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PMT18-04460 City of Menifee Permit No.: PMT18-04460 29714 HAUN RD. Air ff AV MENIFEE, CA 92586 Type: Residential Addition MENIFEE MENIFEE Date Issued: 0 911 7/2 01 8 PERMIT Site Address: 28808 GLEN OAKS DR, MENIFEE,CA Parcel Number: 337-205-008 92586 Construction Cost: $19,989.24 Existing Use: 1 &2 Family Residence Proposed Use: Description of RESIDENTAIL ADDITION/ALTERATION-ENCLOSE GARAGE, REMOVE NON-LOAD BEARING Work; WALLS, INSTALL NEW LIGHTING& PLUGS, REPLACE SEWER LINE, CONVERT SUNROOM& UTILITY ROOM TO LIVING SPACE,274 SQ FT ADDITION Owner Contractor RAULAGUILAR/CUSTOM BUILT RENOVATIONS AUTHORIZED AGENT 16307 SISLEY DR 31947 DAISY FIELD CT CHINO HILLS, CA 91709 LAKE ELSINORE, CA 92532 Applicant Phone:9515535542 JON PETERSON License Number. 18-PEOP-00033 31947 DAISY FIELD CT LAKE ELSINORE, CA 92532 Phone: 9515535542 Fee Description gtv Amount I$) Receptacle,Switch,Outlet& Fixture 30 261.00 Plumbing Fixtures and Vents,fixtures 3 116.00 Gas System 1 116.00 Piping/Repiping Single Family Residential 1 163.00 Sewer 1 150.00 Building Permit Issuance 1 27.00 Additional Plan Review Building 148 148.37 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 3.00 New Construction Permit Fee 1 91.95 General Plan Maintenance Fee-New 1 4.60 Construction $1,081.92 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA_Bldg_Permit Template.rpt Page 1 of 1 BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: - 2 /51 PERMIT/PLAN CHECK NUMBER O�O PLANNING CASE NUMBER TYPE: O COMMERCIAL WRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION YZFALTERATION O DEMOLITION Q(ELECTRICAL O MECHANICAL ONEW 1�rPLUMBING ORE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK e'-Jeove 'hc(I l:� l�t,'.n� `F � r� 14u se.�� ;n-e ��✓..1- SJ.1.oJ.-. � ut,l;t -h 1,✓. �5 �5�, 27Yql /G/vt1M PROJECTADDRESS `L�1'SO$ C�I.e..n OatcS ,C- ZIP `1Z584 I H'Ky ASSESSOR'S PARCEL NUMBER LOT If-4*0 TRACT -2 h'FrE2 OWNER NAME �-,+o� 1,, If YCnn o✓a+�'n ADDRESS PHONE ' Oy7 9 EMAIL Y4 ✓. qi , Cov. APPLICANT NAME ')0" ADDRESS Zl'114 a:s C-I' L-J Imo( !norc_ C� `/LS 7,2-. PHONE 95 l-S53- sSyZ EMAIL I?IeGj0fU (,",+IL- • C Jam. CONTRACTOR'S NAME OWNER BUILDER? )(YES O NO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ ?,0 o 0 SO FT 11 w CCy L SO FT _ APPLICANT'S SIGNATURE �_ DATE DEPARTMENT DISTRIBUTION ACCEPTED BY 7CITY0ENIFEEBUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL I ia-i, SS GREEN I ^ SMIP 3^ OWNER BUILDER VERIFIED C YES 0 NO DRIVERS LICENSE# NOTARIZED LETTER YES O NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee,CA 92586 (951)672-6777 G\TY OR City of Menifee www.cityofinenifee.us Building Dept. NIF SEP 12 2018 Received i�IV 7W' f l AndeY aE Ye a tMlrr aFar mtylM'vp nis aNf wtr twifrs&Ny Me identity d th YpiMil�Mto eyn10 Ye doeutwtl b xw tlit or6Ara4�s tlxJW,aM fa the vi b11Y�em,tle7pgtadlbdMltla�vtrM. State et Centernb Co.my of RIw .I 0)8s. I* I BELU'OiU"Lja ft� NOlryiuhMe,pelet>nyeepOpefed ^ �;, CONY.�:29t��93� WWI b m lM bnia d rYWt bty eybihp b Oe eM penorya) NOTARY PUBIC•CALIFORP' c WIaN _ a101ebMbpte bgtalreenderArowladpadb RNER810E COUPoTY nteetal ex1Oe1091eQI11p npagMl(a), rq Ylal n tntYlntuM ft Dateenlal,w Ore MY Comm,Expires:APRIL 19,2021 eI•tYIPm dWYeh/rpnt;mjaTand..xraMWMiwbu=nLlwreN ^~N """"'""""" """""^�"�'�`- •�- } ontlteP6iA1.TY6F PERAlRYtmdweubae difW Bleted CON fomb Nat the Batch 37$5574 Confirmation Page 7 of 8 DOC#2018-0363240 09/10/2019 04:50 PM Fees: $20.00 Page 1 of 3 RECORDING REQUESTED BY: Recorded In Official Records Prlortty Title County of Riverside Peter Aldana gN9a WHEN ECO.RDE^pIL�TO: Assessor-County Clerk-Recorder Mrr.Raul Sllvestre Aguilar . 