05539 (SFD)ski. a P.O. BOX 1504
Building 5'--415 �� 7&105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
Al Vigil
Mailing
Address 73-567 Fred Waring
CityZip Tel.
Pali, Desert 92260 619/568-0223
Contractor
1. Al Vigil. Co.
Address
72;8$4 Fred Warring
City Izip Tela
State Lic. I City
& Classif. 356058 — X11 Lic. #
Arch., Engr.,
Designer Bob 8armn & Assoc.
Address Tel. �i J
619/L3-5704
Cit Zip State
Falco Springs 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
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
permit to construct, after,. improve; demolfsh,,or repair any structure, prior to Its issuance also
requires the app!' %r,such pennft:to 16,4 signed statement that he is licensedypursu�nI to
the provisiogs"o/ I/re dhtracloYs'rLf6hn a*Law, Chapter 9 (commencing with Section77(o o/
Division 3 of the Business and Processions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant /or a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ 1, 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 kmprovements are not Intended or offered for safe. I/, however, the building
or Improvement is said within one year o/ completion, the owner-bulider wig have the burden
of proving that he did not build or improve for the purpose o/ sale.)
❑ 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
Date Owner
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.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the pe r for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ anyperson 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 o/ 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
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
I certity 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
City, State, Zip
No. 05539
11LDING: TYPE CONST. OCC: GRP.
P. Number 773-264-019
gal Description lot 8
oiect Description SFD
REMARKS
ZONE:—
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 3/21/89 Permit
Validated by:
Validation:
Sq. Ft. 1274
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑
Repair ❑ -Demolition ❑
Estimated Valuation
$69,966.70
PERMIT
AMOUNT
Plan Chk. Dep.
253.00
Plan Chk. Bal.Si�}.95
Const.
5J 30
Mech.
53.50
Electrical
109.91
Plumbing
157.50
S.M.I.
4.90
Grading
4 V .41
Driveway Enc.
ZU.UU
Infrastructure
_ y� •
TOTAL
REMARKS
ZONE:—
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 3/21/89 Permit
Validated by:
Validation:
J
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FeES �.
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL SO. FT.
HEATING (ROUGH)
'
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
FOUND. REINF.
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
DRAINAGE PIPING
CAR P. SO. FT. ®
WALL SQ. Ff.
WATER HEATER
DRINKING FOUNTAIN.
SERVICE
FINAL INSP.
URINAL
SO FT. ®
WATER SYSTEM
ESTIMATED CONSTRUCTION VALUATION $
GRADING
cu. yd.
$ plus x$
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REMARKS:-
EMARKS:VENTILATION
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
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.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
MESH
SQ.FT.GAR ® 3/4c
HOUSE SEWER
G INSULATION/SOUND
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
NECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
/ROUND PLUMBIN '
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
e11ZSEWEA OR SEPTIC -
ROUGH 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.
Y FRAMING �— (f
FINAL INSP.
ROOFING
G
l
�"
REMARKS:-
EMARKS:VENTILATION
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
MESH
G INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
1
UNION RE I {�Y.
AND WHEN RECORDED MAIL TO:
F- Mr. Albert Vigil
Name 74_121 Rutledge
Street
Address Palm Desert, California 92260
Ctya
State L
MAIL TAX STATEMENTS TO:
1
Name.
Street
Address Same as above
City &
State
L
7
o ` OD -�
W
�
o C3
<�w8 W $ IM
Uj
IL
iW
rant - Dee
11
.J
SPACE ABOVE THIS LINE FOR RECORDER'S
�i DER'S USEmay/ j
A.P.N.9 q H 0 S l— O( —1 1 a in
qLA_O_nen.
The undersigned grantor(s) declare(s)
:
Documentary transfer tax is $ - ( 0—
(X) computed on full value of property conveyed, or,
( ) computed on full value less value of fens a d encu brances remaining at time of- sale.
( ) Unincorporated area: K f City of !%/ , and
r
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
MICHAEL FENTIS, a married man
hereby GRANT(S) to
ALBERT VIGIL, a married man, as his sole and separate property
the following described real property in the
County of Riverside , State of California: ;
M
Lots 8 and 9 Block 226 of Santa Carmelita Unit No., 21, as per map recorded in Book
20, page 22, in the Office of the County Recorder 'of said County.
Except all standing, flowing, percolating or other waters in or under said property
together with the right to remove same through underground channels by means of
wells or tunnels on other property, as excepted and reserved by Mattie M. Romberger
in Deed recorded September 28, 1959, as Instrument lio.n 83022. B
Dated: January 23, 1989. ��,//� , i "-A f /'7
STATE OF CA�IFORNIA SS.
COUNTY OF A OS IQIV6r AR -S •
On
before me, Dh['f_*12LAL0 a Notary Public
in and for said State, personally a peared
0jLG04gIz1— t?w.tTS
(known to me) (or
proved to me on the basis of satisfactory evidence) to be the person
whose name LS subscribed to the
within instrument and acknowledged that %fir
executed the same.
