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9712-093 (SFD)LICENSED CONTRACTOR DECLARATION,-: . I hereby affirm under penalty of perjury that I am licensed under provisions of 'Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals'Code, and my License is in full force and effect. License # Lic. Class Exp. Date EW h} 119) r :y Date �/n X51 -Signature of Contractor / OWNER=BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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, Business & Professionals Code). ( ) I, as owner of'tlie property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044,.Business & Professionals Code). () I am exempt•under Section B&P.C. for this reason Date Signature of Owner. WORKER'S COMPENSATION DECLARATION I hereby affirm under. penalty of perjury one of the following declarations: () I have and will maintain a certificate of consent to self -insure for workers' compensation, as`'provided for by Section 3700 of the Labor Code, -for the performance of the.work for which this permit is issued. ( I have and will maintain workers' compensation insurance, as required by Section 3700 of the'. Labor Code, for the performance of the. work for which this permit is issued. My workers' compensation insurance carrier & policy no: are: Carrier Policy No. .ST1V1`f.t "FUND (This section need not be completed if the. permit valuation is for $100.00 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, and agree that if I• should become subject to the workers' compensation provisions of Section 3700 of the Labor /ce, I shall fo hwith comply with-those'provisions. ate: i 1 �- Applicant Warning: Failure to secure Workers' Compensation.eov rage is unlawful 'and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the'Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each.person at whose request and for whose.benefit work is performed under or pursuant•to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation: I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. �VSSignature. (Owner/Agent). ".5=``'��s"DatedX'�r"� BUILDINGPERMIT PERMIT#°NTR°`" " DATE{T19� VALUATION a] p LOT TRACT6721 JOB SITE ADDRESS 4.+i• 791) 4b:-A!'� 0�I�`.��.1�1 ti; APN : 64644& 4)3 3 OWNER CONTRACTOR / DESIGNER / ENGINEER J.:�.�iE� ;�. t+;a1�i�JRt �t-',fir �.CIf1,�':'i��:l'~'��i.ilA'f • 4'Cr sox, 5'35 7t t Ft L :A1:l� KD i,,A oUIP3'i'.r'i• CA. 9224-1 PALIM DE'Sivlqf cik 927,00 (619Y,68-44811 ' CP,L: i10:1:1 Q/Ty ®(� USE OF PERMIT si a �? f) - �'l kid i TSU "s` k T `;.�fDA U01—M. WALLS OR -11.00 WILJ �i-g '� .h' ,l JAN _� 1 61998 5.2•`ttCKl fi�(ilift:i\P.E't3 t' 911© 4.11 SF' c A , ' •fewti'�!`Y �R'.i'tPOi'' .f i.�d..Y! V2:fi:•t•'fi • F: A, .P b,fA'Q. uA 5'ti,f. ••��,,�'gy a g •. 8•r i.�MIS. Qr 11ie.C;l s9'4��'��.ACARV� MIT . i�I:Af C' rl:,: t: r;-z4:3��^. NIL' f'Lij1`A%iy 221:!)00-i`I-i) �13.3tt f.:Li ..•.i'fUCALA M:. ii'E'fiit �i CF GuU '` ia, r1.n� 1a1ARVIB NO FRE B.Q1_000"I 11 9.40Sit.3S,+ri i)'liC4i?�?C,t0' rCSIJ ` 'E y�3 5i t M-000-24p�)�mo 0-421-000 t1��`F�.:��"Riau rt12M: ���-tltii?,�rl�..