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002782 (BLCK)P.O. BOX 1504 No.. ® 9?a, 2 Building' r 78-105 CALLE ESTADO Address 52-185 Avanda RaArsi LA QUINTA, CALIFORNIA 92253 Owner Dwcis E. &XMd1 BUILDING: TYPE CONST. OCC: GRP. Mailing Address 4;m39!j VjM-LiWe age A.P. Number City Zip Tel. in..._ 92240 3 7.9 .... Legal Description = 10, �', 78, SantamUta at Contractor Project Description Vale KOM' Address ' City " Zip Tela State Lic. City & Classif. Lic. # Sq. Ft. No. No. Dw. Size Stories Units Arch., Engr.; Designer New ❑ Add ❑. Alter ❑. Repair ❑ Demolition 0 - Address Tel. Liab 182 Lirwal S+alifi of F7nm 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 OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Susiness and Professions Code: Any city or county which requiresa permitto 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 PERMIT AMOUNT 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 ekempt'therelrom, and the.'basis for Any Section 7031.5 for plan: Chk. De p ae p, qq g Y + 580 -93 - the alleged exemption. violation of by any appdcant a permit' subjects the applicant to a civil penalty of notmore than -five hundred.dollars (3500): - ' . . Plan.Chk. Bal.. 1 3 173 1, as owner of the property, or my employees with wages as their sole compensation, will . . do the work, and the structure is hot intended or offered for sale. (Sec. 7044, Buisness and COr1St.�+ Professions Code: The Contractor's License Law does not apply- to an owner of property who builds or improves thereon andwho does such work himself or through hs own employees,Mech.. , - "' 090 f 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 -builder will have the burden. Electrical 105 . of 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- Plumbing " go 22 struct the project. (Sec. 7044, Business and Professions Code: The Contrector's License Law does. not apply to an owner of property builds or.improves thereon, and who contracts for S.M.I. �, v;� 20.00 .who such projects with acontractor(s) licensed pursuant to the Contractor's License law.) - . Grading. a �� , 20o O. i am exempt under Sec. B. 8 P.C. for this reason Driveway Enc. �( "� 588 Date Owner ` Infrastructure 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.. ❑ Certified copy is hereby furnished. - TOTAL .r 179.95 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.) ' 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 Ownei -BY,: ` NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE:' -subject to the 'Workers' Compensation provisions of the 'Labor Code, you must forthwith Minimum Setback Distances:. - comply with such provisions or this permit shall be deemed revoked. Front Setback from. Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) . Side Setback from Property Line Lender's Name Lender's Address FINAL DATE d INSPECTOR 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: Issued by: Date Permit 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. Validated by: Signature ofapplicant—Date Mailing Address Validation: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS COLL. AREA 2ND FL. SQ. FT. illL ROUGH PLUMB. YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. DUCT WORK DRAINAGE PIPING WALL SQ. FT. S (ROUGH) DRINKING FOUNTAIN SO. FT. ® HEATING (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ /(FINAL) G� �l/J WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER HEATER WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER WATER SYSTEM GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GRADING cu. yd. plus x$ LAUNDRY TRAY AIR HANDLING UNIT CFM 