PMT17-01901 City of Menifee Permit No.: PMT17-01901
29714 HAUN RD. Type: Residential Plumbing
�i-CCEL/4�. MENIFEE,CA 92586
MENIFEE Date Issued: 0 6/1 412 01 7
PERMIT
Site Address: 27535 TABB LN, MENIFEE, CA 92584 Parcel Number: 384-130-018
Construction Cost: $9,500.00
Existing Use: Proposed Use:
Description of NEW WATER LINE FOR SERVICE-2INCH SDR 11 PIPING
Work:
Owner Contractor
HERIBERTO LOPEZ A M PLUMBING&ROOTER
27535 TABB LANE 15164 BIARRITZ ST
MENIFEE, CA 92584 LAKE ELSINORE,CA 92350
Applicant Phone:9512077379
TIMOTHY MARTZ License Number:979800
A M PLUMBING&ROOTER
15164 BIARRITZ ST
LAKE ELSINORE,CA 92350
Fee Description Oty Amount($)
Piping/Repiping Single Family Residential 1 163.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Plumbing 1 8.15
$199.15
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 Men'dee.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_Peanit_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 perjurythat 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 Iicensure under the Contractors State License Law for
Professions Code and my license is in full force and effect the following reason:
License Class G 3 6 License No. ' 00 By my signature below I acknowledge that,except for my personal residence
Expires l2-31- 19 Signature�(iC�� '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-builder 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 workers 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
this permit is issued. www.leginfo.m.gov/calaw.html.
Policy N
Date
❑1 have and will maintain workers compensator 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:)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 are: application and the information I have provided is correct.I 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 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
,ffI certify that in the performance of the work for which this permit is issued,
shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workers compensation laws of California,and agree that If I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply With those provisions. WIII the applicant or future building occupant handle hazardous material or a
Appliant Date li-/y-/7 mixture containing a hazardous material equal to or greater that the
amounts s ecified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes amounts
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES WIII 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)7 See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY 0Yes XNo
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) D Yes X'No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
Contractors 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 zyg�o No
Business and Professions Code).Any city or county that requires a permit to // Date 6—l y-17
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNS UTHORIZED 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 Iicensure 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.aov/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 Contractors State License Law does not apply to an owner of a ❑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 purpoGlltyslIANenifee D No EPA Lead-Safe Certified Firm is required for this project because:
uilc�in� Safety Dept.
❑I,as owner of the property exc us e y contracting with licensed
contractors to construct the project(Section�0 4, jppss and Professions
Code:The Contractors State License - oe t to an owner of a
If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
Received
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE 6_1 _17 PERMIT/PLAN CHECK NUMBER ?K 111 01 0)
TYPE: O COMMERCIAL ,7FRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK WAAr 6 L ; $ r I I
&W I�hV
PROJECTADDRESS 7S35 74tb I... 'rc. L4 y
ASSESSOR'S PARCEL NUMBER` 3134-',�v .O1 O LOT - TRACT
OWNERNAME g,r: Cr >` L
ADDRESS .17535 7G11 Iw G C-q
PHONE g5I-7Y1-(D57l EMAIL
APPLICANT NAME ;4 w /2
ADDRESS ,w ;T2 A /,5,, o �/L o
PHONE 1/5I-),07-7379 EMAIL /
CONTRACTOR'S NAME 1/ OWNER BUILDER? O YES f NO
BUSINESS NAME ILA I o ti
ADDRESS 15vctf:,/;z16 .S1 I G 11t 61 e 9253 0
PHONE gSI-ao7- 7379 EMAIL / p c, I '/,
CONTRACTOR'S STATE LIC NUMBER 179Soo LICENSE CLASSIFICATION C -36
VALUATION$ 9.,5"o p SO FT 2kL SO FT 6110 SGc
APPLICANT'S SIGNATURE DATE - IY-I7
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP ✓
INVOICE PAID AMOUNT
AMOUNT I I O CASH O CHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH 0 CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Deportment 29714 Noun Rd. Menifee, CA 92586 951-672-6777
www.cityofinen!fee.us Inspection Request Line 951-246-6213 City of Menifee
Building 8 Safety Dept.