��a� �t;,titN�,Cn:► � . iVzT f'N.PUMAC Pf AC'E,3- fWZ)G'701 Oov°-2 'SS' TRS -RAID FE'S 4256:1.,, • ' • ` ' ' •b lJ F i.l :Y�.'l7AS•S'' �"�� L"''��". Ri DUE NO9Fr - 19#1 r7'.5:.1►4,9 � �'� rrrr, 4 I RECEIPT DATE BY %,��' DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs _�/ Underground Ducts Forms & Footings Slab Grade _ _ L Ducts Retum Air Steel _ _ _ Combustion Air Roof Deck // Exhaust Fans O.K. to Wrap 3 g F.A.U. Framing ���� _ Compressor Insulation PLUMBING APPROVALS Vents Fireplace P.L. Water Piping Grills Fireplace T.O. Plumbing Top Out Fans & Controls Party Wall Insulation Condensate Lines Pally Wall Firewall Exterior Lath Drvwall - Int. Lath Final /Final � •��0 POOLS - SPAS Rough Wiring BLOCKWALL APPROVALS steel Set Backs Fixtures Electric Bond Footings Main Drain Bond Beam Exterior Receptacles Approval to Cover G.F.I. Equipment Location Temp. Use of Power Underground Electric t Underground Plbg. Test Final Final tV.4 Notice (Perm) Gas Piping Waste Lines/dQ PLUMBING APPROVALS Gas Test Electric Final Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster I Gas Test I Final ELECTRICAL APPROV Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power t t Final tV.4 Notice (Perm) D(=- Final COMMENTS: Z/sxe P.O. BOX 1504 APPLICATION ONLY Building �•�_ U 1wG i tv'"' 78-495 CALLE TAMPICO Address �/ ( LA QUINTA, CALIFORNIA 92253 Owner N.7� j , / ! f 1 /j�W~`V BUILDING: TYPE'CONST. OCC. GRP. Mailing Address <) 6C/ 13-Sfi��% [!1lU� �.t/7'� I 7Gl " �7%J II-) A.P. Number r) City Zip Tel. �/ 4!4/1,•//7;rt '%? ? S,3 %�i cr - '� �� jam. Legal Description h 7 T Contractor RKK 7_03 0 r JS,7/Z W77 Project Description Address 73--213 Me Citf�y�l!l �Fs�I7 ZIp TO.�G+7�E7, State Lic. City & Classif. �j -/ _37.5-4/3,f Lic. # Sq. Ft. No. No. Dw. Arch., Engr., Size Stories Units Designer New ❑ Add O Alter O 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 OWNER -BUILDER DECLARATION Estimated Valuation 3$D �� _...-. I hereby affirm that I am exempt from the Contractor's License Law for the following O ip 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 PERMIT AMOUNT 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 rhealleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. subjects the applicant to a civil penalty or not more than five hundred dollars ($500). l: I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 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. Mech. provided that such improvements are not intended or offered for sale. If, however, the building orimprovement is sold within one year or completion, the owner -builder will have the burden Electrical of proving that he did not build or Improve for the purpose of sale.) "I. I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 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 S.M.1. Q such projects with a contractorts) licensed pursuant to the Contractor's License Law.) Grading i 7 I am exempt under Sec. 8. 8 P.C. for this reason Driveway Enc. 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 17 Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL 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 t 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 ZONE: BY: 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 INSPECTOR 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. 