PMT17-04459 City of Menifee Permit No.: PMT17-04459
29714 HAUN RD. Type: Mobile Home
9 ►E' /> MENIFEE, CA 92586
aw sa`.R. MENIFEE Date Issued: 03/08/2018
PERMIT
Site Address: 27957 JEFFERSON AVE, MENIFEE, CA Parcel Number: 329-182-005
92585 construction cost: $85,000.00
Existing Use: Proposed Use:
Description of SITE PREP 28'X 64'
Work: SN: 13510503A/B
HUD:ARZ1002001201
Owner Contractor
LILIA AND HILARIO TERRONES
37517 EARLY LANE
MURRIETA, CA 92563
Applicant License Number:
LILIA AND HILARIO TORRENES
37517 EARLY LANE
MURRIETA, CA 92563
Phone: 9512650413
Fee Description -qyt Amount fSl
Discretionary permit other than single family 0 85.00
residential on greater than Y=
Manufactured Residential Site Prep 1 196.00
Permit Fee 1 27.00
Plan Check Fee 205 205.00
Plan Check Fee 103 102.50
Additional Plan Review Building 148 148.37
Additional Plan Review Building 129 129.07
Quimby Mobile Home 1 1,056.00
$1,948.94
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_8[dg_Permk_Temp1ate.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 perjury that 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 ❑1 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 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
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I
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 worker's 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 wehsite:
by Section 3700 of the Labor Code,for the performance of work for which
this permit is issued. www.le info.ca. oy/calaw.html.
Policy# l J 1 S 2 = — In IeN Date '31
❑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
Carrier with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives ofthis city or county to
Policy# Expires enter he above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred �t'iY �� Date 3 I ���dollars 100 or less
PROPERTY OWNER OR AUTHORIZED AGENT
❑I certify 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 ff
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. Will the applicant or future building occupant handle hazardous material or a
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 DYes o No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN Will the intended use of the building by the applicant or future budding
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air quality Management District(SCAQMD)?See permitting checklist
• forguidelines
CONSTRUCTION LENDING AGENCY oYes DNo
1 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 ❑No
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 oYes O No
construct,alter,improve,demolish or repair any structure,prior to its Date
issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP)
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
and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensation for most work that disturbs paint in a pre-1978
an Applicant for a permit subjects the applicant to a civil penalty of not more residence or childcare facility to be RRP-certified firms and comply with
than($500), required practices.This includes rental property owners and property
managers who do the paint-disturbing work themselves or through their
O 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.epa.gov/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 o 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
completion,the Owner-Builder will have the burden of proving that it was Firm Certification No.:
not built or Improved for the purpose of sale. D No EPA Lead-Safe Certified Firm is required for this project because:
D 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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
,a,t,' Menifee
DATE: / PERMIT/PLAN CHECK NUMBER �N►1 L���
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY VMOBILEHOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
trINEW O PLUMBING ORE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK
PROJECTADDRESS 27W P—r pr5o/I ftYE /50,r�Q
ASSESSOR'S PARCEL NUMBER 3)'t? 1 `a4QS-0 LOT '/ TRACT
OWNER NAME Ia 7
JI
ADDRESS 3 25'/
PHONE 950 967 fy y Z3 EMAIL
APPLICANT NAME ILA
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME OWNER BUILDER? *VES ONO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION $ SQ FT I9? L SO FT Q
APPLICANT'S SIGNATURE I. u l2 T-C-W(N1.L°� DATE Ill l7
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY:
PERMIT FEE qLF .0 SMIP GREEN
PLAN CHECK FEE I INVOICETOTAL
OWNER BUILDER VERIFIED 0 YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
eg
o�
Ciry of Menifee Building& Sofety Deportment 29714 HOLIn Rd. Menifee, CA 92586 95l,,' 2� �7 4
wAw,CItI/Dfinenifee.Us 0 n'j1R3' w
FXij4I'Aj \ City of mentfee
® 7'r22 Building Dept.
