13921 (SFD)y
Building 53-340 Ave. Diaz
78-105 P.0X 1504
CALOLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner Mfr. & Mrs. Gre a barman
BUILDING: TYPE CONST. OCC: GRP. a�
A.P. Number 774-072-004
Legal
Legal Description Lot 20 Block 3.84
Project Description 5F
No. 1392.1
Mailing
Address
Contractor
Cromer/Builder
Address •
Zip
State Lic.
& Classif.
Arch., Engr.,-
Designer
Address
City
Lic. #
el.
N
Sq. Ft. 1696 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit does not includeblock walls -
City
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self insure, or a certificate of
Jorker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
''1 0_ /icy No. Company
❑ Copy is filed with the city. O 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 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.
Zip
State
or pool.
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Lic. #
Side Street Setback from Center Line
Side Setback from PropertyrLine/
y.
LICENSED CONTRACTOR'S DECLARATION
INSPECTO'
/�
L- t
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.
� P9194
SIGNATURE DATE
Validation:
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from.the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any cityor county which requires a
Permit to construct, alter, improve, demolish, or repair any r structure,? prior to'its issuance also
requires the applicant for such permit to -/ilea signed statement' that heis 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).
O 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 t at he did not build or improve for the purpose of sale.)
C,�as owner of the property, am exclusively contracting with licensed contractors to con-
slrucl 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.)
r'r -
❑ 1 am exempt under Sec. B.,&• P.C. for this reason
Estimated Valuation
��•
r
$101,t005.00 •�
- ` '
PERMIT
- ,
- AMOUNT
'
Plan Chk. Dep.25�
. ��
Plan Chk. BBI.
�ryi / •1 y
- ` L 4
Const.
646.50
Mech:
- 55.50
Electrical
y /y
130. 7,5
Plumbing
1 e
144.00
14 • �%(�
S. M. 1.
10.10
Grading
20.00
Driveway Enc.
.00 •
D P
1odDate Ownerr�!.
Infrastructure
2 23Q.3�"
t
Precise
recise
ern 7nn
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant -Date-
Mailing
ateMailing Address
City, State, Zip
i
.
Arts in Publ c Places 20.00 -
TOTAL 3,831.UZ 3, 231.UZ
REMARKS
i
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 PropertyrLine/
y.
FINAL DATE
INSPECTO'
/�
Issued by:
Date Pe�r77mt,,''�
� P9194
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT. 0
FORMS
SEWER OR 6
gored
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SQ. FT.
GROUT
WATER HEATER
WALL SQ. FT.
FINAL INSP.
DRINKING FOUNTAIN
BOND BEAM
WATER SYSTEM
URINAL
SQ FT ®
_$
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION $
FRAMING /� ��
WATER PIPING
NOTE: Not to be used as property tax valuation
FN P
FLOOR DRAIN
MECHANICAL FEES
REMARKS:
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
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, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
MESH
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1 I c
SEWAGE DISPOSAL
FINISH GRADING
SQ.FT.GAR ® 3/ic
HOUSE SEWER
FINAL INSPECTION �Q
a
GAS PIPING
PERMIT FEE
CERT. OCC.
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 / lV�f
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR 6
gored
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
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. ��ll
FRAMING /� ��
FINAL INSP.
ROOFING/0 —CI c/ of
FN P
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION �Q
a
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
P.O. BOX 1504 APPLICATION ONLY
Building /� --� o � E h`�— 78.105 CALLE CALIFORNIAESTAD9
Address /�V(i l/ LA OUINTA, ORNIA 92253
Owner MIA 6�� VMI -MAV / - „I- A,►�1�AV
Mailing MIM -
City Tel. —)
—)
ress
State Lic. I City
& Classif. Lic. #
Arch., Engr.,
Designer -
Address Tet.
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
1 hereby affirm that 1 am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Susiness and Professions Code: Any city or county which requires a
permit to construct, atter, 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)
11 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.)I; 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.)
I I am exempt under Sec. B. h 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
n 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 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, alter making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
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
Fu III nNr. nlvfRlnN
.DING: TYPE CONST._OCC. GRP.
