002655 (SFD)Building '
Address -4-500 AVa 0=rM=
Owner
mailing
Address
City Zip Tel.
Contractor
Address
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
City Zip Tel: -
Ir i ra 9=2 %4-•2228
State Lic. City
& Classjf. 397169 Lic. # 202
-Arch., Engr.,
Designer
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
70 OO) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
-pit /' �/ '"&�
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, 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 thathe 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). -
❑ 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 not Intended or offered for sale. It, however, the building
or improvement is sold within one year or completion, the owner -builder will have the burden
or proving that he did not build or improve for the purpose of 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
1 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 hereby furnished.
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.)
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, alter 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
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 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- r Date "
Mailing Address
City, State, Zip
HARD COPY
No. 002655
BUILDING: TYPE CONST. OCC. GRP
A.P. Number 774--121-001 and 002
Legal Description Tots 23 and 24
Project Descriptionilf(1r1fR1V t3s�E?]li>zi
REMARKS
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
22-86
Issued by: Date 10— . Permit
Validated by:
Validation:. --
A6576 l0 23 261,9.13 CR
Sq. Ft.4#�
Size
No. No. Dw.
Stories Units
t
Newd�d�❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$ U4t741.00
PERMIT
AMOUNT
Plan Chk. Dep.
IVA,0A
Plan Chk. Bal.
1. S.41
Const.
470.550
Mech.
^a .(!�
Electrical
_ 95
Plumbing
11NAA
S.M.I.
A-02
Grading
2n , ()j(}
Driveway Enc.
20.00
Infrastructure
1.689.25
TOTAL
?rAS10 13 2.609.13
REMARKS
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
22-86
Issued by: Date 10— . Permit
Validated by:
Validation:. --
A6576 l0 23 261,9.13 CR
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
SLAB GRADE
2ND FL. SO. FT. p
BONDING
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®_
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT. ®
GAS (ROUGH)
DRAINAGE PIPING
WALL SQ. FT.
OTHER APP./EQUIP.
DRINKING FOUNTAIN
SQ. FT. ®
TEMP. POLE ��
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
Of
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
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
VENTILATION
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.
SQ. FT. ® c
BATH TUB
MESH
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
CERT. OCC.
FENCE FINAL
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 ELECTRICAE ' HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
I MS� /� �J
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
N.REINF.
•
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE ��
GROUT
Of
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAMMr:
WATER SYSTEM
I
FINAL INSP.
$
GRADING
cu. yd.
plus x$ _$
LUMBER GR.
FRAMING / t2
FINAL INSP.
(R00FING 0t, ' Q) /2
I"
dry '
6
r y ��®�
f
{�`� i��/ / 1171�1'e
�- DEC
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
SULATIONISOUND ! o
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS,
GARDEN WALL FINAL
e /
4
/ � P.O. BOX 1504 APPLICATION ONLY
Buildin { _. 78-105 CALLE ESTADO
Address✓ �' .'� LA QUINTA, CALIFORNIA 92253
Owner U
t e _1 Z,/ ';e-vt Ccr4S i -
Mailing
Address �Jr A- x 2
City Zip Tel.
.7/Y t/?�?�
Contractor '
Sl:�!/�E
Address
City IZip I Tel..
State Lic.City
& Classif. _?% 17 - '1�11�1 Lic. # Zr,
Arch., Engr.,
Designer
Address Tel.
City I
Zip _ I
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of,Chapter 9 (com"mencing with Section
7000) of Division 3 --of the Business and Professions Cbderand my, license is in full force and
effect. // /Y ✓''�s. _— ��� ;�
SIGNATURE
� K"" 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, demolish, or repair any structure, prior to Its issuance also
requires the applicant for such permit to rile 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).
❑ 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 not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner-bullder will have the burden
of proving that he did not build or improve for the purpose of sale.)
O 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.)
O 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
❑ Copy is filed with the city. O Certified copy is hereby furnished.
d 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.)