_ FEB 2 7 2018
1
Received
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FREVIEWE
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SAFETY DEPARTMENT
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DATE I n
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'Approval of tliese plans shall not be construed to be a permit ior,orap•
approval of,any violation of any provisions of the federal,state urcif�
raguhitions and ordinances. This pet of approved plans must 6e kept on the
johsite until completion,
4/ �iON
�7?57 J�F7F1?50kl co� 9zS �m Y
,,J/7A/ 3zQ/r200S_0 L07` 71
Riverside County Flood Control
and Water Conservation District
Mission Statement: `The mission of the Rr•erside County••' -
Flocd Control and Water Conv r.'adon District is to protec
people,property and.,intersheds from damage or destruction '^ '� Ai ,- 'f r"�, •f
from flood and storm .raters and to conser.e.rec,arm mid
save such ,tern for aeneficiat use. " 1995 Merket Street,Riverside,CA 92501
Home th R!:FRF!DE C'OUST1'FLOOD CONTROL AND ItSiTER COSSERlWT1OA'DISTRICT C1ty Of Menife AREA DIR VYAGE?LAN e
About e District [NDER�IAP Bufiding De
Programs and Services r pt.
Technical Resources _ -. . _. .- .__ F C D 2 0 2018
Rainfall and Weather D
Construction Bid OPps
Non Construction Bids /b^ ��
Divisions __.._ _ -
LinksJob Postings
Annual Budget Process -
2018 Pmfesslonal
Services On-Call List RFO -
Amendment Original Date of Current
Plan Name Zone Number Adoption Data Last Revision Fee Report Map
Day Creek 1 7 Nov-77 Jun-98 S9,262/ACRech '
South Canyon 1 2 Apr-80 Jun-93 $7,354/AC -
1.1 1 Southwest Riverside 1 4 Apr-80 Jun-93 $4,1471AC —
Z lP 3 S. 0 5 Easwale 2 2 Jun-91 Jal-02 $7,777/AC ��
/ Lake Mathews 2 1 Aug-94 Oct-03 $3.815/AC _ _-
WestElsinme 3 1 Sep-06 Jun-93 $5,557/AC _
Hemet Regional 4 2 Sep-84 Jun-93 $5,134/AC
HomelamNRomoland 4 3 Am-98 — —
A.Line ASub-Watershed 4 — Apr-88 Jul-14 $21,052/AC
B.Line B Sub-Watershed 4 — Apr438 JuIA4 $15,505/AC
Lakeview/Nuevo 4 4 Feb-81 Jun-93 $2,093/AC -
Moreno 4 5 Sep-80 Jun-93 $6,715/AC j.
Penis Valley 4 2 Jul-87 Aug-91 $8,875/AC Vs,-,Rear,
San Jacinto Regional 4 3 Sep-84 Jun-93 $5,4D2/AC Vsw Rate Vic"
San Jacinto River 4 0 Sep-87 Jul-87 $Z215/AC Brew R=Doss. Vier rAa.