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 of aOplicant Date Mailing Address Validation: City, State, Zip , WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Notice: Document Cannot Be Duplicated Date 1/13/98 No. 16488 Owner NameJames Mann ar Desert Sands Unified School District 82-879 Highway 111 Indio, CA 92201 619-775-3500 CERTIFICATE OF COMPLIANCE APN # 617-302-004 Jurisdiction La Quinta Permit # No. 48-780 Street San Vicente Log # City La Quinta Zip 92253 Study Area Tract # Lot # Square Footage 4200 Type of Development Single Family Residence Comments No. of Units 1 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is. exempt.from.paying_school-.fees .at -this -time due to -the -following -- reason: -~- EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.84 X 4,200 or $ 7,728.00 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now,be .issued Fees Paid By Cashier's Check/Valley Independent Bank Teleo6nc; ;;} Name on the check By Dr. Doris Wilson, # + cVr In r, Superintendent r:Y Fee collected /exempted by Ellen Patino Payment Received $7,72$.10'1'' Check No. 158010 Signature 10TICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to .Ilett them on the Dislrict('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy -Accounting La Qulnta Go f FStatey Community Association P.O. Box 162 La Quinta, Ca 92253 619/564-2177 December 10, 1997 Bu.i•lding & Saf ety Department- CITY OF LA QUINTA P. 0. Box 1504 La Quinta CA 92253 RE: Lot No. 4 - San Vicente New Construction/Residential Mr..and Mrs. Jim Mann Gentlemen: Please be advised that the Architectural Committee has just reviewed the plans prepared by Ed Diaz, A.I.A./Jobe Construction of single family residence for Mr. and Mrs. Jim Mann. The .'Committee has determined that these plans are in compliance with requirements setforth in our governing documents and have, therefore, approved this proposed construction. If you have any questions, please contact the Office. Sincerely, T KENN DY Chairman TK/at VALlIAt1011: Val fOOIAGE VMUA1gN VALUAI IO1,1 IST FLOOR VJD FLOOn ONIAOE ; COVERED MCI 1 TRELLIS AIC SPRINKLER - TOTAL —! PERMITTEE —� PLAN CI IECK FEE MECI MUICAL• FANS AMM LACES: IIEJ1TERS COMPRESSORS 3 .?. 1TMSI1 COYPACIOILS SAGE OISPOSAL EVAP COOLERS _ OVER !� APPLIANCES � � f W K1E COOKI OP ^-�- EIECTNCAL: fiCFtYGEM1 Ofi ICE MACIMIIE DMIXINO FOUNTAIN =-- 60UAnE FOOTAIIE _ WASI IE11 SERVICE JAMPf,-)� nig ` vnYER ! GUN�'�lo L�' plsl ryy 1 tL- FRCEZER PLUTADfl10. TOILET B10ET Opts 1''If'im WAIERIFAlEnUMIJALS LAVS SEWAGE DJSPosAL SyST�%h silo sJ �owEJ�s 6ATMTUSs I� ikmE SEWER IIooF avuns FLOOR DRAINS IUTCWN ONK Tuaf Sit w02- RECORDING REQUESTED BY Li� UNION LAND TU COMPANY AND WHEN RECORDED MAIL TO: o 0 a 8_ r'i Y W t C0 ,-Mr. and Mrs. James Mann = r - Dor Name Street Post Office Box 2340 Q IM B Q j1 Address Agoura, California 91301 d C g l cty a [c Stale C>t M /W� Y.• MAIL TAX STATEMENTS TO: DIY r � Name s,,ee, Same as above r.:dress tly a S,are / T� }De—e7- Q p t SPACE ABOVE THIS LINE FOR RECORDER'S USE L Grant DGG A.P.N. The undersigned grantor(s) declare(s): y Documentary transfer taxis $ lJr (>51 computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( }�) Unincorporated area: ( ) City of and, FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ROBERT C. MONROE AND MARY ALICE MONROE,•husband and wife, as joint tenants hereby GRANT(S) to JAMES R. MANN AND LORAINE C. MANN, TRUSTEES UNDER THE JAMES R MANN & LORAINE