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac 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 GROUND PLUMBING '-'r/ UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE illL ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS ie�OR 4TIC ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. S (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL /(FINAL) G� �l/J TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cu. yd. plus x$ _$ LUMBER GR. FINAL INSP. S y MING '2 6e,NAL INSP. �. „ � 900FING ^ `0 s 16 / T� 19 ^1 © LJ / REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR���� GAR. FIREWALL HING' MESH INSULATIONISOUND GRADING //FINISH G/ NVAL INSPECTION CERT. OCC. FENCE FINAL _ INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL ,%f1Ep J, S c o 2 0 Desert Sands ' Unied Stool District H BERMUDA DUNES r RANCHO MIRAGE 82=879 HIGHWAY I11 O'WDIO CALIFOR NIA•.92201,=5678,0(619) 347-8631; ' INDIAN WELLS :PALM DESERT December 29.,": 19;86' ,P LA;QUINTA 'Jp IND -10, y"' *.City of La Qunta Department of Gommuiaity Development 78-105, 'Calle Estado. La Quinta, CA 92253 Re: 52-185 Ramir-ez, La Quint, CA 1 unit Gentlemen: The devle'loper orf: the above 'referenced projject has mitigated -its impacts., on our;: overcrowded • schools by payment -of the.:amo'un of- $6.28 pe.r unit. "This amount is to be applied to thecosi •.of additional : dis.trldt educational f'ac .lhies made neces�sary..b'y such new development. Sincerely, John D Broo, Assistant ri dent Bus.ines By: Richard ' Beck Facilities"Pl•anner JDB/vmm * This certification of payment of .developer fees: is valid for issuance of, building.,permi.ts° `only up -,`to and including December 31,:._.1`986 I . ` ABI ELDORADO RAN `t11STINFFICE. 14061 Prospect Ave., Tustin, CA 92680 MAIUNO ADDRESS: P.O. Box 838, Tustin, CA 92881 (714) 832.2021 1. PRIOR TO June 13 19 86 1 2.having deposited $500.00 wi E 3.0f the brokers herein, 4. 5- 7, and any additional funds and instruments necessar 8, before the date set forth on line 1 above, as qualifh 9. to me under these instructions and instruments hav, 10. Insurance Company's 11. $13.000.00 the amount of total considera 12. State of California, viz.: LOTS 10 and 11 13. Unit No. 10 - 14. Assessor's parcel numbers are is 16. 17. as per map recorded in Book _ 18 Pages 18. Title vested in DUANE E. SWENDLER, at 19. CLIFFORD D. BLOCH and DIANE BL 20. one half interest, 21. Free of encumbrances except: All 22. , General and Special Taxes for fiscal year 1988, 23, WHICH IS INCLUDED THEREIN AND COLLE 24. restrictions, reservations, exceptions, easements, r 25. water, carbons and hydrocarbons on or under said 1 26. Subject to the lien of suppl em 27. commenci� with Section 75 of 28. lvtOatq"e.or U#AS%GoeC� cicx}aaxscWlatadnassi! 29. .6----------- Ort-iLtiwsarne-sAaWd-ctww 30. �taoryJ,y�ccnr4ingLyaCjuctiAgstsoCALI�SkiAOU 31. 10 OFFICE: 81701 Highway 1' 1 1, Indio; CA 92201 ILINO ADDRESS: P.O. Drawer 1747, Indio, CA 92202 9) 347-08371(619) 342.5068 Buyer II hand oU $ 12 31500.00 IBLAN� WARING,. one BUYER AND SELLER Escrow Instructions Escrow No. 604 Apri 1 14 '19 86 Attention Betty S. Kirby MEMO New Encumbrances -- Total consideration on my part to enable you to comply with these instructions, which you are to use provided on or I by the provision at the top of page -2 hereof, you hold the money and documents, if any, deliverable been filed for record entitling you to procure Cwm nweal th Land Ti tle__.