Sunnymead 4 7 Oct-78 Jun-93 $6,133/AC Pew Rec.n View 9.so
Salt Creek Charnel 4 0 Nov-96 —A.Winchester/North 4 — Nov-96 Jan-97 $131/AC Vie•.v 4eror. View Mac
S.South Hemet 4 — Nov-96 Jan-97 $338/AC
West End 4 0 Sep-92 Ocl-92 $6,865/AC ew Repor. Vow Mao
Murders Creek 7 2 May-86 — —
A.MurdetaValley 7 — May-86 Jun-93 $4,139/AC viexNxo
B.Temecula Valley 7 — May-86 Jun-93 $Z291/AC
C.Santa Gertrudis Valley 7 — May-86 Jun-93 $1,179/ACw Reoon
D.Warm Springs Valley 7 — May-86 Jun-93 $677/AC ViravV-0
E.Wgtlnmar Valley 7 — May-86 Jun-93 $4,952/AC
Anna 7 2 May48 Mar-04 $2,198/ACf
L.rf„•//.....�.,ff-- J......a..,.l ..,, .....,._,.:a„ _„ ..,,/A T-inr.e.._n
County of Riverside Report lD: RVARA09I 1
Ron Datc/Tfino: 2/t52018 4:45 PM
Official County Receipt Page No: I of 1
*' Received Date: 'J's" 48
Acceonfing 2/20/2018
Deposit BU: FCARC
Account: FC01
Descr. FCARC FLOOD CONTROL
Receipt Number Dir Jml Q Payment ID Description of Payment Pau Amt
6261-2 ld CASH CRO53076 APN 329-182-005 ADP FEES 2,635.85
Customer Name: LILIA TERRONES
.... .................. ._.............._._...._.__._.._..............__.......__....__._.... .. ...........
Operator: E210792 Total Payment: 2,635.85
Assigned: E228489
City of Menifee
Building Dept.
FEB 2 0 201E
Received
CR053076
WHITE-Customer PINK-File BLUE-Accounts Receivable
-ate. �a n rn
� 4
.� �• f3s
Vi i r ,
RECORDING 302289 O 1 -
R6E�Fdiffig 116puested By
�Fpfpiican TitIB Inaltr�Ire RECEIVED FOR RECORD
AND WHEN RECORDED MAIL TO: AT8:000'CLOCK
NAME -I
rTerrono and Li1ia AUG 12 1996
STREET Terrones
ADDRESS —
PAID
CI7Y 27965 Jefferson Ave. ER
c.Transfer Tax B.�aa.vm.lx�a.
STATE Romoland, CA 92580 amwar r,c.u...' ^
ZIP NKK.ROorder ( R0 rd°' tp City Of nife. C
L .Co.Recorder FB.as guildln apt.
THIS SPACE FOR RECORDER'S USE ONLY
GRANT DE�182_ The undersigned Grantorfs) declarelsl that the DOCUMENTARY[I p 1 O,O 004-9 TRANSFER TAX IS: S 21.45 County, S City C V 8
ASSESSOR'S PARCEL NO: 329-182-005
computed on the full value of the interest of property 1.1
TITLEORDERNO: 2058475 conveyed, or 1
computed on me full value less the value of lien ved r-
ESCROWNO: 338 — encumbrances a full value
thereon at the time en a
TRA o�9-tea OR transfer is exempt from tax for the following reason:
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
N Grantor/Sellarporothy J. Millett, a widow, and Jackson C. Hunter, a single man
hereby GRANT as
tooint tenants
Grentee/BuyerHilario Terrones and Lilia Terrones, husband and wife as joint
a tenants
all that real property situated in the unicorporated area
(name of city or unincorporated areal •.County of Riverside ,State of California, described as:
Townsite Lot Number 71, Town of Romala, as per Map Book 13,
Page 8, records of Riverside County, California and l�Lot 70 of Romala Townsite, as shown by map on file in Book 13,
Dated 7 at pag y
e 9 G y'of Maps, Records of Riverside Count California.
