PMT17-00131 City of Menifee Permit No.: PMT17-00131
29714 HAUN RD.
'ACCEL,i� MENIFEE, CA 92586 Type: Mobile Home
MENIFEE Date Issued:
02/21/2017
PERMIT
Site Address: 27765 WATSON RD, MENIFEE, CA 92585 Parcel Number: 329-201-008
Construction Cost: $106.716.60
Existing Use: Proposed Use:
Description of PERMANENT FOUNDATION FOR NEW MANUFACTURED HOME 1,176 SQ FT SILVERCREST
Work: SM-07-4424
Owner Contractor
ROBERT L FOWLER&JEAN FOWLER THOMAS BROOKE PAYNE
27765 WATSON RD 1776 PALA LAKE DRIVE
MENIFEE, CA 92585 FALLBROOK, CA 92028
Applicant Phone:9514913698
THOMAS PAYNE License Number:637432
THOMAS BROOKE PAYNE
1776 PALA LAKE DRIVE
FALLBROOK, CA 92028
Fee Description Q_yt Amount f$1
Manufactured Permanent Foundation 1 240.72
Permit Fee 1 27.00
$267.72
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg_Permit_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 following reason:
License Ciao3 JcgnseNok By my signature below l acknowledge that,except for my personal residence
Expires Signature(/ `QJ in which l 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-bullder if it has not been constructed in its entirety by
❑I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for worker's 70"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.leeinfo.ca.eov/calaw.latml.
this permiK issued: CIS 4 i 44 Polity# aV'i rWA Date
o l haveandwill maintain workers 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 workers compensation Insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number a e: application and the information i have provided is correct.I agree to comply
Carrier a� �, Li#b)lm-d�' �f �`(,1Mp - with all applicable city and county ordinances and state laws relating to
f� building construction.I authorize representatives of this city or county to
Policy#�j, 1�_W C.� G Expires_ —31/^ D r'"' enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
D I certify that in the performance of the work for which this permit is issued, {1L.{WO3
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# V l�V�WJ
workers compensation laws of Califomia,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,is rthwith[amply wpitnhRthose B{rp�visions. Will the applicant or future building occupant handle hazardous material or
Applitantf � 1W �lIVBe mixture containing hazardous material equal toar greater that the
to amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 o Yes L%o
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(StAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguid es
CONSTRUCTION LENDING AGENCY Dyes Vo
1 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) o Yes (40
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed nextto the applicable item(s)(Section 7031.5 Ye
material reporting.
Business and Professions Cade).Any city or county that requires a permit to p) Des. N_o Date/ �)
construct,alter,improve,demolish or repair any structure,prior to its b '
issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRP)
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-certified firms and comply with
an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This fncludes rental property owners and property
than($500). managers who do the paint-disturbing work themselves or through their
D I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.epa.eov/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).
Cade;The Contractors State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or Improvement Is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. D No EPA Lead-Safe Certified Firm is required for this project because:
D L as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
- NMIBUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
4y
:*Menifee
DATE 12/19/2016 PERMIT/PLAN CHECK NUMBER ti I-7—00(J
TYPE: []COMMERCIAL []RESIDENTIAL MULTI-FAMILY ❑✓ MOBILE HOME POOL/SPA []SIGN
SUBTYPE: []ADDITION ❑ALTERATION []DEMOLITION ❑ELECTRICAL ❑MECHANICAL
[-]NEW ❑PLUMBING ❑RE-ROOF-NUMBEROFSCLUARES
DESCRIPTION OF WORK Permanent Foundation
PROJECT ADDRESS 27765 Watson Rd ROMOLAND CA 92585
ASSESSOR'S PARCEL NUMBER 329-201-008 LOT (" o _ TRACT
PROPERTY OWNER'S NAME Robert L Fowler and JEAN FOWLER
ADDRESS 27765 Watson Romoland CA 92585
PHONE (951)852-5715 EMAIL Aztecloloa@gmail.com
APPLICANT NAME Tom Payne
ADDRESS 1776 Pala Lake Or Fallbrook ca 92028
PHONE (951)420-8035 EMAIL Aztecloloa@gmail.com
CONTRACTOR'S NAME Tom Payne OWNER BUILDER? ❑YES ✓❑NO
BUSINESS NAME Tom Payne
ADDRESS 17766 Pala Lake Or Fallbcok Ca 9209E
PHONE (951)420-8035 EMAIL Aztelclolo@gmail.com
CONTRACTOR'S STATE LIC NUMBER'? _ / a LICENSE CLASSIFICATION B
VALUATION $ I � / ��C!fT � I'lb LSQFT 0.22
APPLICANT'S SIGNATURE DATE 12/19/2016
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION CRY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOU 'T
AMOUNT O CASH O CHECK# CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT 0 CASH v CHECK# J CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES O No DLNUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
Name:Lee Fowler Tom Payne construction Date:11/29/2016
Address:27765 Watson Rd. 1776 Pala lake DR. LIC# -6374
City:Ramoland,CA 92585 Fallbrook,CA 92028 G p nlfee
_ Bulld' & fety Dept.
