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11708 (SFD)Building Address 51--400 Ramirez Mailing Address P.O. Box 450 City Zip La- Quinta, CA 92253 Contractor Lendel Ventures Inc. Address P.O. Box 450 City Zip La Onint-_x. CA T 92253 State Lic. & Classif: Cy -638535 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Tel. 564--1866 Lic. # iarcn., Lngr., Designer Urbina & Associates Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECI I hereby affirm that I am licensed under provisions of Cl 7000) of Division 3 of the Business and Professions Code, effect. AIf:N ATIIRF /, 859 nmencing with Section apse is in full force and t ka_�_ d OWNER -BUILDER D!�PMRATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business and ProfessionCode: Any city or county which requires a permit to construct, atter, improve, demolish, o/repair any structure, prior to Its issuance also requires the applicant for such permitto rile a'signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or 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 penatty'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 orImprovement 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.) .. 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 contractors) licensed pursuant to the Contractor's License Law.) - ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION Ihereby 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 6'Copy is filed with the city. ❑ Certified copy is hereby furnished. 1 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 thq 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. 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. 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. 11'08 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 51-400 Ramirez 7713-0835-009 Legal Description Lot 16 Block 66 Project Description S?Q Sq. Ft. Size 1536 No. No. Dw. Stories- Units Newln Add O Alter ❑ Repair ❑ Demolition O Permit does not include block walls or pool. Estimated Valuation S92d322.00 PERMIT AMOUNT Plan Chk. Dep. 250. 00 Plan Chk. Bal. 20;4 _ Const. 600 0p Mech. 49.00 Electrical 127.18 Plumbing 141.00 S.M.I. 9.30 Grading 20.00 Driveway Enc. Infrastructure 2,M()5.06_ TOTAL 3,403.56 3.233.56 REMARKS r 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: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES' 1ST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. SO. FT. BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CARP. SO. FT. ROCK STORAGE DRAINAGE PIPING WALL S0. FT. METER LOOP DRINKING FOUNTAIN. SO. FT. OTHER APPJEOUIP. URINAL t ESTIMATED CONSTRUCTION VALUATION $ TEMP. POLE WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES SERVICE WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT -WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM FRAMING 2fjFINAL 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 FIRE ZONE ROOFING SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c ISEWAGE DISPOSAL SPARK ARRESTOR SO.FT.GAR ® 3/ec HOUSE SEWER 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 SETBACK LitD t PLUMBINGII C UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS ghVeR-@R SEPTIC TANK jRO GH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE J%G� GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ —plus—x$—=$ LUMBER GR. FINAL INSP. _ FRAMING 2fjFINAL INSP. 10 ROOFING /9� L� (( �Q !J , �r y� /bC REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING/,) -7-15 MESH INSULATION/SOUND 6-3-f13 LV FINISH GRADING FINAL INSPECTION/0 i7 —13 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL gut �`- P.0' BOX 1504 APPLICATION ONLY Building ��l -. ' f /r 78-105 CALLE ESTADO Address �J C)o L%C R, LA QUINTA, CALIFORNIA 92253 Owner VC/-/Di7'S J Mailing Address i 0 City Zip Tel. � ui� �� 9aas� 1 .4/- Contractor / ' ; SNC Address / O CityA a� /y/1 �/ ZIp Oma S3 Te- &//- State Lic. City 8 Classif. - X53 S- Lic. # Arch., Engr., Designer