- Standard Coverage Form ANUjirbAAMA-licy of.litle insurance, with title company liability for ion on real property in the County of:_Bi vprS 7� .of BLOCK 78 of SANTA CARMELITA AT VALE LA QUI TA 773-221-021 and 773-221-022 respectively. of mist. Maps cords to a 0 fe in the office of the Recorder of said County, showing ✓ided one half_ interest_ and it tenants as to an undivided Z ,and taxes which are not yet due; INCLUDING SPECI^L DISTRICT LEVIES, PAYMENT OF 'ED THEREWITH. Easements for public utilities, alleys and streets; and covenants, conditions, is and rights-of-way of record and in deed to file, if any; and the exception of minerals, oil, gas, 1, now of record, and in deed to file, If any, affecting the use and occupancy of said property. _ tal taxes. if ani. assessed pursuant to Chapter 3.5 c ifs-taratcrrww-0tr"ord+L eAGes'4ctaterwaniLo_si+�w an unpaidoalantsW�ciscipas �f�---- b e• RfG Fe -0i �teif•itlif►. ii id�R10Y AiT tilo {i .f Ol�a[O.iO.iC09�i.: ii6.{QiJi irUOGI Oeial W G LiIQ ia(li6dG L710W A ) 32. TT�1Srl7e�ii-----"-"-"``s�tLTiR�IQSt�Tor'daTe-a-awTrrg er 6-vrwc (if -sr" -y Aa -t -e)-------------`------- ------------------- -------------------------------- 34. ------------------------------!------------------ --- ------------------------�---------urmaEff 35. paye bfetrt------------------------ ----------------------------------------------------------- I 36. 1tML1Vesr?T0M---------------------Mir ffn-n-rirahvamRcrirramTt-armr-m--`--pBY'tErt-DuenTRatt,-Dj7aDm--------------- 37.------------------------------------------------------------------------------------------ 38. prlrtcfyaranOirfteresYRdgRtrT�a'-----------I--'vTTMM.0Tltfte---------------------`----------`_----`-`---`-d'a9 39. of-eactr----------------n-ortth-beginrti►Ilfg'vrrthe-------------------_Ray-ot----------------- ------ ------t4_ 40. --------------------- -------------------------------------------------------------- ------- 41. ------------------------------'-------------------_------------- -------------------------- 42. abeerrpeid eweeuted-by-ab&mevenleets)-end--------------------------------- 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55-.- 56. 57. 58. an - I 60. 61. 62. - 5l_ 64. r ._ 65. ----- 66. 67. (Over) ESC 18 7/83 (Page 2) 68. If the conditions of, this escrow have not been complied with prior' to the date set out on line 1, or any extension thereof, you a complete the escrow as soon as the contlitions;,except as to time; have been complied with, unless written demand shalt have been mad complete If 71. Affix :$ 11 30 -PRO PERTV.TRANSFER STAMPS.on deed, to be'paid by SELLER 72. The following adjustments are required.in.this escrows 73. Interest on Mortgages and/or'T rust_ Deeds of record, ano Mortgage Insurance Premium paid F. H. A. to not appl i cab°1 74, n()t appl hl';' P I and;;funds shown Impounded for future payment.of. taxes, insurance, etc.; all based on Benet 75,: Interest on new encuir brances by endorsements on notes to .nit appl i Cable 76. Current taxes to C1 ose Iof escrow.: based on current year's taxes, or, between July Isl and November.: 77. based on -immediate preceding year's taxes,' In each 'case use' the figures from the' tax bill handed you by the seller or figures turn company, without, liability' on your part as to their .correctness, and. you are directed to charge seller and credit buyer with the..ar property tax' irlcluded.therell ,,on Items not included hereunder. B0. Rentals on basis of stalemenit furnished by seller., to n0 aDD� l Cable and you are to consider or 81. statement, `that seller.'will' Collect' all rents, which fall due prior. to the close of this escrow, unless he instructs you in writing to' adjustment against buyer on uncollected rentals ., 83. IJ 84. I, 85. 