— 19 - o
STATE OF CALIFORNIA I (�oroy4hy
COUNTY let
COUY OF y /�e ss 3+ Hu
.(n a' L- z
On �fye I `Jackson C. nter l
personally appeared J./KfLLt7T
.Zf]Fe
personally known to me (or proved to me on the
basis of satisfactory evldence) to be the
perso the
within n instrument,(s) whose n and(acknowledged subscribed o me o that
he/she/they executed the same In his/her/their
authorized on the
and that a his/her/their TEflfll D.CHAVEZ
entity uupo on the instrument the person(s) or the
exec upon behalf a which the Person(s) acted, • comMlssioN N7063435i
'0e � N°I°ry Public Ealilpnla ;
executed the instrument Y aIVEFSIOE L°UNtV °
My am125o1B9B°I,as
WITNESS my hand and official seal
Signatu (This area for official notary seal)
MAIL TAX •
STATEMENTS TO'
NAME ADDRESS CITY, STATE a ZIP
•sr°°-ei x,aa THIS FORM FURNISHED COURTESY OF ORANGE COAST TITLE COMPANIES
STATE ON' CALIl''UKN1A - DEPARI'MENI' OP' HOUNIINU AND CUMMUINI'1 Y DEVELVPMENI
_ CERTIFICATE OF TITLE
Manufactured Home Decal- LBN3595
Manufacturer tD/Name Trade Name Model DOM DFS RY
UNKNOWN 01/01/1989 II/ M017
Serial Number Label/Insignia Number Weight Length Width Issued
13510503A ARZ100200 64' 14' Feb 22.2018
13510503E ARZ100201 64' 14'
Addressee City of Menifee
LILIA TERRONES Building Dept.
37517 EARLY LN
MURRIETA,CA 92563 MAR 0 5 20t8
®
RegisteredOwner(s) Received
LILIA TERRONES
HILARIO TERRONES
Joint Tenants with Right of Survivorship
37517 EARLY LN
MURRIBTA,CA 92563
Situs Address
27957 JEFFERSON AVE
ROMOLAND,CA 92585
1\
IMPORTANT FOLS
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE
CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT.
DTN: 9989818 02222018-2
STATE OF CALIFORNIA-DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
_ REGISTRATION CARD
Manufactured Home Decal: LBN3595
Manufacturer ID/Name Trade Name Model DOM DFS BY Exp.Date
UNKNOWN 01/01/1989 11212017
Serial Number Label/Insignia Number Weight Length Width Issued
13510503A ARZ 100200 64' 14' Feb 22,2018
13510503E ARZ100201 64' 14'
Addressee
LILIA TERRONES
37517 EARLY LN
MURRIETA,CA 92563
Registered Owner(s)
LILIA TERRONES
HILARIO TERRONES
Joint Tenants with Right of Survivorship
37517 EARLY LN
MURRIETA,CA 92563
Situs Address
27957 JEFFERSON AVE
ROMOLAND,CA 92585
ATTENTION OWNER:
THIS IS THE REGISTRATION CARD FOR THE
UNIT DESCRIBED ABOVE. PLEASE KEEP THIS
CARD IN A SAFE PLACE WITHIN THE UNIT.
INSTRUCTIONS FOR RENEWAL:
REGISTRATION FOR THIS UNIT EXPIRES ON THE
DATE INDICATED ABOVE IN THE BOX LABELED
"Exp.Date". THERE ARE SUBSTANTIAL
PENALTIES FOR DELINQUENCY. IF YOU DO NOT
RECEIVE A RENEWAL NOTICE WITHIN 10 DAYS
PRIOR TO THE EXPIRATION DATE,CONTACT
H.C.D.FOR RENEWAL INSTRUCTIONS.
IMPORTANT
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE
CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT.
DIN: 9989818 02222018-1
STATE OF CALIFORNIA-BUSINESS,CONSUMER SERVICES,AND HOUSING AGENCY EDMUND G.BROWN JR.GOVERNOR
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS
Registration and Titling Program B
PO Box 2111 ,
Sacramento,CA 95812-2111
(916)323-9224
From TDD Phones:1-800-735-2929 --
February 12, 2018
PREVIOUS DECAL NUMBER
13510503A
LILIA TERRONES SERIAL NUMBER
37517 EARLY LN
MURRI ETA, CA 92563 TRADE NAME
LBN3595
CURRENT DECAL NUMBER
Your transaction for this unit is being processed at this time.The decal enclosed must be affixed to the unit
according to the instructions which appear on the reverse side of the decal.The Certificate of Title and/or
Registration Card will be mailed to you under a separate cover.