Zl///-� Address / Tel. City \ (Zip (State r Lia # 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, 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 or Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). IJ 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 or 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 brimprovement is sold within one year or completion, the owner -builder will have the burden .of proving that he did not build or improve for the purpose of sale.) 1'1 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 contractors) licensed pursuant to the Contractor's License Law.) 1-1 1 am exempt under Sec. B. & P.C. for this reason _ n Date'-'YTOwner_ --{(<V,11 A c /V L_17 V/ - WORKERS' /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 0 Copy is filed with the city. 0 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, 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 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. 1 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 BUILDING DIVISION 11LDING: TYPE CONST. /�OCC..GRP. - / P. Number AID T ��O 610CIC 6 6 :gal Description oject Description Sq. Ft. No.- No. Dw. Size Stories Units - New'❑ Add ❑ Alter ❑ . Repair ❑ Demolition ❑ PERMIT AMOUNT Plan -Chk. Dep. �o • Plan Chk. Bal a Const. Mech. Electrical Plumbing S.M.I. Grading D iveway Enc. nfrastructure / TOTAL 009 t R? 10 -APAII S? -24-9.2 i REMARKS 10 LAYH I IUfAL 1 1?. 00 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: CONSTRUCTION ESTIMATE 1ST FL. SO. FT. @ $ 2ND FL. SQ. FT. @ POR. SO. FT. @ GAR. SQ. FT. @ CARP. SQ. FT. @ WALL SO. FT. @ SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NO. �N-45LECTRICAL FEES `�N ,TS- MOBILEHOME SVC. - POWER OUTLET NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation COLL. AREA FLOOR DRAIN MECHANICAL FEES BONDING WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) LAUNDRY TRAY AIR HANDLING UNIT CFM I 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 I BOILER B.T.U. SO. FT. @ c BATH TUB GRADING CU. yd. $ plus x$ SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 1'A c SEWAGE DISPOSAL FINAL INSP. SQ.FT.GAR @ 3/ac HOUSE SEWER GAS PIPING PERMIT FEE VENTILATION 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 R AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND 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.IEQUIP. 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 INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES11NITIALS GARDEN WALL FINAL ,.._.,-..-� �"r`r :m•r-n•^.-...+••` 7v-r.y fEt'i"^+'�r+.w+•`xsw..rvfwr^•4k*�^ti.a+u.a�••'^►d^r�Ai+.s�`^`�:�•fil' '*iw ^'i�'ty'T,.sW-Y •srart'y,,;,l�•-o...,M h,;f� ,� t •., COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY Assessors Parcel No. DEPARTMENT OF ENVIRONMENTAL HEALTH'% PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant: Sub'rriit'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 r�`Vrr aivn a, • lid for a period not to exceed one year from date of approval., �+ ,; ---'2 9 J a `3,7 LOG # VERIFY ITEMS IN SECTION A FROM A NON -FEE BUILDING & SAFETY (goldenrod) APPLICATION $1 Agent, Contractor, Copptact Person , �, /� Phone Address City State 1140 Zip 641-A V P w 3ve - a 1 4a c , E Y s sttla Owneer•7' �`�Phq�ne/ Address City � State Zip � (,A9UJAJ7A1 CA Cf72.,5 Job Property Address City StateZip Legal Description Prop. (PM, Tract, Lot) 1� &T /6 N k+ SAk-TA C✓ . Lot Size/ • Water Agency II Use of Permit PIP, Other a) Y I uo ini9 , / L ! C / Dwelling, MH Site Prep, etc. .� � . 