PMT16-03634 C4 of Menifee Permit No.: PMT16-03634
29714 HAUN RD. Type: Mobile Home
<A-CClELA—> MENIFEE, CA 92586
MENIFEE Date Issued: j110912016
P E R M I T
SiteAddress: 30088 PUERTO VALLARTA WAY, Parcel Number: 360-014-006
MENIFEE, CA 92584 Construction Cost $0.00
Existing Use: Proposed Use:
Description of INSPECTION TO OBTAIN 433A FOR PERMANENT FOUNDATION
Work: SERIAL#S5228A,S5228B, INSIGNIA 290918/290919
60'X 24'
Owner Contractor
MARCOS&GRACIELA BOLANOS
27621 SYLVIA AVE
MENIFEE, CA 92585
Applicant License Number,
MARCOS&GRACIELA BOLANOS
27621 SYLVIA AVE
MENIFEE, CA 92585
Phone:9513752539
Fee Description Qtv Amount
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 enrors 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.
AkBk1g_Perrnit-Ternplate.rpt Page 1 of 1
CITY OF IVIENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm u rider penalty of perjury that I a in u rider provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Cha pter9(commencing with section 7000)of Division 3 of the Business an d a I a in exempt from licensure u rider the Contra ctor'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
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
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
li�ve 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 this application is submitted or at the following website:
by Section 3700 of the Labor Code,for the performance of work for which www.le-info.ca.gov/�law.htmi.
this permit is issued.
Policy# Date
u I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which 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 building construction.I autho 71 representatives of this city or county to
Policy# Expires enter the abc op rty fo inspection purp
(This section need not to be completed is the permit is for one-hundred A'— Date
dollars($100)or less PROPERTY OWNErOR AUTI-bRIZ6 AGENT
ci 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 C17Y 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
mixture containing a hazardous material equal to or greater that the
Applicant Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes o 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 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 oYei oNo
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 thi.5 permit is issued outer boundary of a school?
(Section 3097 Civil Code) o Yes a No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements underthe State of
I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes o No
Business and Professions Code),Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED AGENT
issuance,also requires the applicant 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,REPAJR AND PAINTING(RRPJ
License Law(Chapter 9(commencing with Section 70GO)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 703LS by residence or childcare facility to be RRP-certifiecl 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 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( )portion of the work,and the structure is ww%vepa.goy/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(532.3).
Code;The Contractor's State License Law does not apply to an owner of a a An EPA Lead-Safe Certified Renovatorwill be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided thatthe 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 forthis 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.
& SAFETY PERMIT/PLAN CHECK APPLICATION Mel
,4. "�"Menifee
DATE to 1 ;9 PERM IT/PLAN CHECK NUMBER
TYPE: OCOMMERCIAL ()RESIDENTIAL OMULTI-FAMILY &MOBILEHOME OPOOL/SPA OSIGN
SUBTYPE: OADDITION 0ALTERATION 0DEMOLITION OELECTRICAL OMECHANICAL
ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK 2� C—&�tP
PROJECTADDRESS -36)0pj�3 '20ah (jatL�fm j��) �vx &' tv &,-t-
ASSESSOR'S PARCEL NUMBER !X00Q140Q(P LOT t(P t TRACT *V69
OWNER NAME
ADDRESS L)(cCL
t
PHONE EMAIL
APPLICANT NAME 6,Z6-f=->
ADDRESS L) o, a -AJ Ci Aq ejf
PHONE EMAIL J
CONTRACTOR'S NAME OWNERBUILDER? OYESONO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ SO L SQ FT
'41- /,? /;? - -7W/
APPLICANT'S SIGNATURE DATE
t-' j-1 14 ---- li )
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT I 1 0 CASH 0 CHECK# OCREDITCARD VISAIMC
PLAN CHECK FEES PAIDAMOUNT I 1 0 CASH 0 CHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED 0 YES 0 No DLNUMBER NOTARIZED LE17ER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityof,menifee.us Inspection Request Line 951-246-5213
TAX COLLECTOR CASH TICKET '1470
No.1 I- 4
ASSESSMENT/ACCOUNT,NO.:
F NO 0 1� C)()U
CEIVED $
CHECKS RE
TYPE OF PAYMENT
"WCU
RRENTSECURED $160 x s
71 SECURED REDEMPTI ON 60 x
F-I JNSTALLMENT PAYMENT PLAW 20 X MP
10 x TAftr
F-1 SUPPLEMENTAL
5- X
0 CURRENTUNSECURED 2 X OU 24 '16
El PRK)R-�YEAR UNSECURED I x -AX COLLECTOR
COIN RIVERSIDE CC).
n UNSECURED PARTIAL PAYMENT ByNo.11
R IN"53" CASH RECEIVED $ 0i
LESS CASH GIVEN
F-1 TREASURER DEPOSIT TOTAL CASH
APPLIEDTO
[I OTHER PAYMENT
: qggggqq I I,:
------ --------
City Of menifee
Building & S"�"y Dept.
NOV 0 9 2016
Received
STATE OF CALIFORNIA-BUSINESS,CONSUMER SERVICE RNOR
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS
Title Search CRY Of Menifee
DatePrinted: NoV8,2016 Building & Safety Dept.
Decal#: LBD5145 Use Code: NOV 0 9 2MgD
Manufacturer: GUERDONIND Original Price Code:
Tradename: DUALIVIDE Rating YeRecelVed6
Model: Tax Type: LPT
Manufactured Date: 07/26/1976 Last ILT Amount:
Registration Exp: Date ILT Fees Paid:
First Sold On: 07/26/1976 ILT Exemption: NONE
Serial Number HUD Label Insignia Length Width
S5228A 290918 60, 12'
'S5228B 290919 601 12'
Record Conditions:
-An application for title or registration change is pending with the department. For information
regarding this application,please call 1-800-952-8356 and request to speak with a customer
representative.
Voluntary Conversion to LPT
Park Purchase Fee Exemption granted
Registered Owner:
MARCO T BOLANOS
GRACIELA BOLANOS
Joint Tenants with Right of Survivorship
27621 SYLVIA AVE
SUN CITY,CA 92585
Last Title Date: 02/21/2002
Last Reg Card: Pending Reg Card
Sale/Transfer Info: Price$20,000.00 Transferred on 06/08/2012
Situs Address:
30088 PUERTO VALLARTA SP 36
SUN CITY,CA 92584
Situs County: RIVERSIDE
Inactive.DecaYDMV:
DECAL AAN1344,DMV MT1219,DMV MT1220
***END OF TITLE SEARCH***
10 RIVERSIDE COUNTY SECURED PROPERTY TAX BILL DON KENT,TREASURER
4080 Lemon St(Ist Floer)Riverside,California
For Fiscal Year July 1, 2016 through June 30,2017 (P.O.Box 12005,Riverside,CA 92502-2205)
Telephone:(951)955-3900
Offices in Riverside,Palm Desert and Temecula
Visit our welisite: www.countytreasurer.org or,from area codes 951 and 760 only
IMPORTANT INFORMATION ON REVERSE SIDE toll free: 1 (877)RIVCOTX(748-2689)