Number:27V
7.,'L
7 ::0 .,"2tZ-L
/��
d Description L �fi 2-0I�
act Description r
Sq. Ft.
Size
New ❑
No. No. Dw.
70- - Stories Units
Add ❑ Alter ❑ Repair ❑ Demolition ❑
Itimated Valuation
PERMIT
Plan Chk. Dep.
250
Plan Chk. Bal.
Const.
Mech.
BY:
Electrical
Distances:
Plumbing
Front Setback from Center Line
S.M.I.
Rear Setback from Rear Prop. Line
Grading
Side Street Setback from Center Line
Driveway Enc.
Side Setback from Property Line
Infrastructure
INSPECTOR
G5 Z
Date _ Permit
19 iK tirr.
tat
Validation:
_
83,
JA4111.4
�DO
AMOUNT
/70. 25'-
TOTAL
S
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:
-- - - - -
i CONSTRUCTION- ESTIMATE
> ._ - _
` NO... ELECTRICAL FEES N0.
PLUMBING FEES
j 1ST FL. SO. FT. y? $
' �'
°` _ - UNITS
��
r• COLL AREA
SLAB GRADE ^-
-
/
'- •c
--BONDING
SPKLR SYSTEM
, ZYB-FL. • 'SO. FT. 0YARD
FORMS- _-._.---.,.
SEWER OR. SEPTIC TANK . _
_ROUGH WIRING
!
MOBILEHOME SVC.BAR
FOUND. REINF.
SINK
-Al
POR. SO. FT. G1•
----AWE-TER LOOP»..
c r n .
w ^ HEATING (FINAL)
OTHER APPJEOUIP. to
REINF. STEEL
! GAR. SO. FT. rtt`
__GAS {FINAL) __,-_--_
POWER OUTLET,--_,"_,,,,,
_ .__TEMP. POLE
ROOF DRAINS._..__.__
GROUT - "'--""--"'•--"�"-
PIPING
--`"
CAR P. SO. FT, 4-sDRAINAGE
FINAL INSP. ••
' n:.. •:v r is : t :*
BOND BEAM .
WALL -" SO. FT: .Z
WATER SYSTEM
-.'----
DRINKING FOUNTAIN
SO. FT. r(?
-t_•S
LUMBER GR.
URINAL
FRAMING --- - -- - -
ESTIMATED CONSTRUCTION VALUATION 3 -
-
ROOFING -
WATER PIPING
REMARKS:
• NOTc-Not to be used as property tax valuation .___._ _.___..._.
...
FLOOR DRAIN
FIRE ZONE ROOFING
MECHANICAL FEES
FIREPLACE
WATER SOFTENER
£ •31xa.
VENT SYSTEM FAN EVAP.000L HOOD
v • . m -a : -..., :r._. _ . :.r �r. r.
SIGN
-
WASH ER(AUTO)(DISH)
MESH
i APPLIANCE
INSULATIONISOUND -
e-. .. .,,,..,_ ...... ...can
FINISH GRADING
GARBAGE DISPOSAL
FURNACE S1NIT _WALL.-.._. FLO.OR.SUSPENDED...
_ _. _ - .._. ^'- '^
------- -•_._ _...__..- L-AUNDRY TRAY
FENCE FINAL
- ---- ---•-- ---
AIR HANDLING UNIT CFM
INSPECTOR'S SIGNATURESANITIALS
IKITCHEN SINK
!ABSORPTION SYSTEM- - - B.T.U. -
GARDEN WALL FINAL
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
I
' POLE,TEMIPERM
LAVATORY
;HEATING SYSTEM" - -FORCED - -GRAVITY "-- '-
"-'' `-
-""" -' •AMPERES SERV ENT
SHOWER
3 .:...
jBOILER ---._. ._-..__.'-__..-B.T.U._ ..---------.._.-•---------.
---..._
.... --- SO. FT. @-c _
'------- --•-
BATH TUB --
--
- -
SO. FT. Co c
"'
WATER HEATER
-
MAX. HEATER OUTPUT. B.T.U.
SU. FT, RESID tr4 1 V• c...
