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PMT17-03889 City of Menifee Permit No.: PMT17-03889 29714 HAUN RD. Type: Residential New "CCELJ� MENIFEE, CA 92586 MENIFEE Date Issued: 0 510 7/2 01 8 PERMIT Site Address: 32300 GEARY ST, MENIFEE, CA 92584 Parcel Number: 362-450-033 Construction Cost: $84,135.15 Existing Use: Proposed Use: 1 &2 Family Residence Description of CONSTRUCTION OF 739 SO FT RESIDENCE W/400 SO FT ENCLOSED PATIO COVER, 160 SQ FT Work: PORCH Owner Contractor SIERRA BAHIA, LLC P.O. BOX 248 AGUANGA, CA 92536 Applicant License Number: SIERRA BAHIA, LLC CA Fee Description ,O�t Amount 181 Single Family Residential on lots greater than% 3 625,00 Residential Sprinkler 1 614.00 Services,Switchboards, Control Centers&Panels 2 232.00 Receptacle, Switch, Outlet& Fixture 49 356.00 Plumbing Fixtures and Vents,fixtures 4 121.00 Gas System 1 116.00 Piping/Repiping Single Family Residential 1 163.00 Plan Check Fee 103 102.50 Plan Check Fee 205 205.00 Residential Water Heater 1 83.00 Sewer 1 150.00 Forced-Air or Gravity-Type Furnace or Burner 1 149.00 Air Handling/Condensing Units SFR 1 133.00 Building Permit Issuance 1 27,00 Additional Plan Review Building 90 90.00 Additional Plan Review Building 889 888.53 GREEN FEE 1 4.00 SMIP RESIDENTIAL 1 11.00 New Construction Permit Fee 1 387.02 General Plan Maintenance Fee- Mechanical 1 14.10 General Plan Maintenance Fee- Plumbing 1 31.65 General Plan Maintenance Fee- Electrical 1 29.40 General Plan Maintenance Fee-New 1 19.35 Construction Quimby Single Family Regular 1 1,204.00 $5,755.55 AA_Bldg_Permit_Template.rpt Page 1 of 2 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 Can ors State Ucense Law for Professions Code and my license is in full force and effect. the following reason: �}7�/L(2KV I�d/s'r= 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 o 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.leein(o.ca.eov/calaw.html. Policy if C)S 4.4'K 1Z/ �h)?'?14— Data y �� D I have and will 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 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 authorize representatives of this city or county to Policy p 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 D I certify that in the performance of the work for which this permit is issued, I shall not emalov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE 8 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,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or 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 D Yes vp No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant car future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification or future 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 4 CONSTRUCTION LENDING AGENCY o Yes Y 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) D Yes Vo 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 next to the applicable Rem(s)(Section 7031.5 hazardous material reporting. Business and Professions Code).Any city or county that requires a permit to qes D Na/�/'�/f� Date 7 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(FIRM 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 than($500). required practices.This includes rental property owners and property 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 1-800-424-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 purpose of sale. D No EPA Lead-Safe Certified Firm is required for this project because: 1�1,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. MENIFEE REQUEST FOR PERMIT ISSUANCE MBUILDING & SAFETY Prior to issuance of new residential Building Permits, approvals from the departments listed below are required. Approval shall be designated by the original signature of the appropriate department staff. When all appropriate signatures are obtained, please return permit issuance form to the Building & Safety department. Please allow up to 48 hours for processing of building permits. q Permit Number: P M I— 1 -7 d l Tract Name: Tract: Lot: 4— Address: 32- 3670 GQ,-n y 5 f IM2X" 7"-LZ(Z Custom Home: YES W NO ( ) Model Home: YES ( ) NO ( ) Condo/Apt: YES ( ) NO ( ) Tract Repetitive: YES ( ) NO ( ) Mobile/Manufactured Home: YES ( ) NO ( ) DEPARTMENT DATE APP AL SI TURE ENGINEERING 5 /CC/ 7 PW IINSPECTOR PLANNING RIVERSIDE COUNTY FIRE 5171/b� {�_ By Email BUILDING g List of required items to obtain signatures for Permit Issuance: Engineering- Grading Plan Approved, Rough Grade Certification, Soils Compaction Planning- Payment of School Fees, provide receipts, Compliance with all prior conditions, including approval of Minor Plot Plan Application Riverside County Fire-Please contact Menifee Fire MenifeeOFM@cityofinenifee.us Building-Payment of Permit and Plan Check Fees, verification of all required signatures APPLICATION1�01LDING & SAFETY PERMIT/PLAN CHECK Menifee A I�Avk�h0i— DATE: PERMIT/PLAN CHECK NUMBER 1 �� TYPE: OMMERCIAL RESIDENTIAL O MULTI—FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOUTION O ELECTRICAL O MECHANICAL �cNEW OPLUMBING ORE—ROOF NUMBEROFSQUARES DESCRIPTION (/O��FWORK A 739sf c,4-si n u4"M Jz �/Ga5•�' .