Property360014006-0 LOT 36 MB 073/061 TR 4438 ASSESSMENT NUMBER
Data 1976 GUERDON DUALWIDE / VOL CONV TO LPT 360014006-0
Add—s30088 PUERTO VALLARTA WAY MENIFEE 92584 Tax Rate Am Bill Number
Owner,J A N U A R Y I , 2 0 16 BOLANOS, MARCOS T & GRACIELA 026-005 1 000244674
10/24/2016
All questions about ownership,values or
BOLANOS, MARCOS T & GRACIELA City Ot Menitee exemptions must be directed to the
27621 SYLVIA AVE Riverside County Assessor at(951)955-6200.
SUN CITY CA 92585 Building & Safety Dept'
NOV 0 UNPAM PRIOR-YEAR TAXES
(See Item#6 on reverse)
Tax bill requested by Loan Identification R Mylliple Bit NONE
eivea
CHARGES LEVIED BY TAXING AGENCIES(See Itern#4 on reverse) AMOUNT LAND 19
STRUCTURES 3 8 7'2''4
TRADE FIXTURES
TREES&VINES
BUSINESS PERSONAL
PROPERTY
FULLVALUE 5 ('8 2 U
EXEMPTIONS
NETVALUE 57 820
TAX RATE PER$1 OD VALUE 1 . 1 '[031
TAXES 041-:9-8-
Special Assessments 34.54
&Fixed Charges
TOTALAMOUNT
r S50,000,am
1 on everse
Adp4rY.g4 Add 10%
p d
c a a r penalty plus cost
12/10/2016 after04/1012017
PLEASEI it P K i ii V—QIEV06R�( -LE 8. 26 $338. 26
�01" '�A Goi
(NO RECEIPTS WILL BE ISSUED-YOUR CANCELLED CHECK IS YOUR RECEIPT) RI\TRP
- B)MO.4
DUE FEBRUARY 1,2017 SEND THIS STUB WITH YOUR 2nd INSTALLMENT PAYMENT ASSESSMENTNUMBER
PPAY BY APRIL 10,2017 $338. 26 RIVERSIDE COUNTY 360014006-0
2016-2017 SECURED PROPERTY TAX BILL BillNumber
IF PAID AFTER
APRIL 10,2017 PARTIAL PAYMENTS ARE NOT ACCEPTED 000244674
A $72.44
ADD 10%penalty plus cost
yDELINQUENT $410 .70
2ndFNSTALLMENTAMOUNT Check here for a change of mailing a nd
i (if over S25,1)(10,see Item#1 on reverse) Please provide all corrections on the=side. INSTALLMENT
2cannot be paid unless
tat Installment Is paid
Pay taxes online by eCbeek,credit/debit card
3600140060 00DOD033826 022D16 000244674 14 rEU—�—=-Cj
ICHECK
or
RE M VISA
www.countybreasumnorg
DATE PAID/
RECT B :
RIVERSIDE COUNTY TREASURER-TAX COLLECTOR 10 1
4080 LEMON STREET,4TH FLOOR �KES PAID:
P.O. BOX 12005 URR EST/DUP
RIVERSIDE, CA 92502 YPRR/SUPP/
(951)955-3900 UNSEC/MH ESC
AMNI PAID:
M3_1A0
CT#:
Mobilehome Tax Clearance Certificate I [--H
Request for Property Tax Payment DOC#:
GR#:
Requested by:
FABIOLA ZARATE Date: October 11, 2016
27621 SYLVI NAVE Phone No.: (961)476-5523
SUN CITY, CA 92585 Assessment#: 360014006-0
city Of meniteo
Building & Safety E)ePt-
Current Registration Information: Noy 0 9 2016
License/Decal#:LBD5145 VIN/Serial M S5228A
Make:GUERDON IND S5228B Received
Year: 1976
Registered Owner(Seller):
Name (as shown on current title with State):CHERYL HEMRY
Mailing Address: 30088 PUERTO VALLARTA SUN CITY, CA 92684
Site Location of Home: 30088 PUERTO VALLARTA SP 36 SUN CITY, CA 92684.
New Owner(Buye r):
Name (how new title should read): MARCO T. BOLANOS &GRACIELA BOLANOS
Mailing Address: 27621 SYLVIA AVE SUN CITY, CA 92585
Future Location of Home: 30088 PUERTO VALLARTA WAY MENIFEE, CA 92584
PLEASE RETURN THIS FORM OR A COPY WHEN SUBMITTING PAYMENT
Amount due is for 2016/2017 FISCAL YEAR 1 ST HALF$338.26.
The amount due is$338.26 if paid by 10/31/2016. After this date the amount is $338.27 and is
due by 11130/2016.
>>ALL PAYMENTS MUST BE MADE BY CASH OR CASHIER'S CHECK-DO NOT MAIL CASH
CASH PAYMENTS ACCEPTED AT OUR RIVERSIDE OFFICE ONLY<<
Please return in the enclosed envelope with any other forms required by our office. Once payment has
been received a Mobilehome Tax Clearance will be issued and mailed to the requesting party.
Ref.MID
COUNTY OF RIVERSIDE TREASURER-TAX COLLECTOR TREASURER-TAX COLLECTOR
4080 LEMON STREET 4th FLOOR/P.O.BOX 1206S
ATTN:MOBILEHOMES OCT 112016
RIVERSIDE,CA 92502
PHONE:951-955-3900 RECEIVED
MOBILEHOME TAX CLEARANCE CERTIFICATE REQUEST
Requested By: AA Z!WWT(;F Date:
Mailing Address: 1�3 =�az I SV I. -% I^ A, 117 Escrow tt:
(REQUIRED) Phone n:Lq51
Escrow Officer: Email:
(IF APPLICABLE)
City of Menifee
Building & Safety Dept.
Please provide all of the requested information pertaining to the current registration. We cannot issue a clearance
without it.Complete this form and return it with a copy of the registration or title seiNOV 0 9 2016
ASSESSMENT NUMBER: 3 � 0c) 1400 �0 - (D
CURRENT REGISTRATION INFORMATION: Rec—ei—v—ed—
License/Decal#: L 6 C!)'b I I 15 Vin/Serialth
Make: ei�- 'P�h M's Year: /q
REGISTERED OWNER'S NAME (As shown on�urren ' I ate
Cli 67.p
j ntit e with S
Seller: i I
Mailing Address: Tbelr-To \�Pr Ulk V)
-2-5
, A 612- SYq
Location of Home:
NEW OWNER'S NAME(H new title should read):
Buyer: MP&Cn --r- A r-3 GVAC[45�1'.
e2=u;2, i S�Lji , AAE, C-i-tq CA 9Z--5?S
Mailing Address: o
Future Location: Wr MOIL M
(IF BEING MOVED) Date Moved:
TAXES DUE MUST BE MADE BY MONEY ORDER OR CASHIER'S CHECK. CASH PAYMENTS ARE ACCEPTED ONLY AT THE MAIN
OFFICE LOCATED AT 4080 LEMON ST, 411 FL., RIVERSIDE, CA 92501. PLEASE BE ADVISED THAT PAYMENTS MADE BY
PERSONAL CHECK WILL RESULT IN A 30 DAY WAITING PERIOD BEFORE OUR OFFICE IS ABLE TO ISSUE THE TAX CLEARANCE
CERITIFICATE.
TREASURER-TAX COLLECTOR'S USE ONLY
TC REQUEST RECEIVED TAXES PAID (CIRCLE TAX PAID): CURRENT ESTIMATE/ ESCAPE(S)
Q . Q.. I ,
DATE RECEI� RECEIVED BY: ar PR.YR./SUPPLEMENTAL/UNSECURED MH ESC/DUP.REQ.
I t L/(4 �"T�
Ist FL/ IF /PA�L�MDSRT TEM/COUNTER/FAX/MAIL DATE PAID: RECEIVED BY:
I I
REC'D BY M ESK: RECEIVED BY: AMOUNTPAID:_ CT#:
W To 5
FWD TO SA
F TEUTE OFFICE FOR PROCESSING: DOC#: GENERAL RECEIPT#:
117-IIA(05/2015)
Tel:877-736-7327
Harrison Enginee�ng LLC
Harrison 5716 Corsa Ave Suite 110
Engineerin LLC Westlake Village,CA 91362
9
rim 1�igila"y s! ne4dyp. T
Timothy T.%, E
Da.%?01.6,011.25
.0 .16 T
August 25,2016 07. No.C52nO8O
Cindy Deford
3 0088 Puerta Vallarta Way
Mentifee, CA 92584
951-476-5523
cindydefordl962@gmail.com
RE: Engineer's Certification of Permanent Foundation Compliance for M"yfalilolftaflome
Owner: Marcos Bolanos,951-476-5523 j3ullding & Safety Dept.
Site: 30088 Puerta Vallarta Way,Menifee,CA 92584 NOV g 9 2016
To Whom It May Concern: Received
Purpose&Scope of Rgport
The scope of our work was to assess the foundation of this factory-built home for permanent foundation compliance.
Harrison Engineering has physically inspected the above referenced manufactured home's foundation,this report reflects
my analysis.