__ SEWAGE DISPOSAL
--•--
-___---___ . - .. _ -.__ ... -__ _-
_- -_ _-- -• _
-- _ _-.SO.FT.GAR o 3/4c
g
HOUSE SEWER
PERMIT FEE
PERMIT FEE •- ,ts •' :r. r.^ • --••-, ,;n._
PERMIT FEE • t '
- r.•' - +� d r
IDBL
__. TOTAL FEES
MICRO FEE..
-MECH.FEE
CONST. FEE
ELECT. FEE
SMI FEE
PLUMB. FEE.
i,
P�L.CK.FEE
... ten. ,. tr.. <.9 ;.. .. .. _ .. . : �.+ys'•�q'I
_.-_.,_STRUCTURE._ - PLUMBING -ELECTRICAL v"^ .!""'HEATING B AIR CONO. r`• '•-SOLAR
SETBACK - -
-, - ` --
"' GROUND -PLUMBING
"' UNDERGROUND
,
•r ., A.C. UNIT Jm„ova
��
r• COLL AREA
SLAB GRADE ^-
-
ROUGH PLUMS.
'- •c
--BONDING
HEATING (ROUGH)
"STORAGE TANK
FORMS- _-._.---.,.
SEWER OR. SEPTIC TANK . _
_ROUGH WIRING
DUCT WORK z
ROCK STORAGE ' °s
FOUND. REINF.
GAS (ROUGH)
_- - -
----AWE-TER LOOP»..
c r n .
w ^ HEATING (FINAL)
OTHER APPJEOUIP. to
REINF. STEEL
-__-._ _
__GAS {FINAL) __,-_--_
_.-
_ .__TEMP. POLE
GROUT - "'--""--"'•--"�"-
_-' WATER HEATER'
--`"
—SERVICE
FINAL INSP. ••
' n:.. •:v r is : t :*
BOND BEAM .
WATER SYSTEM
-
$ :''''pliis c. o,ra
-t_•S
LUMBER GR.
INSP.cu.yc..
FRAMING --- - -- - -
-- FINAL INSP. .--- ---
-
ROOFING -
•'
_
^ .. _.._�-�._T__ - 'r� �' -
-
__. _ _ u_t ....n^ 1_
----- ---- ---
i
. • V.. -� . - �� _
-- - c- - -- --- . Cv.J? -' p ". nri} my yrti t•t.
>•C ,. , _ ?
REMARKS:
VENTILATION
FIRE ZONE ROOFING
;):lac✓.^. ••�17. .. .t.i,M r.!•Y
FIREPLACE
SPARK ARRESTOR
GAR: FIREWALL _- -.
v • . m -a : -..., :r._. _ . :.r �r. r.
LATHING _-- -.-_-
-
MESH
INSULATIONISOUND -
e-. .. .,,,..,_ ...... ...can
FINISH GRADING
FINAL INSPECTION ---
:....
CERT. OCC.
: n . r rr•,:r•�r rt •.. .._ :--c:r^ vv
FENCE FINAL
- ---- ---•-- ---
-
INSPECTOR'S SIGNATURESANITIALS
- -
GARDEN WALL FINAL
i
-z
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 8/16/94 1 Type of Permit I La Quinta
No. 113011 Permit #
Log
Owner Name Mr. & Mrs. Greg Karman
No. 53340 Street Avenida Diaz
City La Quinta Zip 92253 Study Area 111
APN # Tract # Lot # 0 Square Footage 11670
Type of Development I Single Family Residence No. of units
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 1670 or $ 2,755.50 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 Mr. Greg Karman Telephone
Name on the check
By Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Vickie J. Durrett
Payment Received
Signature Check No. 0984
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
Number.................................Nu ber....31.8.-$QD3........
RECORDING REQUESTED BY
...........................................................
.....................................
AND WHEN RECORDED MAIL THIS DEED AND, UNLESS
.� OTHERWISE SHOWN BELOW, MAIL TAX STATEMENTS TO:
.Mr.....&...lr.s.....Alae.l.fano....G.....Le�rva............
