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003740 (SFD)Building Address 54-420 Juarez Owner Joe stemer Mailing Address el. P.O. BOX 1504 N Q .,? 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC: GRP.. A.P.,Number 774-233r-009 Legal Description Project Description • . State Lia City & Classif. Lic. # Sq. Ft. No. No. Dw. Size 12x0. - - Stories Units Arch., Engr., Designer New ❑ Add ❑ A.Iter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # • _ LICENSED CONTRACTOR'S DECLARATION - 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. - SIGNATURE - DATE OWNEWBUILDER DECLARATION I hereby affirm that I am exempt from the Contractors' License Law for the followin$66,877 reason: (Sec.. 7031.5,Business and Professions Code: Any city or county, which requires a permit to consbubt, 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 pursuant to • the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions 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 dollars ($500): - O 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 Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through. his own employees, provided that' such improvements are nohintended or offered for sale. If, however, the building Estimated ValUatlOn �.�y $ ..!! [# PERMIT AMOUNT - Plan Chk. Dep. $250.00 - Plan Chk. Bal. 3`8 a 00 Const.'. s ty�f Mech. VV - s . Electrical --,.' , or improvement is sold within one year of completion, the owner -builder will have* the burden of,proving that he did not build or improve for the purpose of sale.) - Plumbing 103.00 O 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 with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. B. & P.C. for this reason .. f !, r ..�' Date ' ' 7k owner j� =1 P` �" ti "f ..� B^ •A.A' 1... �.. a rY S.M.I. ' . � - Grading 20.06 Driveway Enc. 20.00 infrastructure .a 9.0- 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 _ ..O Copy is filed with the city. O Certified copy is hereby furnished.. , $2,34 1•34 ...TOTAL CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE - REMARKS - (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I 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. Date Owner NOTICE TO APPLICANT: If, 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. - ZONE: BY: ' Minimum Setback Distances: Front Setback from.Center.Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY 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 Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR 9 /2 .3/8 Issued by:- ' Date3�23� Permit Validated by: Lender's 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. • .. I certify that I have read this application and state that the above -information is correct.-. 'I '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. Signature of applicant Date Mailing Address Validation: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ 2ND FL.. ) SQ. FT. POR. SQ. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation OUGH PLUM FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/a c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR ® 3/ac HOUSE SEWER FRAMING �a FINAL INSP. GAS PIPING PERMIT FEE PERMIT 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 GROUND PLU ABI Q UNDERGROUND A.C. UNIT COLL. AREA ''//SETBACK—� 7t/,'SLAB GRADE l / � �— � OUGH PLUM BONDING HEATING (ROUGH) STORAGE TANK FORMS /WER OR SEPTI �s ,NIC OUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. 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 �a FINAL INSP. g0CROOFING (.� Ste— I I v I REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWAL LATHING MESH INSULATION/SOUNDf > FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL RECORDING REQUESTED BY A)s`'-�14��/-fes NO COR BLVD • �Q �tyj� M a ~ U C 3 Q; SPACE ABOVE THIS LINE FOR RECORDER'S US Documentary transfer t • 5...7. 70 ............................... Computed on full e I e of property conveyed. or Q -Computed nn full v e less lien+ 8 ent•umhrances r �a' ng t neo time of wale. Foresite Escrow,. Inc. ....... . ... ... .. ..... .... . Sign re of declarant regent Iletermining tax •firm Henle E] f f incorporated a a City of ..... La ... Quin.ta....... Grant Deed This form furnished by Orange Coast Title Company FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ROBERT PETERSON and SARA PETERSON, husband and wife PARCEL NO hereby GRANT(S) to JOE W. STEMMER, JR., a married man as his sole and separate property the following described real property in the City of La Quinta county of Riverside , state of California: Lot 16, Block 262, Unit 24, Santa Carmelita at Vale La Quinta, as per map recorded in Book 19, pages 44 and 45 of Maps, in the office'of the County Recorder of Riverside County. Dated December 17, 1987 STATF. OF C-AIAFORWA ) COUNTY OF. r'� A --y K N p r ? SS. _—before mile, the under• signed, a Notary Public in and for said County and State, personally appeare}-- -------- _. _ _ known to me to he the person _.whose name_5 subscribed to the within instrument and acknowledged that executed the same. I Signature Notary � t Name (Typed br Printed) of Notary ✓ f_ i riC �-c. atJw Sara Peterson ITitle Order No. Escrow No. FOR NOTARY SEAL OR STAMP MAIL TAX OTATEMENTO A9 ®IFIRTER A08VE AND WHEN R[CORD[D MAIL TO I Joe W. ' Stemmer, Jr. NAME CITY 6 STATE/P J MAIL TAX ETATEMENTE TO F NAME Same as above �ooA�.a CITY Q STATE I__._ NO COR BLVD • �Q �tyj� M a ~ U C 3 Q; SPACE ABOVE THIS LINE FOR RECORDER'S US Documentary transfer t • 5...7. 