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08749 (SFD)Building Address 79 - Owner QUM, P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing ( r BUILDING: TYPE CONST. Address City Zip ITel. Coachella Contractor Address A5=411 VTrnT.RT0R ST.. City,�t,$fl��CA Zip p� Tela Y State Lic. 362724 C City & Classif.„��� Lic. # ` , Designer Curtis P. Shiii_'e ARch. Address Tel. 35325 Date Palm 4213 324-7125 CityZip State Cad. Ci V 92234 Lic. # C13388 LICENSED CONTRACTOR'S DECLARATION I hereb aJ.firat I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivi�ion 3 0( the Business andy Professions Code, and my license is in full force and effect. SIGNAdURE�­­­ .• "— DATE OWN •BUILDER DECLARATION I hereby affirm that I am exg pt from the Contractor's License Law for the following 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 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). 0 I, as owner of the property, or my employees with wages as their sole compensation, will I do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and I Professions. Code:The Contractor's License Law does not apply to an owner or property who j 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 or completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) •.0 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 improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ I 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 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 -of this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip Number No. 08749 OCC: GRP. Legal Description Project Description SFJW wl attaahs-xd 2 cAr da1'_aan Sq. Ft. No. No. Dw. Size 2070 Stories 1 Units 1 New IN Add ❑ Alter ❑ Repair ❑ Demolition ❑ imated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure ,rt in Pnhl in S nr--m 1-12 . TOTAL REMARKS. AMOUNT ZONE: BY: -io i�c��rAL-1 '-4094,56 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_ Validated by: Validation: _Permit CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS SLAB GRADE V ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. FORMS SEWER OR SEPTIC TANK l �' ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH)/ C6 METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SD. FT. GROUT WATER HEATER WALL SO. FT. FINAL INSP. DRINKING FOUNTAIN. SO. FT. ® WATER SYSTEM FINAL INSP. 6 � URINAL ESTIMATED CONSTRUCTION VALUATION $ _$ WAIER PIPING NOTE: Not to be used as property tax valuation ROOFING 4J.)REMARKS: FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(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. SO. FT. ® c BATH TUB MESH SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL FINISH GRADING SO.FT.GAR ® V4c 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 PLUMBIN y2lghm 0 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE V ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK l �' ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH)/ C6 METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE .91 FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. 6 � FINAL INSP. — 17 `( GRADING cu. yd. $ plus x$ _$ LUMBER GR. FRAMING 1—�(% (� �� ROOFING 4J.)REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LA ING�a2—i I L 1 MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION �G' CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL P.O. BOX 1504 APPLICATION ONLY Building 7t�� %/„ ��s 7&105 CALLE CALIFORNIAESTAD9 Address ! / / l/Y / LA QUINTA, ORNIA 92253 ' / /�% z Owner A/M Chpe C -r///. (- (o- �' rl (i Mailing BUILDING:_ TYPE CONST. �• F. CC. GRP. Address A.P. Number City.Zip Tel a e Legal Description Contractor Project. Description ,_ Address City( '0Iq/CIp ?0251 JTel.. It Lic. it _ 00 -30 (City & Claate . .,( o /� Lic. # / Arch., Engr., Designer Address,/')� J