Observations
The foundation has a standard type crawlspace.There is a concrete masonry block wall and a wood skirting that encloses
the foundation to keep out vermin and water. The foundation has steel jack piers to support vertical loads.A proprietary
anchorage system was observed that aids in resisting lateral loads.
I observed no indication that this manufactured home has been placed in any other location or previously installed at
another site. I did not observe any indication that the site-built addition(s)and/or modification(s)were impairing the
structural performance requirements of this factory-built home as established in Part 3280, Subpart D of HUD's
Manufactured Home Construction&Safety Standards (MHCSS).
Opinions
This is to certify that Harrison Engineering LLC,to the best of our knowledge,conclude that this manufactured home
foundation,is COMPLUNT with,and meets the intent of the definition for a permanent foundation as stated in: HUD's
Permanent Foundation Guide for Manufactured Homes dated September 1996 (HUD Publication 7584)along with the
retroactive amendments contained in HUD's Mortgagee Letter 2009-16.
Respectfully,
Timothy T.Berry,PE
This m
dport is theigmperty of Harrison Engineering,LLC and cannot be reproduced without our prior consent.It has been issued to the referenced pmperty owner at the
site in icated for a purpose of a specific loan requirement or insurance policy and it is not intended to be used for acgiring a permit with the I�lp E nning or buildmg
jurisdiction. It is site specific and may.not be trarifferned to any other property.property owner.or ent%This report 3 em an expression of pmfessional 0 inion by this
enoineer,which is based on his best knowledge,inforMption provided bgthers,and belief.This consu taflon inspection was of readily accessible amas Ythe property
an is limited to visual observations of apparen conditions existing at e time of the inspection only. Latent and concealed areas, defects,and/or deficiencies were
excluded from the insFecdon;further, equipment,items and system am not necessarily dismantled, therefore,we do not assume responsibilily for conditions of such
areas or items.A geo echnical soils report was not performed and it is assumed that the existing soils at the site am adequate to support all s.tructures.Termite,wood
destroying organisms,and dry-rot assessments are excluded. This report consists of neither a guarantee,warranty,or insurance policy,expressed or implied,rq�gardml
the adequacy.performance.or condition of any inspected structure.item or system.Harrison Engineering,LLC reserves the right to amend andtor supplement this repo
in the event additional information be uncovered or made available.
CAMENIFEI 6021-CERTIFICATION-08-25-16-TB.adt Page 1/1
DOC # 2013-0253074
05/29/2013 11:55A Fee:18.00
Page I of 2
Recording requested by: Recorded in Official Records
County of Riverside
MRS GRACIELA BOLANOS Larry W. Ward
Assessor, County Clerk & Recorder
And when recorded, mail this deed and tax
statements to: 1111111111111
77771
MARCOS T BOLANOS AND GRACIELA BOLANOS 8 R U GEISIZE1 IDA IMISCILONG1 RFDTCOPY
SUN CITY CA 92585 — —I g.,
27621 SYLVIA AVE
—A F LT465 1 426 jjrC6 NCHG
,�JNCORJ SMF HG
C 012
IT: I CTY UNI :2—
I - H
GRANT DEED DOCUMENTARY TRANSFER TAX$
EXEMPTION (R&T CODE)
TRA: EXPLANATION
APN: 360-014-006-0 Signature of Deciarant or Agent determining-ta—x
- Uity OT-Melilteu
For a valuable consideration, receipt of which is hereby acknowledged, 3uilding & Safety Dept.
GRACIELA BOLANOS(A MARRIED WOMAN) NOV o 9 2016
hereby grant(s)to
MARCOS T BOLANOS AND GRACIELA BOLANOS(Husband and wife asjoint tenant P@cEflved
the following real property in the City of Menifee County of Riverside
California:
SEE EXHIBIT"ONE"ATTACHED HERETO AND MADE A PART HEREOF
jo \2,,
Date:
Date: (�Wnatuire of de-clarant)
(Signature of declarant)
State of Callifor-nia
County of
On 20 P , before me, personally appeared
— KAA-e/6 , who proved to me on the basis of satisfactory evidence to be the
pers6n(s)whose name(sk3are subscribed to the within instrument and acknowledged to me that he&they
executed the same in his(he�their authorized capacity(ies), and that by hi&e their signature(s)on the
instrument the person(s),bf the entity upon behalf of which the person(s)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 seal.
-§7jg—ifir(ure—of Notary
ARMANDO HURTADO
Commission# 1902694
Notary Public-California ZZ
Riverside County
MY COMM. Expires Sep 3, 2014
DEPARTAMNT OF HOUSING AND CObEYFUNrrY DEVELOPAIENT
DIVISION OF CODES AND STANDARDS
MANUFACTURED HOUSING SECTION
1800 Third StreM Suite 260
P.0.Box 31
Sacransenta�CA 95812-0031
116)445-3339 FAX(916)327-4712
.-rom TDD Phosses:1-800-735-2929
June 8,2012
1131 11111 11111111 still hlM III I Para infortnad6n en espariol,por
Cheryl Hemry favor Hame al(916)327-2390 y
do Graciela Bolarms pregunte por Anna Maria Onofri.
27621 Sylvia Ave
Sun City CA 92585 City of Menitee
!3uilding & Safety Dept.
Dear Applicant NOV 0 9 2016
Received
Serial Number(s)
(Vehicle Replacement
Identification Insignia
Model/Manufacturer Year Mfg. Number(s)) Number(s))
DUALWIDE 1976 A5228 1*M 290918
B5228 M11 290919
Original Insignia Issued To: Dualwide
Original Date Issued: 12/29/1975
Original Insignia Number(s): M112300=3
If located, the original insignia must be returned to the Department of Housi ng and Community
Development;P.O.Box 3 1, Sacramento,CA 95812-003 L
Attached is an information sheet to help you affix the insignia to the manufactured home or commercial
coach in the.correct location.
Sincerely,
Graub'Cross,Program Technician 11
Decal No-: LBD5145
IjT�17341245
.Attachment
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RkORDING REQUESMD BY: DOC = .2001-525244t
REALTY MORTGAGE CORPORATION, dba 10/26/2001 OB:00A Fee:32.00
MYLOR FINANCIAL 15455 SAN Pau* I of 9
Recorded In Official Records
FERNANDO MISSION BLVD. #305, CoLinty of Riverside
MISSION HILLS, CA 91345 Gary L. Ore*
AND MWN RECORDED MAIL TO: Assessor, County Clark & Recorder
REALTY MORTGAGE CORPORATION, db.
MYLOR FINANCIAL, A MISSISSIPP
15455 SAN FERNANDO MISSION BLVD. #3(5
MISSION HILLS, CA 91345
LOAN NO.: 24-209D-03
ESCROW NO.: 5696-J
QL
A R L
State of Caffornia FRA CILse No.
DEED OF TRUST . 048-3006072.-,703 T
MIN 10D071900000104805 DL
-1Z
THIS DEED OF TRUST("Security Instrument") is made on OCTOBER 22, 20DICity Of Menifee
The Trustor is 3L61ding & Safety Dept-
CHERYL HEMRY, AN UNMARRIED WOMAN NOV 0 9 201b
Received,
("Borrower"). The trustee is
CHARLES A. MYERS
(OTrustee"). The beneficiary is Mortgage Electronic Registration Systems, Inc. ("MERS"), (solely as nominee for
Lender, as hereinafter defined, and Lender's successors and assigns). MERS is organized and existing under the laws
of Delaware, and has art address and telephone number of P.O. Box 2026, Flint, MI 48501-2026, tel. (888)
679-NIERS.
