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05569 (SFD)P.O. BOX 1504 N Q 05369 .► Address 54--665 OBR=17. LA QUINTACCCALIFORNIAALLE DO Address 92253 Owner Wol.fSan& Bi1K>:atsa u BUILDING: TYPE CONST. OCC: GRP. A.P. Number 774-173-020 Legal Description 107 s Project Description SFD Mailing Address 74-106 Valar4o Rd. City Palm lett Zip 1 92260 Tel. 619/346-8676 Contractor Alex 0. Torres - Address.. 53-980 Obregon . City Zip Tela „ La Qta2ata 92253 6191774-"0767 State Leo- & Classif- 550498 B-1 City Lic- # Sq. Ft. Size 1533 No. No. Dw. Stories Units Arch., Engr-, New ❑ Add ❑ ' Alter ❑ Repair ❑ Demolition ❑ Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section e700g) of ron 3 of the Business and Professions Code, and my license is in full force and - ' ' r f -, -F/ d f ! ,r SIGNATURE, 10, . ,r f' – 'DATE —_ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031-5,Bushess and Professions Code: Any city or county which requires a Perm# ro construct, after, improve, demolish, or repair any structure, prior to its issuance also requires the applhcaN for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractors License Law, Chapter 9 (commencing with Section 7000) of lkvfsfon 3 of the Business and Professkms Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit sub)ecs the applicant to a civilpenally of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Prolesskms Code. The Contractor's License Law does not apply to an owner of property who burl7s or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. #, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he didnot build or srprove for the purpose of sate.) ., Estimated Valuation $82,960.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 233.08 Const. n 563.00 Mech. C 53.50 Electrical I Plumbing 157.50 ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects wfth a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. & P.C. for this reason S. M.I. 5.81 Grading 20.01T Driveway Eno. 20.00 Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker s Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company ❑ Copy is filed with the city. ❑ Certified copy is iTeretiy'Rhrhished! .� e, t TOTAL CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed. if the permit is for one hundred dollars ($100) valuation or less_) 1 certify that in the performance of thg work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California REMARKS -- -- `. l} -Y -?3• i7 t.Yj"�' �.`-+` t1$ i' r s wr" " u j Lh'� + . Date Owner NOTICE TO APPLICANT: B, after makig this Certificate of Exemption you should become suWo to the Workers' Compensation provisions of the Labor Code, you must forthwith CWVYwansuch Provisions orthis Permit shall bedeemed revoked. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name FINAL DATE Side Street Setback from Center Line— Side Setback from Property Line 10 INSPECTOR 3/30/89 Lenders Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 1 1 certify that 1 have read this application and state that the above information is correct. agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives 'ofthis city to enter the above-. mentioned property for inspection purposes. Issued by: Validated by: Date Permit Signature of applicant Date Mailing Address Validation: City, State, imp ' CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1 1ST FL. S0. FT. @ $ UNITS COLL. AREA $L/ETBACK AB GRADE �` �— ROUGH PLUMB. YARD SPKLR SYSTEM 4F 2ND FL. SO. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK > POR. SO, FT. ® ROCK STORAGE FOUND. REINF. GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEOUIP. DRAINAGE PIPING CAR P. SO. FT.'