 Address: P.O. Box 642 C'tyl�eElsi�ngre ZIP: 92530 R�. W11 )n1ine Stirvices MasterPage http://onlineservices.rcdma.org/contentfbifild_pernait—info.aspx?permi XA/ (-�%RIVERSIDE COUNTY Choose a department.. . %J VISIT US AT*www.CourillyofRivemide.us 77 9 to lgg"in UP—— ow. WZ .7� 0� '4 tA I& HOME COUNTER SERVICES DEPARTMENTS ONLINE SERVICES OUICKLINKS CONTACT US BUILDING PERMIT INFORMATION FOR BHRO60031 Online Servi� Results for BHR060031 as of 10/24/2016 12:02:39 PM Basic Case Information PERMIT NUMBER: BHR060031 PERMIT STATUS: FINAL APPLIED DATE: 01/18/2006 ISSUED DATE: 01/1812006 CLOSED DATE: 01/2412006 EXPIRATION DATE: 07/1712006 DESCRIPTION: SI FIRE DAMAGE TYPE DESCRIPTION: FIRE DAMAGE SFTUS CITY. CYLK SITUS: NORMA DR 023740 GENERAL LOCATION: 2005 TG 837 E7 ,line services MasterPage APN: 350261029 APPLICANT: ARMSU SYLVIA ADDRESS1: 23740 NORMA DR ADDRESS 2: QUAIL VALLEY CA ADDRESS 3: 71 P'. 92587 ree information —----- TOTAL FEES $148.92 TOTAL PAYMENTS: $148.92 BALANCE DUE: $0.00 valuation Information Search Another Building Permit Enter permit Number: Submit Clear Form Go Back To Previous Page Resources Services Connect County of Riverside Counter Services Hours of TLMA Home Quick Links Operations: 8:00 am Building&Safety RFP's/RFQ's to 5:00 pm Code Enforcement Useful Links Monday through Environmental Online Services Friday Programs TLMA Online TLMA Phone: (951) Planning Document Search 955-4608 Transportation Tool Copyright 2014 by Rivemide county Transportation&Land Nianagement Agency InMAIIA14 1�-A4 PILE if 9. Property Information Center Page 1 of I Tuesday,October 25.2016 Search Again Property Information Center Property Information for Ole 2014-2016 tax year as of January 1,2014 Property Information Assessed Value Wormation Parcel Number. 350261029-2 Property Address: 23740 NORMA DR Land 25,381 CANYON LAKE CA 92587 Full Value 25,381 Legal Description: Lot 55 MB 0131013 LAKE ELSINORE LODGE Joh"Nat 25,381 Property Type: NIA Assessment Information Assessment Description: N/A Assessment Number. 350261029-2 Year Built 0000 Tax Rate Area: 026-172 Square Fast: NIA Taxability Code: 0-00 Becimorn: NIA Base Year: 2018 Bath: NIA Parcel Map Pool: N View Parcel Map Lot Size: NIA Sales Information Last Recorded Dmument-0312015 Recording Number. 0121827 Related Property Information City Sphere: MENIFEE Tax Assessment District NIA Supervisorial District- MARION ASHLEY Landuss Designation: CITY Agriculture Praserve: NOT IN AN AGRICULTURE PRESERVE School District MENIFEE UNION&PERRIS UNION HIGH Water District EMWD Fema Flood Plan: FLOOD ZONE X http://pic.asrclkrec.com/KSearchDetails.aspx?Assessment--350261029 10/25/2016 Riverside County Parcel Report Pagel of5 .0Riverside County Parcel Report Date: Tuesday, October 25, Report 2016 APN 350-261-029 Disclaimer MAPS/IMAGES DRA,DKI 'Aql Nf LIRA LIN 2� ARA AP W PL -LA L DR- LOC,,-,FUR ,,A—W uR r �is PL R L:y .31 NF%V 'UR R RT R EW If PARCEL APN 350-261-029-2 Supervisorial District MARION ASHLEY, 2011 DISTRICT 5 Supervisorial District I EFF STONE, DISTRICT 2001 3 Previous APN 000000000 Township/Range T5SR4W SEC 25 Address 23740 NORMA DR Elevation Range 1,524- 1,524 CANYON LAKE, CA 92587 Mailing Address PO BOX 604 