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PMT18-02089 City of Menifee Permit No.: PMT18-02089 29714 HAUN RD. T Mobile Home 'ACCEL/> MENIFEE, CA92586 Type: MENIFEE Date Issued: 05109/2018 PERMIT Site Address: 31260 SADDLEBACK LN, MENIFEE,CA Parcel Number: 360-220-017 92584 Construction Cost: $500.00 Existing Use: Proposed Use: Description of PERMANENT FOUNDATION FOR EXISTING 60'X 36'MOBILE HOME Work: SN:A/B/C 6SC2512CA HUD:2201981220199/220200 Owner Contractor LOUISE GALLAHER 31260 SADDLEBACK LANE MENIFEE, CA 92584 Applicant License Number: MENIFEE, CA Phone:6199544701 Fee Description Qtv Amount 1E1 Permit Fee 1 27.00 Inspections not specified 129 129.07 $156.07 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 bulliding operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise slated,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_Perm t Template.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 I am under provisions of with a licensed contractors)Pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and D I am exempt from licensure under th C�ract s t License Law for Professions Code and my license is in full force and effect. the following reason:z Yr/= 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 D I hereby affirm under penalty of perjury one of the fallowing 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 website: by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. www.Ieg:info.ca-Rov/caIaw-htML y� Policy# �/ Date o I have and will maintain worker's compensation Insurance,as required by -\ P .R f R 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 owner's 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 stale laws relating to 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($100)or less PROPERTY OWNER OR AUTHORIZED AGENT o I certify that in the performance of the work for which this permit is issued, 1 shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 37GO of the tabor 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 an the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 o Yes ❑No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYERTO 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 ion occupant require a permit for the construct or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCion or See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY oYes ciNo 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) o Yes ❑No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning Contractor's License Law for the reasons)Indicated below by the hazardous material reporting. checkmark(s)I have placed next to the applicable hems)(Section 7031.5 oYes ❑No Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWN ER 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING fRRPI 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 required practices.This includes rental property owners and property than($500). 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.eoa.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 Contractor's 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. ❑No EPA Lead-Safe Certified Firm Is required for this project because: ❑1,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's 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. F=1 "Menifee DATE:5-1-18 PERMIT/PLAN CHECK NUMBER-PMT-1 O - ozogg TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY N- p11L- �'HOJ = O POOL/SPA O 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 433A Permanent Foundation w PROJECTADDRESS 31260 Saddleback Lane ZIP 92584 ASSESSOR'S PARCEL NUMBER 360-220-017-7 LOT TRACT OWNER NAME Louise Gallaher ADDRESS 31260 Saddleback Lane, Menifee 92584 PHONE 951-821-0661 EMAIL cgallaher951@gmail.com APPLICANTNAME Chris Gallaher