® TEMP. POLE WALL SO. FT. DRINKING FOUNTAIN. SO FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES =$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED K �` 1 `� cA '1/ ot— / 6 !'l?IY/ `k LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B,T,U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SPARK ARRESTOR SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/. c SEWAGE DISPOSAL LATHING SO.FT.GAR ® 3/ic HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEEEECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR @ CS 7 - �� GROUND PLUMBIN UNDERGROUND A.C. UNIT COLL. AREA $L/ETBACK AB GRADE �` �— ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS IC TANKIAV ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. 27 FRAMING 111-iom FINAL INSP. OFIN 7 Al K �` 1 `� cA '1/ ot— / 6 !'l?IY/ `k REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL .M rr,M.t-r til ''(..t"a.yt;: l ^,✓i3�1ct ...' al {[..{ f, F + .y • J n iQC(der.3 No' s �i1c7 x x lr , t y .1 h e r rI • thfV� ri E Ci ST"TITLE CO. WHEN RECORDED MAIL TO:.' 7 y "olfganq Biermann 74-106 Velardo. Rd. , PaIM'Desert, CA., 92260 +'1'� `d :��r,"'�gy�F f Y�4 i.�. r .t � 1+, �..L S},fi{�'�J� `7�t r 'r �j� a �1Z �,y �'R���� yµ y'•��'�� 'i},, it • r/ i ,'�.s{�'. ,• • . NO V , r +5 wr 1 PC' - 1�Z 4v Z; lk*a 0 X MAIL TAX STATEMENTS TO: �--- - _- - --- DOOMIENTARY TPANSM TAX &6" ud on the consideration cw value of PcgmW corweyed; OR. Same SS Above ..:». Computed on Ow canidarmion or value less lism or encumbancas 'r nI time of s.1IL �,-�::= ==�� °.�.._�.::�-• �.. - - _Mw •• " om enc Q � Dn c411 _ +as ar_a�m,awrm►nrn,9.tUr-- F 1rm.titaeio..-...._..,. -..., _ . GRANT jDEED -7y-a�3=019-8 .s FOR 'A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, BRIAN R. MONROE, a married man hereby .t3RANT(S) to i� WOLFGANG BIERMANN, a singlelman t the real property in the City of La ,Quints' County. of Riverside ' ` 1 State of California, described as Lots,7 ander; Block 26$r`'Santa Carmelita At Vale La Quinta, tf.ice ofitthe County Recorder of said county. �'�r f , _S,c,.y1►.t . � .. ew.w.GYf1°^vw:..>—GY.Y�'.f.H..w•. t'.:r. ht :•:tty..w.r,..N_i n 7... •!"!k.M•:t:•:+R•sA.1%wAt�+�+i`•i3^'s1•Jaii/4":�6Naiwif5wn 91 Brian R. Monroe— �.. f. STATE OF CAUFORNIA . " OU11?1n OF , _...-.:.: xd�=--•',.'•Dec. f�31%`1987*'i,w,•»t , - .., ,. before ms, ttr undeWprmdi a Notary Public in and for said State, per �- Brian R., Monroe' r _ poraon OY known to ma (or proved to me on the basis of satisfactory OFFICIAL SEAL " JACKIE PHILLIPS evlddroe) to be the persons) whose names) is/are subecrtbed to the ,' NOTARY PUBLIC - eAUFORNIA wfthln kwtrumant and advlowAedped to ma that he/aha/they executed RIYEMf DE CCUtt ry the / " ': ' fQy ccmm expires QCf 26, I!M3 WfTN my seal. SigM (This area for otticl&! rwtsrisl spl) MAIL TAX STATEMENTS AS DIRECTED ABOVE 1002 I8/82) f RECEIPT NO. 9 92 Issued By ?� Date DISTRICT: ❑. Riverside,ndio O Hemet q Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parol No' ENVIRONMENTAL HEALTH SERVICES PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant: Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to County speculations as indicated on the attached check list A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval. Q• VERIFY ITEMS IN SECTION A FROM BUILDING 8 SAFETY APPLICATION -'BUILDING DEPARTMENT APPLICATION LOG it Z Agent, Cont or Con Pe Phone Address 8 _ r �/ ISI Phone . 74 M dd ani 16 (0 f./ %, & Cly f State Zip Job "perty,,A�adress Lt S? Legal Description Prop. (PM, Tract Lot) / - L L O bNc o o�..<< S.4 ! r,_ L. z r Lot Size Water Agency/Well Use of Permit P/P, CU, etc. Other o ellin MH Site Prep, etc. J 0 /06hatdre of Applicant Date CAOR REV CODE. FEE CATEGORY: REV CODE FEE . SUBSURFAC DI L 1238 $45.00 O SITE EVALUATION UPON REQUEST 7349 $42.00 O MULTIPLE PARCELS ITHIN SAME (NO PLOT PLAN) . m Z LAND DIVISION ":"13 SEWER/SEPTIC VERIFICATION 7348 $11.00 p a. 1 at 4 Parcels (Each) 1238 $45.00 (Loss than 1 yW U b. Each Parcel after 4 7344 $16.00 O PRELIMINARY ELECTIVE 7352 $45.00 W O Rereview (2nd review same parcel) 7344 $16.00 EVALUATION (Attach DOH SAN 53) V) ❑ Site Evaluation in Conjunction with O HOLDING TANK 7351 .