16307 Sisley Drive •'This document was electronically submitted Chino Hills,CA 91709 to the County of Riverside for recording" Receipted by:MARIA 9309 -reko —OZO THIS SPACE FOR RECORDER'S USE ONLY: Title Order No.; 84480 Escrow No.: 030368-SS AP#:337-205.Ob8-2 GRANT DEED THE UNDERSIGNED GRANTOR(S)DECLARE(S) DOCUMENTARY TRANSFER TAX is$203.50 [X]computed on full value of property conveyed,or [ ]computed on full value less value of liensar encumbrances remaining at time of sale. [ ]Unincorporated.area [X] City of Menifee AND FOR A VALUABLE CONSIDERATION,receipt of which is hereby acknowledged, James David Dyer,Successor Trustee of the Charles Leonard Dyer and Wanda Garrigus Dyer Family Trust dated November 27,2007 hereby GRANT(s)to: . Custom Built Renovations,a California Corporation 'the real property In the City of Menifee,County of Riverside,State of California,described as: Lot 186 of Tract No.2446,In the City of Menifee,County of Riverside,State of California,as shown by Map on file In Book 44,Pages 96 to 100,Inclusive of Maps,Riverside County Records as more fully described in Exhibit "A"attached hereto and made a part hereof by this reference. , Also Known as: 28808 Glen Oaks DriVe,Menifee,CA 92586 DATED: August 22,2018 Signature Page attached hereto and made a part hereof MAIL TAX STATEMENTS TO PARTY SHOWN BELOW;IF NO PARTY SHOWN,MAIL AS SHOWN ABOVE: https://Ss.secure-recording.com/Batch/Confirmation/3785574 9/10/2018 RECORDING REQUESTED BY: Priority Title AN WHEN RECORDED MAIL TO: �GIY Mr. Raul Silvestre Aguilar 16307 Sisley Drive Chino Hills, CA 91709 T-0A. Oz 6, —Oz O THIS SPACE FOR RECORDER'S USE ONLY: Title Order No.: 84480 Escrow No.: 030368-SS AP#: 337-205-008-2 GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX is $203.50 [X] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale. [ ] Unincorporated area (X] City of Menifee AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, James David Dyer, Successor Trustee of the Charles Leonard Dyer and Wanda Garrigus Dyer Family Trust dated November 27, 2007 hereby GRANT(s)to: Custom Built Renovations, a California Corporation the real property in the City of Menifee. County of Riverside, State of California, described as: Lot 186 of Tract No. 2446. in the City of Menifee. County of Riverside, State of California, as shown by Map on file in Book 44, Pages 96 to 100, inclusive of Maps, Riverside County Records as more fully described in Exhibit "A" attached hereto and made a part hereof by this reference. Also Known as: 28808 Glen Oaks Drive, Menifee, CA 92586 DATED: August 22, 2018 Signature Page attached hereto and made a part hereof MAIL TAX STATEMENTS TO PARTY SHOWN BELOW;IF NO PARTY SHOWN,MAIL AS SHOWN ABOVE: Title Order No.: 84480 Escrow No.: 030368-SS AP#: 337-205-008-2 SIGNATURE PAGE Title of Document: GRANT DEED Date of Document: August 22, 2018 The Charles Leonard Dyer and Wanda Garrigus Dyer Family Trust By: Trustee ACKNOWLEDGMENT 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. STATE OF CALIFORNIA COU TY OF / On before r`' IM&S c �i��i� i%or who proved to me on the basis of satisfactory evide o be the person(s) whose name Is/ re subscribed to the within instrument and nowledged to me tha he/ y executed the same in his ta@444eir authorized capacity(ies), and that b his/ it signature(s) on he Instrument the person(s), or t entity upon behalf of which the person(s) acted, ecuted the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. SELENE SORENSEN Notary Public-Calllornia Riverside County z Signature (Seal) z My Comm.Expires Apr29.020 s .a.. _�.