C. MANN INTER VIVOS TRUST AGREEMENT OF 1987 the following described real property in the County of Riverside , State of California: Lot 4, La Quinta Golf Club Estates, Unit 1, as per map recorded in Book 37, pages 96, 97 and 98, records of said County. Dated: April 11, 1989 pa, RR)�o, lD ee i' C. o/m r o 41 STATE OF CALIF RNIA _-/ f SS. Mary Kii-ee Monroe COUNTY OF On before me,`, a Notary Public in and ,fyr saiq State, personally appeared /r..ti'��-G-ty (known to me) (Gr preved-tomeon-ttie-basis-of satisfactory evidence) to he the person whose name 5e.k C' subscribed to the within instrument and acknowledged that -..%c.. c (14 executed the same. nn WITNESS myhahannd atrU official seat. /J Signature BETTY MAY DAY Name (Typed or Printed) OFFICIAL SEAL BEM MAY DAY wTAw KOX • CAL:OFM RIVERSIDE COLOM MY C. r>� Mop 1V. 1Vo! (Tris area for official notarial aaall Title Order No. Escrow or Loan No. . t MAIL TAX STATEMENTS AS DIRECTED ABOVE 6?() /9a¢ RECORDING REQUESTED BY -,UNION LAND THU COMPANY AND WHEN RECORDED MAIL TO: Name r— Mr. and Mrs. James Mann Street Post Office Box 2340 Address Agoura, California 91301 City a State L r MAIL TAX STATEMENTS TO: 1 Name Street Same as above Address City 8 State L cc " _ 8 89 CPo11C cc)It lo It Cal A cc � IL dd 3 i INC r r t SPACE ABOVE THIS LINE FOR RECORDER'S USE ant Dee lI A.P.N. The undersigned grantor(s) declare(s): (j' Documentary transfer tax is $ Q L" (,s<f computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining'at time of sale. ( �) Unincorporated area: ( ) City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ROBERT C. MONROE AND MARY ALICE MONROE, husband and wife, as joint tenants hereby GRANT(S) to JAMES R. MANN AND LORAINE C. MANN, TRUSTEES 'UNDER THE'JAMES R MANN & LORAINE C. MANN INTER VIVOS TRUST AGREEMENT OF 1987 the following described real property in the County of Riverside , State of California: Lot 4, La Quinta Golf Club Estates, Unit 1, as per map recorded in Book 37, pages 96, 97 and 98, records of said County. Dated: April ll i 1989 Robeff C. Monro4N STATE OF CALLfqRNIA SS Malry Kiie Monroe COUNTY OF before me,/�.C_C ey%!!'R-`��� a Notary Public in and,fgr saiq State, personally appeared (known to me) (er- proved -basis of-satisfactoryevidence) to be the person whose name ee',4c ' subscribed to the within instrument and acknowledged that executed the same. WITNESS my han 'a; official seal. Signature�- BETTY MAY DAY Name (Typed or Printed) OFFICIAL SEAL BETTY MAY DAY NOTARY PUBLIC . CKFCFM RIVERSW COUNTY . MY Comm E,pYr Nby 19. MM92 (This area for official notarial real) 5 Title Order No. Escrow or Loan No. I UL -4 MAIL TAX STATEMENTS AS DIRECTED ABOVE. 5 p " P i:rf `a: This aPpliceffon I-APPROvtu! ` _ a pw e e a subsurface disposal system as Indtcateo using the requirements set forth In SECTION C above. A build - for the Installation of the above•deslgned system. No construe- Revenue code Fee - "^'''�"" her wired reserved 100% a wnslon roe. .� 'ts:.fH be W' -minimum from any nreUstl �O �tn tL ❑ Cheek 1 V ... 1M' ...tnlrr.•�T fnvn wrw waft tndudlno axnanslon vw DMO _t 5 p " P i:rf `a: This aPpliceffon I-APPROvtu! ` _ a pw e e a subsurface disposal system as Indtcateo using the requirements set forth In SECTION C above. A build - for the Installation of the above•deslgned system. No construe- Revenue code Fee - "^'''�"" her wired reserved 100% a wnslon roe. .