I certify that in -the performance of the 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. k
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 if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
1 agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of tWAJP C(ty to enter the above.
mentioned property for ins/pe'c�tioonn,puurpose�ss.. %/
Signature of applicants pate
Mailing Address—
City,
ddress City, State, Zip
BUILDING DIVISION
BUILDING: TYPE CONNSjT. OCC. GRP. I
A.P. Number*F'- /
Legal DescriptionL/�%
Project Description S
Sq. Ft 4
Size Z Z /
No. / No. Dw. l
OStories / Units
New42`*'_ Add ❑
Alter ❑ Repair ❑ Demolition ❑
{
Estimated Valuation
7
PERMIT
f� AMOUNT
Plan Chk. Dep.
4,,-5 � �
Plan Chk. Bal.
i.
Const.
11V V S49
Mech.
Electrical
Plumbing
S.M.I.
O 7
Grading
1i. 00
Driveway Enc.
moi✓% .00
Infrastructure
TOTAL
REMARKS
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 Permit
Validated by:
Validation:
A 6 4 0 0 9 26 275,00 R
CONSTRUCTION ESTIMATE
GROUND PLUMBING
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® 6 ' qo
$ /0-934 60
UNITS
BONDING
HEATING (ROUGH)
STORAGE TANK
2ND FL. SQ. FT.
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
YARD SPKLR SYSTEM
'
POR. SQ FT ®
� 5'7 S
MOBILEHOME SVC.
OTHER APP.IEOUIP.
BAR SINK
GAS (FINAL)
GAR. `�`� SQ. FT.'®
.2 D '
POWER OUTLET
GROUT
ROOF DRAINS
SERVICE
CAR P. SQ. FT.
BOND BEAM
WATER SYSTEM
DRAINAGE PIPING
GRADING
cu. yd.
$ plus x$
WALL FT.
LUMBER GR.
FINAL INSP.
DRINKING FOUNTAIN
FINAL INSP.
/SQ.
SO. FT. ®
--
URINAL
REMARKS:
ESTIMATED CONSTRUCTION VALUATION
$ '
VENTILATION
WATER PIPING
NOTE: Not to be used as property tax valuation
FIREPLACE
FLOOR DRAIN
MECHANICAL FEES
SPARK ARRESTOR
WATER SOFTENER
GAR. FIREWALL
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
MESH
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINISH GRADING
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FINAL INSPECTION
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
FENCE FINAL
TEMP USE PERMIT SVC
WATER CLOSET
/
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
's
SHOWER
BOILER B.T.U.
SQ. FT. p c
BATH TUB
SQ. FT. ® c
WATER HEATER
S
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
ST 35,
SEWAGE DISPOSAL
L SI4' SQ.FT.GAR ® 3/ac
6Q
HOUSE SEWER
GAS PIPING
PERMIT FEE
Q ..
PERMIT FEE
'
PERMIT FEE
/O
DBL
TOTAL FEES
MICRO FEE
MECH.FEE
PL.CK.FEE
CONST. FEE
ELECT. FEE
SMI FEE
PLUMB. FEE
349''?
3y91 -q11
a -sem
, �s
�_.oa
//?-001
STRUCTURE PLUMBING ELECTRICAL j-% ,[/Z HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUN
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
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.
ROOFING
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
Engineers,inc.0 RECEIVED SEP 2 4 1986
� T� WORK ORDER
TESTING • INSPECTION
1731-A WALTER STREET • VENTURA, CALIFORNIA 93003 PHONE (805) 642-6727
BUENA ENGINEERS, INC., a California corporation, (Geotechnical Consultant) and Client agree to a
work assignment for Geotechnical Consultant as follows-.
Name of Project:
Order Received By:
Authorized By:
Client Name:
Address:
Property Owner:
Mailing Address:
Location or .lob:
Description of Work
Fees to be Charged:*
Avenida Carranza & Colima/Lot 23-24
Norman G. Jackson, Jr.
Bob Cullum
Rick Johnson Construction
P.O. Box 2288
Indio, CA 92202,
Date: September 17, 1986
.lob No.: B -16692 -PI
5.E. Corner of Avenida Carranza & Colima/Lot 23 & 24, La Ouinta
Grade, Test, and Observ.
Per Fee Schedule
"Unless otherwise stated, fees are approximate only and are not to be considered fixed or maximum fees.
