PMT17-04123 City of Menifee Permit No.: PMT17-04123
29714 HAUN RD. Type: Mobile Home
'5ACCELA-�. MENIFEE, CA 92586
MENIFEE Date Issued:
02/OS/2018
PERMIT
Site Address: 33625 SWEETWATER CANYON RD, Parcel Number: 384-080-003
MENIFEE, CA 92584 Construction Cost: $21,000.00
Existing Use: Proposed Use:
Description of INSTALL FOR REPLACEMENT OF MH 1620 SO FT, PRIMARY UNIT
Work:
Owner Contractor
ROBERT JACOBSON LANK ENTERPRISES INC
33625 SWEETWATER CANYON RD P O BOX 891416
MENIFEE, CA 92584 TEMECULA, CA 92589
Applicant Phone:9516767114
CARLY ROZZO License Number:458947
P O BOX 891416 '
TEMECULA,CA 92589
Fee Description Oyt Amount I$1
Manufactured Install 1 240.72
Permit Fee 1 27.00
$267.72
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors In the plans and
specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg_Pe=it_Template.rpt Page 1 of 1
DATE: PERMIT/PLAN CHECK NUMBER ' D� f( 5
TYPE: O COMMERCIAL • RESIDENTIAL O MULTI-FAMILY •MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: C ADDITION G ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW (O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK
Y e-
2 6- c,rY�p V i ►'�an,�--Fi.-caw ed
PROJECT ADDRESS ;! Swt�'C-u'•nIP G
ASSESSOR'S PARCEL NUMBER '�4-C�-�NI\Y:-V LOT _ TRACT
OWNER NAME
ADDRESS 2
PHONE Sj ^ O�� O� EMAIL Tom,.,
APPLICANT NAME Y�,t'(,� - Y 1 SQ S T` ` c- /y
ADDRESS To Q p C1 I to
PHONE 11�,, ( EMAIL �, I � �c .cOY
CONTRACTOR'S NAME L(.. L99S I h c OWNER BUILDER? O YES t NO
BUSINESS NAME
ADDRESS 4 T
PHONE (,�C� �� '� 1()( EMAIL
CONTRACTOR'S STATE LIC NUM`BER V)�j LICENSE CLASSIFICATION
VALUATION$ D,vD SQ FT L SQ FT
APPLICANT'S SIGNATURE DATE ,
CITY$TAFF USE ONLY
DEPARTMENT DISTRIBUTION /7 CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE ACCEPTED 8Y: _0 J0
PERMIT FEE �� �} SMIP GREEN
PLAN CHECK FEE INVOICE TOTAL oZcalla
OWNER BUILDER VERIFIED 0 YES 0 NO DRIVERS LICENSE#
NOTARIZED LETTER v YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777m-
www.cityofmenifee.us
STATE OF-CALIFORNIA -
-_ _BUSINESS,CONSUMER SERVICES-AND HOUSING AGENCY_ -
_ DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS fJ _l��.,6 2� 6
MANUFACTURED-HOUSING PROGRAM - __—'-' - -
- MANUFAGTII—UIRER CERTI'FtCAfiE OF ®IZI'GIa _ —
LJ CHECK IF THIS IS A DUPLICATE-MCO-ENTER ORIGINAL MCO NO. -
MANUFACTURED I-TOME OR MULtIFAMILY t,iANUFACTURED HOME
1 SFD.(SINGLE FAMILY DWELLING), .MFLvLL:MULTIFAMILY MANUFACTUREU HOME) TRANSPORTABLE.SECTIONS
COMMERCIALMODULAR:
_-_OCCUPARdi(GROUF
MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: -
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MANUFACTURER:ADDRESS: SUGGESTED RETAILPRICE:
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MANUFACTURER TRADE NAME - MODEL NAME ANDIORNUMBER DATlli:E OF MAN�)�ACTURE
L� 7E"' LrST rK Etx!ES- l4 tbae S t �5t l
! NAME OF DEALER OR TRANSFEREE(OWNERSHIP TRANSFERRED TO): CAUFOMNIA DEALER NUMBER OR DATE OF TRANSFER .�:-• , -
HOES DI KEN OF PEP,RIS TRANSFEREE DESIGNATION: �
DEALER OR TRANSFEREE ADDRESS.