70 ............................... Computed on full e I e of property conveyed. or Q -Computed nn full v e less lien+ 8 ent•umhrances r �a' ng t neo time of wale. Foresite Escrow,. Inc. ....... . ... ... .. ..... .... . Sign re of declarant regent Iletermining tax •firm Henle E] f f incorporated a a City of ..... La ... Quin.ta....... Grant Deed This form furnished by Orange Coast Title Company FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ROBERT PETERSON and SARA PETERSON, husband and wife PARCEL NO hereby GRANT(S) to JOE W. STEMMER, JR., a married man as his sole and separate property the following described real property in the City of La Quinta county of Riverside , state of California: Lot 16, Block 262, Unit 24, Santa Carmelita at Vale La Quinta, as per map recorded in Book 19, pages 44 and 45 of Maps, in the office'of the County Recorder of Riverside County. Dated December 17, 1987 STATF. OF C-AIAFORWA ) COUNTY OF. r'� A --y K N p r ? SS. _—before mile, the under• signed, a Notary Public in and for said County and State, personally appeare}-- -------- _. _ _ known to me to he the person _.whose name_5 subscribed to the within instrument and acknowledged that executed the same. I Signature Notary � t Name (Typed br Printed) of Notary ✓ f_ i riC �-c. atJw Sara Peterson ITitle Order No. Escrow No. FOR NOTARY SEAL OR STAMP MAIL TAX OTATEMENTO A9 ®IFIRTER A08VE z 0 P: U LU V) CC) z 0 F_ 0 LLJ U) U) y LL Ld Cr oif,� ALOL"i U) COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION 771`Y—,)33— 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 $40 is required when the application is submitted. Check must be made payable to the County -of Riverside. Building Deparlment Application Log fill Name (Owner. Agent: Contractor. Etc.) UD J Mailing Address �- Of late p Code on Te,eRh.n 'Job Property Address ­Vt or.-Gommuniiy 01)�V\i Ods—criplion of Prb�erty. (Lot. P TR) 2,1 Ift JA LC�� -7A 'A r s Parcel No ezw Use of Permiibf,&V 01 Planning Case # GUUsA) Preparation Etc. �s 0�� Site §gnatur pplWinl Date 'The above information Must be verified from Building Application STAFF USE DO NOT WRITE BELOW THIS LINE Initial Date 3 r Existing S.D. System El Yes-. 4 - 0 Certification of required. P-_No1-_', WOCB Clearance required. 11 Yes DNo�� Soils feasibility report required. 0 Yes Ei<X El (2 Special feasibility boring report required. Yes Detailed contour plot plans required. Yes� No �'N Staff Specialist approval required. El Ye; o Lot Inspection Date— Soils/boring report by —Project # Date Soils Map Page I.&I ISoil Type_� �/d(:"-'Ap'proved by )6�rA Date 3 1 — _T1_ Type of System: No. of Bedrooms (1) Septic Tank Soil Rate Required El Existing 9,New 0 Additional 0 Replacement AW -Gals. (2) Leach li�it,sq. ft. Sidewall allowance I nstall— Line(s) Ft. Long, Leach bed Sq. (BoRb I h a) ft. rock/ SO�Ft. ft. __F_t7-VVide wi min. inches Z" W lines-"� Ft. of�,bottom per running rock below drain Leach lines/bed-special design for slope: Applicable,Z_ (3) Pit'Oiameter —1 No. Pits Pit BI S. epage Pit total depth Max. allowable depth yu N/A Ii Overburden factor �4d "44�� This application is4aQ�ZeqZdenied0or the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements .18 set forth in Section above. A building permit is necessary forthe installation of the above -designed system. 1) Septic tank and sewer lines must bN�0 from any wells �J /0 A.- (2) Leach lines must be 100' min. from any wells including exploslop!aWea 03),, Seepage must be 150,' min. from any w:etIs including expansion area pits la- iz k�_ a 't. 94 c7./ Signature of Health Official RECEIPT NO.— 333Y Issued by :5/1/— 1& Date— 3-12-0,1 District: El Riverside Ell"Iriclio 0 Hemet 0 Perris El Rancho Calif. Blythe Distribution: WHITE—Office file YELLOW —Applicant PINK—Bldg. Dept. GOLDENROD— Pending File DOH SAN 122 (Rev 8187) ,L"." P�_ ` f. • ri �1c L_ T�. l�,A ��`+'� a .p! �`'J' 1.'.K �'i1!W� �@� 7i�4�A � �;, r �.� S ;4 c � __ s �, �' •�, :tom iz aa T A i L Ah. V r '� - < .�� •aa +i^� •n... �'E ° 'Si'� �q.i-' Sis .; -..a ? y ' _-.'�. » r.'ts-k.'` _.'e� e.-'_.��.t-s_oJ+��r'�`.';t r.�Y':-..:w_ •`��. =�i+F`a. �..a':� c.�l'•�;.:: 77 1F, Do: ZZ.