TERMS:
The General Conditions (attached) are incorporated in full as part of this agreement. Invoices will be submitted upon completion of work
or at two-week intervals and are due and payable upon presentation. A Late Payment Service Charge computed at the periodic rate of
1.5 percent per month (an Annual Percentage Rate of 18 percent) will be applied to any unpaid balance commencing thirty days after
the date of invoice. Submittals to governmental agencies are the responsibility of the Client.
Cancellation of this contract by Client must be in writing with seven days notice
provided up to the time of termination.
B ENA ENGINEERS NC.
DATE
PLEASE RETURN A S16NED COPY
TO BUENA ENGINEERS. INC.
VENTURA
(805) 642.6727
Client agrees to pay for all services and materials
AGREED TO AND ACCEPTED:
RICK JOHNSON CONSTR., INC.
CLIT NAME (INPRI 'T)
SI ATURE AND TITLE
DATE
LANCASTER
(80 5) 948.7538
BAKERSFIELD SANTA BARBARA PALM SPRINGS SAN LUIS OBISPO
(805) 327-5150 (805) 966.9912 (714) 328.9131 (805) 544-6187
COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION _ _
PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
77Y �,-2/ 40 (/
pplicant: 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
V) is required when the application is submitted. Check must be made payable to the
+` �( ounty of Riverside
�. Building Department Application Log #
a
Z
0
H
E -H
w
:,49
ame (Owner, Agent, Contractor, Etc.')
Mailing Address
Initial Date
City
State
] No[-]
Zip Code
Telephone
*Job Property Address
*Clty'or�•i.ty
*Legal Description of Prpty.'(Lot, PM, TR)
AdG Cr9l�ri�/'/?%J
f r/ C; f e /�/ i /•f
L!?T Cl t a7ii / lr�i,� 1? �.• .s�7N�i
*Assessor's Parcel No.
Water Agency
Use of Permit
Lot Size
Soils feasibility report reqd.
OM&1
SFT), MH Site Prep Etc.
rC
Detailed boring report. reqd.
Planning Case it
X
,-4. , ex p - 5;�' - ? 9 -
signature of Applicant �J «e, Date
' r.... ,rl.l /a"+? .,',1 ile
�bi
. *TYove information must be verified from Building/Application t
' - /i-
STAFF USE - DO NOT WRITE BELOW THIS LINE
Soils/boring report by / Proj. N Date {
Soils Map Page/- L�Soil Type / �t Approved\by A,1,✓ �. Date-
V
L
Type of System: No. of Bedrooms (1) Septic Tank Soil Rate Required
Existing New Addition Replacement 3/&rMu '2�hni 4U Gals.
(2) Leach line sq. ft. Sidewall allowance Install Line(s Leach bed
(Bottom trench area) ft. rock/ Sq. Ft. Ft. Long,, Ft. wide Sq -.,Ft. of
per running ft. with Min. 'inches rock bottom�-
N/A C ]� below drain lines area
Leach lines/bed-special design (3) Pit Diameter No.Pit Seepage Pit total depth — J 1'
for slope: Applicable 5LP_T 61 [LJ—' Pits BI
N/A l"✓Overrburden factor j " I // Max. allowable depth _ �0�
/�'I/_. 4J' Imo:/y1 l ..w..i r- ^ ( t • A .4 1' sL i1 /�� CJ( (. � ' .:{✓�r,..� ,/ iC_..
to
0
Z
0
H
H
0
W
ED
This application is approved/4dtaied,for the design of a subsurface disposal s; -stem as
indicated on the accompani"ed plot plan using the requirements set forth in Section B above.
A building permit is necessary for the installation of the above -designed system.
x(119 Septic tank and sewer lines must be .50' from any wells % /G ,'�y -'•�. a,,/ t / /�'�'' �-Ud� r
(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--/ /,V- `f
Signature of Health Official Date
RECEIPT NO. / ' /• r / Issued by IJ/ i// L Date Q/_
District: Riverside[ ] Indio IPI Hemet [ ] Perris [ ] Rancho Calif. [ ] Blythe[ ]
Distribution: WHITE -Office file YELLOW -Applicant PINK -Bldg. Dept. GOLDENROD -Pending File
DOH SAN 122 (Rev. 2/86)
7k�
4
,5 i
tom- i
i
fig "? W Z.4-
- c4a-1011- 4 e"
N
I
Initial Date
Certification of Existing S.D. System reqd.