.7..4...03Q ... RwJ[.. 1.1.1 .................................................. ..
Zalm... De.s.er.t.,....0 .....9226.0 .................................
to
me
ug
� � o
C CA -
9
a cWn d
W F
>
W
v
W
SPACE ABOVE Ji LIN
�* I - PAID
Doc. 'transfer Tax
W. D. BALOGH
t RIV. CD. FECORDER
LOW -
pa U. �.
J.,
`
U. tv�
OR RECORDER'S USE
Unincorporated Area
(City or "Unincorporated")
Grant Deed
THE UNDERSIGNED CRANTOR(s) DECLARF,(s)
DOCUMENTARY TRANSFER TAX is 3.-3_-30--.-__.-_
® computed un full value. of property conveyed, or
✓� ❑ computed on full value less value of liens or encumbrances remaining at time of sale, and
. �.................lilLlr..VI.S.TAr---a--fax.tnsxslixp-................................ -............ -.......................................................................................
.....................•-----------------......---------------•---------•----------•---•-------•••------•-•-•--••-•---••-•------•--.....•••...----•----•--------------------------------...........-----------------
A
N
Rr
0
rl
For a Valuable Consideration, the receipt' of which is hereby acknowledged, hereby GRANT(s)
To ............ AURFLiAN.O..G....LEY.V.A...and..AMALIA..O....LEY..V.A.,-..Iiusb-anal-.and...wifa..as .. j.o int.--tenamts-.................
all that real property situated in the County of..................Riverside........................ State of California, described as follows:
Lot 20, Block 184, Santa Carmelita at Vale La Quinta, Unit No. 18 as shown
by map on file in Book 19 pages 30 and 31 of Map's, in the office of the
Recorder of said County.
SUBJECT TO:
1. General and special taxes and special district levies not delinquent.
2. Covenants, conditions, reservations, restrictions, rights, rights of
way and easements for public utilities, districts, water companies,
alleys and streets, now of record if anyoj
Dated .......... June _.4,...1.9.7-5 .....................
STATE OF CALIFORNIA
COUNTYOF........................................................................}SS.
On..................................... ..................................Let, r mc, Aw under-
signed, a Notary Public in and for said State, personaay eppeared
.......................................................................................................................
..............
..iE OF CALIFORNIA
COUNTY OF .... LO,S....ANGELE.S............... SS.
11iILL..u.IS.TA,---a-%T.er.ship-----••----=----------------------------•---.
By: ' ............ .......................-------
---
July 11, 1975
On ....... ....... ......................._........................ before me, the undersigned, a Notary Public in and for sari. .
........................................................FRIT Z...a_....BU-RN S...a•1}d----RGBFRT .. j-.,...MUNRO..--...........---.........................----
................................................:........................................................................................known to me to be ...................................................................
of the partners of the partnership that executed the within Instrument, and acknowledged to me that such partnership executed the same.
WITNESS my hand and official seal.
OFFICIAL SEAL
(Seal) ELEANOR S. MC KINLEY
NOTARY PUBLIC- CALIFORNIA
LOS ANGELES COUNTY
�* My commission Expires Nov. 3,1975
4950 Wilshire Blvd., los Angeles, CA. 90010
5297
MIS 9500 7.69` 25 Partnership Notarial Acknowledgment
................
(Notary Public's Sig , ure)
Eleanor S. McKinley
4 Of ,�Y
CALVIN C. KAMINSKAS ��!, DAN RILEY
lUslslont Commissioner Sealer. Weights & Measures
(714) 275.3000
(714) 275•3030
OFFICE OF
AGRICULTURAL COMMISSIONER
JAMES O. WALLACE, Commissioner
83-612 Avenue 45 Suite 7
Indio, CA 92201
(619) 342-8291
DATE / Al� CASE NO. / C` C� O b
DEVELOPER'S NAME it ( ✓ e a q /C ct,-� a
ADDRESS:
TELEPHONE:
Dear Developers
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
Inviediately.
Thank you for protecting and preserving the Coachella Valley's pest -free environment.
Agricultural Ccmmiss' er's Office
cc: Indio and Riverside
M
i 4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012