12172 (SFD)Address
Address 51-385 Diaz
'
Owner Sterling Ades
Mailing
Address P.O. BOX 454
Cita Minta, CA ZIp92253
7 del ventures, Inc.
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Tel.
564-1866
Address . I •
P.O. Box 450
City Zip Tel. -
La Quinta, CA 92253 564 -1866 -
State Lic. City
& Classif. B 638535 Lic. # 859
Arch., Engr.;
Designer Lendel Ventures, Inc.
Address Tel.
Same as above
City Zip State
Lic- # _
LICENSED CONTRACTOR'S DECLARATION �
I hereby affirm that I am Ilcensecl Fnder provisions of Chapter 9 (commencing witosSection
7000) of Division 3 of the Business�and,Prpf ssidns°Code; d license is innffufrf,orce and
effect. �S = A.i i e----' -cf f +1/ fva+L! 1 t3'�^C..�"I ff
__ � . /_ � 1�i t - 1' "
/- f OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor s cense Law for the following
reason: (Sec. 7031.5; Business and Professions Code. Any EL(
ily 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,Buslness and Professions Code, or that. he is exempt therefrom, and the basis
for the allege- exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner 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
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.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
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.
z' CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT., If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
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 sof this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
N o . 12172
BUILDING: TYPE CONST. OCC: GRP.-
A.P. Number 773-€143-025
Legal Description Lot 11 Black 49
Project Description SFD
;ZONE: BY:
-Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street -Setback from Center Line - c
t
Side Setback. fromrope`y_ ,'I,ne /7`•
FINAL DATE
Issued by:
Validated by:
Validation:
Sq. Ft. 1868 No.
Size Stories
No. Dw.
Units
New EX Add ❑ Alter ❑
Repair ❑ Demolition ❑
Permit incudes stucco
wall and patio
cover per pl". Pool
permit to be
obtained sepa`rately..
Estimated Valuation $113,181.00
PERMIT
AMOUNT
Plan Chk. Dep. 250.00
y
Plan Chk. Bal.
329.03
Const.
688.50
Mech.
49.00
Electrical
137.98
Plumbing
160,.00
.S.M.I.
11.40
Grading
20.00
Driveway Enc:
00
Infrastructure
2,388.59
Art in Public Places
32.95
,Pres•1re Plan
25.00
TOTAL 4,092.45
3,842.45t %
'REMARKS
,
,i
;ZONE: BY:
-Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street -Setback from Center Line - c
t
Side Setback. fromrope`y_ ,'I,ne /7`•
FINAL DATE
Issued by:
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES' '
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
SLAB GRADE (1
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SQ. FT.
GAS (FINAL)
TEMP. POLE
WALL SO. FT.
DRINKING FOUNTAIN
SQ. FT. ®
WATER HEATER
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
GRADING
cu. yd.
-Plus-X$-=$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
ROOFING[
lI-�� �3 �o
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+/a c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
MESH
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 PLUMBIN (1
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE (1
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
Z 99;9;MM cFRTIC TAN _e;,
3 ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS(ROUGH) �y�
! (dam
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
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. L
FRAMING_),/p .Gf /�
7 wJ
FINAL INSP. ��.5`-�rG
ROOFING[
lI-�� �3 �o
t�iY�t�
/A/ r
le "
% ���
1(L Iy
InJ �i rT�
17X97
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING^ LD
MESH
INSULATION/SOUND
a�
FINISH GRADING
FINAL INSPECTION O S'%L/
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
ARROW PRINTING INDIO. CA 1193
othG1%ruGt/
P.O. BOX 1504 No. 12172
Building 78-105 CALLE ESTADO
Address 51-385 Diaz LA QUINTA, CALIFORNIA 92253
Sterling Homes BUILDING: TYPE CONST. OCC. GRP.
Mailing
Address P.O. Box 450 A.P. Number 773-043-025
City
1La Quinta, CA]ZIp92253 Tel -564-1866 Legal Description Lot 11 Block 49
Contractor Project Description SFD
Lendel Ventures, Inc.
P.O. Box 450
Zip
LcL LL L
State Lic. City
& Classif. B 638535 Lic. # 859
Arch., Engr.,
Designer Lendel Ventures, Inc.
Address Tel.
Same as above
CityZip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
70 OO) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to 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 of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
O 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
O 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
O Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($ 100) valuation
or less.)
I certify that in the performance of thg work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate or 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 copstruction lending agency for the performance of the
work for which this permit is issued. (Sac. 3097, Civil Code.)