Yes[
] No[-]
WQCB Clearance reqd.
Yes[
] No E--]
Soils feasibility report reqd.
Yes[
] NoC�][
rC
Detailed boring report. reqd.
Yes[
f�] ,�
] No.PA
I
Detailed contour plot plans reqd.
Yes[
]-Nof.<7
r'
Z
C
/
Staff Specialist approval regd.
Yes[
] IIoC/
Lot Inspection Date
Soils/boring report by / Proj. N Date {
Soils Map Page/- L�Soil Type / �t Approved\by A,1,✓ �. Date-
V
L
Type of System: No. of Bedrooms (1) Septic Tank Soil Rate Required
Existing New Addition Replacement 3/&rMu '2�hni 4U Gals.
(2) Leach line sq. ft. Sidewall allowance Install Line(s Leach bed
(Bottom trench area) ft. rock/ Sq. Ft. Ft. Long,, Ft. wide Sq -.,Ft. of
per running ft. with Min. 'inches rock bottom�-
N/A C ]� below drain lines area
Leach lines/bed-special design (3) Pit Diameter No.Pit Seepage Pit total depth — J 1'
for slope: Applicable 5LP_T 61 [LJ—' Pits BI
N/A l"✓Overrburden factor j " I // Max. allowable depth _ �0�
/�'I/_. 4J' Imo:/y1 l ..w..i r- ^ ( t • A .4 1' sL i1 /�� CJ( (. � ' .:{✓�r,..� ,/ iC_..
to
0
Z
0
H
H
0
W
ED
This application is approved/4dtaied,for the design of a subsurface disposal s; -stem as
indicated on the accompani"ed plot plan using the requirements set forth in Section B above.
A building permit is necessary for the installation of the above -designed system.
x(119 Septic tank and sewer lines must be .50' from any wells % /G ,'�y -'•�. a,,/ t / /�'�'' �-Ud� r
(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--/ /,V- `f
Signature of Health Official Date
RECEIPT NO. / ' /• r / Issued by IJ/ i// L Date Q/_
District: Riverside[ ] Indio IPI Hemet [ ] Perris [ ] Rancho Calif. [ ] Blythe[ ]
Distribution: WHITE -Office file YELLOW -Applicant PINK -Bldg. Dept. GOLDENROD -Pending File
DOH SAN 122 (Rev. 2/86)
7k�
4
,5 i
tom- i
i
fig "? W Z.4-
- c4a-1011- 4 e"
N
I
0
Ei
0
oaa (2/
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RANCHO MIRAGE
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PALM DESERT a
JP LA OUINTA
INDIO y�
Desert Sands Unified School District
82-879 HIGHWAY 111 • INDIO. CALIFORNIA 92201.5678 0 (619) 3478631
October 23, 1986 .
City of La Quinta
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
Re: Lot 23 & 24,.Block 232, La Quinta, CA - 1 unit
Gentlemen:
The developer of the above referenced project has
mitigated its impacts on our overcrowded schools by
payment of the amount of $628 per unit. This amount is
to be applied to the cost of additional district
educational facilities made necessary by such new
development.
Sincerely,
John D. Brooks
Assistant per' tendent
Business i
By:
Richard M. Beck
Facilities Planner-
JDB/vmm
Titif
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78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246
July 31, 1987
Mr. Dennis D. Dawson
53-500 Avenida Carranza
La Quinta, California 92253
SUBJECT: IMPROVEMENT BOND
Dear Mr. Dawson:
This letter is to approve your time extension request for installing
a sprinkler system, fencing, and a 15 -gallon tree at 53-500 Avenida
Carranza. The improvements must be installed by September 30, 1987.
The bond will remain in force until released by the City.
Should you have any questions, please contact the undersigned.
Very truly yours,
MURREL CRUMP
PLANNING DIRECTOR
ferry `merman
Principal Planner
JH/mr
cc: Doris Felley, Business Development Official, wells Fargo Bank
MR/LTRJHp%115NG ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253