ADDRESS 32735 Tucker Road, Menifee 92584 PHONE 619-954-4701 EMAIL cgallaher951@gmail.com CONTRACTOR'S.NAME Sure Safe General OWNER BUILDER? OYES ONO BUSINESS NAME SureSafe General ADDRESS 1257 Simpson Way, Escondido 92029 PHONE 800-782-2454 EMAIL 'r^0w'suresafe.com CONTRACTOR'S STATE LIC NUMBER 790029 LICENSE CLASSIFICATION General VALUATION$ SQ FT L SO FT AP..PI,ICAAIT.SIGNATURE— DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING PIE i ACCEPTED BY: Py �- N/A- PERMIT FEE SMIP GREEN PLAN CHECK FEE INVOICE TOTAL OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES O NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-612tb7Af Menifee www.cityofinenlfee.us Building Dept. MAY U i 2m Received ATE OF CALIFORNIA-BUSINESS.CONSUMER SERVICES,AND HOUSING EDMUND G.BROWN JR..GOVERNOR DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS Title Search Date Printed: May 3,2018 Decal#: LAA4700 Use Code: SFD Manufacturer: 9881 SB,VERCRESTINDINC Original Price Code: AMS Tradename: HOWARD MANOR Rating Year: Model: SIGNATURE Tax Type: LPT Manufactured Date: 07/20/1981 Last ILT Amount: Registration Exp: Date ILT Fees Paid: First Sold On: 08/1911981 ILT Exemption: NONE Serial Number HUD Label/Insignia Length Width A6SC2512CA 220198 60' 12' 116SC2512CA 220199 60' 12' C6SC2512CA 220200 36 12, Registered Owner: T WII.LIAM JOHN GALLAHER v LOUISE MARIE GALLAHER Tenants in Common Or 31260 SADDLEBACK LN SUN SUN CITY,CA 92584 Last Title Date: 02/1198 Last Reg Card: 12/10/1981 Sale/Transfer Info: Price$46,849.00 Tmnsfeired on 08/19/1981 Sites Address: 31260 SADDLEBACK LN SUN CITY,CA 92381 I Legal Owner: FIRST INTERSTATE BANK 1100 E FLOREDA PO BX 1047 HEMET,CA 92546 Lien Perfected On: 08/25/81 10:30:00 Title Searches: LOUISE GALLAHER 31260 SADDLEBACK LANE MENIFEE,CA 92584 Title File No: LAA4700 ***END OF TITLE SEARCH*** �n PERMIT NO. � \ SM PLAN NAMEZov \5Q_ �� le ham( PHONE ( SITE ADDRESS ASSESSORS PARCEL NUMBER Provide North Arrow REAR PROPERTY LINE s � I D D FOR E � S PGGP Q�gnG,c` G��"' D P �Zy_'�''r P�Npc�QNdD`pD6 E �t O v i X. ',off ' p`vUR�A n, P I E `O�—� P RP�NN NC DEPA 31 o P R l4 <—I o 'i aY. E T R Y T Y �-- 3 411 L N I E N E FRONT PROPERTY LINE Manufactured Home on a Permanent Foundation System on a lot zoned for a conventional single-family residential dwelling must comply with the following requirements: A. Roofing Material. Any roof material permitted under Ordinance 457.90, except metal roofing, maybe utilized. B. Siding Material. Any siding material permitted under Ordinance 457.90, except metal siding, may be utilized. C. All manufactured homes shall be no less than 750 square feet. D. The requirements of this section shall not apply if the manufactured home is already in place on lot JZ!UV5 ,\ 1 ssaippy AkjadOJd ,770 , �jr1Q7 aumN suaumo A�uadoud �,+IJ'� 3NI"I/,Ld3dOZld 1NOdzJ 9—' ��--77 00 S / , N s w 1:7 O 20 ort o m m A F1 m n m 3NII)U?J3dOZld ZIV321 Ai` ld d.LIS/lold �� n ovo - I PLUS PERMITS&CASES Administrative Cases Case Case Description Status N/A N/A N/A Building and Safety Cases Case Case Description Status 042276 DECK&COVER TO M/H FINAL 167979 SI CODE COMP LEGAL ISSUED FINAL BMR061946 PERMANENT FOUNDATION CHATTLE SYSTEM EXPIRED BZ423267 MOBILE HOME SITE PREPARATION FINAL BZA015512 M/H SET UP(SILVERCREST 34X60) FINAL Code Cases Case _ Case Description Status N/A N/A N/A Fire Cases Case _ Case Description Status N/A N/A - - N/A Planning Cases Case Case Description Status N/A N/A N/A Survey Cases _ Case Case Description Status N/A N/A N/A Transportation Cases Case Case Description Status N/A N/A N/A DEPARTMENT of ENVIRONMENTAL HEALTH PERMITS Septic Permits Record Id _J .