86. Premlum•on I .Fire Insurance.Policies to _ on building 87. situated elther'on property described abfiveror on premises known as No. 88,. If said Insurance isnot acceptable to lender and/or;buyer. If fire Insurance is not acceptable, return existing insu'rance,to seller for,.cancellation at. the close of escrow. The deposit in escrow insurance or notification by 'insurance agent that 'a new policy, is beirigowritten for. buyer will be considered instruction to the escrow h< decision concerning the ezlsling policy. You may assume that.pkemlum on saidpolides have been. paitl and that the policies have•not been by You are hereby authorized to deposit any funds or documents handed'yoli under these escrow Instructions, or cause the same to be df duly allttiorized ;sub escrow' agent, subject to your order at or prior,to close, of. escrow„in” the event such deposit shall be necessary or .c consumat ion of this*'escrow. I; Make pmrations on. basis 30 -day month, "Close of escrow" shall mean the tlay papers are filed for record. Mail fire and other insurance of first encumbrance, If any.'Mail title policy"to.holder of existing encumbrance, provided there is to be a substitution of liability; otherwi: theprior encumbrance recorded iconcurrently,with• locuments herein; but it there,is no such encumbrance, then to the buyer. Other docum- my favor tobe mailed to my address'below;'I.f title Vpo)icy is to be obtained,zprocu're It from. -any title company operating in county where p subject to exceptions and contlltionscontained in satd'company's regularprinted form.,, 1 agree to, pay on..demand for -recording deed, filling in Trust Deed, filllirlg In, notarizing and recording any other documents necessar buyer's escrow fee as charged buyer's. usual por.t'i in`of fees. and charges You shall be under no ,obligation or liability for,,, failure: to inform me' regarding any salei:loan, exchange, or other• transaction, or knowledge, even though same concern' -the property" described herein,' provide& they do not; prevent your compliance with these instruction liable for the sufficiency orcorreceness as to form, manner of execution, or validity of any instrument deposited, nor as to identity, authorit ,person executing the same: Your; lability as escrow holder shall be confined.to"the things specifically provided for in my written instructions NO NOTICE, DEMAND OR CHANGE'OF.INST•RUCTI`ONS SHALLIBE OF ANY EFFECT IN THIS ESCROW UNLESS GIVEN IN 1 PARTIES AFFECTED• THEREBY.-ln''the event conflicling�tlemands are:,made-`ornotices served upon you with respect to this escrow, expressly agreethat 'you -shall have the 'absolute right - at your'•election•to-do either-or both,,of the following: withhold and slop all further I performance of, 'this escrow, or file a suit:in interpleader and obtain an: order from 'the court reI.quiring the parties to in and litigate several claims and, rights amongst. themselves. In the event -such interpleader suit is'tirought, you shall ipso facto be fully released and i obligations to further perform any and all'duties�or obligations imposed upon.'you in -this escrow, and the parties jointly and severally a5 costs, eznenses, antl reasonable attorneys' fees expended-or,inclerre.rf.byyo�-.Ahe amount' thereof to be fixed and axirrdgment therefore to court in such suit. Buyer's Buyer's Signature—DU/1N Signature Street iftwx � 'X Address , .City Indio, CA 92201- 342-4714 '- City DIANE BLOCH & Zone ___ &> Zone . 329-6222 (Telephone) (Te SELLER April 14 89. 