� 'ts:.fH be W' -minimum from any nreUstl �O �tn tL ❑ Cheek 1 V ... 1M' ...tnlrr.•�T fnvn wrw waft tndudlno axnanslon vw DMO COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY AssEssoR's PARCEL NUMBER 6 r - - 0 0 t'v- DEPARTMENT OF ENVIRONMENTAL HEALTH -367,� 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 as indicated on the attached check list. A non-refundable filing fee is required when the application Is submitted. Check must be made payable to the Coutlty��i bf this a li r� pp T69 6 tion shall remain valid for a period not to exceed one year from date of payment. 1238 $14• CITY t4 QU,,1%t LOG # OF - ST $21 4Ot Agent, Contractor, Contact Person Address City Stat Zip Telephone E) 73 2.13 IR, P CC 922Ao SZ8 F- Q O%Ixr 'MP?O ' mKA/ Address`! City State Zip ��IJ dlC,� Chi ' iti° f�" i� Telephone . Z Job Property Address `FS- S0 S n/ Isi CL 0 Si Ci city Zip ZI P A IQ141 r� tU U) Lot Size //0 x/IfIX171 ater Agen QA VACL61 Use of Permit, P/P, SUP, PUP, etc. WE%lan/C � .G' 4Gr Legal Description clo y �/. Cr' Lor (4 ��,�lm Cec.F1� 1� ,( Dwem p., eta. s�aoo Signature of I'm Ij ate c CHECK BOX IF REQUIRED ❑ Holding Tank Agreements Completed ❑ Detailed Contour Plot Plans Required (1 to 5 foot interval) ❑ Certification of Existing S.D. System Required ❑ Grading Handout Provided m ❑ WQCB Clearance Required ❑ Staff Specialist Lot Inspection Required Z O (Attach For DOH -SAN -007, Santa Ana Region Only ❑ Lot Inspection U❑ Soils Percolation Report Required W U) ❑ Special Feasibility Boring Report Required ❑ Date Lot Inspection Completed: Initials Remarks: ❑ Maintenance Booklet Provided Initials Date ❑ Final Inspection by Department of Environmental Health is required. C/42 / Soils Percolation Boring Report by Up/Project # Date Soils Map Page 14Soil Type A Approved By Date No of Systems Type of System(s) ❑ FJolding Tank O Replacement No. Dwelling Units r Bedrooms, Fktwv-CrMs (1) Septic Tank Soil Rate Gr se/Sand Grea/ I 2f4ew O Addition ❑ Existing Q s MAV / /�� gals2l s tcp/Unt Trap Gal Gal. q. Ft. om Area Total Linear Sidewall Allowance rock/ sq. ft. running ft. Install�n.ft. long ft. wide with each Bed sq. ft. of m Area Inlet Tested Depth ❑ NA min.k below drainlines or U Proposed Bottom Tested D Z Lea nes/bed special design for slope: (3) Pit Diameter No. Pits it low In t (BI) Seepage Pit Maximum Oth r: O UAPPlicable 3t� % Total Dept Allowable Depth W N/A Overburden Fa ter �// C, 6' ' TD j Well Review Approved: Date: Well Drilling Permit # SIGNATURE Grading Plan Approved: Date: SIGNATURE atio Sewer VerificApproved: Date: REMARKS: 4 a � 146 This application I PROVED/ abova,-regarding as on ' ' FOR OFFICE USE ONLY e e a subsurface disposal system Iniilcated`' the acompanled plot plan, using the requirements set forth in SECTION C above. A build- Ing /��� permit Is necessary for the Installation of the above -designed system. No construc- Revenue code Fee $_ �l tion Is permitted in the required reserved 100% expansion aria: I. • (". ", ,, i I fit.C� 1) Septic Tank must be eD'minimum from any, wells /C � r Y� 1+7 ❑ Check # (2) Leach lines must be 100' minimum from any wells, Including;expanslon area.: „ . Date ' 8' / Initial (3) Sewer lines must be 50' minimum from any wells. Q• O (4 Seepage pts mu t be 150' minimum from any wells, Including expansion area. W �f` ��i'�✓ � w• GZ� 'Y �' rJ ... . Signature of Health Official — 99, Date DOH -SAN 122 (Rev 9(93) Dlstribution:.WHITE—Office File; YELLOW—Applicant; PINK—Bldg. Dept.; GOLDENROL—Plans/Records '„'�'f � r' 4 t.r:'a � r � ,•:� 5 1r 1, r•f,f }��j: i�: � .'