0302-144 (SFD)�-- - Certificate of Occupancy
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G OF T19ti Buildin9► & Safet Department
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This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
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provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 53-640 AVENIDA HERRERA
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Use classification: SINGLE FAMILY DWELLING Building Permit No.: 0302-144
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Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RC
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Owner of Building: SANTA ROSA BUILDERS Address: 78-120 CALLE ESTADO #207
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City, ST, ZIP: LA QUINTA, CA 92253
By: KIRK KIRKLAND
Date: November 25, 2003
Building Official
POST IN A CONSPICUOUS PLACE
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05/13/2003 16:24 7603457315 .
Earth Systems
Southwest
79-8110 Country Club Drive
Bermuda Dunes, CA 92201 - (780) 345 -ISM
Client Name
Chant Address
Cuant Phan
FIELD DAILY
EARTH SYSTEMS
PAGE 02
DATE
JOB NO,
PROJECT
53- o
-A
,
LOCATION
DRY
DENSITY
lbstu. A.
MAXIMUM
DRY
DENSITY
96
CONTRACTOR
OPTIMUM
MOISTURE
CONTENT
%
OWNER
WEATHER
TEMP oat AM
gat PM
PRESENT AT SITE
3
z
TEST
NUMBER
LOT
NUMBER
ELEVATION
FIELD TESTING
REFERENCE CURVE
MOISTURE
CONTEM
%
DRY
DENSITY
lbstu. A.
MAXIMUM
DRY
DENSITY
96
MAXIMUM
DRY
DENSITY
lbalcu. H.
OPTIMUM
MOISTURE
CONTENT
%
3
z
1103 5
5 z
e 53-%35
45
A '1
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REMARKS: S O ►.� �C7` u Or
LIMITATIONS: This report is to provide information regarding the status of the field conditions and our opinion as to the need for
corrective action, additional testing and or observations. No guarantee or warranty o the contractors work is made or implied. This
report is subject to review by the project manager. IJ
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CLIENT REPRESENTATIVE SIGNATURE
130-F5.001 (12/01)
TECHNICIANS SIGNATURE
N2
15328
05/13/2003 16:24 7603457315 EARTH SYSTEMS PAGE 01
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Earth Systems
�i Southwest 79 -RI IB Country Club Drive
$emiuda Dunes, CA 92201
(760)345-1588
(800)924-7015
FAX (760) 345-7315
Fax Transmittal Cover Sheet
DATE;
0
COMPANY:
ATtENTION:. vim
FAXNUMBER: 5�� —G 7-7
9
JOB NUMBER:
PROJtGT°NAME:
ltP.0RT NUM9E '1'43EF..
NUMBER OF."PA yES:
:('3racluding coversheet)
2
ORIGINALS TO FOLLOW: O U.S. MAIL
O FEDERAL EXPRESS
O HAND CARRY
O FAX TRANSMISSION ONLY
Comments:
If you do not receive all of the pages noted above, please call
(760) 345-1588. Thank you.
Confidentiality Notice: This facsimile transmission Is intended only for the use of -the individual or entity to
which it Is addressed and may contain information that is privileged, confidential, and exempt from disclosure
under applicable law. If the reader of this message Is not the intended recipient, or the employee or agent
responsible for delivering the message to the intended recipient, you are hereby notified that any
dissemination, distrlbutlon, or copying of this communication is strictly prohibited. If you have recelved this .
.communication in errpr, pleas notify us Jmmediately by. telephone and return, the orlgiria0-message to.,us at.....
the atioVd `addrds's via Ni U -S: P.b'itaf Service.'. T. hai1K y$u':
8D -BF -307 12/00