pmt18-02386 City of Menifee Permit No.: PMT18-02386
29714 HAUN RD. Type: Mobile Home
"ACCELJ� MENIFEE, CA 92586
MENIFEE Date Issued:
05/16/2018
PERMIT
Site Address: 33025 PARADISE LN, MENIFEE, CA Parcel Number: 384-030-003
92684 Construction Cost $3,000.00
Existing Use: Proposed Use:
Description of SITE PREP TO CLOSE OUT EXPIRED COUNTY PERMIT#BZ311196
Work: SERIAL#AB/C6SC241CA INSIGNIA#CAL080205/6/7
Owner Contractor
RAFAEL H AVILA RIDLEY HOME SERVICE
33025 PARADISE LN 775 W RACQUET CLUB ROAD
MENIFEE,CA 92584 PALM SPRINGS, CA 92262
Applicant Phone: 9513298859
RAY ROOT License Number:813040
RIDLEY HOME SERVICE
775 W RACQUET CLUB ROAD
PALM SPRINGS, CA 92262
Fee Description Owl Amount I$1
Manufactured Residential Site Prep 1 196.00
Permit Fee 1 27.00
$223.00
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 D I am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full force and effect. the fallowing reason:
License Class
�t 6 /7 License No. �.l G it By my signature below I acknowledge that,except for my personal residence
Expires 9"-)y 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 forworker's 7044 of the Business and Professions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for
by5ection 3700 of the Labor Cade,for the performance of work for which this application is submitted or at the following wehsile:
this permit is issued. www.leginfo.ca.eov/calaw.html.
Policy fl Date
ci I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 370D of the Labor Code,for the performance of the work for which D By my signature below I certify to each of the follovring: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 of this city or county to
Policy R Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit Is for one-hundred
dollars($100)or less Date
not
PROPERTY OWNER OR AUTHORIZED AGENT
�ernot that in the performance of the work for which this permit is issued, 41
I shall emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE It �v 3—J
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers c mpensation provisions of Section 3700 of the Labor
Code,I shall forthwith lywith those provisions. Will the applicant or future building occupant handle hazardous material or
Applicant Date G�� mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAI URE TO SECURE WORKER'S COMPENSATION COVERAGE Is ❑Yes O'Fla
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 building
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
for guidelines
CONSTRUCTION LENDING AGENCY Oyes RICO
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 boun ary of a school?
(Section 3097 Civil Code) O yes o
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 2550S and 25534 concerning
checkmark(s)I have placed next to the applicable items)(Section 7031.5 hazardous material r orting.
Business and Professions Code).Any city or county that requires a permit to A'es D No Ji
construct,alter,improve,demolish or repair any structure,prior to Its Date J
issuance,also requires the applicant for the permit to file a signed statement PROPERTY 94NER OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRPI
License Law(Chapter9(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 Iicensure
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-certiried 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).
Cade,The Contractors 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'ar 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:
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 rill out the RRP
Acknowledgement.
.pua.
SAFETYBUILDING & PERMIT/PLAN
Menifee >r
DATE: PERMIT/PLAN CHECK NUMBER 1'MT p '()d .J
TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY C; MOBILE HOME 0, POOL/SPA - SIGN
SUBTYPE: O ADDITION O ALTERATION C DEMOLITION O ELECTRICAL O MECHANICAL
O'NEW O PLUMBING 0 RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK RETRO FIT FOUNDATION TO EXISTING M/H
PROJECTADDRESS 33025 PARADISE LN MENIFEE ZIP 92584
ASSESSOR'S PARCEL NUMBER 384030003 LOT TRACT
OWNER NAME RAFAEL H AVILA
ADDRESS 33025 PARADISE LN MENIFEE CA 92584
PHONE EMAIL RIDLEYHOMESERVICE@GMAIL.COM
APPLICANT NAME RAY ROOT ('
ADDRESS 775 W RACQUET CLUB RD PALM SPRINGS 92262
PHONE 9513298859 EMAIL RIDLEYHOMESERVICE@GMAIL.COM
CONTRACTOR'S NAME RIDLEY HOME SERVICE OWNER BUILDER? 0 YES ReNO
BUSINESS NAME RIDLEY HOME SERVICE
ADDRESS 775 W RACQUET CLUB RD PALM SPRINGS 92262
PHONE 9513298859 EMAIL RIDLEYHOMESERVICE@GMAIL.COM
CONTRACTOR'S STATE LIC NUMBER 813040 LICENSE CLASSIFICATION C-47
VALUATION$ 3000.00 SO FT 1760 L SQ FT 1.52 AC
APPLICANT'S SIGNATURE DATE
C/TY STAFF USEONLY
DEPARTMENT DISTRIBUTION ACCEPTED B M CITY OF MENI-
FEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
PERMIT FEE a ��� 5MIP GREEN
PLAN CHECK FEE INVOICETOTAL
OWNER BUILDER VERIFIED OYES 0 NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
ww writyofrn eIV fee.us
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 13,2018
Decal#: LAP9014 Use Code: SFD
Manufacturer: SILVERCREST Original Price Code: AKZ
Tradename: SIGNATURE Raring Year:
Model: Tax Type: LPT
Manufactured Date: 01/01/1978 Last ILT Amount:
Registration Exp: Date ILT Fees Paid:
First Sold On: 04/17/1978 ILT Exemption: NONE
Serial Number HUD Label/Insignia Length Width
A6SC241CA CAL080205 65' 12'
B6SC241CA CAL080206 65' 12'
C6SC241CA CAL080207 65' 10,
Record Conditions:
Park Purchase Fee Exemption granted
Voluntary Conversion to LPT City of Menifee
Registered Owner: Building Dept.
RAFAEL H AVILA MAY 16 2018
33025 PARADISE LN
SUN CITY,CA 92584
Last Title Date: 10/09/2002 Received
ed
Last Reg Card: 10/09/2002
Sale/Transfer Info: Price$216,500.00 Transferred on 08/29/2002
Sims Address:
33025 PARADISE IN
SUN CITY,CA 92584
Sims County: RIVERSIDE
Inactive Decal/DMV:
DMV SH4213,DMV SH4214,DMV SH4215
Legal Owner:
NATIONAL CITY MORTGAGE CO
NATIONAL CITY MORTGAGE CO
5010 SHOREHAM PL#250
SAN DIEGO,CA 92122
Lien Perfected On: 10/01/02 08:57:17
***END OF TITLE SEARCH***
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