REALTY MORTGAGE CORPORATION, dba MYLOR FINANCIAL,A MISSISSIPPI CORPORATION
("Lender')is organized and existing under the laws of MISSISSIPPI an�
has an address of 215 KATHERINE DRIVE, JACKSON, MS 39208-8819
Borrower owes Lender the principal sum of
NINETY NINE THOUSAND FOUR HUNDRED THIRTY NINE AND NO/100 X X X X X X X X X X X X X X X
Dollars(U.S. $ 99,439.00
This debt is evidenced by Borrower's note dated the same date as this Security Instrument ("Note'), which
provides for monthly payments, with the hill debt, if not paid earlier, due and payable on
NOVEMBER 01, 2031 .This Security Inshment secutres to Lender: (a)the repayment of the debt evidenced by the
Note, with interest, and all renewals, extensions and modifications of the Note; (b) the payment of all other sums,
with interest, advanced under paragraph 7 to protect the security of this Security Instrument; and (c)the performance
FlU California Deed of Trust wftb WIRS-4196
VMP-4N(CA)i9so6) Amended 2/N Initiafs.. 0
VMP MORTGAGE FORMS-[8001521-7291 P�I es LENDER SUPPORT SYSTEMS INC.FHACAMER.FHA Oe/99
of Borrower's covenants and agreements under this Security Instrument and the Note. For this purpose, Borrower
irrevocably grants and conveys to the Trustee, in trust, with power of sale, the following described property located
in RIVERSIDE County, California:
LOT 36 OF TRACT NO. 4438, IN THE COUNTY OF RIVERSIDE, STATE OF CALIFORNIA,AS PER MAP
RECORDED IN BOOK 73, PAGE(S) 61, 62 AND 63 OF MAPS, IN THE OFFICE OF THE COUNTY
RECORDER OF RIVERSIDE COUNTY, CALIFORNIA.
EXCEPT ANY MOBILE HOME OR MANUFACTURED HOUSING UNIT AND APPURTENANCES, IF ANY, LOCATED
ON SAID LAND.
City of Menifee
Building & Safpty Dept.
NOV o 9 2016
ASSESSOR'S IDENrIFICATION NUMBER 357-264-006-9 Received
which has the&khess of 30088 PUERTA VALLARTA WAY , SUN CITY Isftet)
(city], California 92584 [zip code) (*Property Address");
TOGETHER WITH all the improvements now or hereafter erected on the property, and all easements,
appurtenances and fixttires 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, NERS, (as nominee for Lender and Lender's
successors and assigns), has the right: to exercise any or all of those interests, including, but not limited tD, the right
to foreclose and sell the Property; and to take any action required of Lender including, but not limited to, releasing or
canceling this Security Instrument.
BORROWER COVENANTS that Borrower is lawfully seized of the estate hereby conveyed and has the right to
grant and convey the Property and that the Property is unencumbered, except for encumbrances of record. Borrower
warrants and will defend generally the title to the Property against all claim and demands, subject to any
encumbrances of record.
THIS SECURITY INSTRUMENT combines uniform covenants for national use and non-uniforin covenants
with limited variations by jurisdiction to constitute a uniform security instrument covering real property.
Borrower and Lender covenant and agree as follows:
UNIFORM COVENANTS.
1. Payment of Principal, Interest and Late Charge. Borrower shall pay when due the principal of, and
interest on, the debt evidenced by the Note and late charges due under the Note.
2. Monthly Payment of Taxes, Insurance and Other Charges. Borrower shall include in each monthly
payment, together with the principal and interest as set forth in the Note and any late charges, a sum for(a)taxes and
special assessments levied or to be levied against the Property, (b) leasehold payments or ground rents on the
Property, and (c) premium for insurance required under paragraph 4. In any year in which the Lender must pay a
mortgage insurance premium to the Secretary of Housing and Urban Development ("Secretary"), or in any year in
which such premium would have been required if Lender still held the Security Instrument, each monthly payment
shall also include either: (i) a sum for the annual mortgage insurance premium to be paid by Lender to the Secretary,
or(ii) a monthly charge instead of a mortgage insurance premium if this Security Instrument is held by the Secretary,
in a reasonable amount to be detarmiried by the Secretary. Except for the monthly charge by the Secretary, these
items are called "Escrow Items' and the sums paid to Lender are called "Escrow Funds."
Leader may, at any time, collect and hold amounts for Escrow hems in an aggregate amount not tD exceed the
maximum amount that may be required for Borrower's escrow account under the Real Estate Settlement Procedures
Act of 1974, 12 U.S.C. Section 2601 ef seq. and implementing regulations, 24 CFR Part 3500, as they may be
amended from time to time (NRESPAO), except that the cushion or reserve permitted by RESPA for umticipated
disbursements or disbursements before the Borrower's payments are available in the account may not be based on
amounts due for the mortgage insurance premium. Inibaisc—
VMP-4NICA)osm) Page 2 of 8
20&1-526244
E)/26/2091 08:80R
of 9
DEPARTMENT OF BUILDING&SAFETY
-7
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE NO. EtECTRICA
TRICAL E JNOJ FLUMSING4,.I - �'�`-.
UNITS
2Nb FL 50,FT. YARD SPINO
00R.— --' Sb2.fI. 4 MOBREROMESVC. GARSINK
POWEROUTLEI ROOF DRAINS
—so.FL a
CA,ft P. SO.Fl. 0 DRAINAGE PIPING
G FOUNTAIN
L ai
NWALL' 50.FT.'
URINAL
so.FT.
fi, '6rIMATFC-
ONSTRUCiION VALUATION $ I'WiftTERMPING
-NOTEi Nbf-'tb be usect as prop"tax voluallon swim POOL,PVT INV
MECHANICAL FEES sum POrA'CONIJI6 WAIMSOFIFNEII
-VENTSYSTEM 0 FAN 0 EVAP.COOL 0 HOOD SIGN ERIAUIOIIDISH)
APPLIANCE GARBACEMSPWL
FURNACE 0 UNA 0 WALL El FLOOR 0 SUSPENDED LAUNDRY TRAY
AIRNANDUNGUI417
CFM iDLE METER. KITCKSNSINK
—7�
ABSORPTION SYSTEM 3EMP ME PERYASVC WATER CLONSEI
COMPRESSOR HP PULE,TEMF/PERM LAVATORY
HEATING SYSIEM 0 FORCED 0 GRAVITY AM?ERES SERV ENT SHOWER
'UATION
BOILER. B.T.U.
SO FT 0 4 BATH FOB
SO FT 0 1 WATER HEATER
SQFTRESH) Q tc 5EWAGE DISPOSAL
50 FT GARAGE 0 HOUSESEWER
Zi..
Fi-.
PERMIT FEE
PIPING
".mow"osilpow.m FEE PERMIrFEV
PERMIT
—4, TOTALfM fgl)�HLIJEIP MCCR-FEZ It.A�C% FEE CORSI FJtjE 0111, ctecr.pff looLl suiFeE I roT
270
766
SPHO
J;I F I M I A I INA J I J I A 15 1 0 1 N 1 0
N!..
74
75 UROWPERWIT P.C. 14AX fiRMINK
I I f
2 7 8 76'
i rH )ERtAIT FEE Cc IN TV S I"Ills ROOMS uAtUATHIR 1SWRIOPIRMIT IOEF=i
N
01PA-1
MICROFILM FEE COPIES s
MECHANICAL FEE OBL S LOISIZL ZONE VSE No. OR? WIT (C"T
PLAN CHECK FEE INOND AMT rpm No LANCHECOR FINAL DATE NSKCTOR
CONSTRUCTION FEE DEL IS FAME OF CORSI.LENDER BRANCH OFFICE NO ttWlt INVOLVED
ELECTRICAL FEE DEL 11 ADDRESS CRY STATE
STRO14G MOVON CONTRACT04
INSTRUMENTATION FEE o(U_41�._U 4rtA�
ADDRESS ADDRESS
FEE
PLUMBING FEE D13L INV w, e� 711"COME
'TOTAL FM TEL NO TEL NO LICENSE
NEC%0 NC CI THIS PERMIT SHALL BECOME VOID IF WORK 15 NOT COMMENCED WITHIN 120 DAYS,CESSA.
IQEESRIQUIRED� TION OF WORK FOR 120 DAYS SHALL ALSO CAU�E PERMIT TO BECOME VOID.
t HEREBY AGREE THAI ALI WOltK IN CONNECTION WITH THIS PERMIT WILL HE DONE IN AC.