JUN 14 2017
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DATE:February 28,2017
;AN'S37
EASTERN MUNICIPAL WATER DISTRICT
APPLICATION FOR SERVICE
PROJECT SEQ NUMBER:3307414 PROJECT NUMBER: 11594
LOTNUMBER:4 CITIVIEWPPINo.WS20170000043
CUSTOMER INFORMATION
CUSTO"R/COMPANYNAME:LOPEZ,HERIBERTO AND VERONICA PHONE:951-741-6571
MAILINGADDRESS.,27535 TABB LN,MENIFEE,CA 92584 EMAIL:VLOPE7SHENSTUSD.ORG
PROJECT LOT FMAT NF: ' k, Ta
ADDR /APN: 27535TABSLNMENI-pFEnE,ti QCIA7 29�2J"5'_
84'=/384-130-018
TENANT TYPE: I SINGLE FAMII*Y DWELLING
EMWDWORK CONNECTIONLOCATION DEVELOPER/CONTRACTORWORK SERVICE ORDER
• OBTAIN FOOTAGE S/S SCOTT RD ' E HOWARD RD • PLACE STAKE FOR LOCATION OF FUTURE 233537
• INSTALL 1"SERVICE CONNECTION AND ***REMOTE METER*** METER ON SCOTT ROAD
518"MULTWET METER
WATER INFORMATION SEWER INFORMATION—N/A
WATERI.D✓SA: 21/41 SEWER I.D.iSA: /
PIPE SIZE&LOCATION:12"CML&C14'S/CL PIPESDSE&LOCATION.•
DOMESTICRAIE AI07 BOOK NO:TBD NOWFUMTS.• RATE:
❑ IRRIGATIONRATE TBG:899-E1 TBG: WATER COMPANY.•
DRAWINGNO:D-3664 ZONE:7853 DRAWINGNO:
FEE INFORMATION
FEE DESCRIPTION TOTAL*
5/8•MASTER MEI'ER/SERVICE INSTALL
$3,550.00
WATER FINANCIAL PARTICIPATION CHARGE 508233537(I EMS @$$015.00 PER EhIS) .00
WATER SUPPLY DEVELOPMENT FEE FOR RESIDENTIAL 5,015 015.00
Total
s8,865.00
DISCLOSURE REGARDING FINANCIAL PARTICIPATION CHARGES SET FORTH HEREIN ABOVE:
*This Application shall become null and void if it has not been executed on behalf of Applicant and District,and Applicant has not fulfilled
its financial arrangements as set forth herein above,concurrently with Applicant's execution of this Application,on or before
March 30.2017.
ALL STANDARD METER/SERVICE INSTALLATIONS BY DISTRICT FORCES:
Eastern Municipal Water District's(EMWD)Standard Hydrant/Meter/Service installations fees are based on labor, equipment,and material
for a standard installation. The fees do not take into consideration any non-standard conditions such as traffic control,asphalt,hard soil or
conditions set forth by county or City Agencies. Any non-standard conditions may require additional payment to proceed with
installation(s). Applicant will be advised of such conditions and additional funds required to proceed. Applicant has the right to cancel
request upon receipt of such notification.
Pressure and Supply: District assumes no responsibility for loss or damage because of lack of water or pressure and merely agrees to furnish
such quantities and pressures as are available in its general distribution system.The service is subject to shutdowns and variations required
by the operation of the system.It is each customer's responsibility to install a pressure regulation device when normal or high pressure exists
at their point of connection to safeguard the customer's water system from being affected by existing or future variations in the main line
pressure. Where low pressure exists at the customer's point of connection, customer shall be responsible to install a pressure regulation
device at such time when District makes modifications to distribution system where pressure converts from Low to Normal or High. Where
a remote temporary water service installation is installed,customer shall be responsible at the time of future relocation to install a pressure
regulation device,if at such time Normal or High pressure exists at new point of connection.
