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PMT18-02863 City of Menifee Permit No.: PMT18-02863 29714 HAUN RD. y� MENIFEE, CA 92586 Type: Mobile Home MENIFEE MENIFEE Date Issued: 06/12/2018 PERMIT Site Address: 23560 CASSANDRA DR,MENIFEE, CA Parcel Number: 350-231-043 92587 Construction Cost: $2,000.00 Existing Use: Proposed Use: Description of RETROFIT PERMANENT FOUNDATION TO EXISTING MOBILE HOME, 1248 SF Work, SERIAL#:31720349AT HUD#:CAL276128 SERIAL#:31720349BT HUD#:CAL276129 Owner Contractor GILBERTO RIOS ON LOCATION 23560 CASSANDRA DRIVE 442 WEST ESPLANADE STE 28 MENIFEE, CA 92587 SAN JACINTO, CA 92583 Applicant Phone: 7608157069 ELAINE SIKULA License Number:903906 ON LOCATION 442 WEST ESPLANADE STE 28 SAN JACINTO,CA 92583 Fee Description ON Amount($1 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_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 contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and n I am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: License Class Liters o. © 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 ❑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 www.leginfo.ca.Rov/calaw_html.permit is issued. Policy# Date o I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Cade,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✓ //.e,7 with all applicable city and county ordinances and state laws relating to building c ruction.I auth 'ze representatives of this city or county to Policy# %l�3®7� Expires enter a ove identifie r for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date cP / `P dollars($100)or less PERTY OWNER OR AUTHORIZED AGENT n I certify that in the performance of the work for which this permit is issued, 2�C� ^7S� 1 shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS UCENSE# �J ! C workers compensation laws of Califar ia// nd agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workeej pensation y o ions of Section 3700 o the Lab r Code,I shall foolai Will the applicant or future building occupant handle hazardous material or a `ram Applicant Date /d Q mixture containing a hazardous material equal to or greater that the amounts�spfled an the Hazardous Materials Information Guide? WARNING:F ILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes a;ffJo 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 for guideli ffs- CONSTRUCTION LENDING AGENCY ❑Yes 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 bound ry of a school? (Section 3097 Civil Code) o Yes $fJo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.i understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California Health&Safety Code, ction 25505 and 25534 concerning hazardous terial reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes Business and Professions Code).Any city or county that requires a permit to Date construct,alter,Improve,demolish or repair any structure,prior to itsftROP—ERTY OWNER OR AUTHORIZED AGENT issuance,also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPI License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in apre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($SDD). managers who do the paint-disturbing work themselves or through their o 1,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 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. o No EPA Lead-Safe Certified Firm is required for this project because: o 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 RAP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION AV O MENIFEE L Y G A- DATE: PERMIT/PLAN CHECK NUMBER - O� PLANNING CASE NUMBER TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY -` M EROBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECH e0 e8 O NEW O PLUMBINGG O RE-ROOF NUMBER OF SQUARES ng Dept. DESCRIPTION OF WOR .4 "/ 74� 12 2018 3� PROJECT ADDRESS �j j 1p Q ASS"zvg 72 ZIP ASSESSOR'S PARCEL NUMBER LOT 71 TRACT OWNER NAME 4nn Q ADDRESS K PHONE EMAIL APPLICANT NAME ADDRESS PHONE EMAIL CONTRACTOR'S NAME OWNER BUILDER? OYES BUSINESS NAME 4& /J & 1 pN ADDRESS PHONE / EMAIL CONTRACTOR'S STATE LIC NUMBER J LICENSE CLASSIFICATION j VALUATION$ "2?wy'� SQ FT /.