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11540, 11473 (SFD)n t.v P.O. BOX 1504 'aq Building i'N 78-105 CALLE ESTADO Address A'vran>iaf� LA QUINTA, CALIFORNIA 92253 maning I Address A 9; ft City rZip ITel. Con Zip Tel.: & Classif..B 638535 Lic. # 859 Arch., Engr., Designer Lam a, a A Age-nf!iztte_c; Address I Tel. n.5,ru..Any -F axe! HATE' 1 4110�1--.3J,0_0 City Zip State San Diego 1 92119 1 Lic. # C 13333 f LICENSED CONTRACTOR'S DECLARATION eS 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 -Neffect. 'SIGNATURE AY r•' k C ,u /' l9 - DATE p OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor s,Licerise 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 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 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.) ❑ 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.) D 1 am exempt under Sec.—B. 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,. ff, —Company q,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: - It, 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 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. 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 No. 11540 BUILDING: TYPE CONST. OCC'. GRP. A.P. Number 773-063-013 013 Legal Description T.,%+- I R1 rtt+k 7 Project Description SPS 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. Size No. Stories No. Dw. Units New 0 Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include black willq or pool. Estimated Valuation$90,923-60 PERMIT AMOUNT Plan Chk. Dep. 250.00'" Plan Chk. Bal. 258.25 Const. ' . 599.00 Mech. 49.00 Electrical 126.82 Plumbing 144.00 S.M.I. 10.00 Grading 20.00 Driveway Enc. Infrastructure 2,007.53 f"1:�r•i��.'« t,it$`'.;C.t;?—:1r:...7j__ j? • `, - A'a - +.. i+utt 1 Ynytr„ t .x v.v✓ TOTAL 3,464.60 3,214.60 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 NO. ELECTRICAL FEES NO. PLUMBING FEEK IST FL. SQ. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) 2ND FL. SQ. FT.T. FORMS 3 YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS METER LOOP HEATING (FINAL) DRAINAGE PIPING CAR P. SO. FT. ® GAS (FINAL) TEMP. POLE fix [[[ WALL SQ. FT. DRINKING FOUNTAIN. SQ FT ® SERVICE URINAL ESTIMATED CONSTRUCTION VALUATION $ BOND BEAM WATER PIPING NOTE: Not to be used as property tax valuation GRADING cu. yd. $ plus x$ FLOOR DRAIN MECHANICAL FEES FRAMING 2 l� WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE, UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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. SO. FT. ®, BATH TUB LATHING� SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES 1 MICRO FEE 1 . I MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE- T STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK /— v GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS 3 SEPTIC TANK ! ? OUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) 713 a •7 r? METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL G GAS (FINAL) TEMP. POLE fix [[[ GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP.a�r/3 .3 FINAL INSP —Z7::2!t$--Plus-x$-=$ GRADING cu. yd. $ plus x$ =$ LUMBER GR. FRAMING 2 l� ROOFING 3 T� ` _ S/bc�/` 3,L &C �/ [` I Q e ,.� q �� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING� MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION 2 dj [ CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL 4 P.O. BOX 1504 .0�_,-APPLICATION ONLY Building , ILEA 7P 7&105 CALLS CALIFORNIAESTAD9 I Address LA QUINTA, ORNIA 92253 Owner 5 Address City Zip 4A 4 f)Ly 4s2S3 Contractor 650 l Address rolleV 4<0 Y p City WU (077A z�r t z c 3 State Lic. & Classif. P-5 G 3R C 3 <— Designer L) mgt A f� ,< . ress BUILDING: TYPE CONST. OCC. GRP. A.P. Number %7 3 • 6 b ( 3 Legal Description /-O—r z 7P—L.k. -7/ Project Descriptions Tel. City Lic. # t:-:, •a or U t N V/ L ICS• Aura 1 1 is � City IZ4 State E, C) Z //'1 1 Lic. # C, /3 LICENSED CONTRACTOR'S DECLAP ATION I hereby ali irr)t that am licensed under provisions of Chpoter 9 (commencing with Section 7()00) of Division 3 o the �us'ness agd,Profess'gns Cod and my license is in full force and effect. L 1/��C /D - /;2 !12- OWNER-BUILDECLARATION I hero y affirm that I am exempt from a Contractor's License Law for the following reason: Sec. 7031.5, Business and Prof. ns Code: Any city or county which requires a permit 1 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 (5500). 