V•L•
Otis __
EMWrD: cardenav
L Page 1 of 2
Document ID:3810083
Eastern Municipal
Water District
PO Box 8300
Perris, CA 92572-8300
(909) 928-3777
3/23/2017
Received from:
VERONICA LOPEZ
27535 TABB LN
MENIFEE, CA 92584
PM 11594
SO#: 233537
WCO#:
SCO#:
WO#:
LOTS: 4
5/8" MASTER $3,550.00
MTR/SERVICE
INSTALL
WATER FINANCIAL $5, 015.00
PARTICIPATION
CHARGE
WATER SUPPLY $300.00
DEVELOPMENT FEE
FOR RESIDENTIAL
Receipt Amount: $8,865.00
Paid by: CHECK 1198
Received by: CARDENAV
Receipt No: 169146
- DATE: 02/28/17
S.O.# 233537
EASTERN MUNICIPAL WATER DISTRICT
APPLICATION FOR SERVICE
ALL SERVICE CONNECTIONS(ITEMS MAY OR MAY NOT APPLY):
® An EMWD Approved Reduced Pressure Backflow Prevention Assembly is required to be installed by the customer, tested and
inspected by the EMWD. For information please call the Backflow Department:(951)928-3777 ext.4938.**TEST FEE TO BE
APPLIED TO THE FIRST WATER BILLING** ***Where water pressure available to serve subject property(ies)has been
determined to be below normal pressures,applicant shall contact Backflow Department for specific Backflow requirements prior to
purchase and installation of Backflow Device***REQUIRED DUE TO WELL AND HOLDING TANK ONSITE.
❑ Property is in Special Area-N/A.VERIFIED ON MAP,VCR
Srri;lvra're,►x MS.sBY CUS�'DMERN OIIIR DeYIYiOR:TOOR AT:3NIEM--- pl��WIT$ �S'3�,$FCIIHEij
❑ ANNEXATION to EMWD or I.D.prior to service.Customer to submit:NOT REQUIRED PER TRAVIS H.2/27/17.
® NOTARIZED Agreement and Notification of Water Pressure Condition: Calculations by: RUDY E. 1/3/17.
®High Pressure ❑ Low Pressure❑Normal Pressure(agreement not required).
❑ NOTARIZED Agreement for Permanent Residential Water Service with Single Feed to Domestic Water and Fire Sprinkler
Systems:It is Customer's responsibility to obtain pressure calculations from the main water line location to ensure that water
laterallmeter is sized appropriately to obtain the required flow for fire sprinkler system onsite to meet fire agency requirements.
® NOTARIZED Remote Service Agreement: N Water❑Sewer
❑ Other:
Comments:LOPEZ,HERIBERTO AND VERONICA
• 5/8" METER TO SERVE 1988 MANUFACTURED HOME, NO FIRE SPRINKLERS REQUIRED. CUSTOMER IS
RESPONSIBLE TO ENSURE FIRE DEPARTMENT REQUIREMENTS ARE SATISFIED SHOULD THE FIRE
DEPARTMENT CONDITION THE PROPERTY FOR FIRE SPRINKLERS,ADDITIONAL FEES MAY BE DUE.
• ANY FUTURE USE OF METER TO SUPPLY FIRE FLOW TO RESIDENTIAL FIRE SPRINKLER SYSTEM WILL
REQUIRE PROPERTY OWNER TO EXECUTE SINGLE FEED AGREEMENT WITH EMWD PRIOR TO CONNECTING
SUCH A SYSTEM TO METER AS ACKNOWLEDGEMENT OF SINGLE SOURCE TO SUPPLY WATER FOR DOMESTIC
USE AND FIRE SPRINKLER SYSTEM.