Tel City�a7 /� � Zip State ?? f ZZ Lic. # C/3 7 LICENS �cpCTOR'S DECLARATIONI hereb afii th I tic 1, W,visions ofChapter 9 (commencing with Section 7o�i msio�iof e B iness ssio� ns Code, and my license isjgju� e aQd� effect. (� (� �� OWNED -BUDDER DECLARATION I h y affirm that I am xe t from the Contractor's License Law for the following reason: (Sec. 7031.5,Business 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 rile 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 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 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, 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.) 0 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that [,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. 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 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 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 shell 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 BUILDING DIVISION Sq. Ft. Size.) No. No. Dw. 14 1_0 Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation' 6 Q6, 1f PERMIT / AMOUNT C� Plan Chk: Dep. . Plan Chk. Bal. , -2- 7 Const. 5, ov Mech. 077 Electrical , V 2— Plumbing ZY, SCj S.M.I. , Grading p)p Driveway Enc. Infrastructure oA4 7,9 / /G r 20 5 ritI—t1209-19-90 ( TOTAL U L' l 1 1 )1 HL 1 .00 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: CONSTRUCTION ESTIMATE GROUND PLUMBING NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL.SQ. FT. @ $ I/! UNITS HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) YARD SPKLR SYSTEM HEATING (FINAL) 2ND FL. SQ. FT. @ REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE MOBILEHOME SVC. BOND BEAM BAR SINK POR. SQ. FT. ® _$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. GAR. SQ. FT. ® ROOFING POWEWOUTLET ROOF DRAINS VENTILATION DRAINAGE PIPING CAR P. SQ. FT. @ FIREPLACE SPARK ARRESTOR WALL 40 a SO: FT. '@ D av _ DRINKING FOUNTAIN MESH URINAL INSULATION/SOUND SQ. 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 MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL 6 -� FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK QQ ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP ffoo POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER 2 BOILER B.T.U. SO. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c2 Y SEWAGE DISPOSAL v'v SO.FT.GAR ® 3/<c 0 HOUSE SEWER / GAS PIPING PERMIT FEE f PERMIT FEE ( PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.0 .F E '� CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE ��,� � 6�s,ap 1yb-I1 z� 1/ 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 APP./EOUIP. 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 INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 12/11/90 No. 10319 Owner Name Type of Permit Chuck Ellis No. 79-760 Street Fiesta City La Quinta zip 92253 La Quinta Permit # Log # Study Area 231 APN # I I Tract # 1 Lot # Square Footage 12070 Type of Development 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 1.58 X 12.070 or $ 3,270.60 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 Dennis Spates Name on the check Telephone By Richard M. Beck Director, Facilities Planning & Development Fee collected /exempted by Shelley D. Bennett = i Payment Received a SignatureCha e 'Peek `No. 127 Collector: Attach a copy of County or City plan check application form to Disiisict- aecipy: Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting -'T<''EC — 1 1 —'30 -rUE °sc, i839-1 T.o 146618 A !