PMT18-03086 City of Menifee Permit No.: PMT18-03086
�+ 29714 HAUN RD.
,I/ AV MENIFEE, CA 92586 Type: Residential Re-Roof
MENIFEE MENIFEE Date Issued: 06/2012018
PERMIT
Site Address: 28628 BRADLEY RD, MENIFEE,CA Parcel Number: 336-070-003
92586 Construction Cost: $8,000.00
Existing Use: Proposed Use:
Description of REMOVE EXISTING ROOFING, REPAIR AND INSULATION BOARD,REROOF W/GAG TIMBERLINE
Work: COOL ROOF IN STONE GRAY CRRC#0676-0137
Owner Contractor
STARS AND STRIPES REAL ESTATE-JOHN H MONDAY STARS AND STRIPES REAL ESTATE
31938 TEMECULA PKWY STEA#362 JOHN H MONDAY
TEMECULA,CA 92592 31938 TEMECULA PKWY STE A#362
Applicant Phone: 9512196763
JOHN H MONDAY License Number: 18-PEOP-00022
STARS AND STRIPES REAL ESTATE
31938 TEMECULA PKWY STE A#362
TEMECULA, CA 92592
Phone: 9512196763
Fee Description Qtv Amount 181
Building Permit Issuance 1 27.00
Inspections not specified 98 98.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Building 1 4.90
$130.90
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 building 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
with a licensed contractor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjury that I am under provisions of
Chapter!)(commencing with section 7000)of Division 3 of the Business and o 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 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
F a 1 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 www lePinfo.ca aovycaiaw.html.
this permit is issued. �/ (' I 1C
PolicyN Date l0 U
PROPER O AUTHORIZED AGENT
D I have and will maintain worker's compensation Insurance,as required by
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 worker's 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
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 9 Expires enter the above identified property for inspection pur ase
(This section need not to be completed is the permit is for one-hundred //� Date
dollars($100)or less PROPE OWNER OR AUTHORIZED AGENT
D I certify that in the performance of the work for which this permit is issued,
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If
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 3700 of the Labor
Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
Applicant Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes 7No
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(SCAQMDi?See permitting checklist
IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelinfts
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 boundary of a school?
(Section 3097 Civil Cade) ❑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 reason(s)indicated below by the ��zardous material re orting. ��(
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 zf kes o 1 ( 1J
Business and Professions Code).Any city or county that requires a permit to Date 1
construct,alter,improve,demolish or repair any structure,prior to its PROPMT—Y4JWNER 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(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 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 workthemselves orthrough 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( I all of or( I 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 Contractor's State License Law does not apply to an owner of a D 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. �1Vo EPA Lead-Safi@ Certified Firm is required for this project because:
vt 0 0 rn .n�
V as owner of the property am exclusively contracting with licensed T—
Eontractors 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.
Alaa 110wral 1111H
r4
15,
Men ifee
DATE: (o I Zoi p PERMIT/PLAN CHECK NUMBER p�
TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING )�RE-ROOF NUMBEROF SQUARES 25
DESCRIPTION OF WORK
c,N V �.15�/h v7vi belay- tq�N c� �e -roo
PROJECTADDRE55 Z�IbZB 9P,4OLEy r 5vvN C-I- G/ l k ZIP ! ZSS
ASSESSOR'S PARCEL NUMBER 336 --070-- C,?3, 3 LOT it) Z`I 0 Z-
OWNER NAME 5-�v'5 q"CJ 5J`CN i2c 5 a f_5
ADDRESS -310138 7cioec,114 PR///wy 5-r�3 36Z ?�"'Pc r lei 6iF, SZ
PHONE B S I Z i���R"" &7 (,9 / (EMAIL OND A f WI AIL, (0 1
APPLICANTNAME �Clvly� Moo I/�/�Go
ADDRESS �� 'J�j �P/LjeCVIG ��/ 1N/9 V.k #�bZ —etMe4Jlh Ch 71t�i7
PHONE 'K 1 Z 1� lo-7(0 EMAIL Y*M tj,1 J 41 (/)H411'n#xf_. t ovIA
CONTRACTOR'S NAME OWNER BUILDER? ES ONO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ Qj, 000 SQFT Z, _94Vn� P S LSO,FT/ 7
APPLICANT'S SIGNATUR � DATE (.n I Z 1: t
CITY STAFF USE ON
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
PERMIT FEE SMIP GREEN
OWNEF'�'BUILDER
CHECK FEE INVOICE TOTAL
VERIFIED OYES 0 NO DRIVERS LICENSE# NOTARIZEDLE17ER 0 YES C NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us
DOC #2018-0244949
06/15/2018 04:59 PM Fees: $20.00
Page 1 of 3
RECORDING-REQUESTED BY: Recorded in Official Records
South Ranch Escrow,ANon-Independent County of RiversidePeter Aldana
Broker Escrow Assessor-County Clerk-Recorder
Escrow#0618-0004
Tide No. 00544093-993-SE9
"This document was electronically submitted
to the County of Riverside for recording**
When Recorded Mail Document To: Receipted by:MARY#420
Stars and Stripes-Real Estate Consulting, City Of Menifee
LLC,a California Limited Liability Building Dept.