1 HEREBY APPROVE AND AGREE .TO BE BOUND, BY THE FOREGOING INSTRUCTIONS AND PROVISIONS. PRIOR TO the d: 1 herein, I will hand you all Instrurn.;nts and money necessary forme to,conjply.therewith; including a deed of the property described, e 91, the Undersigned 92: which you are authorized to'deliver providedyou hold in:this escrow for the `account of the parties executing said deed -- 93. at`Lippl l Cable the' money. (Ilse this,space only.9f money is to be°payable.to-others thangrantors), 94, and instruments tleliverable to me under these instructions. When property conveyed IS held in Joint Tenancy any cash derived therelr shall be Joint Tenancy funds. Pay any encumbrances necessaryao'place title fn the condition called for and the following: 96, per separate i nstructi ons ,, i f ._any 97: Pay commission of $ to P Ar S2Drlrate `l )1structions, _ 98. Broker's'License No. Address 99. 100. 101.- 102. 103. 104. ids. _ 106. — 107. 108. You will; as my agent. assign any fire and other insurance of mine handed you or that Beneficiaries Inform you they hold. 109. 1 agree io'pay on demand 'charges and expenses incurred by you forme; including charges for title assurance, for sending in offs( 110, beneficlaries' statements and or. demands, .filling in, ,ri'otarizing and recording any. documents necessary on my part, including the reco 111. price encumbrances and seller's;escrow :•fee -as charged sel l e.r 1 s usual portion_ of . fees and charges 112. Pay balance to the undersigned , ` Seiler's 'Signature ROT'. FOX Street Address 76 597 'Cal i:fbr city, Palm 'Desert; C si zone 345-531R' Seller's `Sigpnaatture _ OU &FlssC leu b City — S `Zone (Te M Z O F -- U w U) Go Z O H U w U) 0 Y Q W X Z O H U LU •'T . COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION// ,�i� -77�— Z! ( PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM r 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 $37 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.) Mailing Address f , Cityr' _ - State 67 Zip Code Tel phone Job Property Address i ,` -� of "City or' Community Legal Description Property. (Lot, PM, TR) moi; .'Assessor's Parcel No. r Water Agency-orWell, /` �..+ Use of Permit 's Z.- 20 - Planning Case # Lot Size % 1 - RC2 t`�' 11A MH Preparation S �� So. ilia SFD, Site Etc. A Signature of Applicant Date / The information be from Building Application above must verified STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date Certification of Existing S.D. System required. ❑Yes , �D� �No,- WQCB Clearance required. ❑ Yes No, r ���No Soils feasibility report required. ❑ Yes C i Detailed boring report required. E) Yes EW"No Detailed contour plot plans required. ❑ Yes O�✓N0 Staff Specialist approval required. ❑ Yes IJ No Lot Inspection Date Soils/boring report by Project # Date Soils Map Page /61 119 Soil Type /1 C Approved by f/ l Date Type of System: " No. of Bedrooms (1) Septic Tank Soil Rate Required ❑ Existing E N`ew ❑ Additional ❑ Replacement Gals. (2) Leach line sq. ft. Bottom trench Sidewall allowance ft. Sq. Ft. C/ Install w Line(s)—Ft. Long, Ft. wl twit inches r Leach bed Sq. Ft ofbott� area)' rock/ ®N A min. °° o� per running ft. rock below drain fines" area Leach lines/bed-special design for slope: Applicable (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth n•.� �''� Max. allowable depth O urden factor't5'' /N�/A �J� U'L� I� � I ✓. � ( ��� �Y ,f lam'' A,�l, f ...,✓.. ...