N U50
P AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES.COMPLIANCE WITH THE
SEWAG FIA CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFOk IA, I A
LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAI T14E INDIVIDUAL W140 PREPARED THE PLANS AND SPECIFICATIONS
FORM 784-IOB (R,-. 10-7A)IDL HAS DONE SO IN ACCOIRDANCEW)IH SECTION 5541 Of THE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA
DEPARTMENT OF BUILDING&SAFETY -oil W
RAL
COUNTY OF RIVERSIDE
t
W—.',-'-',;�,-:CONSTRUCTIOR.ESTIMATE - NO. ELECTRICAL FEES INO, PLIJIMBRM031�
UNITS
L 0-
YARD
�%VM FL.—SO.FT. 6
BARSINX
MOBILEHOME SVC.
�OR SO.FL 0
GAR.- S6.FT- 0- mmm
DRAINAGE PIFIN -- M
CAR lis� S6_F7, 0- .v :ii�Wg
DRINKING FOLWAI4_%,'-,
-WALL a IM
URINAL
_L____—JsQ.FT, a
of M( nit( 0
�ml"jEDODNSTRUCTICIN ALLIAT15N s clt� - I WATER PIPING
t4l)TE.--Not to bb used as Dials"I=valuation SW)MPOoL.PVT buflullm� 1- -11 --Ijr-OORDRAIN
SWIM POOL.COMM WATERSOFTENElf
MECHANICAt:FEES �. I f,,;4(
qENT.SYSIEM 13 FAN 0 EVAP.COOL 0 HOOD SIGN WASHER(AUI0)I0iWF'i'1'
GARBAGE
"APP1144NICE.
FURNACE t.13 UNIT C)WALL 0 FLOOR 0 SUSPENDED IF" 'A Q v LAUNDRYTRAY%
I CFM IDLE METER
-61R HANDLING UNIT KITCHEN SINK .
ABSPRPTION SYSTEM E�B.T.U� I TEMP USE PERM SVC WATERa6sm
COMfIRESS09 HP POLE,(EMPIPERM LAVATORY Vigr
KEATING SYSTEM C)FORCED 0 GRAVITY AMPERES SERV ENT SHOWER
in
BOILER B.T.0 SO FT 0 BATHTUB,
WATER HEATER
SO FT 0
SO FT RESID 0 141 1 1 1 SEWAGE DISPMAL
SO FT GARAGE @ '49 USESEWER 1.A
No
GASPIPING ei
PERMIT FEE
PERMIT FEE
-MOSURONIEFERWIFEE-
PERMIT FEE
_JOTA�FIEES. rOILHAISEC MECH.IE.EjDC1 PLck.FEL CONST.FEE D
�_,Yvc 06' 6 k
SPRO OWNER
_AAj A J I J I A IS 101 N 1 0
W4 ME:
F.C. PERM 180
�75
76 lei I I I
M H PERMIT FEE COMMUNITY um"S A71 VA(Mim SUPP.T0 PERAU( - OFFC1E�'1-.
MICROFILM FEE COPIES is
MECHANICALFEE SFTHRCK LOT SIZE ZDAIE USE NO. GRP ITYPE_z
F
PLAN CHECK FEE $ DONOXIM. PLAN NO PLAN CNrCXER FINAL
CONSIRUCTION FEE DBIL 5 NDER oAANCH0F. R LENDER INVMVID
NAME OF CONST LE
ELECTRICAL FEE CIBL ADDRESS CITY STATE
STRONG M07ION S OWN�FVAGIENT'S SqAIURE CONTRACTOR
INSTRUMENTATION FEE
ADDRESS ADDRESS
FEE
4;
PLUMBINGFEE DBL 15 lip CODE CITT
YELHO UCtNSF
TOTAL FEES S TEL NO
(:AS�j�� CHECK 0 ML0 C! NC. Q
THIS PERMIT SHALL BECOME VOIDIF WORK IS NOT COMMENCED WITHIN 120 DAYS.CESS,�;--*
LL ALSO CAUSE PERMIT TO BECOME VOID-
TREES REQUIRED TION OF WORK FOR 120 DAYS SHA
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERNT WILL BE DONEINAC-
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO'-'
7 LL P AGREE TO CARRY COAOPENSATION INSURANCE UPONMY EMPLOYEES.COMPLIANCE WITH'THE-
; I
LAAS OF THE STATE OF CALIFORNIA COVERING CONI PACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY (HAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS.
HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROIFESSIONSCODE
FORM 28,0DII (Row. 10-74)OL OF 114E STATE OF CALIFORNIA
In DAYE INSP
0!�RA. ON ECTOR NO. OPERAMN
SUII-DING APPFIOVALS MECHANIr-AL APOROY�
33 Ventilation System
..Figs.a'F"s 34 Plenums a Ducts
35 Furnace Comporl.
36. iniels 9 Outlets
to .43A
Combustion Air
.to..
Bond Beams
38 Compressor
6".- -Rirol'Deck 39 Appl. Clearance
Fire Damper
40
;V
41 Smoke Detention Device
im wall
-rf
42 commercial Hood
7,
Fireplace— 131 43 Final
Firepla" ADDITIONAL INFORMATION.-':'::";,,'!':
Eiiitrior Loth
A
f2_ not Loth .
City of MenifeO ..........
RA P'MWDJI
Building & Safety Dept.
F'
13, trifs.1% Grade
;4� Fi�at V 0 9 2016
NO
PLUMBING A
IS. Urourid Plumb
Received
f6
Wafer Piping
17 -Pough.Plumb
4.
itwog�q Disposal . .....
Water I-Idater
�?A,' 'Go%Test
..,10.
25 Finiii
SEWAGE SYSTEM SIZE
LOCATION
ELECTRICAL APPROVAL S P.,
26 poviar Pale
R-IAR 01' PROPERly UNE
27 Condv,l
e
Vfinnq
Wife
.9A Grounding
290 flond,fig
30 Fwwro
31 50,V.cc,
V%.
STRE-.ET NAME,—
NOTICE: THIS:15-NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
Permit N
DEPARTMENT OF. BUILDING AND SAFETY
COUNTY OF RIVERSIDE
T
COntrach)
kddre
-ity
Ph9n, Phone— 0' '1e'V____
ant dolec tha� it c
'I five) the
undersigned, tkofobY cenifY and ackft-lbdgC that I (we) hive read ffie 531PHCatlOn sib
'4untd by %he 4:,anty a% 11%,cmdri.M�'Ve Mo Depa"mieffl,of-:11ullcunit,=
Pasmo, andlot.DEdIcAlo.or Tipht 01 -4 ti TL
Mail
am al Awbre At 0 olk Is to be done
i�hdlj Mf_malkv�a Final irapenon, wtil said reaunmems have Licen met
without an !N-rolchmem Permit.
1OW,-therefore.It is acTood that I (wa)will not�mt,Y d propc,ty and will .1 cawo sa"d prb"tly to be
ittincilWd Wh'alf laws of the Cotm,ly of given le of Cal-tonlith 91 _",e1VWQ,
-it.and the Sta
SIGNATURE! OF OWNER AND/Oli AGEN
DATE
from the Following Departments Listed Below
Approrstall by Signature
Moo Be Obtained Prior to tile 12"Ing of a Conitruction Permit.
I SPACE NO.
USE OF SiRUc-TuEiEu:- :.-t
NGLE DO�ix-
J013 ADDRESS
St FAMILY El
tj ROP RTY 4!9,4&
,L_EfGAL DESCRI DR OF PA APARTMENTS
C
DMIAUNITY
V
T
NO. OF SUBIAITTRO PLANS ?Sk OF PERMI
CASE NO.
7. 140.OF PARKING SPACES REQUIRED NO.Or BUILDINGS NOW EXISTING
Z. 91 SIDE
-RONT... REAR
ZONPJ�_!fAP�SETBACKS. r
li, --
..GRADING PERMIT REQUIRED? YES 0 NO [3 LOT SIZE
sr:-TsAcx aRatHmAcE 9 OF— F5ET REOUS(ICO ON
. . .... .... V
'DAT SIGNATURE OF LAND USE 0 IpAt7—,
FP
NO 0 NO. OF FEET--
DEDICATION'.REQUIRED: YES 0
CURB AND GUTTER REQUIRED. YES Cl NO 13
.9 CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES Ll NO D
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROAC14MENT PERMIT FOR DRIVEWAY: AN6'--.