�.L� SELENL SOACNSEN �'r Notary Public•California s Riverside County g Commission 0 2151083 My Gomm_Eep�iios�29,Yir��R CONSTRUCTION AND DEMOLITION • E„,Fa WASTE DIVERSION PROGRAM _ City of Menifee-Public Works/Engineering Department 29714 Haun Road, Menifee, CA 92586 City of Menifee Ph:951-672-6777 Date: Case Number-PP,CUP, Etc.Project Description: 9-14-2018 APN: Project Address: Zip Code: 337-205-008 28808 Glen Oaks Rd. Menifee, Ca 92586 Applicant's Name: Daytime Phone: Estimated Start Date: Jon Petersen 951-553-5542 9.17.2018 Applicant's Company Name: Applicant's Title: Estimated Date of Completion: 11-17-2018 Contractor's Name: Daytime Phone: For RCDWR Only Approved by: PERFORMANCE GOALS This project will recycle, reuse, compost, and/or salvage a minimum of 50% by weight of the material and/or waste generated on site. PERFORMANCEREQUIREMENTS read the following requirements, sign below and initial a ox to acknowledge that you agree to comply with these conditions. Sign e: JP Waste prevention & recycling activities will be discussed at the beginning of each safety meeting The permit applicant shall provide each NEW subcontractor with copies of completed Form B (Recycling and Form CForm C (ReportingForm). The permit applicant shall provide each subcontractor with a tour of the site's recycling areas. All recycling containers will be clearly labeled and lists of acceptable and unacceptable materials will be posted throughout the project site. �p Form B - Recycling Plan must be approved by the City of Menifee prior to issuance of Building Permits. �p Form C - Reporting Form must be approved by the City of Menifee prior to issuance of Occupancy Perm its. Form C - Reporting Form MUST be accompanied by legible letters and/or original receipts including certified weights, for all materials and/or waste recycled, reused, composted, salvaged, and/or landfilled. Waste Diversion must be calculated in TONS (Total Recycled Tons divided by Total Waste Tons = % Recycling Rate) Step 1 Enter the"Estimated Weight"of each Diverted or Landfilled material in pounds (Ibs). To convert volume to • weight, refer to: http://www.calrecycle.ca.gov/swfacilities/CDI/Tools/Calculations.htm *Step 2 Total the"Estimated Weights"of Diverted (Ibs) and Landfilled (Ibs) material and enter in Total box designated for each. Step 3 Convert TOTAL Diverted and Landfilled lbs.to TONS (divide by 2000). Enter TOTAL of Estimated Diverted • TONS in BOX 1. Enter TOTAL of Estimated landfilled TONS in BOX 2 Step 4 To calculate Total Estimated Waste Generation for this project, add BOX 1 and BOX 2. Enter this Total in BOX 3. *Step 5 To calculate Estimated Diversion Rate for this project divide BOX 1 by BOX 3. Enter this Total in BOX 4. WM Form 2100 Rev.4/18118 AY Page 1 of 4 Waste Authorized Hauler Estimated Estimated Materials Management and Disposal Site Weight Weight Comments Method or Diversion Diverted Landfilled Facility (in Ibs) (in Ibs) Asphalt Brick/Masonry Cardboard Carpet/Carpet Pads 500 Concrete 4000 Drywall/Gypsum Board Fixtures (doors, 1000 toilets, windows