%-,a Its P . v_12 'y THE UNDERSIGNED GRANTOR(s) DECLARE(s) TRANSFER TAX is S_ 3 Computed on full value of property conveyed, or fj Computed on full value less value of liens or encumbrances remalnieg at tirne of sale, and FOR VALUE RECEIVED GTE= T. TRt-M and DELIA A. TRUE, Trustees of the TKJE FAMILY TRUST DATED May 23, 1985 GRANT(S) to (WA= EULTS JR. t AND ESTHER MAE ELLIS, Trustees of the EU IS FAMILY "TRUST dated August 15, 1985 the below described real property in the state of California, county of Riverside , city' of La Quinta LOT 43 OF TRACT NO. 2180, AS Si-IC7 iN BY MAP ON FILE IN WOK 41, PAGES 37, 38 AND 39, OF MAPS, RECORDS OF RIVERSIDE Ox�FI'Y, CALIFORNIA R li-.-.^+a.r _"�_-!�--..r.:'_b.<.::t••i.•+��-T•r-=.'�'+a'.i'!^.-�r:n.R-�� ... 'rte}_' � _ � -_ - r.t'e�..aT'•'_ �.nc!�T�-r:: a Tax Pareei No, 6.1.7 112_. -- Dated. ,7utte.• 28, 1988—.1-- STATE 988•_ STATE OF CALIFORNIA 4 COUNTY Q�F Riverside J � On J8�9ss jYj before me, the undersigned, %q� Iltotary Fubllc In and for ofd State, personally appeared gStepllen 'l e True and Delia A. True � 3ia � .� � - - - - - r f S en T. TrueVieTrustee _ Delia A. True, Trustee }gg(or proved to me on the basis of satisfactory =HAMMAN SEAL �J.-^y evidence) to be the person's) whose name's) Istare subscribed to the ANwithin instrument and acknowledged to me that he/she/the-y ex- NOTALIFORNIAecuted the same. 11iiYMy E8 27, 19,89 WITNESS my hanond officl-y/al. " Signature STATEMENTS 10 A00V1_A0bRFt$; 3r - (This area for official notarial seal) C-28 5M 11.86 CP887117 . RECORDING REQUESTED BY OMMONWEALTN LAND TITLE C4.U 21----C9 dp AN0 WHEN RECOROCO MAIL TO4z 6 tL tL CHARLES ELLIS JRSTREET ESTHER MAE ELLIS AcoRE$S PO BOX 815 CITY b STATE L COACHELLA, CALIFORNIA 92236 1 SPACE ABOVE THIS LINE FOR RECORDE 'S USE GRANT DEED (Individual) THE UNDERSIGNED GRANTOR(s) DECLARE(s) TRANSFER TAX is S_ 3 Computed on full value of property conveyed, or fj Computed on full value less value of liens or encumbrances remalnieg at tirne of sale, and FOR VALUE RECEIVED GTE= T. TRt-M and DELIA A. TRUE, Trustees of the TKJE FAMILY TRUST DATED May 23, 1985 GRANT(S) to (WA= EULTS JR. t AND ESTHER MAE ELLIS, Trustees of the EU IS FAMILY "TRUST dated August 15, 1985 the below described real property in the state of California, county of Riverside , city' of La Quinta LOT 43 OF TRACT NO. 2180, AS Si-IC7 iN BY MAP ON FILE IN WOK 41, PAGES 37, 38 AND 39, OF MAPS, RECORDS OF RIVERSIDE Ox�FI'Y, CALIFORNIA R li-.-.^+a.r _"�_-!�--..r.:'_b.<.::t••i.•+��-T•r-=.'�'+a'.i'!^.-�r:n.R-�� ... 'rte}_' � _ � -_ - r.t'e�..aT'•'_ �.nc!�T�-r:: a Tax Pareei No, 6.1.7 112_. -- Dated. ,7utte.• 28, 1988—.1-- STATE 988•_ STATE OF CALIFORNIA 4 COUNTY Q�F Riverside J � On J8�9ss jYj before me, the undersigned, %q� Iltotary Fubllc In and for ofd State, personally appeared gStepllen 'l e True and Delia A. True � 3ia � .� � - - - - - r f S en T. TrueVieTrustee _ Delia A. True, Trustee }gg(or proved to me on the basis of satisfactory =HAMMAN SEAL �J.-^y evidence) to be the person's) whose name's) Istare subscribed to the ANwithin instrument and acknowledged to me that he/she/the-y ex- NOTALIFORNIAecuted the same. 11iiYMy E8 27, 19,89 WITNESS my hanond officl-y/al. " Signature STATEMENTS 10 A00V1_A0bRFt$; 3r - (This area for official notarial seal) C-28 5M 11.86 CP887117 . M Z _O UJ CO U Z O b w Z 0 w C0 COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH A""sM PWOM NM ENVIRONMENTAL SERVICES DIVISION �11—11�'-7 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 IIsL A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Riverside.��}App}rova� of this application shall remain valid for a period not to exceed one year from date of approval. VERIFY ITEMS INSECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG # �r / Agept-Cont!actor, Contactiperson `� ..'"i��NNlS �'&-�--�5S��'3) Add r ss & Firm �A owneGdress Mailing /O 7 v OA' (o4GFF,F.t1..b. Zip Job Property a Ft? F-t3�-r i ) Description zLGia Size Water Agency/Well Use of Permit P/P, CU, etc. Other .Lot Sor 13� f Dwelling MH Site Prep, etc. Signature of Applicant Date ' CATEGORY: REV CODE FEE CATEGORY: REV CODE 1� FEE SUBSURFACE DISPOSAL 123871-49 ❑ SITE EVALUATION UPON REQUEST 7349 $ 43.00 ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) LAND DIVISION❑ SEWER/SEPTIC VERIFICATION 7348 $ 17.00 a. 1 at 4 Parcels (Each) 1238 $ 57.00 (Less than 1 year) 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) ❑ She Evaluation in Conjunction with ❑ HOLDING TANK 7351 $ 47.00 Critical Area 7348 $111.