Lenders 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 1 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
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:
Sq- Ft -No. No. Dw.
Size Stories Units
New 4{ Add ❑ Alter ❑ Repair ❑
Demolition ❑
Permit includes stucco wall and
patio
cover per plan. Pool permit to
be
obtained separately.
Estimated Valuation $113,181.00
PERMIT AMOUNT
Plan Chk. Dep. 950 00
Plan Chk. Bal.
17 4
Const.
6 8_90
Mech.
49-00
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
prasicQ Plan
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 8/19/93 1 Type of Permit I La Quinta
No. 112385 Permit #
Owner Name Sterling Homes Log
No. 51-385 Street Avenida Diaz
City La Quinta Z I p 92253 Study Area 114
APN # 773-043-025 Tract # I J Lot # Square Footage 11868
Type of Development Single Family Residence No. of units 0
Comments
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 1.65 x 1868 or $ 3,082.20 have been paid to D.S.U.S.D. for
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 Sterling Homes Telephone
Name on the check
By jams E. Lively `
Assistant Superintendent, Business Services. t
Fee collected /exempted by Tomi Doebereiner +
/� Payment Received
Signature l / _Iu p� Check No. 1592
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
STERLING RAYMARC 619 560 7173 P.01
RECORDING RriOUESTED I;Y, `,•
. .. ` 1.. _ , I., i'.1 \. 'T f.. LIC
AND WHEN ACCORDED MAIL THIS DEED AND. UNt.ES6
WISE eHOWN BELOW, MAIL TAX STATEMENTG TO:
Ti NAME
sterling Homes
413"gaB 8361 Vickers Street 1308
M. ITA7S San Diego, CA 92111
Go ZIP Attn: Mr. Kellogc
1
o
It-, 70
p Q � .s� u•
a~q >w
W
Ix
I�
SPACE ABOVE THIS I..INE FOR RECORDER'$ USE
L
Title Order No. 552146 Escrow No. 10-16903
GRANT DEED
The undersigned declares that the documentary transfer tax is $..1Q.QQ and is
[3 computed on the full value of the interest or property conveyed, or is
❑ computed on the full value less the value of liens or encumbrances remaining thereon at the time of sale. The land,
tenements or realty is located in
Q unincorporated area
[] city of ............................................ .............. ,........................................... and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
JEAN ULADER, A WIDOW
hereby GRANT(S) to
STERLING HOMES, A CALIFORNIA GENERAL PARTNERSHIP
the following described real property in the CITY OF LA,. QUINTA
county of $ZVSRSYDE , state of California:
LOTS 11 AND 12 IN BLOCK 49, SANTA CARMELITA AT VALE LA QUINTA, UNIT -NO. 4, AS PER
MAI' RECORDED IN BOOR 1,8, PAGE 62 OF MAPS, IN THE OFFICE OF THE COUNTY XECORDF.R
OF RIVERSIDE COUNTY.
Dated JANUARY 25, 1993
STATE OF CALIFORNIA
COUNTY OF
I SS.
On this the _ day of
Notary Public In and for said County and State, personally appeared
personally known
to me or proved to me on the basis of satisfactory evidence to be the
person whose name subscribed to the within instrument
and acknowledged that —.._.executed the same.
Signature of Notary
SLR
19 , before me the undersigned, a
FOR NOTARY SEAL OR STAMP
ASseyaur'S Parcel No ...........................................
MAIL TAX S'rATEMENTS TO PARTY SHOWN ON FOLLOWING LINE: IF NO PARTY SO SHOWN. MAIL AS DIttECTED ADOVF:
— Name Street AJd/ery
City 3 Statc
1 ~ .+''1•iY �• -"w wI�'.'L.-•.r.+..ri-.i'r►'r�4'�',"„�Y1M�'�'.L;;R",,.'�e•r .r. .y:.. K.-ww'nr -....ttr.,«.�.r `-s..r.�.....i ren -••'•r --�4 .
Assessors Parcel No.
COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY
DEPARTMENT OF ENVIRONMENTAL HEALTH
PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
Applicant: Submit this form with four copies of a SCALED piof 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 remain valid for a period not to exceed one year from date of approval j8--11?--93 13.350008
LOG # VERIFY ITEMS IN SECTION A FROM A NON -FEE BUILDING & SAFETY (goldenrodrAPPLICATION
Agent, Co tractor, Contact Person
Phone
Address City State at Zip
p0-3a� CA �t§(A!SYM?3�.