Company
31938 Temecula Parkway,Suite A#362 JUN 2 2��8
Temecula, CA 92592'
Escrow No.: 0618-0004 Received
Title No.: 00544093-993-SE9
APN: 336-070-003 SPACE ABOVE THIS LINE FOR RECORDER'S.USE
69"0 GRANT DEED + Exempt from fee per GC 27388.1 (a)
(2);recorded concurrently in connection
The undersigned grantor(s)declares) Documentary transfer tax is$209.00 with a transfer subject to the imposition
19 computed on full value of property conveyed, or
of documentary transfer tax
❑ computed on full value less value of liens or encumbrances remaining at time of sale,
191 The property is located in the City of-� 1,y6 ✓11W
I
FOR A VALUABLE CONSIDERATION,receipt of which is hereby acknowledged,
Samuel A. Berry, III,A Widower
hereby GRANT(S)to
Stars and Stripes Real Estate Consulting LLC,a California Limited Liability Company
the following described real property:
SEE.EXHIBIT"A"ATTACHED HERETO AND MADE A PART HEREOF.
Dated:du(u rot01�
` G
Samuel A. Berry, III
A notary public or other officer completing this certificate
verifies only the identity of the individual who signed the
document to which this certificate is attached, and not
the truthfulness,accuracy,or validity of that document.
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached,and not the truthfulness,accuracy, or validity of'thatdocument.
STATE OF
OF
On June11,2018 before me,Ashley Raechelle Thomas,A Notary Public personally appeared Samuel A. Berry, III who
proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capecity(ies), and the
by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s)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.
V
WITNESS h id an officialseal. aa�
Signature MM�#22 058
L Notary Public•California
y t Riverside Coun
Comm.Expires 021
DOC#2018-0244949 Page 2 of 3
Government Code Section 27361.7
I certify under penalty of perjury that the notary seal on the document to
which this statement is attached reads as follows:
Name of Notary: Ashley Raechelle Thomas
Date commission expires: June 8, 2021
County where bond is filed: Riverside
Commission No.: 2200581
Vendor No SECI
Place of execution: Riverside, Ca
Date: 0611512018
City of Menifee
Building Dept.
JUN 20 2018
Ticor Title
Received
DOC#2018-0244949 Page 3 of 3
APN: 336-070-003
EXHIBIT "A"
All that certain real property situated in the City of Menifee, County of Riverside, State of California, described as follows:
LOT 103 OF TRACT NO.2402, IN THE CITY OF MENIFEE,COUNTY OF RIVERSIDE, STATE OF CALIFORNIA,AS
SHOWN BY MAP ON FILE IN BOOK 43 PAGES 84, 85 AND 86 OF MAPS, RECORDS OF RIVERSIDE COUNTY OF
CALIFORNIA.
EXCEPT THEREFROM ALL OIL, GAS, MINERALS,AND OTHER HYDROCARBON SUBSTANCES LYING BELOW THE
SURFACEOF SAID LAND, BUT WITH NO RIGHT OF SURFACE ENRTY.AS PROVIDED IN DEEDS OF RECORD.
Assessor Parcel No.: 336-070-003-4
City Of Menifee
Building Dept.
JON 2 0 2018
Received
Borrower's Final Settlement Statement
South Ranch Escrow,A Non-Independent Broker Escrow
31552-2 Railroad Canyon Road
Canyon Lake,CA 92687
Phone: (951)579-6206 Fax: (951)309-3934
Settlement Date: 06/15/201e
Escrow officer/Closer: Jessica Galvan City Order Number: 0618-0004 y of Menifee
Borrower. Stars and Stripes Real Estate Consulting,LLC Building Dept.
Seller: Samuel A.Be",III
1281 Cabrillo Ave
Torrance,CA 90501205 l U N 7 0 2018
Property location: 28628 Bradley Road ,�`� Iv
Menifee,CA 92586 K e/ate loge d
9 Debit Credit
Financial Consideration
Sate Price of Property 190,000.00
Deposit 1,000.00
Loan Amount 170.000.00
Cash To Close 65,000.00
ProretionslAdtustmenfs I
Assessments 177.12
06/16/18-12/31/18
County Taxes 62.73
06/15/18- 07/01/18
Loan Charges to Miller Financial $2,550.00
Origination Fee 2,550.00
'Fscrow/Tttle Charges
Binder In Fee to Ticor Title 85.00
Document Drawing Fee to South Ranch Escrow,A Non-Independent Broker Escro 75.00
Document Preparation Fee to South Ranch Escrow,A Non-Independent Broker Escro 50.00
Escrow Fee to South Ranch Escrow,A Non-Independent Broker Escro 789.60
Lender's Policy to Ticor Title 519.00
Recording Services to Ticor Title 14.45
Sub-Escrow Fee to Ticor Title 62.50
Recording Charges
Recording Fees to Ticor Tide 60.00
Miscellaneous Dabits/Credits
Homeowners Insurance Premium to Safeco Insurance A
12 month VY
$487.15 paid outside closing by Borrower
Subtotals 194.445.40 236,000.00
Balance Due TO Borrower 41,664.60
TOTALS 236,000.00 236.000.00
Borrower 6N
5ta and Stripe Real Estate Consulting,LLC South Ranch Escrow Q
y� "A Non-Independent Broker Escrow"
u n Mc S - CERTIFIED TO B AND ��w
Autho' d S er EXAC F ORIGINAL AIL/
So th an crow,A on-Independent Broker ONO
Es ow
Se ement Agent JessilcaG BO
i
Printed on 08/18/18 at 10:46:30AM by lessks.0alvan 061641004160
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