IMPROVEMENT? YES C] NO 0
Llia
0
all SIGNATURE Of ROAD DEPT. OFFICIAL—
DATE—
SWIMMING POOLS PUBLIC
SEWAGE DISPOSAL.
FOOD ESTABLISKmENT
WATER POLLUTION REMARKS 7.
FLOOD CORY ROL—
P 7 .7-i
x AIR POLLUTION —
DIV OF nwY
YOUR PROPERTY MAY BE SUBJECT-7,0
FLOOD. RIVERSIDE COUNTY ASSUM
NO RESPONSIBILITY IN EVENT OF,
284 19V 9174 CANARY—FILE, FINK.�,h.PPLIFARt,...
city of Menifee
Building & Safety Dept.
NOV 0 9 2016
Received
�Z"
JOB ADDEES�i OWNER
OF BUILDING A14D SAFETY
IJTV OF RIVERSIDE
U
SP No. DATE KM
USE OF PERMIT
tj;,
A 10
OBILEHOME MOBILEHOME INSTALL T N(� 7
'Utft PERMIT -Ec—mmuwri
4V
t At DESCPJPIVN
EG
41
FEE LII-A-24 AR 4/
FIT
ISETBACK USE NIL CK
I !,U,c �b
eMl T�FEE FINAL DATE INSPECTOR
I REINSPECTION FEE
I ESCROW COMPMY &RANCH OFFICE
19
TOTAL FUS Otis y
:. . N. ADDRESS CITY ZIP CODE
I CASH 0 CHECK P�-, 0 13 C-13
RECEIY.ED,By OWNEE2A,*Emr s SIGNATURE CONTRACTOR
UF pj��c
!-M MAN
i.:. . r) m" ADDRESS ADDIES
%
x 13 RELQCAIED P CODE
i SIZE ;±:7 CITY W CODE CITY
;SUPPORT STRUCT. PERMIT X TEL.ND. IEL. NO. LICENSE
i
4-7 1-1
GRADING PERMIT 4
IIIIS 5,II.L t AICOME VOID IF WOW "AHICtu VIVIIIN t.r
.11 01 CO..
Cj.SAh,,?� Of %VD,,f It,, IX DX�'i S41,11 C,.Lj!! Jtl�mr 7C., mczp:a tolu�
I P-Pi3v ACkt! I r:.t: ALI WOW.!N CONNEC',C)!: "'I"f bmvi,'M fif L1.11.1
UTILI TIES PERMIT P---- I VI;I! :1-L LAWS 0; COUNI, .:,Ij pill ji.. I or It,
4'-00qD""`C C. -.t:
;!.Aucl
T LIFI;�-C.' ;21:11 [HE LAI;01 NIA
YEL L D%�:AUOI
Or C I'-
EN—OWNER CONTPACicps Is .L$O C-IjAk".
"iVESY CFM'fl I'll VIH, -AL VOIC. "it ;t`-10 "ID
P Nr�fift D OFFICE to .."!D',
CA.60INU,
A BUGE—FIELD Guti74EiS
A M
City c)f MeniteiI
Building & Salety D,pt.
NOV g 9 201b
Received
Owroi
I(-A X:f
,O�i U!L6Nf AliO SAFETY
FiNfERSIDE
USE oF,P ERMIT
SP 140. DAIL
0
MOBTLEHOME INSTALLATION t 1-7 -
R,
CommUNIR
Z2
wk
LEGAL OESCRIPIKIO!
S.TSACK BY
T�
?,o -
5
'FINAL DATE
WIENCTOR
M�V,CGmpAr4Y 12,4CH OF TICE
`�61`ALFEES
A E CITY it
it
V S SICK'ATURLE CONTRACTOR
M N AdU
m-rav, Aoonbs
it �2!aj T
..........
x Ir RELOCATED
rA-1; 71P CODE CITY ZIP DE .....
14
SUPPORT STRUCT. PERMIT # IF r
TEL.NO. TEL. ND� LICENSE
GRAOING PERMIT It jei? 47 C Y71
1 AL,k S!COIAE VOID IF WORK IS NOT COMMETICID V11IMN IN DAYS.
.HIS PERMIT SHA
CESIA10.4 OF WOPI:FOR 120 DAYS SRAI.I ALSO C'AUSF Ff-hill 10 ELCOME MD.
LITILI TIES PERMIT P— HUEZY AGREE THAT ALL WoRx IN CONNECI:O;q MVIS 7111S PER.%-JT WILL I E DONE
IN ACCOPOANCE WITH 7HE LAWS OTRJVERSIDE COUNTY AND IHE S--A-E Of
WHITE-1111 CAIVONIIA, I ALSO AGREt TO CARRY COMPENSATION:14SUItANCE UIXON MY
YELLOW-AUDIT j,A,.fCE ,IH THE JAW
.1 LIF -'alt STIsTE C; C�L-*Ok'Jl- C.OVIII1114Q,
-E- -0... IT
GREEN-OWNER CO%-TCACTORS 15 ALSO GUARANTEED.
P 1:49--fift D OFFICE I HEALEY CtXTIfY THAT [ME V40ME)LIAL WHO PREPARED THE PIAN, AND
SFECIFICATIONS HAS DOIA So IR ACCOFOANCE V,1.11 SECTION SWOF THE
E-FIEILI OUSINES& AND FROFISSONS CODE OF THE STATE OF CALIFORNIA.
,.284-4 10-75
-,IT
City ot menifee
Building & Salety Dept.
NOV 0 9 ?Gib
Received
APPROVAL x
'L
�c
�R Po,
BLOG PERMW
D APPROVALS THLE 25
96
a
XWA�SE'Pipj
10.1
GAS-AP?L IANCi VCNT5
jbi
SOBS W AID
[NiUL�T,;w
js&'b'eoNibucF6%CONINUITY'.
4AJ 4�
V.,.fiIATUPE5W4D APPI;ANCES scmrjfh!G
STEM: FOOTINGS 5082 141
SUPPORT VY
724-?(a. AN&7�_
ICE
JACKS OP. PIERS 26
(CI
;COLUMN SUPPORT
2 FINAL APPROVAL
DEPARTMENT OF BUILDING AND SAFETY
COUNTV OF RIVERSIDE
City ot Menifec
MOBILEHOME INSTALLATION APPLICATgffij,g & Sajety Dept.
u
NOV 0 9 201b
TRAILER PARK R
INDIVIDUAL LOT
NAME OF PAR
ADDRESS TELEPHONE NO
OWNERIAGENT YZ ze g 2 e_- A
ADDRESS goo 1A gj 4__jLj_f PACE NO
MOHILEHOME INSTALLE t_ 4.t..-?V )"o 1-40 11-1 4e Sig t='el f IZ 1�7
/7
ADORES t) A All/ ez:_,r:Z TELEPHONE NO
INSTALLERS CONTRACTOR'S LICENSE NO 6 -7-7
DATE OF MANUFACTURE OF MOBIL WIDTFLA
� 4- LENGTH(LESS HITCH)6 I
NEIL' 4-- RELOCATE MANUFACTURER__Uj��4
MODEL Pj?.emlerz —STATE INSIGNIA:
SERIAL NUMBER ROOF lIVE LOAD
WIND LOAD
APPLICANT 44rge APPLICANT___�
(PRINT NAME) (SMATURE)
PARK OWNER/MANAGER_(—PR—INT NAME) —PARK OWNER/ftlANAGER--ZSIGNATURE)
,(9 ZnNF CASE NO
COMMUNITY 7'4j�_
LEGAL DESCRIPTION t9 _/ __)� J��2f
--PC 0,
SETBACKS: FRONT SIDE -2 _2EAR 2 6
DATE &L-SIGNATURE OF LAND 'USE �FFICI4
284-77 12/74
=HIDN3
M City of Menifee r
Building A Safety Dept, r-,
NOV 119
Received,
* (ITem 4jsT
JO —4j V uTqlTm 'H/W 40 SPTs
Pecia Jo r/t J288) R8ze sTL14 uT
suoiq*iauuoo AjTTjjn TTO (34ePO-1
M. rq
r
=HION31
t
in ;F in —1 :E 4� L4 L4 PJ
0 C3 C:3 0 M -< M
C3 a :r. 'm CC?
