003447 (SFD)Y
IIIIIIIIIIIIIIIIIIIII 6544
A.'
IE P.O. BOX 1504 No. 07
Building 78-105 CALLE ESTADO
Address 54-125 Avenida Alvarado LA QUINTA, CALIFORNIA 92253
Owner
Mailing
Address 41-740 B
City Zip
Baxi uda D=IE
Contractor
Aaaress
City" "' Zip
State Lic.
& Classif. 484382
Arch:; Engr.,
Designer
Address
BUILDING: TYPE CONST. OCC. -GRP.
1 .
evell Avenue A.P. Number 774-202-017
Tel. _
:,2201 345-1100. Legal Description `X..• t
Project Description Sinale FamiDweiii?7c�!—"
Lia # 350 Sq. Ft.
Size
New ❑
Tel.
38 Stories
No. Dw.
Units
Add ❑ _ Alter ❑ Repair ❑
City
_ ..
Zip
State
Lic. #
Fence 2001
S.M.I.
LICENSED CONTRACTOR'S DECLARATION
Driveway Enc.
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect..
9C../ � ±-•.L� {.fit ,f s` - ••�/ .! 1 i �AI � ./ �j �i
•, _,
DATE
//� A OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
Estimated Valuation
_.
PERMIT 6• r7 _
.�: aw"
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is:licensed pursuan-Pto
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 70bONf
" Division 3 of the Business and Professiohs 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
subjects the applicant to a civil penalty of not more than five -hundred do1lars;($500)..
❑ I, as owner. of the property, my employees with wages ai eirsole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness andel
ra �-
Plan-Chk. Dep..
Plan'Chk. Bal.
t
—1 C d Th C t t I Li e L ••-Is of a I to owns of ro art who Cons .
ro
ss ns o e. a on rac or tens aw oe n pp y an r p p y
builds 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. If,*however,'thelbuilding „
or improvement is sold within one year of completion, the owner-builder"will have-theS,bulden
,
of proving that he did not build or improve for the purpose of sale.) 4, 1,
0'I, 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 with a contractor(s) licensed pursuant to the Contractor's License Law.) -
❑ 1 am exempt under Sec. B; & P.C. for this reason
.
Meth. '
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Date Owner
Infrastructure
Side Street Setback from Center Line
WORKERS' COMPENSATION DECLARATION
' I 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 C . d- �r r ^ �i�
( Copy is filed with the city. ❑ Certified copy is hereby furnished. 4�
Side Setback from Property Line
.FINAL DATE
TOTAL
Demolition ❑
• f
!A AOA
AMOUNT
t �1 hi
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.) e R V -d, r
I certify that in the performance of thg work for which this permit is issued, I shall not - ,i 1.,t•i.r 3. V O rA a / i I � �7 . 66. ,
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: It, after making this Certificate of Exemption you should become
'subject to 'the Workers' Compensation provisions of the Labor Code, you must' forthwith
comply with such provisions or this permit shall be deemed revoked.
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 1 ,
Lender's Address %ij •j
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.
I certify that I 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 -of this city to enter the above-
mentioned property for inspection purposes. I {
Signature of applicant 1,1 zy, iJ /41/3 i Date 7' lk- X
Mailing Address
City, State, Zip
y .�Y •... , • - .. f
HARD COPY
ZONE:
BY:
Minimum Setback
Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
.FINAL DATE
INSPECTOR
Issued by: -
Date 10 91OPermit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE lC ��
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. SQ. FT. ®
GAS (ROUGH)
DRAINAGE PIPING
WALL SQ. FT.
OTHER APPJEQUIP.
DRINKING FOUNTAIN
SQ FT ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FRAMING _ /
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
REMARKS:
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
MESH
GAS PIPING
PERMIT FEEPERMIT
FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
19 !'3 _ i
i
SETBACK
GROUND UMBI L
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE lC ��
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPT TA D
ROUGH WIRING
DUCT WORK
ROCK STORAGE
n
FOUND. REINF. / /!/1
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
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.
FRAMING _ /
FINAL INSP.
^
?t/ROOFING / 5 /
`VENTILATION
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING (IQ
MESH
INSULATION/SOUND /Z
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL :d
SECTION A
SECTION B
Cr
2
W
cc
SECTION C
11
1111 111
COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION
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 specifications required on the attached check list,
A non-refundable filing fee of<-$n3n'is required when the application is submitted. Check must be made payable to the County of Riverside.
Building Department Application Log #
Name (Owner, Agent, Contractor, Etc.)
z
Mailing Address
E;
City
State
Zip Code
TTlephone
*Job Property Address
,.
`City oriCommuntty
*Legal Description of Property. (Lot, PM, TR)
.
*Assessor's Parcel No.
Water Agency -or well
Use of Permit` --' Piahnifg Case #._
Lot Size
SFD, MH Site Preparation Etc
t<
Signature of Appricantf Date
'The above information must be verified from Building Application
STAFF USE — DO NOT WRITE BELOW THIS LINE
Initial Date
Certification of Existing S.D. System required. ■ Yes ❑ No•-"'
'WQCB Clearance required. [1] Yes L'`Noa
Soils feasibility report required. ❑ Yes ❑
4o,'
Detailed boring report required. El Yes L"Ng-`
Detailed contour plot plans required. ❑ YesNo
Staff Specialist approval required. E Yes I=1 No Lot Inspection Date_
Soils/boring report by Project # Date
;
Soils Map Page , Soil Type Approved by - Date
.'A
Type of System:
❑ Existing ®`New ❑ Additional ❑ Replacement
No. of Bedrooms
gi"
(1) Septic Tank
', Gals.
Soil Rate Required
(2) Leach line sq. ft.
