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07115 (SFD)r Building 9-210 Juarez Address 52 Owner Janes sattley Mailing Address 4I-625 Ecel ecti c CityZip Palm Dese 92260 Contractor e Address G1 State Lic. I City & Classif. 2M23 8-1 Lic. # Arch., Engr., Designer .Address Tel. • �� P.O. BOX 1504 No. 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 City Zip State Lic. # LICENSED CONTRACTORS DECLARATION I hereby affirm that 1 am licensed under provnsi'ons of Chapter 9 (commencing with Section 70(1(1) of Division 3 of the Business LWd Pro I. \`,\ r'lF. Code, and my license is in full force and • effec I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7037.5,Bushess 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 fie 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 Bus -mess 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 civilpenally of not more than five hundred dollars (5500). ❑ 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 of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.J ❑ 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 inproves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. a, & P.C. for this reason Date Owner y WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 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 pemit is for one hundred dollars IS 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' Corrpensation 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 - Lenders Address This is a building permit when property filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 1130 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 properti for inspection purposes. Signature of applicant Date Mailing Address City,, State, Zip BUILDING: TYPE CONST.—OCC ' ONST.OCC: GRP: A.P. Number 773-211-026 Legal Description Project Description S.F.O. 07115 REMARKS ZONE: BY: • Minimum Setback Distances: _ Front Setback from Center Line Sq. Ft. 144o Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑' FINAL DATE INSPECTOR Issued by: Date 2/9/90 Permit Validated by: Validation: Estimated Valuation t $80,148. PERMIT AMOUNT Plan Chk. Dep.�� Plan Chk. Bal. p 199. 48 Const. $54. G Mech. 95.30 Electrical 105.; 0 Plumbing 153._ S.M.I. Grading .0 Driveway Enc. Infrastructure�l� +� 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 2/9/90 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE Q ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SQ. FT. FORMS PTIC TANK POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEQUIP. DRAINAGE PIPING CAR P. SQ. FT. TEMP. POLE WALL SQ. FT. ® GROUT DRINKING FOUNTAIN SQ FT @ FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES FRAMING///�tr A WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTOXDISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION LAUNDRYTRAY 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 BOILER B.T.U. SQ. FT. ® c BATH TUB y LATHING :f !iy �� me SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® V4c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE 77 ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK •� �0 70 ROUND PLUMBING:.x O UNDERGROUND A.C. UNIT COLL AREA SLAB GRADE Q ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS PTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. 900 GRADING cu. yd. $ -Plus-X$-=$ LUMBER GR. FRAMING///�tr A FINAL INSP. ROOFING lje, "g (� 6 9v 3 G 6 ®r tv Al, REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL y LATHING :f !iy �� me MESH INSULATIONISOUND V1 AlA FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Building Address 5 Z �- Owner Mailing Address q 615 - city �n Contractor Address City bt 4 4 Qum& 11 %713 10.O. BOXLLE 504 APPLICATION ONLY 6.r- -Z— LA QUINTA, CALIFORNIA 92253 Zip Tel. 310 13 lot State Lic-- City & Classif. ;I, Lic. # Arch., Engr., Designer C n n Address City (Zip (State I 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 ffectSIGNATURE DATE OWNER -BUILDER DECLARATION -- hereby affirm that 1 am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Busmrness and Professions Code: Any city or county which