__Application Date Plan Check Approved Date Final Inspection Date Approved Date N/A N/A N/A N/A N/A Well Water Permits Record Id PE 1 Permit Paid Date. Permit Approved Date Well Finaled Date N/A N/A N/A N/A WA *DISCLAIMER* Maps,permit information and data are to be used for reference purposes only.Map features are approximate,and are not necessarily accurate to surveying or engineering standards.The County of Riverside makes no warranty,or guarantee as to the content(the source is often third party), accuracy,timeliness,or completeness of any of the data provided,and assumes no legal responsibility for the information contained on this map.Any use of this product with respect to accuracy and precision shall be the sole responsibility of the user. Page 4 of 4 on 5/1/2018 10:58:55 AM Riverside County LMS Receipt Receipt Number: R0617230 Amount : 185 . 64 09/19/06 16 : 01 Payment Method: CK Notation: 2212 Init : CY - - -------------------------------------------------------------- Permit No: BMR061946 Type: MANFRES MANUFACTURED RES PER Parcel No: 360-220-017 Site Address : 31260 SADDLEBACK IN Location: TG 868 D5 Total Fees : 185 . 64 This Payment 185. 64 Total ALL Pmts : 185 . 64 Balance : . 00 Account Code Description Amount 100003110100722060 MOBILE HOME FEES 182 . 00 202033100200772210 BLDG LMS SURCHARGE FEES 3 . 64 - --------------------------------------------------------------- cot l W v C) • ,.ter N E R A L. � — — ----- ---- --- CONSTRUCTION CONTRACT s u F e S A F E4 Sure Safe General ADVANCED FGUNDATION TECHNOLOGY - 1257 SImpsion Way Escondido, CA 92029 Office ..800-782.2454 i �r _ z 7 �� ` Fax...:.780.740.034 i Owners Qll• (nmc's ap Cod �Cwne,'E om•Flvrn /" www.SureSafP.corn S / S J 7j=e�G Sd — -- -- Ca.Contr.Lic.it750029 '�I a1d,'css , Pried ry;. Paj-;.",p CWe Pr,4W Phone Da!4 tF.d 1e y) 2. I— t\ � .:rt Consancrlon F;uitl Haller Name(Irony) / �;ortC•FMcaN ne Hr,61'/��Na3 ------ � ConsWceon Paul Holder City,sir.Zap i/WLr,nce.Owm;t(s)of the premises dast:n7red above authorize Sun:Safe General,l;eri-,'ter retcrri.to 'C:oDtr,a;r'•,t,-rUrej$b a,matetiflis and Ir.bc 'e,:s:sv to coa�rruct :mbror improve there premises in a good,workmanlike and subsla:tigiLmarser accD:'d ngy d1r .i7lL•w•s:y tams.rpzai3ca5onr a d pro,isil+ns: a. Description of the work and the materi-plp to be used: �-' '�-' t^e--- S_-_C�: C.-G =� C- r-c, T O_ $.� c n•'r}5 - t-G.-, riG Cr f rJsl--S S r1•vt- - __ ---w2��_:._fit-_.._ O C_- `--)I;�—j � r-- --- `"�-L�a" e,—=�=`�---�/v.�=--i�r' ' •� � --......---- --1 rA t Z. LL -r C—�f n't�e`/— /Y .5 6 r4JIL rr \ n H'}C4 r' i b.DescripPon of ar.V areas that will NOT be worked on: /f{Gi t.:,�c r_r n r�_---S,r r1 r e-/Lt.!�G� i-!1`SrJ r— i? -_ - -'- TI'ds list of specifications may becondmred an subrrgcent peges(see page number below;, ----- ------ C.Payment: Contractor proposes to perform the above work,(subjec':to any additions and/cr deductions pursuacl to authdrized change mdvr3j,fr,the Total Sum of$ ! 50 Fa T/ 7%t) !'ryr f -Ce" Dovm Payment(if any)5 -_A : PAYMENT our WHEN ./AMOUIDNY YCL`,THL Ltt-rYnti MAY CANCEL TTTHIS TRANSACTION AT ANIV>'iV E VV„ PRIOR TO biti}N:Gftj,or THE TIHRD BUSINESS DAY AETUR THE DATB 7 OF•THISTRAJ480;CTION. RECEIVEPBYOWyFR�___---- _i ?DLl d.Ccinnionaement and Completennof'WGP'k:Comtrlenr-ementofworkshallmean to^abysi,:ai dc:';va:yofaaxria!s ezM tie pren.i:,es an iortheprrf:.Lair.:nfsny law. and.v,m=tcemert s.`,all be subjx to permissible delays as descmbcd in provision.51 of the ra�ux side, Appro:imatc Start Data: P GnLCAr nr7t-_�_� � J/jf 'r AnE+rerimat Ccm:,lattcr.Date: I � r% ��(j� _.-aeeept.:nce: Thisactmm is appizvdand accepted.I1wei undrnsmd:!em hm no orei ugree:ccuu o:cnder.:tandir,3e.hen,9ct the panic•af '=^^w>..rwn_inu,41a.:n: mis,ntori.rclr:,pia:•s Iif anyi aidspccifiaaHnas in•tids contract is the-emue agrxmemt t-t::eer.ei_:.;izm�a.Changes in thi::agm-cinent shall be dom by w:,Yen :iargc unla •Rnly"•n wtd,11C e.CpRSr all pw-vzi of both patties.Changer trr.'y meur addtuoral charger, As dean{fed iL nivvL ion li on pace tvc,this crmlra:u i;.wl>_ie.;t m epp*.