Thomas Bros. Map PAGE: 837 GRID: F7 VALLEY CENTER CA, CA Page/Grid 92082 Legal Description Recorded Book/Page: Indian Tribal Land Not In Tribal Land MB 13/13 Subdivision Name: LAKE ELSINORE LODGE 3 Lot/Parcel: 55 Block: I Tract Number: Not Available Lot Size Recorded lot size is city City Boundary: 0.13 acres Boundary/Sphere MENIFEE Not within a City Sphere Annexation Date: Not Applicable LAFCO Case #: 2007- 40-3&5 http://tzvmagOl.rivcoit.org/Riverside_Report/PublicAPN�Report.aspx?APN=350261029&Lat--220... 10/25/2016 Riverside County Farcei Keport PARCEL Proposals: Not Applicable Property No Property Description March loint Powers NOT WITHIN THE Characteristcs Available Authority JURISDICTION OF THE MARCH JOINT POWERS AUTHORITY County Service Area In or partially within QUAIL VALLEY#86- Police Road Maintenance PLANNING Specific Plans Not within a Specific Historic Preservation Not in an Historic Plan Districts Preservation District Land Use CITY Agricultural Not in an agricultural Designations Preserve preserve General Plan Policy Not in a General Plan Redevelopment PROJECT AREA NAME: Overlays Policy overlay Area Areas 1-215 Corridor SUBAREA NAME: Quail Valley AMENDMENT NUMBER: I ADOPTION DATE: 2006-04-25 ACREAGE: 1937.17 ACRES Area Plan (RCIP) Sun City Menifee Airport Influence Not in an Airport Valley Areas Influence Area General Plan Policy None Airport Compatibility Not in an Airport Areas Zones Compatibility Zone Zonina See the city for more Zoning Districts and Not in a Zoning Classifications(ORD. information Zoning Areas District/Area 348) Zoninq Overlays Not in a Zoning Overlay Community Advisory QUAIL VALLEY(MAC) Councils ENVIRONMENTAL CvMSHCP (Coachella NOT WITHIN THE WRMSHCP (Western Not in a cell Group Valley Multi-Species COACHELLA VALLEY Riverside County Habitat Conservation MSHCP FEE AREA Multi-Species Plan) Plan Area MSHCP Plan Area Habitat Conservation Plan) Cell Group CvMSHCP (Coachella Not in a Conservation WRMSHCP Cell None Valley Multi-Species Area Number Habitat Conservation Plan) Conservation Area CVMSHCP Fluvial Not in a Fluvial Sand HANS/ERP (Habitat None Sand Transport Transport Special Acquisition and Provision Area Negotiation http://tzvmagOl.rivcoit-org/Riverside Report/PublicAPN Report.aspx?APN=350261029&Lat--220... 10/25/2016 Kiverside County Farcel Keport rage _j ol D ENVIRONMENTAL Special Provision Strategy/Expedited Areas Review Process) WRMSHCP (Western None Vegetation (2005) Developed or Disturbed Riverside Coun Land Multi-Species Habitat Conservation Plan) Plan Area FIRE Fire Hazard Not in a High Fire Area Fire Responsibility Not in a Fire Classification (Ord. Area Responsibility Area 787) DEVELOPMENT FEES CVMSHCP (Coachella NOT WITHIN THE RBBD (Road & Not in a District Valley Multi-Species COACHELLA VALLEY Bridge Benefit Habitat Conservation MSHCP FEE AREA District) Plan) Fee Area (-0rd MSHCP Fee Area 875) WRMSHCP (Western IN OR PARTIALLY DIF (Developmen SUN CITY/MENIFEE Riverside County WITHIN THE WESTERN Impact Fee Area Multi-Species Habitat RIVERSIDE MSHCP FEE Ord. 659) Conservation Plan) AREA. SEE MAP FOR Fee Area (Ord. 810) MORE INFORMATION Western TUMF IN OR PARTIALLY SKR Fee Area In or partially within an (Transportation WITHIN A TUMF FEE (Stephen's Kagaroo SKR Fee Area Uniform Miticiation AREA. SEE MAP FOR Rat Ord. 663.10) Fee Ord. 824) MORE INFORMATION. SOUTHWEST Eastern TUMF NOT WITHIN THE DA (Development Not in a Development (Transoortation EASTERN TUMF FEE Agreements) Agreement Area Uniform Mitigation AREA Fee Ord. 673) TRANSPORTATION Circulation Element Not in a Circulation Road Book Page 65 Ultimate Element Right-of-Way Right-of-Way Transportation Not in a Transportation Agreements Agreement CETAP (Community Not in a CETAP Corridor and Environmental Transportation Acceptability Process) Corridors HYDROLOGY Flood Plan Review Not Required Watershed SAN JACINTO VALLEY Water District EMWD California Water None Board http://tzvmagOl.riveoit.org/Riverside—Report/PublicAPN Report.aspx?APN=3 50261029&Lat--220... 10/25/2016 Riverside CountY rarct:1 L HYDROLOGY Flood Control District RIVERSIDE COUNTY FLOOD CONTROL DISTRICT GEOLOGIC Fault Zone Not In a Fault Zone Paleontological Undetermined Sensitivity Potential" AREAS UNDERLAIN BY SEDIMENTARY ROCKS FOR WHICH Faults Not within a 1/2 mile of LITERATURE AND a Fault UNPUBLISHED STUDIES ARE NOT AVAILABLE HAVE UNDETERMINED POTENTIAL FOR CONTAINING Liquefaction Very low SIGNIFICANT Potential PALEONTOLOGICAL RESOURCES.THESE AREAS MUST BE INSPECTED BY A FIELD SURVEY CONDUCTED Subsidence Susceptible BY A QUALIFIED VERTEBRATE PALEONTOLOGIST. MISCELLANEOUS School District MENIFEE UNION Tax Rate Areas 026172 CITY OF MENIFEE CITY OF MENIFEE FIRE Communities Quail Valley PROTECTION CO FREE LIBRARY Lighting (-Ord. 655) Zone B, 32.43 Miles CO ORTEGA TRAIL REC &PK From Mt. Palomar CSA 145 MENIFEE Observatory CSA 152 CSA 33 MENIFEE 2010 Census Tract 042717 CSA 86 MENIFEE ELSINORE VALLEY CEMETERY Farmland URBAN-BUILT UP LAND EMWD EMWD IMP DIST 9 Special Notes No Special Notes FLOOD CONTROL ADMIN FLOOD CONTROL ZN 4 GENERAL GENERAL PURPOSE MENIFEE SCHOOL MT SAN JACINTO JR COLLEGE MWD EAST 1301999 PERRIS AREA ELEM SCHOOLFUND PERRIS JR HIGH AREA FUND PERRIS UNION HS RDV SUN CITY/QUAIL VALLEY AB1290 RIV CO REGIONAL PARK&OPEN SP RIVERSIDE CO OFC OF EDUCATION SAN JACINTO BASIN RESOURCE CONS http://tzvmagol.rivcoit.org/Riversidl;—RePortTublicAPN—Report.aspx?APN=350261029&Lat--220... 10/25/2016 Riverside L;0UntY ruO�' r��FVIL MISCELLANEOUS SO. CALIF,3T (19,30,33,36,37,56) VALLEY HEALTH SYSTEM HOSP DIST PERMITS/CASES/ADDITIONAL Building Permits Case # Description Statu-S — - ISSUED 224656 UP.GRADE ELEC SVC 100 AMP SVC EXPIRED 252408 REINSULATE/DRYWALL 289542 RENEW PERMIT #252408/543769 EXPIRED FINALED 328464 REPLAC-E AIR/HEAT EXPIRED BDE060020 DEMO OF BURNT OUT HOUSE FINAL BHR060031 SI FIRE DAMAGE VOID BPL040756 EXPANSION LEACH LINE VOID BRS068648 S I INGLE-FAMILY WITH ATTACHED GARAGE AND PORCH BZ278952 CHA.NGE TO 100 AMP SERVICE FINA I L FINAL BZ408864 ADD PORCH TO DWELLING Environmental Health Permits case # Description- Status APPLIED EHS073498 PLAN REVIEW Planning Cases Case# Description Status Not Applicable No Planning Cases NotApplicable Code Cases Case #- Description--__ - Status - able NotApplicable NotApplic ,NoCodeCases http://tzvmagol.rivcoit.org/Riverside—Report,TublicAPN_RepOrt-asPx?APN=350261029&Lat--220... 10/25/2016