-dowiet P� ti'o � Y6 Svc 66ncfl ('NIl� tat Frl h �tFca'ra.t Cp��S{iduC�lac✓ 7�2fEv/p9 PROJECTADDRESS ZIP ASSESSOR'S PARCEL NUMBER 3 6 2 O o-33 LOT TRACT OWNER NAME 51 ro,4/GA Ooo A4 4 ZLC 2 / ADDRESS Ro• p q2 yg vvsv ya" Cf4 9 2 �./ 6 PHONE qSt 7 p C7 !l/ O 1J 7� /_EMAIL Ca M1-NIzrLS'�I"�7�rtvSS 6L_Co APPLICANT NAME 0SC0,7,P` / �'0eiti'44 ADDRESS to-L�- 60y 2 Q, v bo 4r4 9 zr3 &1' L PHONE f fY 4T7 6r 03 EMAIL '0jQ L-o,L 57kAl2 /1W.55 40Z, COwI CONTRACTOR'S NAME OWNER BUILDER? YES ONO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE UC�NNU�MMBER LICENSE CLASSIFICATION VALUATION$ 1 �/J�' SQ FT 73 f s 4 LSQ FT APPLICANT'S SIGNATURE DATE - STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: PERMIT FEE � �1..� 'Jj, SMIP 1_ GREEN PLAN CHECK FEE INVOICETOTAL OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Haun Rd.Menifee, CA 92586 951-672-6777 www.cityofmenifee.us Riverside County Fire Department Fire Protection Planning Section RJverslde 0f6ce:2300 Madcet SL,Ste 15 .Riverside,CA 92501 Ph.(951)95 777 Fax(951)955 wis Palm Desed office: 77-933 Las Monca6as Rd.,#201 Palm Desert,Cl 92211.4131 Ph.(760)863 8886 Fax(760)863.7072 Permit# Date: 7. 31. 17 APN # 3(D2•45ro 1 03 Address: Note: Some parcel maps will have more stringent requirements on hydrant locations. Check your Environmental Constraint Sheets (ECS map at the Surveyor's Office). Provide the application number for building/installation/site preparation permit from the Building and Safety Department on all plans, documents, and correspondence. Without the permit number, we cannot process the permit.All of the following shall be submitted to the Riverside County Fire Department for review and approval prior to any releases. Provide the following letter(s)and map(s): 1. A map or Assessor's Parcel Number(APN) page showing the location of the fire hydrant and access roadway(s)to the property. 2. Written verification from the local water district.shall be required indicating the ability to provide the following: a. An approved standard fire hydrant(6"x4"x2'/")shall be located within WO feet from the hydrant to the furthest portion of the building as measured along the exterior ground floor walls. L b. The minimum fire flow shall be�O gpm at 20 psi residual pressure for a th•hour duration. �•�( c. Construction Type Square Feet < d. Water district must also indicate the size of the water main serving the fire hydrant. Only original documents will be accepted. Copies and faxes of the letter and map will not be accepted. 'Valid for 1 year aa)) 'U U 9oyEa .9 N a•��—o J E .c tj 0 Q o-c�w 0 U- � Nciu�E� � 1ov�ln0 Q Acv�jCL nd UU me NNW ELL. �O-22] 0) - ca+, awn Standard Hydrant Super Hydrant Super Hydrant m c,ooaE c o„-> m s m o (Wet Barrel) (Wet Barrel) (Dry Barrel) N nOULl h^�SJNW SM( Form 7-Revised 12/16/08 DOC # 2017-0342178 08/17/2017 04:00 PM Fees: $31.00 RECORDING REQUESTED BY: Page 1 of 3 Generations Escrow Corporation Recorded in Official Records Order No.617694496 County of Riverside Escrow No. 201-26180-KG Peter Aldana Parcel No. 362-450 033-6 Assessor-County Clerk-Recorder Mari CoVc SPTeweh+ T-o . AND WHEN RECORDED MAIL TO: "This document was electronically submitted Sierra Bahia LLC to the County of Riverside for recording— POI Box 248 Receipted by:TERESA#134 Aguanga, CA 92536 -r^R /t AT . O.a f- Q`73 GRANT DEED SPACE A90VE THIS LINE FOR RECORDERS USE �P THE UNDERSIGNED GRANTOR(S) DECLARE(S)THAT DOCUMENTARY TRANSFER TAX IS$165.00 and CITY$0.00 computed on full value of property conveyed, or computed on full value-less liens or encumbrances remaining at the time-of sale._ _ ____ ❑ unincorporated area: ® City of Menifee, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,The Koo Family Trust, UDT dated October 14, 1987J ChoottW Itoo o-V\'A croon 9)oGk.koe -jr. %-hee3 hereby GRANT(S)to Sierra. Bahia LLC, a California Limited Liability Company the following described real property in the County of Riverside, State of California: More commonly known as: 2.07 Arces On Melido And Geary Road,Menifee,CA 92584 Date July 24, 2017 See Attached Exhibit A The Koo Family Trust, UDT dated October 14, 1987 By: Choon W. Koo, Truslee B : Moon Bock Koo,Trustee A notary public or other off cer 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 CALIFORNIA t_ COUNTY OF f� �� f's On Ja, z 1 . before me, Notary Public personally appeared G-Ftcov w Koo sr-� / rooti 2':; c �<o 0 who proved to me on the basis of satisfactory evidence to be the personfs3 whose name(M Nr;,/are subscribed to the within instrument and acknowledged to me thatTrel ee/they executed thrsame in Red/their authorized capacity 1e ,and that by his./her/their signatureds on the instrument the person(D or the entity upon behalf of which the person(bacted, 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. JOSHUA C LALES WITNESS my hand and official seal. CtlnwMhloo 02117980 Signature (Seal) Z aH "pRiv nty ubdeCou rill M Comm.111res Jul 2112019 Mall Tax Statement to:SAME AS ABOVE or Address Noted Below File No: 617694496 EXHIBIT "A" THE LAND REFERRED TO HEREIN IS SITUATED IN THE COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: PARCEL 1 OF PARCEL MAP NO. 23690, IN THE CITY OF MENIFEE, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, ON FILE IN BOOK 168, PAGES 90 AND 91 OF PARCEL MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA. ASSESSOR'S PARCEL NUMBER: 362-450-033-6