2 ice• � � , Signature of replicant , l Date 'y } CATEGORY REV CODE FEE CATEGORY REV CODE FEE SUBSURFACE DISPOSAL (per system) 1238 $153.00 ❑ SITE EVALUATION UPON REQUEST 7349 $120.00 ❑ MULTIP E PARCELS WITHIN SAME LAND DIVISION (NO PLOT PLAN) ❑ SEWERISEPTIC VERIFICATION 7348 $ 58.00 a. 1st 4 Parcels (Each) 1238 $153.00 ❑ PRELIMINARY ELECTIVE EVALUATION b. Each Parcel after 4 7344 $ 55.00 (Attach DOH -SAN -53) ,.1 7352 $ 69.00 ❑ REREVIEW (2nd review same parcel) 7344 $ 55.00 ❑ HOLDING TANK 7351 $119.00 , ❑ SITE EVALUATION in Conjuction with Critical Area 7346 $197.00 ❑ ALTERNATIVE EXPERIMENTAL SYSTEM 7345 $656.00 ❑ GRADING PLAN REVIEW DETAILED 1238 $104.00 ❑ SITE EVALUATION Lot Less than 10,000 Sq. Ft. 7347 $172.00 ❑ GRADING PLAN REVIEW CURSORY 1238 $ 55.00 ❑ SECOND FIELD VISIT (SITE EVALUATION) 7346 $ 85.00, ❑ COPIES (LAND USE) 7786-81 $ .50 INITIAL DATE Holding Tank Agreements Completed ❑ Yes 67 No Certification of Existing S.D. System Required ❑ Yes I5 No WQCB Clearance Required ❑ Yes C No (Attach Form DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required ❑ Yes C No Special Feasibility Boring Report Required ❑ Yes No Detailed Contour Piot Plans Required (1 to 5 ft. interval) ❑ Yes No Grading Handout Provided ❑ Yes No Staff Specialist Lot Inspection Required ❑ Yes No Maintenance Booklet Provided ❑ Yes ❑ No Lot Inspection Date Initials / C/42 / Soils PercolatioWBoring Report by 1 f 'i� Lic/Project # Date Soils Map Page Soil Type Approved By Date No. of Systems Type of System(s) No. Dwelling Units (1) Septic Tank Soil Rate Grease/Sand ❑ Holding Tank ❑ Replacement Addition Bedrooms, Fixt re Units �j % ge �f �r /Z / /Ud�tG! Greaselntcp/Lint , MNew ,❑ �.t rJ VtlO Gal. f Gal. isting Sq. Ft. Total Linear Sidewall Allowance Leach Bed sq. ft. Bottom Area Ft. h. rock/sq-ttp-6 rper 77 n running ft. Install Line(s) . long ft. wide �with.. ft df'F5ottom Area Inlet.Tested'Depth O NA min. inches. rock,below'dreinlines o Proposed Bottom Tested Depth Leachlines/bed special design for slope: pec' g (3) Pit Diameter No. Pits Pit Below Seepage Pit Total pepth ,7 + ' Other: Inlet (BI) (TD) ,f• Applicable X, ❑ 56 \ J Max. Allowable epth 1 �. 1 N/A Overburden Factor Well Review Approved: Signature Date Well Drilling Pern4it # k I Grading Plan Approved: Signature Date t REMARKS: This application is gPPROVED DENIED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompanied lot i 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 fhe renuired reserved 1nn0/o expansion area. /) Septic tank must be 100' minimum from any wells �( Leach lines must be 100' minimum from any wells, including expansion area 3) Seepage pits must be 150� sm'nimum -from any wells, including expansion area / A'�-193 Si�riature of Health Official Date (-1/ / Y ❑ CASH A CHECK NO./t� /' f ---i— - RECEIPT NO. 7 Q Issued By E ` U Date i DISTRICT ❑ Riverside ❑ Indio ❑ Hemet ❑ Perris ❑ Rancho'Calif. ❑ Blythe DOH-SAN-122(Revl/92) DISTRIBUTION: WHITE --Moe file YELLOW --Applicant PINK—Bldg. Dept. GOLDENROD—Plans/Records U84 ;. Go,- :310 li`:310 MAIL TAX', fTA1 A°o+le�e SAME. AS -ABOVE CITY & 9TATI Ir-.. SPACE ABOVE THIS LINZ�FOR RECORDER'S Uar- ' Documentary. trate tu>, a 46 20 Com�>uted- on full .aluE of; .property t•onveyed, or RECO 01N' Q >'. Q.Coinj>uted on"mill vtilue3less lienA 8'enrtirnhran cea rempinin r;tltereon at tlitle o,{ reale._ . .REOU'fit3T[O ❑ l:7nmtorl►orate� are City of ............................... N Mx r ��++ agqArr yy����.ttrr'.�rCrl CJ ID W tJ . 4e I 'U. AND-WHRN 119COROKD NAIL TO NAME .... <.; �a., `isSPt {fir a � B Sterling Homes....�"� ' WILLIAM: E 'COSl�RIY � W 83.61 Vickers Street 1308 3.R�ttlet H t `BYASan Ca. 92111,' 'Diego, MAIL TAX', fTA1 A°o+le�e SAME. AS -ABOVE CITY & 9TATI Ir-.. This form fulTllshed by dr$nge CoastT�, e.Company in Duffed Tnuary .7.,.;`1'993 STATE OF CAUFORNIA ) < FRANK .:STRI;SKOVICH. r i ry Riverside County of ' Januar y 7 1993: On be fore mo,gtho undor. L KANK CHIpersonnily NIE SRISKOVIsigned; a Si ST HA aPP"red Jate" jCi STEPHA E STRISKOV.ICH , personalty known 10 me Or: proved to me on the basis of calf factory 0� IdltiCO : . to be tho nc�nup(gjwhOSO deme E)'is/Are"subacnlxd to the within InsIN"'t1'1ent.: FOR ,NOTARY SEAL OR STAMP and eckno%vledged ) ►o me •thee he/she/ft,executed thea same' An his/her/their authorizedpgcltvftrs) end Uiat by his/her/their?pignatuje(a�, on