A PI#3292 1-008 .' 951:491-3693 . .. _.
FEB 2 .1 2017
deceived
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"MA" WILLIAMS MANUFACTURED HOMES
35325 Hwy 74
Hemet, CA92545 1003236
HCD#91256
Phone (951) 926-1581 ' Fax (951) 926-9622
Email salesamawilliamshomes com ' Website www.mawilliamsliomes.com
MANUFACTURED HOME PURCHASE ORDER AND FEDERAL DISCLOSURE STATEMENT
PURCHASER Robert Lea Fowler and Shelby Jean Fowler DATE: I217/2015
449 KQ Ranch Rd HOME 951-852.5714
ADDRESS: PHONE:
CITY: Julian STATE: CA ZIP: 9203E CELL:
SALESPERSON:Darlene Tarnosid EMAIL WORK:
subject to the terms and conditions stated on both sides of this a reement Seller agrees to sell and Purchaser rees to oumhase the followina Manufactured Home:
MAKE MODEL U.ROOMS APPROX. (NOT INCL New SITUS
SIIvercrest SM-074424 3 TOW BARIEAVES)
L 49 W. 23.8 Used 27765 Watson Rd.
SERIAL NUMBER APPROX.DEL. HUD OR HCD NO. DT.OF MFG. Romoland,CA 92585
DATE
TBD 3/15/2016 TBD 2016 RiversideCounty
THE COST OF THE MFD.HOME EXCLUDES THE LISTED PRICES FOR THESE
ITEMS. SQ.FT.LIVING AREA
LiTOW BAR 4 0 WHEELS—SO WHEEL HUBS 25 TIRES 35 AXLES 1056 $71,475.60
MFD.HOME PRICE
ITEMIZED ACCESSORIES AND THEIR COSTS:(SEE ADDENDUMS)
PLEASE SEE ADDENDUM"ADDITIONAL CONTRACT PROVISIONS"TO THIS PURCHASE ORDER THAT IS MADE A PART HEREOF.
BASE PRICE OF HOME IS S62•100.00
ESTIMATED/ACTUAL(Circle one)OPTIONS INCLUDED IN THE ABOVE PRICE ARE $8,734.40 INCLUDING BOARD OF EQUALIZATION.
ALL LOAN COSTS ARE TO BE NEGOTIATED BETWEEN THE BUYERS AND THEIR LENDER AND ARE NOT A PART OF THIS PURCHASE ORDER
UNLESS SPECIFIED HEREIN. IF A GOVERNMENT INSURED LOAN IS USED,WHICH REQUIRES SEVER TO PAY A PORTION OF BUYERS
COSTS,THIS P.O.WILL BE ADJUSTED ACCORDINGLY.
