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PMT17-03930 ILn A Fm q(?--7 City of Menifee Permit No.: PMT17-0393C- 29714 HAUN RD. Type: Mobile Home <A—CCELA-'? MENIFEE,CA 92586 MENIFEE Date Issued: 11/01/2017 PERMIT Site Address: 25478 ROUFUS RD, MENIFEE, CA 92584 Parcel Number: 362-280-013 Construction Cost: $3,000.00 Existing Use: Proposed Use: Description of RETRO FIT PERMANENT FOUNDATION TO EXISTING MH Work: SERIAL#ES50595U/X INSIGNIA#81008/9 Owner Contractor DUSTIN WALTEMEYER RIDLEY HOME SERVICE 25478 ROUFUS RD 775 W RACQUET CLUB ROAD MENIFEE,CA 92584 PALM SPRINGS,CA 92262 Applicant Phone:9513298859 RAY ROOT License Number:813040 RIDLEY HOME SERVICE 775 W RACQUET CLUB ROAD PALM SPRINGS, CA 92262 Fee Description Oft Amount 151 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_Templatexpt 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 1 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 t'"t/7 License No. Ot. Uqo By my signature below I acknowledge that,except for my personal residence Expires 5 i1 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 0I 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 webslte: 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 0 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 ❑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# 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($300)or less PROPERTY OWNER OR AUTHORIZED AGENT g4rertlfy that in the performance of the work for which this permit Is Issued, I 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 camel ith those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date ��l—� mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILUR TO SECURE WORKER'S COMPENSATION COVERAGE 15 ❑Yes WNa 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 forguldelines CONSTRUCTION LENDING AGENCY ❑Yes .erNo 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) 0 yes "o OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that 1 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 items)(Section 7031.5 hazardous material�tes ❑No repo ng. Business and Professions Code).Any city or county that requires a permit to I Date construct,alter,improve,demolish or repair any structure,prior to Its PROPERTY OW R OR AUTHORIZED AGENT issuance,also requires the applicant for the permit to file a signed statement - 4S/that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOV TION,REPAIR AND PAINTING(RRPI 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 firins 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 01,as owner of the property,or my employee with wages as their sole employees.For more Information about EPA's Renovation Pmgram 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 Property who,through employees'or personal effort,builds or improves the oAn EPA Lead-Safe Certified Renovator will he responsible for this project 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. 0 No EPA Lead-Safe Certified Firm is required for this project because: ❑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 BUILDING & SAFETY PERMIT/PLAIN CHECK APPLICATION Menifee DATE: PERMIT/PLAN CHECK NUMBER (�7_ O TYPE: O COMMERCIAL O RESIDENTIAL 0 MULTI-FAMILY O MOBILE HOME 0,POOL/SPA 0 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 RETRO FIT PERMANENT FOUNDATION TO EXISTING M/H PROJECTADDRESS 25478 ROUFCIS RD ZIP 92586 ASSESSOR'S PARCEL NUMBER 362280013 LOT TRACT OWNER NAME DUSTIN WALTEMEYER ADDRESS 25478 ROUFIAS RD MENIFEE CA 92586 PHONE 9513298859 EMAIL APPLICANT NAME RAY ROOT ADDRESS 775 W RACQUET CLUB RD PALM SPRINGS CA 92262 PHONE 9513298859 EMAIL CONTRACTOR'S NAME RIDLEY HOME SERVICE OWNER BUILDER? O YES PONO BUSINESS NAME RIDLEY HOME SERVICE ADDRESS 775 W RACQUET CLUB RD PALM SPRINGS CA 92262 PHONE 9513298859 EMAIL RIDLEYHOMESERVICE@GMAIL.COM CONTRACTOR'S STATE LIC NUMBER 813040 LICENSE CLASSIFICATION C47 VALUATION$ 3000.00 FT 1440 L SO FT APPLICANT'S SIGNATURE DATE C STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED B Y CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE 11 PERMIT FEE d` a_ SMIP I GREEN L LAN CHECK FEE INVOICE TOTAL R BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES 0 NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityo finenifee,us RECORDING REQUESTED BY - DOC # 2009-0008809 AND WHEN RECORDED MAIL TO: 