•'.a:t> C ontzio:m o,;i"l c-mce:afra re w.diue.any dovm psyme_ze. Additional Provisions Of This ContractAre On The Reverrtie Side And May Ba. •4.-.Unvad On Subsequent Pages(see pages number b:iv . Not[: rnie contract maybe withdrawn after_days MWERIAGEN T,sae the"Arbitration of Disputes"provision on page two from ff not approved and signed by both parties. (provision 18) and the NOTICE following this provision. If you agree to arbitraftri, initial an the lint-balc%v the NOTICE whale indi ai::;t. Also, a,pmved andai�.p'.K(0'matz5an) _ae! Fria!:: I ' In ,•-imesg thttroo`i Lh-.cv;Dens)have iter:unic this -- --- — a., esatrucal 0; PP 7.OQf�ar aiancwjcg dtt r cf i>r�rit i^r ' 4p .. L .19n I .•N 'x rJ i -..:) �TL RIVE,RS10E COUNTY DEPARTMENT OF BUILDING AND SAFETY MOBILE HOME APPLICATION WORKSHEET APPLICANT: :5 2 �j Pi ❑ Site Prep Proposed Use: ❑ Permanent Foundation ❑ Installation Site Prep Permit# PROJECT INFORMATION Permit# rn ` j Property Owner's Last Name: Fi �G \4 L �. r LdV � SE st Jobsite Address.No. Street amp 1^ Road/Stree Space t City/Community State gZip Code Assessors Parcel Number z- CAr DIanmug Case# ParceUT,ractlufa s Z`ome• . 'Lgt<S�e- .E/A _'Depth Frontage FSB: Lf SB SS= I% SR' APPLICANT/AGENT INFORMATION Applicant/Agent' L Name: . Fit Mailin Addres o. Stre Name Road/Street Space# cl«r City/ mmunity State Zip Code Phone Numb 41,(F* 1 2111P-> Area ( ) 9-3 !FZ PRIO TO BUILDING PERMIT ISSUANCE, GRADING CLEARANCE MUST BE OBTAINEDFROM THE BUILDING DEPARTMENT. CONTRACTOR OR OWNER/BUILDER INFORMATION (Circle One) Calif. Contractor EXP. Type Firm Name License 7 O late � Mailing Address No. I Street Name Road/Street/Etc. Space # 2 5a� City/Community State Zip ode Phone Number Area ,'62O ) MANUFACTURER 0 w.c, 0 7a-%o r STATE INSIGNIA OR MODEL# L/H �76C) YEAR�_SERIAL NUMBER C' f WIDTH a — _LENGTH HL�#: A UNIT�,7Q / 96 B- T / ICI C-UNIT e Coo _ R 'OF 0 �A WIND LOAD 3, EARTHQUAKE RESISTANT BRACING SYSTEM INFORMATION Manufacturer's Name CA ERBS Cert. No. Brand or Model Name Model No. No. Of Bracing Devices (or sets)to be installed for each unit zs4-M oaroa MANUFACTURED RES PERMIT PERMIT # : BMR061946 Status: ISSUED Job Address: 31260 SADDLEBACK IN MENI Issued: 09/19/2006 Work Desc: PERMANENT FOUNDATION CHATTLE SYSTEM Expires: 03/18/2007 Parcel No: 360-220-017 Location: TG 868 DS Tract/Lot : PM15942 LOT 1 Zoning:R-A-1 APPLICANT ADAMS GENE Phone : 951-836-8092 9946 VICTORIA AVE, RIVERSIDE, CA CONTRACTOR SURESAFE GENERAL Phone: 1-800-322-199 1257 SIMPSON WY, ESCONDIDO CA 92029 OWNER GALLAHER LOUISE M 31260 SADDLEBACK IN, MENIFEE CA 92584 Manufacturer: HOWARD MANOR Model : LAA4700 Year Built : 1981 Serial # : S#ABC65C2512CA Width: 30 Length: 56 HUD #: A-UNIT: 220198 B-UNIT: 220199 C-UNIT: 220200 Setback-Front : 85 Left : 57 Right : 37 Rear: 70 ERBS Cert #: ERBS Model # : ERBS Manuf: Brand/Model FEE INFORMATION Item Description Qty Fee Amount Issuance Fee. . . . . . . . . . . . . . . . . : 1 20 . 00 Fixed Foundation Review. . . . . . : 15000 162 . 00 S .M. I . Fee. . . . . . . . . . . . . . . . . . . : 00 Microfilm Fee. . . . . . . . . . . . . . . . : . 00 Reinspections. . . . . . . . . . . . . . . . : . 00 Transfer Fee. . . . . . . . . . . . . . . . . : . 00 Renewal Fee. . . . . . . . . . . . . . . . . . : . 00 LMS Surchage. . . . . . . . . . . . . . . . . 3 . 64 Recording Fee . . . . . . . . . . . . . . . . . 00 Total Calculated Fees: 185 . 64 Additional Fees: . 00 Total Permit Fees : 185 . 64 CALL FOR INSPECTION - Requests for inspection shall be made at least 24 hours in advance by telephone at (951) 600-6100 Additional info at www. tlma.co.riverside .ca.us/Ims/lms.htm