WITNESS my hand an ficial sea
�0 �
Signature ,
Name (Typed or Printed)
OFFICIAL SEAL
TONY MARINO
to NOTARY PUBLIC - CALIFORNIA
LOS 'ANGELES COUNTY
My comm. expires SEP 5, 1989
r
(This area for official notarial seal)
ITitle Order No. Escrow or Loan No. I
UL -4 MAIL TAX STATEMENTS AS DIRECTED ABOVE.
0
�� ... ...-+r- .y"E'7EW"•�"'i6'�`I 1 + {„�.;:. .a���, h�j�� .�3�r F "P.'���:iy,,�a'�jyy�yM,''i`V'1?!r.'??2'rj.,'Rn'ET""i`'1�`.., � ..�" .,-�`.
oil
Q
Z
0
W
(0
m
Z
O
U
W
in
T
0
Z
0
U
W
to
COUNTY OF RIVERSIDE DEPARTMENT OF HE�ACTH. :
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"ch" 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.
VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'*
Agent, Contractor, Contact Person
Phone
Address & Phone
Owner
Phone
Mailing Address
R/% AL C- -r { i
SsOne
A lAe
City-
State
Zip
Job Property Address
Legal DescriRt'ion Pro�.,(PM, Tract, Lot)
1k A
r!,,�.
2r3
5 2 2
UH rr�Q!-u frl
Lot Size./
Water Agency/Well
Use of Permit P/P, CU, etc.. _ x „
Other
5
Dwelling, MH Site Prep, etc.
-
xSignature of Applicant„
CATEGORY: REV CODE FEE
CATEGORY: REV CODE FEE
�P SUBSURFACE DISPOSAL 1 12313 $45.00 •
❑ SITE EVALUATION UPON REQUEST 7349 $42.00'
❑ MULTIPLE PARCELS WITHIN SAME
(NO PLOT PLAN)
LAND DIVISION ” !
O SEWER/SEPTIC VERIFICATION 7348 $11.00
a. 1 at 4 Parcels (Each) 1238 $45.00
(Less than 1 year)
b. Each Parcel after 4. 7344 $16.00.
❑ PRELIMINARY ELECTIVE 7352. $45.00.
❑ Rereview (2nd review same parcel) 7344 $16.00
EVALUATION (Attach DOH SAN 53)
❑ Site Evaluation in Conjunction with
❑ HOLDING TANK 7351 $45.00
Critical Area 7346 $86.00
❑ ' ALTERNATIVE/EXPERIMENTAL 7345 $13200
❑ Site Evaluation Lot Less than
SYSTEM
10,000 Sq. Ft..' 7347 $86.00
f I\NITI DATE
Holding Tank Agreements Completed ❑ Yes b No
Certification of Existing S.D. System Required ❑ Yes No I I
WOCB Clearance required. (Attach Form ❑ Yes I I No
DOH SAN 007, Santa Ana Region Only)
Soils Percolation Report Required. ❑ Yes E 1 No
Special Feasibility Boring Report Required. ❑ Yes I I No
Detailed Contour Plot Plans Required (1 to 5 ft interval) ❑ Yes No
Other ❑ Yes No
Staff Sp"Ist Lot Inspection Required ❑ Yes No. I
Lot Inspection Date
Sills boring report by - t7 iA ' Project # Dste
Soils Map Page Sol Type Approved by Date
No. of Systems
Type -of Systems)
No. Dwelling Units
(1) Septic Tank
Soil Rate
Greaser. W:
❑ Holding Tank ❑ Existing
Bedrooms, Fixture Units
Greasedntop'
1
ANew ❑ Replacement
'�'lnY`EQ Y�kGk
ll
'`1 5") 44-?
Gal
(2) Leach Una Sq. Ft.
Sidewall allowance
Install Line(s) R kxV R wide with
Leach Bed sq: ft
Bottom t
ft sq. R
per Winning ft
min. inches ro6k/below drainlurea or
of bottofn area
❑ .NA
!
Leachlines/bed special ign for slope:
(3) PR Diameter
No. Pits
Pit Below
Inlet
See ff f�otal Depth
Other/
APPI'icaN
❑ 5 6
(BI)
N/A Overburden factor I
1 i
Max. Allowable Depth
No. 2 System
REMARKS: �q 1 �� 1 G / C xr,6 VSt
This application is A PPRO ED/DENIED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated
'
on the accompanied plot plan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the
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
(2) Leach lines must be 100' minimum from•any wells, including expansion area. -
337 Seepage pits must be 150,' "`mi�niim-uum ffro�+many in uding expansion area � (.mkt+ 10
/J'�-(-U-_
C\wells,
Signature of Health Officials /y ` 111 �-� . Y �-t� Q C�GIs 3
RECEIPT NO. i ? Issued By (C CI Date I ly
i DISTRICT: O Riverside, l ndio ❑ Hemet
/\ q Perris ❑ Rancho Calif. ❑ Blythe
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records
4