01/08/2009 08:00R Fee:19.00 Jack D.Brown City of Phent;0t; Page I of 1 S�icl O6pt, Recorded in Official Records Attorney at Law Bu•10u6' y County of Riverside t Larry U. Ward 244885WhitewonRoad,Suite102 Cln`f 0 29V Assessor, County Clerk d Recorder Murr eta, MAIL TAXSTATEMENTS TO: ._., r`-^'_1i /( ]I IIIIIII IIIIIIII�I IIIII�IIIII IIII IIIIIII IIII�III IIII IIII Dustin J.Waltemeyer 'I S R U PAGE SIZE DA MISC I LONG RFD COPY 25478 Roufus Road Menifee, California 92584 A L 465 426 PC R CDR SM NCHG Ems" APN: 362-280-013 TRA: T: CTY Trust Transfer Deed D011 Grant Deed (Excluded from Reappraisal Under Proposition 13,i.e.,Calif.Const.Art 13A§1 et seq.) � The undersigned Grantor(s)declare(s)under penalty of perjury that the following is true and correct: Documentary transfer lax is$-0-. ❑ Computed on full value of properly conveyed,or ❑ computed on full value less value of liens and encumbrances remaining at time of sale or transfer. ® There is no Documentary transfer lax due(stale reason and give Code§or Ordinance number)R&T 11930,et seq. ❑ Unincorporated area ❑ City of and This is a Trust Transfer under§62 of the Revenue and Taxation Code and Grantors have checked the applicable exclusion: ® Transfer to a revocable trust; ❑ Transfer to a trust where the truster or the lrustor's spouse is the sole beneficiary; ❑ Change of trustee holding title. ❑ Transfer from trust to trustor or truslor's spouse where prior transfer to trust was excluded from reappraisal and for a valuable consideration, receipt of which is acknowledged; ❑ Other. DUSTIN WALTEMEYER,an unmarried man dealing with his sole and separate property,does hereby grant to DUSTIN J. WALTEMEYER, Trustee of THE DUSTIN J. WALTEMEYER REVOCABLE TRUST OF 2008, dated December 18, 2008, all of that certain real property commonly known as 25478 Roufus Road, Menifee, California 92584, located in the County of Riverside,State of California, more particularly described as follows: Parcel 1 of Parcel Map 12149 as per map recorded in Book 62, Page 94 of Parcel Maps,in the office of the County Recorder of Riverside County,California. (J Dated: December 18,2008 tN DUSTIN WALTkMEYER STATE OF CALIFORNIA ) ss. COUNTY OF RIVERSIDE ) On December 18,2008,before me,KATHLEEN A.CURTIS,a Notary Public in and for said State, personally appeared DUSTIN WALTEMEYER, who KATHLEEN A. CURBS proved to me on the basis of satisfactory evidence to be the person whose Commission tl 1I60403 name is subscribed m the within instrument and acknowledged to me that she 6 d Notary issionPublic - 1760Califo 03 gg executed the same in her authorized capacity,and that by her signature on the ` River County f instrument the person, or the entity upon behalf of which the person acted. Comm 2 2011 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. WITNESS my It nd and official seal. �� �� (This area for official notarial seal.) 5ignatur J�A pQ�l-r--, L.L tMi UI MAIL TAX STATEMENTS AS DIRECTED ABOVE STATE OF CALIFORNIA-BUSINESS.CONSUMER SERVICES,AND HOUSING EDMUND G.BROWN JR.,GOVERNOR DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS i Title Search Date Printed: Oct 30,2017 Decal#: LAE7351 Use Code: SFD Manufacturer: Original Price Code: ADS Tradename: VIKING Rating Year: Model: VIKING Tax Type: LPT Manufactured Date: 01/01/1973 Last ILT Amount: Registration Exp: Date ILT Fees Paid: First Sold On: 01/01/1973 ILT Exemption: NONE Serial Number HUD Label/Insignia Length Width ES50595U 81008 60' 12' ES50595X 81009 60' 12' Record Conditions: Park Purchase Fee Exemption granted City Of Menlfee Registered Owner: Building 8, Safety Dept. DUSTIN J WALTEMEYER ,pAl ALESIA K WALTEMEYER TV f 2017 Community Property with Right of Survivorship 30719 PIER POINTE CIRCLE MENIFEE,CA 92584 tr- a tly }d Last Title Date: 06/30/2004 Last Reg Card: 06/30/2004 Sale/Transfer Info: Price$190,000.00 Transferred on 04/23/2004 Sims Address: 25478 ROUFAS ROAD SUN CITY,CA 92586 Situs County: RIVERSIDE Inactive Decal/DMV: DECAL AAD8310,DMV SN3735,DMV KH6889,DMV KH6888 Legal Owner: JOSEPH A CARONE TRUST 122385 21966 YELLOWSTONE LANE LAKE FOREST,CA 92630 Lien Perfected On: 06/21/04 15:22:35 Junior Lienholder: CHARLES A STEELE ANGELA Y STEELE Joint Tenants with Right of Survivorship 29167 BLACKHILLS CIRCLE EL TORO,CA 92630 Lien Perfected On: 06/21/04 15:27:30 ***END OF TITLE SEARCH*** Page Number:I