$45.00 Critical Area 7346 $86.00 O ALTERNATIVE/EXPERIMENTAL 73.45 *$13200 O Site Evaluation Lot Leas than SYSTEM 10,000 Sq. Ft. 7347 $86.00 INITIAL DATE Holding Tank Agreements Completed O Yes No . Certification of Existing S.D. System Required O Yes No WOCB Clearance required. (Attach Form ❑ Yes No DOH SAN 007, Santa Ana Region Only) Sills Percolation Report Required. O Yes No Special Feasibility Boring Report Required. ❑ Yes No Detailed Contour Plot Plans Required (1 to 5 ft interval) O Yes No Otl1er I O > Yes No Staff Specialist Lot Inspection Required O Yes No Lot Inspection Date Sills boring report by I'�� Project* Data Soils Map Page Sop Type Approved by. Dame U No. of Systeme Type of Systems) elling Units (1) Septic Tank Soil Rate Grease/Sand Z AJ O HHoo)) Ing Tank 1] Existing w D Replacement. Fixture Units / Grease Intop 15 L 9 x 66 Gel U , W (2) Leach Line Sq. Ft Sidewall allowance install Une(s) R long R wide with Leach Bed s% it Bottom trench area ., It. rock/ It. min. Inches rock below drain�or " of ixrttom-arae per running it� PIA Leachlines/bed special design for slope: (3) PR Diameter No. Pits Pit Below Seepage Pit Total4epth - Other Applicable 0 5 6 DNC Inlet (BI) / y .. : Max. Allowable Depp N/A Overbu 1� �r Zo No. 2 System - -- REMAR4- t r./.N '..i!-e�"i �/ F•sV ISI Nr +i�G ye a.✓l lf. acr/.. //p.� e I"LoG/ti eC 6 Au aNlr•i., gGrq �e C 1kJ�v�-r /�, l This application ig APPROU VEB NIED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated 0 on the accompani8d_Plot-pidn, using the requirements set forth in SECTION C above. A building permit is necessaryfor the installation of the ZO above -designed system. No construction is permitted in the required reserved 100% expansion area. Septic tank and sewer lines must be 50' minimum from any wells uLeach lines must be 100' minimum from any wells, including,expansion area A(3 Seepage pits must be 1 minimum from,any wells, including expansion area Signature of Health Officials-^�L. pate f RECEIPT NO. 9 92 Issued By ?� Date DISTRICT: ❑. Riverside,ndio O Hemet q Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records Ot ti ev::n� tai IICE or E. LEON SPAOGY AGRICUL i URAIi, COMMISSIVNL11 111NICS 0 WALLACE . ASS:StA*1I C.•-MMISSIu"Ep 0�) d, nyU CLEMEv1 BF.-NVENIS1E v S , WLIGI ITS & MLASUIZLS SLALEn �� lit, 49-613 Ilwy 06, Suite I1-12 'Couchel:l! , CA 92236 r`o, eq 619-342-8291 , p CASE W. DALE a DEVEIAE'EIZ' S N11h1Et ADDRESS t • t . TEMPI ZONE s � ) " So 3 9O r, _ g� yZ t•;af 3 Dear Developer: After reviewing your landscapiJtg plans, x111 pl,111t nr3terial listed is not it' violation of quarantine laws yuvet:n1119 lite Coachella Valley. if substitutions do occur and they differ fruit plaint tiviterial listed, this vffice rust be notified 11mr-diately. Tmik you for prvtectiutg and preserving the Coacliella Valley's pest -free envirot> ni t. i CtraAgricului III Vsi4ioner's L ce cm Indio and Riverside Office f a ! !' i !T of 7 a (Quinta � � y��;•! 1 ltt��tu CIIt���I�P� '� tiLt�tillt .; This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building ! j' I Code certifying that at the time of issuance this structure was in compliance with the various Y g p ordinances of the City regulating building construction or use. .For the following: :BUILDING ADDRESS 54-665 Obregon' ! Use Classification SFD Bldg. Permit No. 05569 Group R3 Type Construction Fre tone .Use Zone SR Owner of Building Wolfgang Bierman Address-� 74-106 Velardo Rd Palm Desert CA .92260 City " Mark Harold ! i - By. Dote 12/27/89 Bulldi g Of iclo 09T IN A CONSPICUOUS PLACE