• PROPERTY OWNER RESPONSIBLE TO OBTAIN NECESSARY REQUIREMENTS/PERMITS/EASEMENTS TO
INSTALL PRIVATE LINE TO CONNECT HOME TO METER
Prior to construction,applicant must verify the existence and location(s)of water service line(s)/sewer lateral(s). Applicant hereby agrees
to hold the District harmless from or on account of any damages arising in cases where the water service line(s)/sewer lateral(s)cannot be
located. If water service line(s)/sewer lateral(s) represented on EMWD's maps cannot be located, applicant must make arrangements to
construct new water service line(s)/sewer lateral(s).
cYisEumeic55;gvae;: 7
- 3
r�tame' e:
(t EMWD's Signature: DATE:
{ { VERONICA CARDENAS RAMOS
V Page 2 of 2
_ lit
RECORDING REQUESTED BY NO RECORDING FEE REQUIRED
AND WHEN RECORDED MAIL TO: PURSUANT TO GOVERNMENT
CODE SECTION 27383
EASTERN MUNICIPAL WATER DISTRICT
P.O. BOX 8300
PERRIS, CA 92572-8300
REMOTE WATER SERVICE AGREEMENT
L
This Agreement is made this -fir day of 20 n, by EASTERN MUNICIPAL
WATER DISTRICT ("District"), a public agency organized, existing and operating under the Municipal Water
District Law of 1911, California Water Code §71000, et seq., and HERIBERTO LOPEZ AND VERONICA I.
LOPEZ, ("Property Owner").
RECITALS
A. Pursuant to the authority cited above, District provides water and/or sewer service in portions of Riverside
County, California.
B. Property Owner is the owner of that certain real property located within the County of Riverside, legally
described as follows:
PSN#: 3307414
Tract: 11594
Lot Numberls): 4
Assessor's Parcel No.: 384-130-018
Address: 27535 TABB LN, MENIFEE, CA 92584
Legal Description:1.10 ACRES NET IN PAR 4 PM 0751046 PM 11594
C. Property Owner is requesting that District provide remote water service to the above described real
property.
D. Whereas District is willing to provide property owner with a remote water service.
NOW, THEREFORE, it is mutually agreed as follows:
1. The foregoing Recitals are hereby incorporated into this Agreement.
2. Water service will be made available to Property Owner from the closest available District water pipeline
through Property Owner's private water system under the following terms and conditions:
A. Property Owner fully understands that said remote water service could result in service problems
for which the District bears no liability;
Document ID:3810434
B. Pursuant to District's Administrative Code, as amended, property Owner agrees that the private
water system, including an approved backflow prevention assembly (f applicable), shall be
designed and installed in accordance with the most recent edition of the Uniform Plumbing Code;
C. Property Owner shall be responsible for obtaining all necessary encroachment permits and
easements from adjacent property owners;
D. All private water system facilities shall be owned, operated and maintained by Property Owner;
E. Property Owner agrees that the water service installation shall be limited to serve only one parcel;
F. Property Owner may at the time a pipeline extension fronts their property, relocate their service to
front their property and at that time make payment of relocation costs and their pro rata share of
frontage fees which would be based on District's reimbursement obligation of the new pipeline;
and
G. Property Owner hereby agrees to hold the District harmless from or on account of any damages
arising from Property Owner's private water system facilities.
3. This Agreement shall inure to the benefit of, be binding upon, and is declared to be a covenant that runs
with the real property. Property Owner affirms that the circumstances of the remote water service
condition, and the installation, operation and maintenance of a private water system, touch and concern
the land in that they relate to and affect the use of the property. Property Owner also acknowledges that
the Agreement benefits the property, in that it allows for the provision of water service to the property.
4. Property owner shall indemnify and hold District, its officers, directors, employees, agents, successors
and assigns ("District Indemnified Parties") harmless from and against any and all costs, claims, liability,
actions, damages, expenses (including reasonable attorneys'fees) (collectively, "Costs")arising out of, or
by reason of the property owner's private water system facilities to the District's remote water service.