SG ./'9u.
4 -ti o
Ow er
Phone
Addresspa' 550X¢%4) City State Zip
S464- is
GA C? vi -r l CX '52 Z s"
Job Property Address CityStale
Zip
Legal Description Prop. (PM, Tract, Lot)
64
Lot Size
Water Agency/Well
Use of Permit PIP, CU, etc.
Other
I
_
Dwelling, MH Siterep, etc.
i Signature of- licant_,,L- :
Date
CATEGORY REV ODE FEE
CATEGORY REV CODE FEE
SUBSURFACE DISPOSAL (per system) 1238 $153.00
❑ SITE EVALUATION UPON REQUEST 7349 $120.00
(NO PLOT PLAN)
❑ MULTIPLE PARCELS WITHIN SAME LAND DIVISI
$153.00
❑ SEWER/SEPTIC VERIFICATION 7348 $ 58.00
a. 1st 4 Parcels (Each) 1238
❑ PRELIMINARY ELECTIVE EVALUATION
b. Each Noel after 4 7344 $ 55.00
(Attach DOH -SAN -53) 7352 $ 69.00
❑ REREVIEW (2nd review same parcel) 7344 $ 55.00
❑ HOLDING TANK 7351 $119.00
❑ SITE EVALUATION In Conjuctioni 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 Or -No
Certification of Existing S.D. System Required ❑ Yes CR'No
WQCB Clearance Required ❑ Yes 93'No
(Attach Form DOH SAN 007, Santa Ana Region Only)
Soils Percolation Report Required ❑ Yes a No
Special Feasibility Boring Report Required ❑ Yes Cy No
Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes O -No
Grading Handout Provided ❑ Yes a No
Staff Specialist Lot Inspection Required ❑ Yes 0' No
Maintenance Booklet Provided ❑ Yes 91 No Lot Inspection Date Initials
C/42 / Soils Percolation Boring Report by r, ri Lic/Project # Date
Soils Map Page Soil Type Approved By Date
No. of Systems
Type of System(sjNo.
Dwelling Units
(1) Septic Tank
Soil Rate
Grease/Sand
I
❑ F(olding Tank ❑ Replacement
LeNeW ❑Addition
edrooms Fixture Units
/ %
Grease lntcp/UntTrap
❑ Existing
o
/ o U Gal.
Z a s
Gal.
Sq. Ft.
Total Linear
Sidewall Allowance
Leach Bed ft.
Bottom Area
Ft.
h. rocW sq. k. per running ft.
Install Lin s) ft. Ion ft. wide with
� 9
re
of Bottom Area
min. Inc c5ok below drainlines or
/
Inlet Tested Depth i' ❑ NA
Proposed Bottom Depth
Leachlines/bed special design for slope:
(3) Pit Diameter
No. Pits
Pit Below
Seepage Pit Total Depth
/ � '
Other:
Applicable
e
Inlet (BI)
(TD)
Max. Allowable Depth
❑ 5 8-6
0A.J
y
`
NIA rburden Factor
O
Well Review Approved: Signature Date Well Drilling Permit #
Grading Plan Approved: Signature
/Date
et j�+ a C. t .►1/P/_A4,tZ' o u
REMARKS: 04. s/� i ` J. e-0 4
t
This application ' APPROVED/ ENIED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated
on the accompanied—pt ot p nal , 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 the renuired reserved 1nD0l6 axnansien area.
(1) Septic tank must be 100' minimum from any wells
I
Leach lines must be 100' minimum from any wells, including expansion area
(3 Seepage pits must be 150' minimum from any wells, including expansl n area
1 /
Signature of Health Official ' Date $ 7 "N
❑ CASH [CHECK NO.- ZS_&�
RECEIPT NO. "T!L d 3 T 3 7-- 'Issued By //� Date
DISTRICT: ❑ Riverside9( Indio ❑ Hemet 111Perris ❑ Rancho Calif. ❑ Blythe
DOH -SAN -122 (Rev 1/92) DISTRIBUTION: WHITE—Offlcedile YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Plana/Records
3432
3.00
p
0:0
N
I
MIA
OF;
Lit�tl� stn ��P�t tit tail
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 51-385 Avenida Diaz
Use Classificotion Single Family Dwelling Bldg. Permit No. 12172
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of Building Sterling Homes Address P.O. Box 450
La Quinta, CA 92253.
City =I-- $ By.. Lonnie Day
Date;, August 5, 1994
Building Official
POST IN A CONSIPICUOUS PLACE