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.) 1! 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 contractors) licensed pursuant to the Contractor's License Law.) I 1 I am exempt under Sec. B. 8 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. 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 shalt 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 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 sof this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip BUILDING DIVISION 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. Size /S3w No. No. Dw. / Stories Units New ❑-- Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. ,Z7 .-- Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL 7 `� 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 NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. @ - $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. @ FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. C� GAS (ROUGH) METER LOOP GAR. SO. FT. @ POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO. FT. (& GROUT WATER HEATER WALL SO. FT. @ FINAL INSP. DRINKING FOUNTAIN SO. FT. @ WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ =$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)IDISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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 LATHING SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 1 I c SEWAGE DISPOSAL SO.FT.GAR @ ?Ac HOUSE SEWER FINISH GRADING 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 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 APPIEOUIP. 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 SIGNATURESIINlT1AlS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 1/8/93 1 Type of Permit I La Quints No. 11958 Permit # �--� Owner Name Sterling Homes Log No. Street See Below City La Quinta Zip 92253 Study Area 113 APN # Tract #I = Lot # Square Footage 16144 Type of Development I Single Family Residence INo. of units Comments 51-400, 51-440 Avenida Ramirez, 52-640 Avendia Tuarez, 51-045 Avenida Herrera 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 6144 or $ 9,707.52 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 564-1866 Name on the check By James E. Lively Assistant Superintendent, Business Services Fee collected /exempted by Vickie J. Durrett _ Payment Received Signatures Check No. 1251 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 ._..p -.•mow ��,T,wy,�-�o•s R%a 1i�i ,#; ... .. n„ r y-�,�f ear.,+v "a1n'K',o Y^oftY•!""w.'+rl�'r't�•:�ii.>•,Pr�:ivlc.'-"r4•� �'ty' ,., +`a:� �i'• COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY i�` Assessors Parcel No. DEPARTMENT OF ENVIRONMENTAL HEALTH 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 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. 4 G&6,t ic1'fVERIFY A SAFETY LOG # ITEMS IN SECTION FROM A NON -FEE BUILDING (goldenrod) APPLICATION Agent, Cont ctor, ntact Person ,`%�� Phone Address Ciry State Zip •. A DEL ¢•ie6� /?o.r3oX4a�a "e?i/Arxi CA Szzxs t Owner Phone Address City State Zip " SVS -e .( 04 S4 4•/8 •o •$cic45 o GA uf,07A CA • lzzS Job Property Address City State Zip Legal Description Prop. (PM, Tract, Lot) S ams,;,4 V6 . j A �( NTA CA 22S --Z 0T 2 &X 7/ 5q� .•('4nA4 Lot Size rwater Agenc M !%+cc Use of PermitPIP, CU, etc. _ A0Ir467 ArQf Other AT- �i-j 1A� / X) OQ U4_M✓P_ tys-T, of Iling, MH Site Prep, etc. ��/T � •r - �ne.. l : n �; : Si nature of Applicant t. Date.+ CATEGORY REV CODE FEE �L: �' ' CATEGORY [A REV CODE FEE- ! S URFACE DISPOSAL (per system) % 1238 j ❑iSI.TE EVALUATION UPON REQUEST 7349 $120.00 LOT PLAN) ElLTIPLE PARCELS WITHIN SAME LAND DIVISION 1 (N <. 4 1 C3SEWE ,;SEPTIC VERIFICATION 7348 $ 58.00 a. 1st 4 Par'cels,(Each) 1238 $153.00 55.00 ❑ PRELIMI�N� Y ELECTIVE EVALUATION DOH• ' -- 7344 $ b. Each Parcel after 4--_1_1 (Attach AN -53) 7352 .