3 ton AC Unit-$3,600.00 TOTAL ACCESSORIES(OUTSIDE HOME) S8.119.00
Cement Fiber-$2,519.00 TOTAL MFD.HOME 8 ACCESSORIES SY9,594.60
PS5 Steps-$2,000.00
SALES TAX(ITEMS NOT INTEGRAL TO HOME) s3o.00
DELIVERY(NORMAL) INCLUDED
SET UP INCLUDm
BLOCK FOUNDATION SYSTEM ByCustomer
OTHER FOUNDATION SYSTEM Nazersr:m„ S4,500.00
THE MANUFACTURERS STATES THAT INSULATION HAS BEEN INSTALLED IN HCD FEES $92.00
THIS HOME AS FOLLOWS: ESCROW FEES 5500.00
TYPE THICKNESS -R-FACTOR SCHOOL FEES(APPROXIMATE) $0.00
ROOF Zonell DEVELOPMENT IMPACT FEE(APPROXIMATE) so.00
EXTERIOR WALLS Zonell OPEN SPACE FEE(APPROXIMATE) 60.00
FLOOR I Zone[] TRANSPORTATION UNIFIED MITIGATION FEE so.00
WARNING—Unless a charge is included in this Agreement for Public Liability or Properly OTHER COSTS S0.00
Damage Insurance.Payment for such Coverage is not provided by this agreement. GOVERNMENT CLOSING COSTS So.00
"If the dealer is also licensed as a real estate broker, the sate of a ABNORMAL DELIVERY COSTS yb,00
manufactured home or mobile home being installed on a foundation system 1.TOTAL CASH PRICE $94,716.60
pursuant to Section 16551 may be included in the purchase document for PAID HEREWITH $500.00
the underlying real property,provided that the requirements of HSC SEC CASH BEFORE DELIVERY -$500.00
18035.3 are met" DESIGNATED DEPOSIT
(INC.IN DOWN PAYMENT) so.00
THE DEALER CERTIFIES THAT THE 2.LESS BUYERS DOWN PAYMENT(DES,DEPOSrr) s0.00
INSTALLATION CONTRACTOR IS: 3.UNPAID BAL.ON CASH SALES PRICE Se4,71 e.60
SEE ADDENDUM FOR: PAYABLE AS FOLLOWS:
NAME,LICIT,ADDRESS,CITY,STATE,AND ZIP FOR VARIOUS CONTRACTORS NOTE:TOTAL DOWN PAYMENT AND/OR NOTE, IF
A Contractor is required by law to be licensed and regulated by the USING EQUITY IN PROPERTY, MUST BE
Contractors State License Board,P.O.Box 26000 Sacramento,CA 95827 DEPOSITED PRIOR TO BUILDING HOME.
In the eventthe manufactured home cannot be delivered"and/or"Inspection completed within the agreed delivery time due to nonperformance by the buyer,
agrees to one of the following at the option of seller,either(1)to pay$SEE ADDENDUM charged per day until a manufactured home installation acceptance buyer
certificate of accu anc is ontairled In addition to all other consideration owingor 2 a the sum of 5 SEE ADDENDUM in lieu of total consideration.
• • = (A) DO NOT SIGN THE PURCHASE AGREEMENT BEFORE YOU READ IT OR IF IT CONTAINS
ANY BLANK SPACES TO BE FILLED IN. (B)YOU ARE ENTITLED TO A COMPLETELY FILLED IN COPY OF THAT
AGREEMENT AND, IF PURCHASING A MANUFACTURED/MOBILE HOME COVERED BY A WARRANTY,A COPY OF
THE WARRANTY. Complaints concerning the purchase shall be referred to the dealer and,if the complaint is not resolved,may be referred to the
Department of Hosing and Community Development,Division of Codes and Standards,Occupational Licensing,Post Office Box 31.Sacramento,California
95812-OD31 (telephone 800 952-5275. A failure to disclose pursuant to this section shall not be the basis for recession of a conditional sale contract.
Property Profile - myFirstAm Page 1 of 1
M1
FrrstAmerican
mj+irstAm® Property Profile 27765 Watson Rd, Sun City, CA 92585
Property Information
Owner(s): Fowler Robert L/Fowler Jean/Duncan Jason/ Mailing Address: 27765 Watson Rd.Sun City, CA 92585
Duncan Catherine
Owner Phone: Unknown Property Address: 27765 Watson Rd,Sun City, CA 92585
Vesting Type:
County: Riverside APN: 329-201-008
Map Coord: Census Tract: 042730
Lot#: 40 Block:
Subdivision: Romola Tract:
Legal: Lot 40 Mb 013/008 Romola
Property Characteristics
Use: Mobile Home Year Built tEH.: - 19621 Sq.Ft.: .684
Zoning: Lot Size Ac I Sq Ft: 0.22 l 9563 #of Units: 1
Bedrooms: 2 Bathrooms: 1 Fireplace:
#Roams: Quality: Heating: Central
Pool: Air: Y Style:
Detached
Stories: 1 Improvements: Parking I M Garage I
Gross Area: 684 Garage Area: 480 Basement Area:
Sale and Loan Information
Sale/Rec Date: 05114/2003 / 05/21/2003 '$ISq.FL: $73.10 2nd Mtg.:
Sale Pricer $60.000 1st Loan: $45,000 Prior Sale Amt: $32,000
Doe No.: 357416 Loan Type: Conventional Prior Sale Date: 06/23/1993
Doc Type: Deed Transfer Date: 05/21/2003 Prior Doc No.: 0000253719
Seller: Finch,Dan O&.Annette Lender: Dan O&Annette Finch Prior Doc Type:
'$/Sq.Ft. Is a calculation of Sale Price divided by Sq.Feet.