Property owner, upon notice from District, shall defend the same at property owner's cost and expense
with counsel satisfactory to the District. Said indemnity shall not apply to any costs resulting from the
gross negligence or willful acts or omissions of the District Indemnified Parties.
5. The terms of this Agreement may be enforced by District or its successors or assigns. In the event of any
controversy, claim or dispute relating to this Agreement of the breach thereof, which District is or shall
attempt to enforce, District shall be entitled to recover from said party reasonable expenses, including
attorney's fees and costs, if the District prevails in such controversy.
IN WITNESS WHEREOF, the undersigned have executed this Agreement on the date first hereinabove
written.
ACCEPTED BY: DECLARANT Property Owner(s)
EASTERN MUNICIPAL WATER DISTRICT
By
By
HERIBERTO I
Z
Alicia Arena, Development Services Manager
By ApV RONICA I. LOPE
Document ID:3810434
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§1189
A notary public or other officer com pleting 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 California )
County of Riverside )
on 3/23/2017 before me, Brenda E. Dumas — Notary Public
Date Here Insert Name and Title of the Officer
personally appeared 4e/ i % Z 4Lej1aN (oA / L-o y1—eZ.
Nam (s) of Signer(s)
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 he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s),
or the entity upon behalf of which the person(s)acted, executed the instrument.
Icertify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
]] BRENOA E.OUMAS WITNESS my ha and official seal.
] Notary Public•California = (/N/\V•/!1
'a .Lp : Riverside County
z` ' Commission M 2165614 Signature
z -�
T My Comm.Ex ices Ss 24,202 Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies)Claimed by Signer(s)
Signer's Name: Signer's Name:
❑Corporate Officer—Title(s): ❑Corporate Officer—Title(s):
•Partner— ❑Limited ❑General ❑Partner— ❑Limited ❑General
❑Individual '�Attorney in Fact ❑Individual ❑Attorney in Fact
❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator
Other: ID, Other:
Signer Is Representing: Signer Is Representing:
s.`3«':rkc2�x^-4,w�<z^:�v';�`zvwk3��;;:�w��`,a;�v`��G•e-cif�'�-ri,'`�szse�;e�Gv�::��`�._- ^ .
02015 National Notary Association•www.NationalNotary.org• 1-800-US NOTARY(1-800-876-6827) Item#5907
RECORDING REQUESTED BY NO RECORDING FEE REQUIRED
AND WHEN RECORDED MAIL TO: PURSUANT TO GOVERNMENT
CODE SECTION 27383
EASTERN MUNICIPAL WATER DISTRICT
P.O. BOX 8300
PERRIS, CA 92572-8300
AGREEMENT AND NOTIFICATION OF
HIGH WATER PRESSURE CONDITION
THIS AGREEMENT is made this c� day of / )&�Vck 20 / , by EASTERN
MUNICIPAL WATER DISTRICT (hereinafter referred to as 'District'), a public agency organized, existing and
operating under the Municipal Water District Law of 1911, ("Municipal Water District Law") California Water
Code §71000, et seq., and HERIBERTO LOPEZ AND VERONICA I. LOPEZ, (hereinafter referred to as the
'Declarant').
RECITALS
A. Pursuant to the authority cited above, District provides water and/or sewer service in portions of
Riverside County, California.
B. The Declarant of Property, County of Riverside, legally described as follows:
PSN#3307414
LOT#4
APN#384-130-018
ADDRESS:27535 TABS LANE, MENIFEE, CA 92584
LEGAL: 1.10 ACRES NET IN PAR 4 PM 0751046 PM 11594
is requesting that District provide water service to the above real property. Said property is situated in a
location which could result in pressure problems.
Document ID:3810433
The water pressures available to Lot Number(s) 4 has been determined to be above normal
pressures. Declarant hereby agrees to install, at his cost, a pressure regulator to be owned, operated
and maintained by the Declarant, his successors and assigns.