•1. -?L.. This application,is^approvedi denied for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Sec5e'.tion B a e. A building permit is necessary for the installation of the above -designed system. /r (1 ) Septic tank and sewer lines must be 50' from any wells / o ;- `/ (2)� Leach lines must be 100' min. from any wells including expansion area v /I (3),�Seepage pits must be 150' min. from any wells' including expansion area-// 0,Ale 5 - Signature of Health Official w Ai L--'' • A,. � •^ (!"ir�t 'G!il Date RECEIPT NO. /0 / �` - District: ❑ Riverside ®-l"ndio . ❑ Hemet Distribution: WHITE—Office file YELLOW—Appl DOH -SAN -122 (Rev. 6186) Issued by Date /,z ❑ Perris ❑ Rancho Calif. ❑ Blythe antPINK—Bldg. Dept. GOLDENROD—Pending File / OF y:iZ �1 O r Mq )'•9 "1 8 q OFFICEO,F,. n.GfZICULTURAL COM t4l.'S'SI0NE-R: 408.0 LEN10y-ST;ftEET; ROOq 19 RIVERS(UF. CALIFORM 92501 (7 14) 787.2561 46-209, Oasis Street, Room 14 Indio; CA 92201 (619) 342-8291 Dear Developer/Landscaper: E. LEON SPAUGY COMMISSIONER M,"IFS 0. WALLACE ASSISTANT CUMMISSION'ER Thank you for inquiring with the Agricultural Commissioner's Office regardir.o local quarantine laws, d Any diseases or insects associated with.`the plants/landscaping material presented on your landscaping plans do -not pose a threat`to the Coachella Valley Citrus, Date, Crape, Vegetable, or Field Crop"indus'try. Fle therefore 2pprove your landscaping plans. If however, any substitutions ofp1:'a,ts/landscaping materials within your plans occurs between now and -the actual`' planting date, within you must contact this office plants/landscaping48 hours before deliveryintothe Coachella Valley. -Also, the substituted material nust be held3-for'inspection upon arrival. Any sub- stituted landscaping material found infected/infested with quar'antine',pests will be imTediately treated or shipped out'of. the Coachella Valley at the discretion of the Agricultural Commissioner's Office, Under penalty of perjury, I. the undersigned Iill.Comply with the above, Authorized Agent: Name. GC , Date Signature Permit Number(s) = Developer �/�z/i` � SG 4%4,4�j Addie IGRICULTURAL MNISSIO:;FR' S APPROVAL An voll, _Da t e ` �; >A R '.. i Authority cited: Agricultural Code; Sect ons 6301, 661, 64 6'524 cc: 2 Plan Check, Indio Office, Riverside Office 1 DA i L Y R E P. 0- R T O F Ml na�igtz" SOIL �" .qq� •gyp. p y.. rs G: R A D i N G C 0 N .T R 0 L ENGON 1,NC. _ JOB LOCATION 5'7 J! S A -✓E, (Z4�eii CLIENT OR OWNER j c �� `�3�oc� REPORT SEQUENCE N0:' 8.73 oo GENERAL LOCATION OF FILL _A 'PURPOSE OF FILL'OR'-NATURE Of STRUCTURE TO BE SUPPORTED - DATE ;i DAY OF WEEK GENERAL CONTRACTOR WAJ GRADING OR EARTHWORK CONTRACTOR vweeni wN 'h+ A JOB ENGINEER :�. HRS. CHARGEU Z.O CONTRACTOR'S SH FT �, "'�• CONTRACTOR'S SUPT OR FORMAN'' - ASSISTANTS HRS. CHARGED SOURCE 13 DESCRIPTION OF FILL MATERIAL 6"+MAXIMUM DENSITY& M/C• dt k' * i vwti � = No l j 5k ,r� w s'sri WEATHER Gt j/e_ suA/ t.L_T_ 4ND r2i�c ' �/ d� rti� . + APPROXIMATE YARDAGE by / 4 y � PLACED THIS SHIFT TOTAL TO•DATE TEST NO. �'e .. TEST'LOCATION f ELEVATION o IN, .COMP: CURVE . . - TEST MOISTURE TEST '' DRY r,. RELATIVE 6Otijp•' -' RETEST — NOTES p a` ,S!/�G•DC�!ls / ? LOT FEET' i'; -NO. %:. DENSITY LBSJCU. FT. % % NO. i ts-io40 " z ' �; "� � ', t•�3:9 I�©�+ � o, K.,. 2 No2-r�t ".:►�mF-s u . � : ��/; 0` 2 � I • I ����:'1 .S�f:D � t�''. � tis i' r (2 ��M .0 /�rO,P I Nan v i' • 'SUPPLEMENTARY REPORT (DESCRIBE EQUIPMENT USED FOR HAULING, SPREADING, WATERING. CONDITIONING B COMPACTING: ALSO REPORT THICKNESS OF LIFTS, AND AND NUMBER OF ROLLER TRIPS.) -moo 6>'L,)12- . . (17-1NCs ` w [ r -M .ouT� �> <i . Af2�o v N C), v T7 Lv v -+ 2- �►� T:�r-t u M ...�, C�o r� PT� �'r� ry v� i5 ' ung L RO R -c UT-.�.. �. V T- t L' L lit N .: = N � f-�s �J o. ✓ �-0 V s iz-r_ LA -)4D <- . JOB NO. COPY SENT TO CLIENT CONTINUED ON NEXT PAGE, j PAGE . OF