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
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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