Declarant, his successors and assigns, hereby agrees to hold the District harmless from or on account
of any damages arising from high pressure on the above described property.
DECLARANT HEREBY DECLARES:
1. The foregoing Recitals are hereby incorporated into this Agreement.
2. This Agreement shall inure to the benefit of, be binding upon, and become a covenant that runs with
the real property. Every person who now or hereafter owns or acquires any right, title or interest in or to
any portions of the real property is and shall, by recordation of this Agreement in the Office of the
County Recorder, Riverside County, California, be conclusively deemed to have notice of the stated
water pressure condition, whether or not any reference to this Agreement is contained in the instrument
by which such person acquires an interest in the real property.
3. Declarant hereby subjects the real property (and all portions thereof) to this Agreement and declares
that it is its specific intent that this Agreement set forth herein shall be deemed a covenant running with
the land and shall pass to and be binding upon the Declarant's successors entitled to the real property
(or any portions thereof).
4. Each and every contract, deed or other instrument hereafter executed covering or conveying the real
property (or any portion thereof) shall conclusively be deemed to have been executed, delivered and
accepted subject to this Agreement by recordation of this Agreement in the Office of the County
Recorder, Riverside County, California. Declarant affirms that the circumstances of the water pressure
condition, and the installation, operation and maintenance of a pressure regulator, touch and concern
the land in that they relate to and affect the use of the property. Declarant also acknowledges that the
Agreement benefits the property, in that it allows for the provision of water service to the property.
5. The terms of this Agreement may be enforced by District or its successors or assigns. In the event of
any controversy, claim or dispute relating to this Agreement of the breach thereof, which District is or
shall attempt to enforce, District shall be entitled to recover from said party reasonable expenses,
attorney's fees and costs, if the District prevails in such controversy.
IN WITNESS WHEREOF, the undersigned have executed this Agreement on the date first hereinabove
written.
EASTERN MUNICIPAL WATER DISTRICT DECLARANT Property Owner(s)
By By h-27t�R71-0 Q % ?
Alicia Arena, Development Coordinator HERIBERTO LOPEZ
By
VERONICA I. LOPEZ
Document ID:3810433
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§1189
�r.,�cx:.;.....:.:ccs;.���:.�-,rl�;.�cY.—:.��.^,e�':e•71fm-.-.-.-.- - - — — — — -o-� - - - - - - - — —
A notary public or other officer campleting 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 California )
County of Riverside )
on 3/23/2017 beforeme, Brenda E. Dumas — Notary Public
Date // Here Insert Name and Title of the Officer
personally appeared >� �/ / �!d(,0 Lo (,,-e ,,qA! rr•[i �. / t5
Na e(s) of Signer(s)
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 he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s),
or the entity upon behalf of which the person(s)acted, executed the instrument.
Icertify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
BRENDA E. CalUMAS
dor WITNESS my hand and official seal. 1
Notary Public-County
\ �\
i •'� Riverside County
Cammtssion 4t 2165614
M Comm.Et< iffs Sep 24.2020J Signature
Signature of Notary Public
0
Place Notary Seal Above
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Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer's Name:
Corporate Officer—Title(s): ❑Corporate Officer—Title(s):
❑Partner— ❑Limited ❑General ❑Partner— ❑Limited ❑General
:"l Individual ❑Attorney in Fact ❑Individual ❑Attorney in Fact
Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator
Other: ❑ Other:
Signer Is Representing: Signer Is Representing:
02015 National Notary Association•www.NationalNotary.org• 1-800-US NOTARY(1-800-876-6827) Item#5907
COPY, i
INTEGRITY CONTRACTORS
27536 TABS LANE CS 1198
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emwd
Veronica Cardenas Ramos
Development Services Representative I
New Business Deapartment
T 951.928.3777 ext.g817 227 -Trumble Road
F 951928.6118 P.O.13ox8300
cardenav@emwd.org Perris,CA 92572.8300
wwwemwd.org