Tax information
Imp Value: $24,000 Exemption Type: Homestead
Land Value: $30,000 Tax Year I Area: 20'14 1026202
Total.Value: -$54,000 Tax Value: $47,000
Total Tax Amt: $1,075.26 Improved: 44%
Property Profile 27765 Watson Rd, Sun City,CA 92585 12/21/2015
This report is only for the myFirstAm userwho applied for it.No one else can rely on it.As a myFirstAm user,you already agreed to our disclaimer
regarding third party property information accuracy.You can view it here:w .mvfirstam.com/SecudtvlShowEULA.02005-2015 First American
Financial Corporation and/or its affiliates.All rights reserved.
https://www.myfirstam.com/Polygon/MapSearch 12/21/2015
RECORDING REQUESTED BY DOC u 2003-367416
CHICAGO TITLE COMPANY 05/21/2003 08:00A Fse:7.00
Pape 1 of 1 Doe T Tax Paid
AND WHEN RECORDED MAIL TO Recorded in Official Records
County of Riverside
IROBERT L. FOWLER, et al Gary L. Orso
Assessor, County CI{lark b Recorder
27765 ON ROAD
ROMOLAND, CALIFORNIA 92585 (IIIIII IIIIII IIIII IIIII IIIIII IIIII IIIII III IIIII(III(III
M $ U PAGE 5¢E DA I PCOR NOCOR e.6 FVSC.
L —�
Escrow No. 37030946 - E27 Order NO 3T030848 - E75 A R l COPY LONG PE DNO NHG EIAI
GRANT DEED 3 99 zoo 00811n'r
THE UNDERSIGNED GRANTOR(S)DECLARES) �J
DOCUMENTARY TRANSFERTAX IS 4_.��„[z� �VUtt O
® unincorporated area ❑ City of
Q computed on the full value of the interest orpmpertymnveyed.or is
computed on the full value less the value of liens or encumbrances remaining at time of sale,and
FOR A VALUABLE CONSIDERATION,receipt of which is hereby acknowledgged,
DAN 0. FINCH AND ANNETTE FINCH, HUSBAND AND WIFE, AS JOINT TEI7ANTS S(=
hereby GRANT(S) to
ROBERT L. FOWLER and JEAN FOWLER, HUSBAND AND WIFE, and
JASON DUNCAN and CATHERINE DUNCAN, HUSBAND AND WIFE ALL AS JOINT TENANTS
the following described real property in the
Countyof RIVERSIDE ,State ofCalifornia:
LOT 40 OF ROMOLA, IN THE COUNTY OF RIVESIDE, STATE OF CALIFORNIA, AS SHOWN BY MAP ON
FILE IN BOOK 13, PAGES 8 AND 9 OF MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID
COUNTY.
Dated April 9, 2003
STATEOF CA IFORNIA
COUNTYOF �tV@VSlde ) SS DAN 0. FINCH
On 'LI ��1,�IlES� before me,
rl. sl I r I Ao-Sat
^e Not s
Notary Public In and for said County nd State,personally appeared
L .tj—y) O rI (A6) GLYZ ANNETTE FINCH
P- 2nrV, _
personally known to me (or proved to me on the basis of satisfactory
evidence) to be the parson(a) whose name(s) Wg're subscribed to the
within Instrument and acknowledged tome that hos�e/they executed the 9 MICHELLE L DOTSON
same In I air authorized capaclty(les), and that by r/their r j. COMM.e1317880
signature( on Instrument the person(s), or the entity u on behalf of NOTARY PUBLIC—CALIFORNIA 3
which the person(s)acted,executed the Instrument. z RIVERSIDE COUNTY
WITNESS my hand and officl My Comml;sicn Ex;:ros August 18,2005
aoo�
Signature of Nbtkry Dale My q9mmission txpIres FOR NOTARY SEAL OR STAMP
MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE: IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE
Name Street Address City,State&Zp
GD1 -05/30/97bk