(Str �7vtA,9TH"PARTS JOULE fULtS STE fi.-PERMaDi 92�91r). licT. (State) (zip)
INVENTORY CREDATOR NAME-f8�.SaT �i, ' _�;: �..; c 3TAU
_Pl:i :.Q°T1�;� COPPCin'7,T 'IYr�
INVENTORYCf2EaITOR-KDDRESS; -'\7itA.TN324
i') § F rn•TS ; RPH UIRRINST S E.c'S ,'�'ET ST ut 5iZTE 190, YWDX,ti�tIL; �TN 37901
t(SlreeE7 "'n1') - _. ._ (State)'.. (Zip)
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TRANSPORTER NAME: 9._.. 1 •t' a�• 1
TRANSPORTERADDRESS:
(Seeei)O. RTe Sa, W...aiUi`L"Ix+fe"'..Cat 30 3. - Ic 1vl (slate) (zip)
( 1
•. DESTINATION F R UNITO_ES IBED ABOVE
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Pill
i..NAME ,. - r Strge ' ' •. � ` Slate
r._• Y lr B __ _� ••
•un er penra5fyof-peggiy-unlUeFtyle-laws o- e- la)e-oFL-'aliPo`mla -�M1aa�ovefiac s=tam e2Nei-ceTe
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Exewted on. - al. - -
- I:M_YC ul IVICifI - `
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SIGNATURE.OF AUTHORIZED AGENT. - Building:pep(.
DISTRIBUTION: -ORIGINA_PINIQ- . FORWARD TO THE INVkNWarCREDrrOR,UNLESS.THERE IS NONE,THEN FORWARD TO THE PUUE (IJ�AL�tr�TRANSFEREE).
- - COPY 1.(WHITE) 'FORWARD TO THE DEPARTMENT ATP.O.BOX1828,SACHAMENTO;CA 95812-1828,WITHIN FIVE( (�ffFF,�JiiEELL��[HM
COPY.2(YELLOW) - -DELIVER TO THE TRANSPORTER TOACCOMPANKPHE UNIT TO ITS DESTINATION,
COPY 3(GOLDENROD) TO.BE RETAINED BY THE MANUFACTURER.
Received[
HCD 483.0-Side 1(Rev.07/15)
/\ MENIFEE UNION SCHOOL DISTRICT
29775 Haun Road, Menifee, California 92586
(951) 672-1851 www.menifeeusd.org
Menifee Pride Superintendent
Working For You Steve Kennedy.Ed.D.
DATE: November 28, 2017
TO: City of Menifee
RE: Permit #: PMT17-04122
Address: 33625 Sweetwater Canyon
Parcel #: 384-080-003
Tract/Lot: N/A
The Menifee Union School District does not intend to collect School Facilities Fees
(Developer Fees) on the above-mentioned project since we do not collect fees on
❑ Mobile homes in mobile home parks prior to September 1, 1986
❑ Replacement of mobile or manufactured homes on same space
❑ Additions/renovations less than 500 square feet
14 Other residential construction that is 500 square feet or less
❑ Facilities used exclusively for religious purposes
X Reconstruction of destroyed or damaged buildings
❑ Temporary structures
❑ Structures owned/occupied by federal, state, or local government agency .
❑ Other:
Therefore, building permits for this project may now be issued by your jurisdiction.
ncerely,
\4 c
\ �
BRUCE H. SHAW
Director of Facilities
BHS/tv
Governing board: Rey Sennett B Jerry _
owman -_-._a;i Freeman
eDG O'C['-- Ron Mon,,
C"TY OF.
�MENIFEE� -
r Date:January 24, 2018
To Whom It May Concern:
The following information is provided for the school district to determine mitigation fee
amounts:
Applicant: Robert Jacobson
Application Type: Mobile Home replacement
Permit Number: PMT17-04123
Location: 33625 Sweetwater Canyon
Assessor's Parcel Number: 384-080-003
Description:
A proposal for a 1,620 square foot mobile home replacement, Menifee CA.According to the
Applicant and the plans provided,the previous square footage was 1,237 square feet.