requires a penrtlt to construct, alter, improve, demolish, or repair any structure, prior to its Issuance also requires the aWficant for such permittofile a signed statement that'he is licensed pursuant to - the provisions of the Contractors 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 ci0 penally of not more than rive 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 Contractors License Law does not apply to an owner of property who bu dds 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 -builder will have the burden of proving that he did.not buid or improve for the purpose of sale.) ❑ I, as owner of the properly, 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_ a. & P.C. for this reason Date Owner WORKCOMPENSATION DECLARATION hereby affirm that I hav 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 (5100) valuation or less.) I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so a' to become subject to the Workers' Compensation Laws of California Date Owner N077CE TO APPLICANT. t, 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.) Lenders Name Lenders 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. certity that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to eiter the above- mentioned bovementioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip BUILDING DIVISION JILDING: TYPE CONST.< -f OCC. GRP. P. Number % 7 > _ Z �� — O Z 6 egal Description roject Description S- /�- Sq. Ft. / Size �� i J No. No. Dw. Stories Units New ®/ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation �/ �f J ej PERMIT AMOUNT Plan Chk. Dep.2 1 p, o 0 Plan Chk. Bal. C) , $Orr - Const. Mech. f Electrical Plumbing S.M.I. Grading Driveway Enc. C� Infrastructure 76 9 TOTAL 7 5_/e,;0 REMARKS ~J. _ C�� LY . 4 n (' QCf• Sr(� 1 QIiJl "^)7 ) . 0. 0 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 GROUND PLUMBING NO. ELECTRICAL FEES N0. PLUMBING FEES COLL. AREA / /1 $ L` v n n 0 .2 � UNITS HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK 1ST FL. SO. FT. ® / ROCK STORAGE FOUND. REINF. YARD SP6 SYSTEM METER LOOP HEATING (FINAL) 2ND FL. SO. FT. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE MOBILEHOME SVC. BAR 51NK WATER SYSTEM POR. SQ. FT. @ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. GAR. 0 SQ. FT. ® ROOFING POWER OUTLET ROOF DRAINS REMARKS: VENTILATION DRAINAGE PIPING FIRE ZONE ROOFING CAR P. SQ. FT. ® FIREPLACE SPARK ARRESTOR WALL SO. FT. ® .�! 7�- GAR. FIREWALL DRINKING FOUNTAIN -61 MESH URINAL INSULATIONISOUND SO. FT. FINISH GRADING ESTIMATED CONSTRUCTION VALUATION $ CERT. OCC. WATER PIPING FENCE FINAL NOTE: Not to be used as property tax valuation INSPECTOR'S SIGNATURESIINITIALS FLOOR DRAIN GARDEN WALL FINAL 7d MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD , SIGN WASHER(AUTO)(DISH) 12 APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP S� POLE, TEMIPERM / LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SQ SHOWER �. BOILER B.T.U. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER 5-01 MAX. HEATER OUTPUT, B.T.U. Ilq<)SQ. FT. RESID ® 11/4 c y SEWAGE DISPOSAL L f SQ.FT.GAR ® 3/ac 9 KinHOUSE SEWER S� GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FE SMI FEEPLUMB. FEE SS, s Cf UN STRUCTURE PLUMBING ELECTRICAL HEATING & 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 APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. 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 7d Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES �L Q oth. TO: City of La Quinta DATE: Department of Community Development 78-105 Calle Estado NOVICE: THIS DOCUMENT CANNOT La Quinta, CA 92253 BE DUPLICATED, This iscertify t developer of which is located at , within this District, has paid school facility fees imposed pursuant to the authorit enerate b G vernment Co e Se tion 53080 in toe a ount of S/ s .9 y c 1�rovr "Z)vz� �r ��dv� hin � cd °/oz) coo e�a total of c2MO square feet of (K) residential or ( ) industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. !4-4`PA . rej-11,11 � for DESERT SANDS•UNIFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 