(Bottom trench area)
Sidewall allowance
ft rock/ Sq. Ft.
Install Line(s) Ft Long,
Leach bed Sq.
Ft.`oi bottom
area
I t"w de -.with min inches
per running ft. ❑' TA
rock below drain lines
Leach lines/bed-special design for slope:
Applicable
(3) Pit Diameter
�;d5, E 6 F i
No. Pits
Pit 81
tx°
Seepage Pit total depth
Max, allowable depth
N/A -' 'w. Overburden factor
This application is=approvedldenied for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements
set forth in Section B above. A building permit is necessary for the installation of the above -designed system.
3°. ar
(1);: Septic tank and sewer lines must be'50' from any wells . '
(2), Leach lines must be 100' min, from any wells including expansion area
(3) Seepage pits must, be 150' min. from any wells including expansion area .
z
Signature of Health Official' Date _
RECEIPT NO Issued by_ Date
District: ❑ Riverside O"Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe
Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File
DOH -SAN -122 (Rev. 6/86)
Phone (619) 568-3627
For the Finest in Escrow Service
Jackie Phillips 44-900 San Pablo Avenue
Escrow Officer Palm Desert, CA 92260-3537
eneval �scr't�ut Go:
44.900 SAN PABLO AVENUE
PALM DESERT, CA 92260.3537
(619) 568-3627
_ ���� ..=rte=�. ..��•. ., _.... ..,__ -,-n our execution of these
instructions, the sum of $500.00, and will further deposit an
additional amount of $16,500.00, plus closing costs, in the
form of a cashiers.check, just prior to close of escrow;
and will deliver to you any instruments which this escrow requires shall be executed by me, all of which you are
Instructed to use provided on or before October 6, 1987 you hold a policy of title insurance
with the usual title company's exceptions, with a liability equal to the total considerations herein covering
IIIIIIIIVIIIIIIVIIIIIII 69
IE
_ ___ ____j
10-1419
Escrow Number
August 7, 1987
Date
Paid outside of Escrow
Cash through Escrow 17,000 0
Encumbrances of Record
Encumbrances of Record
New Encumbrances
Total Consideration l!'000 0
Lots 6 & 7, Block 254, of Santa Carmelita at'Vale La Quinta, Unit 24
As per map recorded in book 19 page(s) 44&45 of maps in the office of the County Recorder of Riverside County, Calif.
(Memo: Property Address: Vacant Land — refer to legal description above, )
-- --showing title vested in: GARY S. AKERS and LYNDA P. AKERS, husband and wife, .as Joint Tenants
FREE FROM ENCUMBRANCES EXCEPT ONLY THE ITEMS NUMBERED BELOW:
(1) General and Special taxes for the fiscal year 19_ 7 , 19 88 which are not delinquent as of close of escrow
(2) The lien of supplemental taxes, if any, assessed pursuant to Chapter 498, Statutes of 1983, of the State of California
(3) Bonds/Assessments: None
(4) Covenants, conditions, restrictions, reservations, rights, rights of way, easements, and the EXCEPTION OR RESERVATION OF WATER, OIL, GAS,
MINERALS, CARBONS, HYDROCARBONS OR KINDRED SUBSTANCES ON OR UNDER SAID LAND, now of record, if any.
INSTRUCTIONS:
(A) This escrow is subject to the Buyers approval of a copy of the Preliminary Title Report
and C.C. & R.'s within 7 days of Buyers receipt of same. No written disapproval to
escrow holder within said time period shall be deemed Buyers approval as to this condition..
(B) This escrow is subject to the Buyers obtaining the necessary approval to construct a
single family residence on each of the aforementioned lots.
All parties signing this agreement hereby acknowledge receipt of a copy of these instructions.
Prorate taxes based on latest available tax bill as of Close of escrow Prorate insurance handed you as of N/A
or buyer will hand you new insurance at his option. Prorate Homeowner's Association dues as of r N/A
Prorate interest on loans of record as of N/A Prorate rents and adjust deposits as of N/A
based on rent statements handed you. Any rents In arrears are to be disregarded in your prorations.
Credit seller and debit buyer the amount of impounds, if any, as disclosed by beneficiary statements from the holders of the loans of record.
I/We agree to pay escrow fees and charges as charged.
EACH PARTY SIGNING THESE INSTRUCTIONS HAS READ THE ADDITIONAL ESCROW CONDITIONS AND INSTRUCTIONS ON THE REVERSE SIDE HEREOF
AND APPROVES, ACCEPTS AND AGREES TO BE BOUND THEREBY AS THOUGH THE REVERSE SIDE HEREOF APPEARED OVER THEIR SIGNATURES.
L -f
Buyer's Signature— '�� �.—. �„ ia�ii M..,Buyer's Signature_---.----_._—_____.
. Gary S.'Akers Lynda P. Akers
Address--_._ _- Phone
The foregoing lerms, provisions, conditions and instructions, and those on the reverse, side hereof are hereby approved and accepted in their entirely and concurred in by me.
I will hand you necessary documents called for on my part to cause title to be shown as above, which you are authorized to deliver when you hold or have caused to be applied
funds set forth above within the time as above provided. Pay your escrow charges. my rgtpidinq fens, r.harges lot evidence of title as called for whether or not this escrow is
consummated, except those the buyer agreed to pay. You are hereby authorized to pay IN,)nds, assessments. lazes, and any liens of record, including prepayment penalties,
if any, to show title as called for. Pay Documentary transfer tax on deed as required
Pay commission as follows $
Seller's Signahlre..._
Margaret Y. Chan
"--•--
PD 12/86'
- to
to—•--- ----- -- -- -- - ... _ . -- -- - -- --- —
Phone.. ...........------ --- -=---