$ 69.00 ❑ REREVIEW (2nd review same parcel) 7344 $ 55.00 Ya� O HOLDING TANK ^'" a 7351 z $119.00 ❑ SITE EVALUATION in Conjuction 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 $ a .50 �-+ ITIAL DATE Holding Tank Agreements Completed O Yes 2' No Q Certification of Existing S.D. System Required ❑ Yes Y "0 WQCB Clearance Required ❑ Yes N� O (Attach Form DOH SAN 007, Santa Ana Region Only) I Soils Percolation Report Required " ❑ Yes N�o t Special Feasibility Boring Report •Required ❑ Yes :NNoo Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑Yes � r" Grading Handout Provided ❑ Yes PNo, Staff Special istiLot. Inspection Required ❑ Yes N9 .' Maintenance,Booklet Provided ❑ Yes Lot Inspection Date Initial C/42 / Soils Percolation Boring Report by Lic/Project # ' Date Soils Map Page Soil Type G Approved By /r'W/1--- Date No. of Systems Type of System(s) No. Dwelling Units / (1) Septic Tank Sol) Rate F7i7 G ase/Sand Gra I-1 Hei3'Ing Tank c3Replacement ew ❑Addition Bedrooms, e-6%ls /*S /UntTrap 3 �1 QA/N . ��e- � Gal. �� 9 Gal. ❑ Existing \,. q. Ft. ttom Area Tal Linear Ft. Sidewall Allowance, ". n. rock/ :- sq. ft. per running ft. Install Line(s) ft. long ft. wide with Leach Bed sq. ft. of. Bottom Area Inlet Tested Depth A_ Proposed Bottom Tested Depth min. in below drainlines or l Leachlineslbed special design for slope: ;verbu (3) Pit Diameter NO. Pits -�; Pit Below Inlet (BI) Seepe Pit Total Depthag (TD) "' 3 Max. Allowabr Depth 6 r AApplicable N/A +// Orden Factor Well Review Approved:,` — Signature Date Well Drilling Permit # Grading Plan A rovedzSignature --_� Date REMARKS: - This application s AP�,�.for"the_takegory checkedn SECTION B above, regarding the design of a subsurface disposal system as indicated on theaccompanie peA et forth in SECTION C above. A building permit is necessary for the installation of the above designed SyPt 4L 000 y ; 1- , Septic tank must be 100' minimum from any, wells R/ring teach+line must be 100' minimum from any wells,`inclx sion area (3) eepagevpI 'ust be 150' minimum from an wells, including pansion area qt �p n Signature 'Health; 'cLla, w • i�.G I �"�r ofQ„ Date •. Vis! ❑ CASH 916FIECK NO.1/ Y_ 4'4 + RECEIPT N0. f0 / Q ,: Issued By Date DISTRICT - ❑ t Riverside 2T IAdi0 ❑. Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe DOH•SAN-122 (Rev 1/92) DISTRIBUTION: WHITE 7 Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Plans/Records } t COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL . .. . 9. . . . . I Na 420 , 0 Address: eT t,n' /0 Account NoZ�to 10 Lot(s) Tract Service Address Code Meter(s) $ �Servlce(s) 77 0 Backflow(s) C? House Laterals) 0 Detector Check(s) 0 Meter Surcharges 0 Sanitation Capacity Charge 0 W.S.B.F.C. 0 Temporary Construction Meter 0 Turn on Charge 0 Uncollected Account -Name 0 Inspection Fee - Tract - Fee - 0 Plan Check Fees Water / Sewer - Tract - 0 Bond Payment - A.D. -- Bond — Assmt. 0 Customer Deposit 0 Other I _1 — Remarks: / OCOPY to: Cash Check 7— Money Order TOTAL $ _-� � OD, !!5;0 Water Service Cashier CVWD- ti Y .if 14a ut�t This Certificate issued pirsuant to the requirements of Section 306 of the Uniform -Building! Code certifying that, at the'time of issuance this structure was incompliancewith : the'iiarious ordinances of the City regulating building construc ti6, n -or use. 'For the following; BUILDING,- ADDRESS 51-045 Avenida Herrera Use dlossification Single Family Dwelling Bldg. Permit No. 11473 Group R3 Type Construction VN Fire Zone use zone SR Sterling Homes P.O. Box 450 Owner of Building Address City La QiAnta, CA 92253 Mark Harold By. Date; August 12, 1993 Building Official 'POST IN A CONSPICUOUS PLACIE Client Narne Client Address —p– SYSTEMS CONSULTANTS S.C. BUENA ENGINEERS DIV. 79-811 B Country Club Drive nuda Dunes, CA 92201 • (619) 345-1588 '0, 1�7`3z/8 DATE 3//2-/9-5 TEST LOCATION t Q �l/SE T/a S JOB NO. sr- y3z5-P/ PROJECT LOCATION L.q Ou/"*",�14 CONTRACTOR MOISTURE CONTENT % OWNER Srf2 ��✓� ,d, WEATHER TEMP. 0 at AM 0 at PM PRESENT AT SITE >✓ 2 S�L�.✓ 51-01) Pee. y9 FA TEST NUMBER, TEST LOCATION t Q �l/SE T/a S --LOT- NO. ELEVATION FIELD TESTING REFERENCE CURVE MOISTURE CONTENT % DRY DENSITY Ibs./Cu. it. MAXIMUM DRY DENSITY % MAXIMUM DRY DENSITY IbsJcu. it. OPTIMUM MOISTURE CONTENT % >✓ 2 S�L�.✓ 51-01) Pee. y9 /0'// 9 /lam 14 5 9 /05.0 91 3 9� .5 51-oy5 7 / os -7 92, ql -- � ✓y N i � 2G / VA OA 01 UACA tri , O UA AO RI A do nlld,d A191/1 E L REMARKS: / '/ //JJ Z / J/ N?� ��5/J 0/`� �/i i`tC� /'/,>1.S�/ C, POW 14611 /ryci7. old 5%u/11 C ,.) %-4 n/7 be /I o!at) . /��� O 6 2 A 7 f /t A -V .51 I �5 At 6 IXA s.o 2r-5 it 47- az tea// % 9 - FIELD REPORT .r-. - CLIENT REPRESENTATIVE SIGNATURE TECHNICIANS SIGNATURE N? 5378