T-iht, W " 78-105 CALLE ESTADO — LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 FAX (619) 564-5617 June 28, .1991 - To'Whom It May Concern: The structure located at 52-210 Avenida Juarez will be located in a "B" flood zone per the revised F.I.R.M. ( panels 060709 005 A and 0010 A) for La Quinta. This change will be effective August 13, 1991. The property is currently designated as zone AO (depth two (2) feet). If you have any questions, feel free to contact me. Sincerely, BUIL NG AND SAFETY Tom Hartung Director of Building and Safety TH/es LTRTH30 MAILING ADDRESS - P.O. BOX 11504 - LA QUINTA, CALIFORNIA 92253 4 RECORDING REDUESTED B iC I�fS�R�PdCI� ,1 � _ AND WHEN RECORDED MAIL THIS OEEq�ANO �lliN>�OTHERWISE SHOWN BELOW - MAIL TAX STATEMENT TO: Name _ G. Sattley C0 Street a - Address GO city tt State M rQr, MAIL TAX STATEMENTS TO +Name as above Street Address City a ` State TITLE ORDER NO -8822087-21 ESCROWNO. 3032 IR I� SPACE ABOVE iNIS LINE FOR RECORDER'S USE GRANT DEED 773-211-026 THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX is $\Z.1S' :9] computed on full value of property conveyed, or ❑ computed on full value less value of liens or encumbrances remaining at time of sale. ❑ unincorporated area R7 city of La Quinta . ANn FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, - David E. Fulton and Julie A. -Fulton, Husband and Wife as Joint Tenants hereby GRANT(s) to James G. Sattley, an unmarried man AND D. L. Sattley and Carrie Sattley, .ha bin-CL.4 in_t Tenanta• the -following described real property in the City of La Quinta County of Riverside } State of California: Lot -12 and South half of Lot -13 -in -Block 5 of Santa Carmelita at -Vale La Quinta Unit No. 1, as per Map -recorded in Book 18, page -46 of Maps, in the office of the County Recorder of Riverside County. Dated Sept. 21, 1988 STATE OF CALIFORNIA )) COUNTY OF QI U�Hde 1 SS. On this f 11 day of-�j�1 sber^ — in the year 192EY—, before me, the unders' ned, a Notary " Public in and fo(�aid State, personally ap eared _1 I /t'cd E �11 1 ICI G r (or proved to me on the basis of satisfactory evidence) to be the person_ whose name__ subscribed to the within instrument, and acknowledged to me that— he_.executed it. WITNESS my hand and official seal. Signature CO -441 (REV 4/85) NOTARY PUBLIC IN AND FORYfa ATE /J D v'd E. -Fu on, J e A. Fulton MAIL TAX STATEMENTS AS DIRECTED �aroaeaaaaa OFFICIAL ;FAL IRENE E. RING NOTARY PUBLIC - CALIFORN;A o PRINCIPAL OFFICE IN • m • RIVERSIDE COUNTY My Commission Exp. Sept. 14, 1990 •..ascoaw.wca.aaaa (This area for official notarial seal) r a Z C El LL U, m Z O E U) U Z O b UJ U) M Z _O b W U) COUNTY OF RIVERSIDE ENVIRONMENTAL Ancor. wrool No. HEALTH SERVICES DIVISION 2,1/ — • 0z '177'3— PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant:' Submit this form with four copies of a scaled plot plan (1.20 scale) drawn to County speculations as Indicated on the attached check IK A non-refundable filing fee (see below) Is required when the application Is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from dale of approval. VERIFY ITEMS IN SECTION A FROM BUILDING 8 SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG N ap� 1. Contractor, Contact Person Phone Address & Firm Lj-C o �Y; 1, A �t �'S� r✓7� Owner Phone Melling Address „ r city ),%,\ i,, x,�r State 10- Zip yh4 Job Property Address Legal Description Prop. (PM,T�, Lot) _, /,V r i2 •y-; f- (7rfS Bf�� .zj Lot Size Water Agency/Well Use of Penne P/P, CU, etc. Other SG Cu C 10-1 �'��" _�� v�fGt Dwelling, MH Site Prep, etc. 4 4_Si9�n-;at%-r9-6fApplicant y v Date CATEGORY: REV CODE FEE CATEGORY:. REV CODE FEE '•; . S BSURFACE DISPOSAL 1238 $ 57.00 ❑ SITE EVALUATION UPON RECIUEST' r:; i 7349 $ 43.00:.,*'. ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) T, LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $ .17.00=::: a. tet 4 Parcels (Each) 1238 $ 57.00 (Less than 1 year) :y, i°1%,' = b. Each Parcel after 4 7344 $ 24.00 ❑ PRELIMINARY ELECTIVE ,:7352 $ 23.00 •' ' ❑ Rereview (2nd review same parcel) 7344 $ 24.00 EVALUATION (Attach DOH SAN 53) ''"•' . ' O Site Evaluation in Conjunction with ❑ HOLDING TANK ; 7351 $ 47.00 Critical Area 7348 $111.00 ❑ ALTERNATIVE/EXPERIMENTAL _7345 ., $222.00.;,: ❑ Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $ 87.00 ITIAL DATE Holding Tank Agreements Completed ❑ Yes No r i` • Certification of Existing S.D. System Required ❑ Yes No WOCB Clearance required. (Attach Form ❑ Yes No DOH SAN 007, Santa Ana Region Only) Sella Percolation Report Required. O Yes No Special Feasibility Boring Report Required. O Yes No Detailed Contour Plol Plans Required (1 to 5 ft Interval) ❑ Yes No Otfter O Yes NO Staff Specialist Lot Inspection Required ❑ Yes No Lot Inspection Data Soils boring repot by File pmjedT# Date ` Soils Map Page Sell Type Approved by T 1 - Dere No. of Systems Type of Systeme) No. Dwelling Unite (1) Septic Tank Sop Rate r' Grasse ❑ Holding Tank ❑ Existing New d Reptacenwnt Bedrooms, Fixture Unite zs G sol /t loot/ laU. rM Gsl (2) lurch Line Sq. FL a lowance Installsa IL wide 84 ft. Bottom trench area _ R nxk/ sq. f . min, r- free rock below d bollorn area,: t. '% per rurnning f . r:, -i` ❑ NA °5 Leschlines/bed special design for slope: (3) Pit Diameter No. Pita Pit Below Seepage Pit Depth ':'Q:"' Other: Applicable Intel (81) (TD) r r N/A x Overburden facto ❑ 5 8 f Mart,b�Depth ° No. 2 System REMARKS: elak;ll�%, CA eck ed U/ i(/ This application Is PPROVED/D NIED for the category checked In SECTION B,above, regarding the design of a subsurface disposal system as Indicated on the aacompan plot 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 perm' $d In the required reserved 100% expansion area. (1) Septic tank, and sewer lines must be W minimum from any wells Leach lines must be 100' minimum from any wells, including expansion area (3) Seepage pits must be 150' m imum from any wells Includi expan3bn area Signature Health Official / 3 of Date RECEIPT NO. 9- 11'7 5Issued By 6v- vrDISTRICT: DISTRICT:O Riverside, O Indio O Hemet Q Perris ❑ Rancho Calif. O Blythe DOH -SAN -122 (Rev. 7189) DISTRIBUTION: WHITE - Office fits YELLOW • Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records t. a r'rOFFICE OF AGRICULTURAL COMMISSIONER AND WEIGHTS & MEASURES CALVIN C. KAMINSKAS JAMES O. WALLACE 4080 LEMON STREET, ROOM 19 Assistant Commissioner Aprleuftal Commissioner RIVERSIDE, CALIFORNIA 92501 CLEMENT BENVENISTE ptreclo► of Weights & Measures (714) 787.2561 Sealer 49613 Highway 86, Suite B12 Coachella, Ca. 92236 (619) 342-8291 DATE CASE NO. o I- go �. — � ( - vt (7 _ � '� � S DEVELOPER'S NAME: -T aw- - is, (-5 S cn A' 1 ,. ", ADDRESS: TELEPHONE: ' Cor 110.`r e2 C 15" ohoyq Dear Developer: 1. o .Z 5 O J 1A2 0 1.0 A- (3 � � K- S , n'►. g. ►� IL)6 After reviewing your landscaping plans, all plant material listed is not in violation of quarantine laws governing the Coachella Valley. If substitutions do occur and they differ from plant material listed, this office must be notified immediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. AA�1' ".2 'L A412' Agri tur C 'Ss Yoners Office cc:: Indio and Riverside Office ti ,r • .I . Ax.. i ,+.�Y �..�. •�•-:w�-.^.:!''. ..rr-.q�N..� ,rY..•r• •-+c•�..�._.:•vl"vr-•.•.,-..�'�,•.,.'atw•�'y: v .-�...r-..�.. .-T.. ..r� .�.rr�.��. -.r. ... .-.,. _,r .�, .�; ... r a r a Buena` En9 ineers, Inc. SIR 79-811 B Country Club Drive Bermuda Dunes, CA 92201 • (619) 345-1588 Client Name , S a it x Client Address Client Phone DATE =r TEST LOCATION ' JOB NO. 49 z/ // PROJECT .�-.2 - S'9a �a • �� ► z ' LOCATION REFERENCE CURVE CONTRACTOR `v DRY DENSITY IbsJCu. ft. OWNER WEATHER OPTIMUM MOISTURE CONTENT % TEMP. o at AM ° at PM PRESENTAT SITE V TEST NUMBER =r TEST LOCATION ' LOT NO. ELEVATION FIELD TESTING REFERENCE CURVE MOISTURE CONTENT % DRY DENSITY IbsJCu. ft. MAXIMUM DRY DENSITY % MAXIMUM DRY DENSITY lbs./cu. ft. OPTIMUM MOISTURE CONTENT % 1 • n �% �a• • ► t i/ f• .r,.TT�3q �. 1 L to I •J h r .• � REMARKS: S2.6-70 'X, f/ 11 pSs v.'9�Iv� - "- " v �!6 c iv p 1 �'i e'/ .< T 1- 2 v .! 07.5' 3 v v . c a ., , uR Ptx /V�: 27, it CLIENT REPRESENTATIVE SIGNATURE . ` FIELD; rREEPORT TECHNICIA U. SIGNATURE1,081