-4 C-1 M C-) M En p
En a r) in -9
m CD C) 0) ri — Cr w 1- 0
U) M 0 C) C3 0 E rl� in in in M m F En
m m m x n 0 0
E �j �j 11 r " "
ri rp'! [C 0 0
E? -4 :0 0- 0 D C 1-- r rr I— in CL z
(71 rq m En In �j 0 ED '0 Co li C m " 0
(D (D ET 0 i'l M &
in 0- 'D 0 4 1 < H. r
C1 m 0 C1 Cr ID W P- :1 PS un
C: z m 0 0
m 0 0 m 71 1 n
'13 0 M CL E m K CD r) 1— —1
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HEADQUARTER�.
SWIPING PERMIT DEPARTMENT OF BUILDING&SAFETY
COUNTY OF RIVERSIDE
F
NO. ELECTRICAL FEES PLUMBING EES:*%':
CONSTRuCTION ESTIMATE
UNITS
157 FL. —SCIST. 0— YARD SPKLR SYSTEM
2ND FL.—SO.FT. —ty 73 BARSINK
=70—BILEHOMESVCCI
pOR. 50,FT. —?0—WE—R0—UT—LFU-11dM ROOF DRAINS
GAR. 50.FT. 0—
DRAINAGE PIPINIS
CAR F. SQ.FT.
DRINKING FOUNTAIN
WALL SO.FT. 0— URINAL
so.F
WAIERPIPING
E—DCONSTRUCTION
ESTIMAT T�AOL13-A-110N law 4 1
-iw,m-Pm P,I a IV ll, FLOORDRAIN
NOTE:Not to be used as propefty tox valuation
SWIMPOOL.COMM WATERSOFTENER
MECHANICAL Ft:P%
VENT SYSTEM 0 FAN 0 EVAPb COOL 0 HOOD SIGN WASHER IAUIO)IDISHt
GARBAGE DISPOSAL
APPLIANCE
LAUNDRY TRAY
FURNACE 0 UNIT 0 WALL 0 FLOOR 0 SUSPENDED
AIRMANDILINGUNIT CFM JDLFMEIER If HENSINK
t TEMP USE PERMSVC WATERCLOSET
ABSORPTION SYSTEM a I U.
COMPRESSOR HP POLE.IEMP/PERM LAVATORY
SHOWER
HEATING SYSTEM 0 FORCED 0 GRAVITY AMPERES SERV ENT
SO FT @ C BATHTUB
BOILER[�D.r.U.
SOFT @ c WATERHEAIER
50 H RESID 0 C —�5EWAGE 7E Fe
DISPOSAL
50 FT GARAGE 0 C
GAS PIPING 17— 00
PERMIT FEE
PERMIT PEE PERMIT FEE
I NEMILE HOME PE1Wff FEE I Sul FEE FEE PLUMS.FE 111- IF-
NO— TOTAL F ODD."NE Ic G FEE MEC. FEE ou, OIL. CLECT.FEE
cE5 CIO
S C, s
7 27 82)5 1.32.
t SP no Gw,in
108 ADDRESS
OWNER
z
sp N�
M A M I i A 5 0 -Z
74 11 1 USE CA PERMIT F.C. D.TE MIMI v
75 7,00 7- 12- 78251 11
76 5-/ -wN MICE
U.
M
MH PERMIT FEE Knous MUA
R m ew lea 0
E
MI COPIES S
CROFILM MFE
IPI ;-7
ZONE UIE NO. GHP TYPE CA
MECHANICAL FEE DBL S SETBACK
9-
6,7 C;
24 R;?y
FLAN—CHECK-FEE— BOND w-1— PLAN He PLAN CHECKER FINAL ME INSPECTOR
CONSTRUCTION FEE NAME OF CONS' LENDER 9R.NCII OR ICE No LcN"R INVOLVED
'DOMESS C'" STATE
ELECTRICAL FEE !,3L 5
00 CONTRACTOR
6 ERCGENT'S E�!'Al
STRONG MOTION
INSTRUMENTATION f CE
ADDRESS
FEE
zipcoug
PLUMBINGFEE DBL 15
LICIMSE
IEL.No TEL NO.
TOTAL FOS
CASH 0 CHECK M.0 0 NC D THIS PERMIT SHALL BECOME VOID IF WORK 15 NOT COMMENCED WITHIN 120 DAYS.CESSA.
�O DAYS SHALL ALSO CAUSE PERMIT To BECOME VOID
I IGN OF NORK FOR i
RECEIVED BY 7REESREQUIRED ION WITH THIS PERMIT WILL BE DONE IN AC-
I]HEREBY AGREE I HAT ALL WORK IN CONNECT LIFORNIA, I ALSO
CORDANCE A9TH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CA
SE'wAGfSV$1EM AGREE TO CARRY COMPEI�SATIDN INSURANCE UPON My EMPLOYEES.COMPLIANCE WITH THE
T U. OF CALIFORNIA COVL
LAWS OF THE STATE' .,RINGCONTOACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAI THE NDiViDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
4p !i.\,�I)O�ESOINIACCOP.DAPICE���ITHSEC.TIO�15541 OF THE BUSINESS AND PROFESSIONS CODE
FORM 784-208 fRUV 10 741(Ek," (If THE SfAtE �)f (AIIf0;'rI;A
MIT DEPARTMENT OF BUILDING &SAFETY ...................
C6UNTY OF RIVERSIDE /"N
1 CONSTRUCTION ESTIMATE ELECTRICAL FEES NO. PLUMBINGm:PEW�Rk
UNITS
I SIT FL; _SO.O. @--- -�ARD SPT
-2NDF I L.—So.FT.
MOBILEHOME SVC !Em BARSIN
POR. $0.FT. Q--IIIIIIIIIA-IIIIIII
o, mon lef" 053F—DPAIM '
GAR. 50.FT. POWER 0 n,2
c3UIICIITIY DRAINAGE PIPING.
CAR P. SO-FI-
-IA41 DRINKING FOUNTAIN.:
Tu-fL-- — - IP`,,,,—""""""""""""" . R'
WALL 50.FT. URINAL
Iq0
ESTIMATED CONSTRUCTION IVLUAJION 5 WATER PI TING
34
FLOORDRAIN
—d m prapefly tax Roluction
WOTE.Not to be we swim PO'Cklpy,-�
MECHANICAL FEES SWIM POW C'O'MW' WATERSOFrENER
WASHER[AUTO)1DISW..'.*%
VENT SYSTEM 0 FAN 0 EVA?.COOL LI HOOD SIGN
GARBAGE DISPOSAL
APPLIANCE
LAUNDRY TRAY
FURNACE 0 UNIT 0 WALL 0 FLOOR 0 SUSPENDED
KITCHENSINK
AIRHANDUNGUNIT f CFM IDLE METER
7EMP USE PERM SV V�AIIER CLOSET
ABSORPTION SYSTEM [�IB.T.U.
LAVATORY
COMPRESSOR HP POIE IEMP/PERM
-SH-0WER
Hr...TINGSYSTEM OFORCED [] GRAVITY AMPERE5SERV ENT
--iu-;,-H T U—a - 1-7.
BOILER B.T.U. so FT a
sort 0 WATERHEATER
50 FT RESID 0 SEWAGE DISPOSAL
lot
OUSESEWER
SOFT GARAGE 0 VIG
wi r
;AS PIPING
PERMIFFEE
-F---F
F ERMIT FEE
MOBILE HOME PERM11'FEE PERMIT FEE
rt 3fEE MECH.FEE CONS11FEE OUL ELECT.F E 08 smi KE
BLI PL CK.FEE -A
PERMITNO.