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00 ❑ She Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $ 87.00 INITIAL DATE Holding Tank Agreements Completed ❑ Yes I I No 1,44A�0 Certtficallon of Existing S.D. System Required ❑ Yes No WC)CB Clearance required. (Attach Form ❑ Yes I I No DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required. ❑ Yes No ; Special FeaalbAlty Boring Report Required. ❑ Yes No Detailed Contour Plot Plans Required (1 to 5 n interval) ❑ Yes No Outer ❑ Yes No . I Staff Specialist Lot Inspection Required ❑ Yes No Lot Inspection Date Solis boring report by J!�2 Project * Date Skis Map Page Sol Type Approved by No. of System Type of System(s) Untie (1) Septic Tank Soil Rate Grease/send ❑ Holding Tank ❑ Existing Waw ❑ Replaoenrrnt kVlllng Bxture Units ! Graeae �ba (2) Leach Line Sq. FL Sidewell allowance Install Line(s) n long ____fit wide wht. Leach t3ed�a n Bottom h area n rocW _ sq. n min. inches rode Isles or �-- r51n/ �of.bottom area per running n � — Leachlines/bed special design for slope: (3) Ph Diameter No. Pits Ph Below see 9e Ph Total Depth Other: Applicable Inlet (81) (TD) Max. Allowable Depth /O NA/A Overburden fads ❑ 5 15 6 / / 7 / No. 2 System REMARKS: 6GtC�CGriQ'S�I �r�/S�G1QJl' �/'Dwt r �rV%f� iiJ OiS�"/�G�( t�� This application i�APPROVEDn. ENIED for the category ch,"4 in SECTION B above, regarding the design of a subsurface disposal system as indicated on the acoompausing the requirements aBt forth in SECTION C above. A building permit is necessary for the installation of the above -designed system. No construction is permitted in the required reserved 100% expansion area. (7 Septic tank and sewer lines must be 50' minimum from any wells (2 Leach lines must be 100' minimum from any wells, including expansion area Seepage pits must be 150' minimum from ny .wells, including expansion area �e Signature of Health Offiaiam�z.'Z _ RECEIPT NO. �t`/ Issued By �' �'Date AV— DISTRICT: ❑ Riverside, �' Indio ❑ Hemet- ❑ Perris ❑ Rancho Calif. ❑ Blythe DOH -SAN -122 (Rev. 3/90) . DISTRIBUTION: WHITE - Office fits YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records o ' oto OFFICE OF AGRICULTURAL COMMISSIONER AND WEIGHTS & MEASURES CALVIN C. KAMINSKAS JAMES O. WALLACE 4080 LEMON STREET, ROOM 19 Assistant Commisslonor Agricultural Commtsstoner RIVERSIDE, CALIFORNIA 92501 CLEMENT BENVENISTE Director of Weights & Measures : Sealer (714) 787-2561 49613 Highway 86, Suite B12 Coachella, Ca. 92236 / (619) 342-8291 DATE D_Qr, CASE NO. L P -LS 1a -l09 0 DEVELOPER'S NAME: ADDRESS: TELEPHONE: Dear Developer: 19) 39-7- x39-7^ i L.0 -F - 3 `Ft 5 (r4 -op-1 V E LA, q 0 ! UTA , 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. Agricultural Commission 's Office cc: Indio and Riverside Office `41,1 �4 SPATES CONSTRUCTION 85-431 MIDDLETON ST. THERMAL,.CA 92274 (619) 397-4114 GENERAL CONTRACTOR STATE LICENSE NO. 342724 December 6, 1990 MR. & MRS. CHUCK ELLIS FIESTA DRIVE LA QUINTA, CA 92253 Re: General contractors agreement - Spates Construction and Mr. & Mrs. Chuck Ellis. Spates Construction has entered into an agreement with Mr. & Mrs. Chuck Ellis to perform as their general contractor. The agreement pertains to the con- struction of a new home on lot 43 Track 2180 Parcel NO. 617-112014-7. The house consists o� 2070 sq. ft. 11-ying area,'525'sq.jt. attached garage.. The