.il: i. � .�i,::�,1�'.j_:..� � � � • ..:rte. 0106, COl3N Y'OF' RIVE.Rcc;ID>r'-P'�Yt�,'ILi•1-; SERVICES NG"" NCY is ti DEf'ARTMENT:OF Eft i-i0NfVI— N1_AL IaEALT+ Food." ` :Sor+/age Disposal Traitor>Park; / DO GW.'Soptic�Tan F"�71�r Pvtotel,`Apt:;;Notol Y��d :SG: t-t.�et Lo Nw�+� Dwelling'".O.b.' _Dia 1 ' TD �f3 RAO Seepage. rt Gommercial:Building : �� :,:. 1j Cannoction to we } S+wir►iminc�Pool <;: sl: `tdr,nect to Fxistin ..S.S:D.S. =, X tJo ari-silo regonarating water �ofte`ninc� dav;c s'�h1'.4 . discharged,intoahe'individual sewage disposal r > .' ! ystarii herewith approved withro t clz,a anc� born �a��a&O Quality Control'boar 1i.ateraupply s©rvingphis n�,syfl�allati6n mu.:4 be iron bb(ap�raved source.(G VIHJ�� '...; • .arr.yf _ � All sowaao_disposaisR&A, n must confer;.: wsthgli qusrern,arits:of Current llni{orrtt PlumbingCoda: Any: cutts�rd; gratliri or filling in excess of two(2 ); ib 4'A , nulliljr sewage disposal approval.is •, installation of th0.Sew Approval;lias:boen:obtasnod from eh®' Regional W�ter:0ual�y Control Board ior.' � a� - ••.�lss�?sal sysfajrt... `�� •'' 'f' = � �� >Tfiis l3:to.cort�fu thtit 4he.River�uio Court4EnvlPOnmsral`CrYeatttSnrlices approves the subsurit�a.sowa�a ' to obtain:b.rsldir� j :iat ' startic�tip°h r Qin_ _� is .9� �A,,• .'�.: �... : MAINTAIN 100% EXPANSION AREA. -M1N: �' a FR�S1�I1 qNY t MIN, OM AN I0 FR Y aTREE OR�:WATER.MAIN:%�o yZ 1W1� 5 /f /,; ... "G%Z'/tfi� !2-�%L�( t J` Lit?o •. '// r/ 4 ":':t linos ' � ul� ft.. � } , •. ,;� Septic tank and sower must from an wells, �luding,� expansion':'arN, x. :f>... Ott!", use be .:1�` n� � . ,,. i:i<. IJ: !' %�' /•• t/ ✓✓arid' t :.��I.•5'Ir%V ' e �(�" i.O�i�•,; • .. ,s1 t�' n.l AN � ,� i r !>> ._•. � ,, � � ,. , e C � i �e to �f •a•'.' ��/L'j.e' � � ..y,ti _ r � ?-�. _;:.>r �{e••,,� �,��� ,rY��� i � �>',�• Y �f���M,J �� r t , � ��� y��.J" �j,F�� Y ti -�. hf'f ):�,� �; �'>• ��•L�'�� �� i' � � - '. :3�ryi '�,✓, ,ie�' '7,t�f {!•'+l�}�' ''}f ` t ^- 1� s{,t. �;''r �'•Y ���:,,a.1�j�§t�' ?? •F :..r'.f f•'.t� �4wtf'rn?�4��ak •5C �� t1M'5'`•oT .' toy WAp�I Fl T' ;'� ivf�. • fllGi r r1 ° : y i ji� •T. s + f . 2 UAN s:. .. •P 117_ DEPARTMENT OF' PUBLIC -HEAL newtth a xt�aae c��: ams n.t:�ue.. fr / x; •. IS. VALID FOR 'ONE. 1 -:YEAR . o:A�:� C �'' .r Archit�et�tal ; FROM DATE'OF:APPROVA L . ift:i %.y1 � ..... ... .. .:. ... , .. .... , .. Vii.. w :..r .:.JSII.�!"•A...-i..Yir.. a4i.ti. ?:L:'AY�>: a .. .... .- .. .., ., ,. -, -.., .,- {;�` - ':t _'i'T2 •:.2 :t+'rrK ti, � t _i } 'u _ �•, . �� .••may ix t�. 34a 4�y ,lW. arm �i' ta4V timIllill 11 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION-'(' _ DATE �� Byl, q k f. rL'^-c. C P rev Fi t j c-., . 'J —C -se � tea. Vt. twit c � o�r�ivrw GOLF ESTATES CCS.=T'Y /ASSOCIATION .4ACHI' v 'F(`T7 rR A L Comm x vwuI Ty� da'e?,7o277SP7 o2�d S p -w oX �Z, 9 ' 3 1' 7-A0- 6;47-,6 -A 0647-F_. 7o L. 61 --fl- jT-ori, G ,v17