Green Waste 500 Metal 1000 Mixed Recyclables 500 bottles, cans, paper) Mixed Plastics#1-7 500 no Film Plastic Wood 2000 Other-Explain Refuse/Trash 6000 Total Each Weight Column and Enter Total into Correct Box ► 9500 6500 Box 1 Total TONS Diverted► 4.75 Box 2 Total TONS Landfilled ► 3.25 Box 3 Total Waste Generation for this Project(tons) ► 8 Box 4 ESTIMATED DIVERSION%for this Project ► 59% LEGEND FOR BOX OPTIONS Waste Management Method Authorized Hauler(Contact the Hauler for the project area) Reuse Recycle Waste Management Inland Empire Compost 1-800-423-9986 Salvage http://www.keepinginlandempireclean.com Landfill WM Form 2100 Rev.4/18118 AY Page 2 of 4 . CONSTRUCTION AND DEMOLITION l WASTE DIVERSION PROGRAM '•' • " City of Menifee-Public Works/Engineering Department 29714 Haun Road, Menifee, CA 92586 City of MenifeePh:951-672-6777 Date: Case Number-PP,CUP,Etc. Project Description: 9-14-18 Residential remodel APN: Project Address: Zip Code: 28808 Glen Oaks Rd, Menifee, Ca 92586 Applicant's Name: Daytime Phone: Start Date: Jon Petersen 951-553-5542 9-17-2018 Applicant's Company Name: Applicant's Title: Date of Completion: Contractor's Name: Daytime Phone: For City of Menifee Only Approved by: PERFORMANCE • This project will recycle, reuse, compost, and/or salvage a minimum of 50% by weight of the material and/or waste generated on site. PERFORMANCE • Please read the following requirements, sign below an ' I I each box to acknowledge that you agree to comply with these conditions. Sign here: Form C - Reporting Form, will be completed and submitted to the City of Menifee with legible letters and/or original receipts, including certified weights, for all materials and/or waste recycled, JP reused, composted, salvaged and/or landfilled. Each entry on this form must correlate to a dated receipt to demonstrate that recycling, reuse and/or salvaging occurred. Landfill disposal receipts are also required. All weight information for recycled, reused, composted, and/or salvaged materials MUST be JP converted to tons, and entered in BOX 1. For assistance in converting volume to weight, go to: hftp://www.calrecycle.ca.gov/swfaci I ities/C D]TTools/Calculations.htm �p All weight information for landfilled and disposed materials MUST be converted to tons and entered in BOX 2. iA To calculate WASTE GENERATION for this project add BOX 1 and BOX 2. Enter this total in BOX 3. jA To calculate the final DIVERSION RATE for this project divide BOX 1 by BOX 3 and enter this total in BOX 4. WM Form 2101 Rev.7/28/15 Page 3 of 4 Waste Authorized Hauler Actual Actual Materials Management and Disposal Site or Weight Weight Comments Method Diversion Facility Diverted Landfilled (in tons) (in tons) Asphalt Brick/Masonry Cardboard CarpeUCarpet Pads Concrete Drywall/Gypsum Board Fixtures (doors, toilets,windows) Green Waste Metal Mixed Recyclables (bottles, cans, paper) Mixed Plastics# 1-7 (no Film Plastic) Wood Other- Explain Refuse/Trash Total Each Weight Column and Enter Total into Correct Box ► Box 1 Total TONS Diverted► Box 2 Total TONS Landflled ► Box 3 Total Waste Generation for this Project(tons) ► BOX 4 ACTUAL DIVERSION%for this Project ► LEGEND FOR BOX OPTIONS Waste Management Method Authorized Hauler(Contact the Hauler for the project area) Reuse Recycle Waste Management Inland Empire Compost 1-800-423-9986 Salvage http://www.keepinoiniandempireclean.com Landfill WM Form 2101 Rev.7128115 Page 4 of 4