�7 L SQ FT . ` 9 APPLICANT'S SIGNATURE I DATE y K; DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE ob INVOICE TOTAL la GREEN SMIP OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (9S1)672-6777 Gin o. www.cityofinenifee.us P ' �ENIFE�i -W CA .5wly z)e# 50' City of Menifee Building Dept. ! � JUN 12 2018 Received SEPTIC I CI OF ENIFEE SAFETY DEPARTMENT PLAN APPRO AL 51 REVIEWED B LU DATE 'Approval of these plan shall not construed to be a permit for,oran approval of,any violab of any pn visions of the federal,state or city renulations and ordinan es. This s of approved plans must be kept oo the jobsite until completio I � fy N G19 z X I v4 I � Cpwek� J r I s�� I m .. STATE 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 21,2018 City of Menifee Decal#: LAE9010 Use Code: SFD Building Dept. Manufacturer: 90002 SKYLINE HOMES Original Price Code: AEP SUN 12 Tradename: SUNWOOD Rating Year: 2��8 Model: 1101 Tax Type: LPTReeeived Manufactured Date: 02/09/1984 Last ILT Amount: ' e Registration Exp: Date ILT Fees Paid: First Sold On: 05/11/1984 ILT Exemption: NONE Serial Number HUD Label /Insignia Length Width 31720349AT CAL276128 52' 12' 31720349BT CAL276129 52' 12' Record Conditions: Park Purchase Fee Exemption granted Registered Owner: GILBERTO RIOS 28867 ESCALANTE RD QUAIL VALLEY,CA 92587 Last Title Date: 09/21/2017 Last Reg Card: 09/21/2017 Sale/Transfer Info: Price$5,000.00 Transferred on 0711912017 Situs Address: 23560 CASSANDRA DR QUAIL VALLEY,CA 92587 Sites County: RIVERSIDE Title Searches: GENERATIONS ESCROW 1 PARK PLAZA it 120 IRVINE.CA 92614 Title File No: LAE9010 ***END OF TITLE SEARCH*** DOC # 2017-0232067 06/09/2017 01:13 PM Fees: $24.00 Page 1 of 4 Recorded in Official Records County of Riverside Peter Aldana RECORDING REQUESTED BY Assessor-County Clerk-Recorder Chicago Title Company MAIL TAX STATEMENT "This(JWp&% g[yj ronically submitted AND WHEN RECORDED MAIL DOCUMENT TO: to the�ygl�y�pf[��e for recording" Gilberto Rios Recei h 1$ 28867 Escalante Road Menif4,CA 92587 JUN 12 2 2018 018 �1 Space above This Lin tR Cne�"ace A.P.N.: 350-231-043 File No.: 203-044709 (CH) Title Order No.: 7101708026_1�):I) GRANT DEED The undersigned Grantor(s)Dedare(s):DOCUMENTARY TRANSFER TAX,$.we T f TRANSFER TAX$0.00; X computed on the consideration or full value of property conveyed,OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, unincorporated area; [X) ry1 (�� FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Ignacio Sierra and Hilda Sierra,husband and wife as joint tenants C. hereby GRANTS to Gilberto%6s, and Mercedes N. Rios, Husband and wife as joint tenants the following described property in the ( , County of Riverside,State of California: See Exhibit "A" attached hereto and made a part hereof. Dated: M �2017 Hilda Sierra zy�a�to s;e��t Mail Tax Statements To: SAME AS ABOVE -------------------------------------------------------------------------------------------------------------------------------- Ion-Order Search Page 1 of 4 Requested By:Joann Harris , Printed: 5/23/2018 12:48 PN �A,7 110na 7 nGr-nr_no_,)nt 7 DOC#2017-0232067 Page 4 of 4 EXHIBIT "A" Legal Description For APN/Parcel ID(s)• 350-231-043-1 Lot 71, Block D, Of Lake Elsinore Lodge, In The City of Menifee, County Of Riverside, State Of California,As Per Map Recorded In Book 12, Page 27 Of Maps, In The Office Of The County Recorder Of Said County, Except Therefrom All Minerals, Oils, Gases And Other Hydrocarbons By Whatsoever Name Known,That May Be Within Or Under Said Land Hereinabove Described Without, However, The Right To Drill, Dig Or Mine Through The Surface Thereof. Ion-Order Search Page 4 of 4 Requested By:Joann Hams ,Printed:5/23/2018 12:48 PN .__.nn.- nnnnr_ ncr nc nn onto