PMT17-00598 City of Menifee Permit No.: PMT17-00598
29714 HAUN RD. Type: Residential Alteration
�!-�CCELA> MENIFEE,CA 92586
MENIFEE Date Issued: 03/01/2017
PERMIT
Site Address: 30162 CALLE POMPEII, MENIFEE, CA Parcel Number: 364-111-006
92584 Construction Cost: $500.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of DEMO ILLEGAL PATIO COVER, REPLACE DOOR IN MASTER BEDROOM TO ORIGINAL WINDOW,
Work: RELOCATE WATER TO ORIGINAL LOCATION LOCATED IN GARAGE
Owner Contractor
MELCAR INVESTMENTS, INC MELCAR INVESTMENTS, INC
643 S CHAPARRO RD 643 S CHAPARRO RD
COVINA, CA 91724 COVINA, CA 91724
Applicant Phone:6263543982
CELESTE RAMIREZ License Number: 17-PEOP-00007
MELCAR INVESTMENTS, INC
643 S CHAPARRO RD
COVINA, CA 91724
Phone: 6263543982
Fee Description City Amount 1$1
Building Permit Issuance 1 27.00
Inspections not specified 516 516.28
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 1.00
General Plan Maintenance Fee-Building 1 25.81
$571.09
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 carded on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_BIdg Permti 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 ❑I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class License No. By my signature below I acknowledge that,except for my personal residence
Expires Signature in which I must have resided for at least one year prior to completion of
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
❑I hereby affirm under penalty of perjury one of the following declarations:) licensed contractors.)understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for worker's 7D44 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
this permit is issued. www.leeinfo.ca.eov/calaw.html.
Policy# Date
❑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 ❑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.1 agree to comply
Carrier with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# Expires enterthea oveI entif roperty 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
o I certify that In the performance of the work for which this permit is issued,
I shall not employ 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 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 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) ❑Yes ❑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 items)(Section 7031.5 oYes D 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 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 includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves or through their
❑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.eoa.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-SOD-424-LEAD(5323).
Code;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. o No EPA Lead-Safe Certified Firm is required forthis project because:
D I,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.
MenifBUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
ee
DATE DATE 17 PERMIT/PLAN CHECK NUMBER I" 1 ` - DOW
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION @ DEMOLITION O ELECTRICAL :^ MECHANICAL
O NEW O PLUMBING ORE RO OF-NUMBER OF SQUARES
DESCRIPTION OF WORK bCy>tZ / //c&I/ p4,( D (Z �
ncjat /p a aZ A } lgd Ge L
w L� Qp-1 //r d/ Lvtyrdsa ��
PROJECTADDRESS ��rG� LLd�(2 e Me�tvl2�ASSESSOR'S PARCEL PARCEL NUMBER �/ � II f 1 60, Vp1 LOT TRACT
OWNER NAME (/ f�'L�\��� �n:1/QSI 7n�/2LM�S/}_.Ln�
ADDRESS T 3 �i�` V/"` a'��(7 y_OL l�
PHONE �0�6 �n� 7 ?R � 2 EMAIL L'Q(CS{e -�417e Z tz�/nc �I •Com
APPLICANT NAME O 0.1 '1'C yK (RC�//77 _� /] f
ADDRESS L. VJ S. cC P-Mo RC �.LIC/l C,-,
PHONE 6 J 6 3 s Y — 3 IF 2- EMAIL
CONTRACTOR'S NAME OWNER BUILDER? 9 YES O NO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ J500 SO FT L SQ FT
APPLICANT'S SIGNATURE DATE 3// // 7
OTYSTAFFUSEONLY
DEPARTMENT DISTRIBUTION r� CI7Y OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN 4 SMIP f
INVOICE -1 'O PAID AMOUNT O,
AMOUNT OCASH CHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 ,4otro Rd. Menifee, CA 92535 951-572-6777
www.cityofinenifee.LIS Inspection Request Line 951-246-6213
DOC#2017-0001326
City of Menifee 01/03/2017 02:41 PM Fees:$35.00
RECORDING REQUESTED BY: Building & Safety Dept. Page 1 of 1
Southwest Escrow Corporation Recorded in Official Records
Order No.11358818 MA R 01 2017 County of Riverside
Escrow No.74149GO Peter Aldana
Parcel No.364-111-006-8 /� �)p� -�1 Assessor-County Clerk-Recorder
AND WHEN RECORDED MAIL TO: R C e i d e d
"This document was electronically submitted
MELCAR INVESTMENTS,INC. to the County of Riverside for recording-
643 S.CHAPARRO RD. Receipted by:YVONNE#046
COWNA,CA 91724
SPACE ABOVE THIS LINE FOR RECORDERS USE
GRANT DEED
THE UNDERSIGNED GRANTOR(S)DECLARE(S)THAT DOCUMENTARY TRANSFER TAX IS S 14M.29
® computed on full value of properly conveyed,or TFA = Oz&-0-j'
❑ computed on full value less liens or encumbrances remaining at the time of sale.
❑ unincorporated area: ® Menifee,and
FOR A VALUABLE CONSIDERATION,receipt of which is hereby acknowledged,Roberto Godofredo Castro,a single
man
hereby GRANT(S)to Melear Investments,Inc.,a California Corporation
the following described real property in the County of Riverside,State of California:
Parcel 1:
Lot 100 of Tract No.22129 in the City of Menifee,County of Riverside,State of California,as per map recorded in
Book 190 Page(s)79 To 85 of maps,filed in the Office of the County Recorder of Riverside County.
Parcel 2:
Nonexclusive easements for access,ingress,egress,maintenance,repair,drainage,encroachment,support,and for
other purposes,all as described in the master declaration.
More commonly known as:30162 Cane Pompeii,Menifee,CA 92584
Date u at 23,2016
Roberto 0 o a fro
u
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document
to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document.
STATE OF CALIFOR IA
COUNTY OF- / � "" ,,,&?r }S.S.
On SLOQ-�'e/iy`JC�jZZAd / ,before me, 10—/G>L e 74C/I"kS
a notary pub ic,personally appeared Roberto Godofredo Castro,who proved to me on the basis of satisfactory evidence to be
the person(s)whose name(s)is/are subscribed to the within instrument and acknowledged to me that helshe/they executed the
same in his/her/their authorized capacity(ies),and that by histher/their signatum(s)on the instrument the person(s),or 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, per;
WITNES filar ff ' � 1
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1��SL> - f'�•. y�ry PuWk Uhlornla
Signature (Seal) lys Angeles Coumy
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Mail Tax Smtemcm w SAME AS ABOVE or Address Nomd Bz low
Non-Order Search Page 1 of 1 Requested By: tammief, Printed: 3/1/2017 10:34 AM
Doc: RV:2017 00001326
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