!p
27825
JOB ADDRESS SPHO OWNER
J I F I M I A I M I J I J A 1 5 1 Of N 1 0
e-
74
USE OF PERM17 F.C. DATE PERIATIN
75 i.
76 h, to e
.2' '8
5 Boom VALID TION 5UFP.TOFE"FT
WH—PERMIT FFEE
490
.A1 1//
MfCROFILJ,k FEE Capilib S LEGAL DESCRIPTtOR
MECHANICAL FEE DBL S SEI BACK LO I S17E ZONE USENO. GRP WE CKRY.
F--2—c- V
A,
s PLAN NO PLAN CHECAE FINA DATE
PLAN CHECK FEE BOND A97 PE
-17AVE Of CONS? LEIAUER BRANCROFFICE NU Ll�.WIR
CONSTRUCTION FEE DBL 1
ADDRESS MY
ELECTRICAL FEE OBL S
e, 0
STRONG MOTION s CONITRACIOR
INSTRUMENTATION FEE
ADDRESS ADDRESS
FEE
ZIPCODE Coll ZIPC90E..
PLUMBING FEE DEL S CITY
a
l(LBO
IEL NO
TOTAL FEES
CASH 0 CHECK m a 0 N c 0 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120DAYS.CESSA-
TiON OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
RECEIVED By
Rlc� TREES REQUIRED
;I IEREBY AGREE THAI ALL vVORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN Ac--
CORDANCE WITH THE LAVV5 OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
SEWAGE SYSTEM N INSURANCE UPON MY EMPLOYEES.COMPLIANCE WITH THE
U, p AGREE TO CARRY COMPENSAT(Ol RS IS ALSO GUARANTEED.
LAWS OF THE STAT E OF CALIFORNIA COVERING CONTRACTO
I HEREBY CERTIFY THAI THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICAIIONS
DONE 50 IN ACCORDANCE WITH SECTION SSA1 OF THE BUSINESSAND PROFESSIONSCODE
FORM 204-208 (Ite� 10-74)(DL i
OF THE STATE OF CALIFORNIA ........
............ .....
,1.11 RM F16N WE INSPECTOR 110. OPERATION
BUILDING APPROVALS MECHANICAL A PROVA
r
33 Ventilation SYstem
-34 Plenums & Ducts
WAS
rad 35 Furnace Comport.
za,.,3 :RI - ullets
ee 26 Inlets & 0
Combuglion Air
Grout Blocks-% 3.7
.Bond Booms
38 Compres%or
-90OF Duck 39 Appf. Clearance
7--" Framing 40 Fire Damper
-8 at Smoke Detention Device
*-P�Ofpgiii Fire wall 42 Commelciat Hood
tv oeot.
P.L 0
43
ADDITIONAL 114F RMATION
Firepi.e., T16. To%
NOV 0 9 201b
.�xtrttjor Lath
Interno La1h
I' Dipqcill. R ceived
Flhilih Grade
Final
PLUMBING APPROVALS
Ground Plumb
-iping
..Walor f.
17,' R' igh Plumb
--.Vf!nts
6wage Disposal
wql�r-Hacto r
italer Soflener
'2b..,. 'Water S;rvice
—;2�' Gas Test
'2�
L
SEWA43E SYSTEM SIZE OCArfo�p
ELECTRICAL APPROVALS
P.1 t1ine
26 Powar Pole REAR OF PROPERTY LINE
77 Concivil
26 S�iwice Ewronci,
29 Wiring
79A Grounding '.Cre
...298 Bonding
L 1P
30 fi�luro
. 31
Sen,icrr
,12 Fioml
SIREET NAME.
c of Menifec
ity
Building & Safety Dept.
.7 NOV 0 9� 2016
.121
-wq
.ry
�iw
V
-2,
met
4V
City of Menifee
Building & Safety Dept.
NOV 0 9 2016
Received
TOF BUILDING AND SAFETY
RIVERSIDE COUNTY DEPARTMEN
...M0.131j.-EHOME CERTIFICATE OF OCCUPAN
1 168,illation Permit No.
2. Aodiess or Location:
X.'
3 .6wner s Name-
4; uwnet'sAddress:
5:* M o
vr Year Mf r.
Serial No.
Insignia
odel No. "i
b M
anufacturbr—.- �
—Q-x— ate: r:., W. Mz'
installation approved by; 43NSPECTORI
to.b
M'
E IS RELOCATED
THIS CERTIFICATE IS VOID WHEN MOBILEHO.
o—V
.284-130
M
mom
gO,
PLOT PLAN -NOT 1-0 SCALE)
A
........... .......X�,
cl
Lot No.
V
L--------------------
r————
enifee
City of M
Duilding & Safety Dept.
NOV 0 9 2016
Received
lRoi
Z-, -
it.
M.
%19 afgely I
us BUILOVAG&
DEPT.
"EIAE:�
\j
Q
P.-
TJ�F-
C, Pjj�jp _qLt
L---------------- --------------
20'
Prdipcity
w_
Line
FIN—
12,
Curb
Je
owner's Name.
e'-
Current Phone No.�6M
City of Menifee,
aujidifig & Safety Dept.., -
NOTICE: THIS IS NOT A BUILDING 9 2%," ......1 1.
TRICT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAE
COUNTY OF RIVERSIDE V
Own K AKHtect Cnnfraclo
Z1 P 2 A,'7A_ffMPA+ddc33___ Address
Ity's 40 !LO&IL& City— City_-Z.
T.-.
Phcne.1279?_z/3_e0 02 Phort.
I (we) the mdersisirred. hcltby cerldv Jhd acknoMedge that I (we) haw rcAd the Appfleation and ac;lca the t if Ourb-'&N�
Comfy Dmcpart�mont oViluitirl,
,,ad/or Dedicahm of 119111 of ay is ,,upted by the Cmly of Rntmdc. the Riverside
make a F�l Insoccl,cm until sard rKw1cments have bcon met. I am also aware that no work Is to is-don�wit I
0 'MIh0V# all CnZF0J1hmCn1 permit.
NOW. therefore. it s agreed that I twe) ..If ml compy ,-d mbert, a,%,t .111 not came said property to be ocl�pi
tomplied-.Ih all fa�s of the ComW of Riverside and the State-I Cafttoffrfa 90vCm,"fr old property.
DATE SIGNATURE OF OWNER AND/OR AGENT c-
Appmvil by Signature from the Following Departments Listed B�tw
Must Bc Obtained Prior to the lusting of a Conshruction Fermi
J$PA
CE NO. USE OF S:TRU".
SINGLE FAMILY 0' Dq 7_4
LEGWR PT PJFP�OPERTY APARTMENTS . A6 -1,
0:
"o El
-4
Ty A01-4
CO"UNI
U 5 OF PERMIT
NO.OF SUBMITTED PLANS S
z
Sol -c 1.
CASE NO.
Z NO OF PARKING SPACES REQUIRED NO.OF BUILDINGS NOW'EXISTING x
ETBACKS: FRONT A2 40 —SIDE RiAR'
ZONEA
GRADING PERA41T REQUIRED? YES D NO 0 LOT SIZE
4
SETBACK ORtDltjtkNCFg —_ OF— FEETR50UIFZEDON
D E —ZeWAK SIGNATURE OF LAND USE OFFICIAL.
AT 6.
K
NO. OF FEET
DEDICATION REQUIRED. YES C NO 0
3
CURB AND GUTTER REQU)RED: YES L NO 0 IEEri
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES [I NO 0
NAS AN ACCEPTABLE APPLJCATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY 13�',
IMPROVEMENT? YES 0 NO 0
DATE — SIGNATURE OF ROAD DEPT. OFFICIAL—
SWIMMING POOL$ PUBLIC 7—X -L-/,/ 2 S/ 93"
SEWAGE DISPOSAL 71-f
FOOD ESTABLISHM
5
WATER POLLUTION REMARKS
FLOOD CONTROL—
x AIR POLLUTION
DIV OF HWY
YOUR PROPERTY MAY
FLOOD. RIVERSIDE COUNTY A S�w
NO RESPONSIBILITY IN EVENT OF
284 199 9174 CANAAY—FILF, PINK