Proposed Square Footage:
Mobile home replacement: 1,620 square feet
BUILDING AND SAFETY CERTIFICATION STAMP:
BUILDING AREA
� VERIFIED
Datel—z4 —IF—I F
I
PRIOR TO THE ISSUANCE OF THE PERMIT REFERENCED ABOVE, applicants are required to
submit written evidence from:
Perris Union High School District
Menifee Union School District
to City of Menifee authorizing the issuance of building permits.
By:
Brandon Cleary, Plannin chnician
29714 Haun Road
Menifee,CA 92586
Phone 951.672.6777
Fax 951.679.3843
www.cityofmenifee.us
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2016-0272929
07/01/2016 12:19 PM Fee: $ 29.00
Pace 1 0! 2
RECORDING REQUESTED BY:
Recorded in official Records
County of Riverside
Peter Aldana
AND WHEN RECORDED MAIL TO: Assessor-County
hCierk-Recorder
Robert.Guy Jacobson ,III �+mr� 4�a"rll III
33625 Sweetwater Canyon Road y R A Exam:
Menifee,CA 92584
Page DA (PLCO:fi Misc Long RFD 1APg Add Ps Cart cc
7�
A.P.N.: 384-080-003-6 SIZE NCOR MF NCHG T:
GRANT DEED
THE UNDERSIGNED GRANTOR(S)DECLARE(S)DOCUMENTARY TRANSFER TAX (�
[ ]computed on a full value of property conveyed,or
[ ]computed on a full value of liens or encumbrances remaining at time of sale
[ unincorporated are, [XXI City of Menifee,and City of Menifee
Building Dept
FOR A VALUABLE CONSIDERATION,Receipt of which is hereby acknowledged,
ROBERT GUY JACOBSON, NOV 17 2017
Hereby GRANT(S)to Received
ROBERT GUY JACOBSON, a unmarried man,and JENNA ANN JACOBSON,a single woman,
FATHER AND DAUGHTER AS JOINT TENANTS,
The following described property in the City of Menifee,County of Riverside,State of California;
PER ATTACHED LEGAL DESCRIPTION
Dated JUNE 23,2016
OERTG SN
A notary public or other officer completing this certificate verifies only the identity of th dividual who signed the document to which
this mrtificate is attached,and not the tnnhfulness,accuracy,or validity of that document
STATE OF CALIFORNIA )SS
COUNTY OF RIVERSIDE )
2 b fore me, yhYi6l KUVA a notary public,personally appeared
who proved to me on the basis of
satisfactory evidence to befthepersono whose name tare subscribed to the within instrument and acknowledged to me that
9 executed the same inLfil�S herlihe'u authoraae capacity(ijls),and that by(E h=14Leir signature�j on the instmment the
persons),or the entity upon behalf of which the person 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
MARIBEL NAVA
WITNESS my hand and official seal. Commission is 2147916
�/ < Notary Public-Ceilfomle _
Signature ) Vh Riverside County (Seal)
M Comm.Ert Ins Aar 28.2020
DOC#2016-0272929 Page 2 of 2
LEGAL DESCRIPTION
THT PORTION OF PARCEL 4 OF PARCEL MAP 8949 AS SHOWN ON MAP ON FILE IN BOOK 39, PAGES 38
AND 39 OF PARCEL MAPS, RECORDS OF RIVERSIDE COUNTY, DESCRIBED AS FOLLOWS:
COMMENCING ATTHE SOUTHWEST CORNER OF SAID PARCEL 4;THENCE NORTH 0° 16'09"WEST
ALONG THE WEST LINE OF SAID PARCEL 4,A DISTANCE OF 330.40 FEETTO THE POINT OF BEGINNING.
THENCE CONTINUING NORTH 00 16'09"WEST ALONG THE SAID WEST LINE,A DISTANCE OF 330.50
FEET;
THENCE NORTH 890 51' 17" EAST,A DISTANCE OF 670.00 FEET TO THE CENTERLINE OF MCBOB ROAD
AND THE EAST LINE OF SAID PARCEL 4;
THENCE SOUTH 00 17 09" EAST ALONG THE SAID EAST LINE A DISTANCE OF 330.50 FEETTO A POINT
LYING 330.85 FEET FROM THE SOUTHEAST CORNER OF SAID PARCEL 4;
THENCE SOUTH 890 51' 17"WEST,A DISTANCE OF 670.10 FEET TO THE POINT OF BEGINNING.