the inAtnimenU the rson s) :orthe enhty;upon behslP oP which the pec• 1120 acted, executed the instrurttent orriciAl K'()TApyrSEAL JACKIE FELDMAN . � ` ^,� `��, I>!rtary ."A:aie: �• t,•altthrnla . A •)r ,+ti fr f�IVr:I'� ;I')i:ralJldYY WITNESS my bond and official scat s 0/ Corrin +p J1 tt 17, 1995 Signature Title Order No.C\o. MA1t.. • TAX. STATEMENTS AS• Dfl3ECTED,. ABOVE' SEa d 2 41 09S 6'T 9�' Y �21tiWJltiZl DN%1-:-.18 3 SPACE ABOVE THIS LINZ�FOR RECORDER'S Uar- ' Documentary. trate tu>, a 46 20 Com�>uted- on full .aluE of; .property t•onveyed, or >'. Q.Coinj>uted on"mill vtilue3less lienA 8'enrtirnhran cea rempinin r;tltereon at tlitle o,{ reale._ f .•. Slgnsture of 'derlerarit "fir :agent �J�terinining tax • firm nanse ❑ l:7nmtorl►orate� are City of ............................... N r rANdIL He This form fulTllshed by dr$nge CoastT�, e.Company in Duffed Tnuary .7.,.;`1'993 STATE OF CAUFORNIA ) < FRANK .:STRI;SKOVICH. r i ry Riverside County of ' Januar y 7 1993: On be fore mo,gtho undor. L KANK CHIpersonnily NIE SRISKOVIsigned; a Si ST HA aPP"red Jate" jCi STEPHA E STRISKOV.ICH , personalty known 10 me Or: proved to me on the basis of calf factory 0� IdltiCO : . to be tho nc�nup(gjwhOSO deme E)'is/Are"subacnlxd to the within InsIN"'t1'1ent.: FOR ,NOTARY SEAL OR STAMP and eckno%vledged ) ►o me •thee he/she/ft,executed thea same' An his/her/their authorizedpgcltvftrs) end Uiat by his/her/their?pignatuje(a�, on the inAtnimenU the rson s) :orthe enhty;upon behslP oP which the pec• 1120 acted, executed the instrurttent orriciAl K'()TApyrSEAL JACKIE FELDMAN . � ` ^,� `��, I>!rtary ."A:aie: �• t,•altthrnla . A •)r ,+ti fr f�IVr:I'� ;I')i:ralJldYY WITNESS my bond and official scat s 0/ Corrin +p J1 tt 17, 1995 Signature Title Order No.C\o. MA1t.. • TAX. STATEMENTS AS• Dfl3ECTED,. ABOVE' SEa d 2 41 09S 6'T 9�' Y �21tiWJltiZl DN%1-:-.18 3 C6ACHELLA VALLEY WATER DISTRICT x" CASH RECEIPT DETAIL Received From. t Dat Address Account'No Lot(s)• Tract Service AddressC ? C!. SE' c.`• Gt%eJIS:A. Code Meter(s) $ i Service(s) ❑ Backflows) ❑ House Laterals) ❑ Detector Check(s) ❑ Meter Surcharge ❑ Sanitation Capacity Charge ❑ W.S.B.F.C. ` ❑ . Temporary Construction Meter ❑ Turn on Charge ❑ Uncollected Account - Name ❑ InspeotionFee- Tract - Fee ❑ Plan Check Fees Water I Sewer - . Tract ❑ Bond Payment - A.D.: _ Bond Assmt. ❑ Customer Deposit ❑ Other '.:.. TOTAL $ C%Di GU Remarks:l. . r . ❑ Copy to: Cash Check f� �`" Water Service Mone Y / i , . Cashier Order > CVWD- (11189) r , crvw"�-•^sa+c..—.pv"tir+Rrr'•.T"'b ..—.. .. �_.s.¢.,.:-..__-,- _._ _:_",.;.�.��.:.,,.=!•'�sr—�r�R�-�'_..--_+^s-��"-q=r-e Twr.��. r•� j., ,EARTH SYSTEMS CONSULTANTS S.C. BUENA ENGINEERS DIV. 79-811 B Country Club Drive Bermuda Dunes, CA 92201 • (619) 345-1588 r� Client Name Client Address 441? DATE TEST LOCATION 11a(/sF S JOB NO. PROJECT LOCATION L.19 OV I.. % 14 CONTRACTOR MOISTURE CONTENT % OWNER WEATHER TEMP. 0 at AM 0 at PM PRESENT AT SITE z TEST] NUM TEST LOCATION 11a(/sF S NO. ELEVATION FIELD TESTING REFERENCE CURVE MOISTURE CONTENT % DRY DENSITY IbsJCu. ft. MAXIMUM DRY DENSITY % MAXIMUM DRY DENSITY IbsJcu. ft. OPTIMUM MOISTURE CONTENT % y° //6 91 71 go 92, (✓ �•S /OS•I 9/ z ✓I✓ N! G vA9At1O v AC ti N7—% UA I r1 Ni yI I O ' U 1 i f 1 V I ( A Ur. AI Lod "1771/1 F L REMARKS: /o -7 H/I plat` 111E O A- f n /ei /%V/4 % 1,sr /l % a,z /%� 9Kr l FIELD REP®R'I° c CLIENT REPRESENTATIVE SIGNATURE TECHNICIANS SIGNATURE N9 F1378 l MW Ttt� of 14.a(jouin,ta � uildin� �nb `sttfet� 31t*t1t*rm*jan This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building! Code. certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS 51-400 Avenida Ramirez Use Classification Single Family Dwelling Bldg. Permit No. 11708 Group R3 Type Construction VN Fire_ Zone Use Zone SR Owner of Building Sterling -Homes' _ Address P.O. Box 450 City La Ouinta, CA 92253 By; . Lonnie Day bee: - , r"3 3 uil ing LOfficial POST IN A OON9P1000UN PLAO[ III