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
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of 7 a (Quinta
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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