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06494 (SFD)
Building /GO Address 53--9," Useahamr Tlihf u P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Address P. 0. Bou 237 City Zip Tel. Palm 8priugs 1 92262 1 714-849-1248 Fes' Address el. State Lic. 570588I(:Ity 1x552 & Classif. Lic. # Arch., Engr., Designer Address Tel. City IZip I State Lic. # LICENSED CONTRACTOR'S DECLARATION ,1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section Division 3 of the Business and Professions Code, and my license is in full force and MCI, SIGNATURE N DATE OWNEWBUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,8usiness and Professions Code: Any city or county which requires a pemW to construct, alter, impmve, 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 ONision 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violatien of Section 7031.5 by 'any applicant for a permit subyects the appicant [o a cmvB 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 Professkrrs Code: The Contractor's License Law does not apply to an owner of property who bull& or improves thereon and who does such work himself or through his own employees, provided that such koprovements 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 contractors) 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 1 hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company ❑ Copy is filed with the city. a Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ff 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: 8, after making this Certificate of Exemption you should become subjecl to the Wbrkers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 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.) Lenders 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 6J No. 0649A BUILDING: TYPE CONST. OCC. GRP. A.P. Number Legal Description Project Description _774--175-011 SFD Sq. Ft. 1485 Size - No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $84.212 PERMIT AMOUNT Plan Chk. Dep. $250.00 Plan Chk. Bal. $ 238.84 Const. 572..00 Mech. 53.50 Electrical 108,45 Plumbing 157.54 S.M.I. 5.95 Grading 20.00 Driveway Enc. 20.00 Infrastructure 1,856.52 TOTAL $3,282.76 REMARKS r•-� n , x . * f IV � �:i . j.r > 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 10/11/89 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST F� SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. FORMS SEWER ROUGH WIRING. MOBILEHOME SVC. BAR SINK POR. _ gQ, 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. ' WATER SYSTEM FINAL INSP. URINAL SQ FT ® =$ LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ ROOFING � � WATER PIPING NOTE: Not to be used as property tax valuation //��' �r17/ 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3Yac HOUSE SEWER FINAL INSPECTION / 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 2g 6 `/-W GROUND PLUMBING,z3 ERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER ROUGH WIRING. DUCTWORK ROCKSTORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. FINAL INSP. /Z GRADING If cu. yd. $ plus x$ =$ LUMBER GR. FRAMING // / ROOFING � � U/� (// /�(�// /'y_- //��' �r17/ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH 00, INSULATIONISOUND FINISH GRADING FINAL INSPECTION / CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL 4 4 Qum& P.O. BOX 1504 APPLICATION ONLY Building 78-105 CALLE ESTADO Address S 3 — / (O 0 G / SF,tr /1�vty/A LA QUINTA, CALIFORNIA 92253 Owner Mailing The Castle Group Inc. BUILDING: TYPE CONST. OCC. GRP. / Address -P.O. BOX 237 A.P. Number 7 62 o /� City Zip Tel. N. Palm SArin s 92258 1714-849-1-248 -, �egalDescription f.�OT _/y, 511-,'2�/7/� Contractor j C r Project Description si/(i % juin, GY �P The Castle Groiin Tn(--. ,� Address P City Zip Tel.. N. Palm Sprin s 92258 =714-848-1248 State Lic. _401 City & Classif. B-1 45705 Lic. # SS 2- Sq. Ft. / y G� No. No. Dw. Size Q Stories Units Arch., Engr., Designer Bob Harman New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. 3-5701% 619-323-1211 City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section effect. of Division e�of the Businessroions de, and my license is in full force anp�1 effect. UlGel�_O /40 -?—I'7 / SIGNATURE ATE OWNEWBUILDER DECLARATION Estimated Valuation 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 city or county which requires a permit to construct, atter, improve, demolish, or repair any structure, prior to its issuance also thheprovisionses the �ofnth t for Contracto'sLicense rmit to LawgChaapptera9 (commencing with licensed pursuant0o/ PERMIT AMOUNT - Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis O for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. subjects the applicant to a c"penally of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. , do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. —7 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, Mech. provided that suchImprovements are not intended or offered for sale. If, however, the building �ff orImprovement is sold within one year of completion, the owner -builder will have the burden Electrical V or proving that he did not build or irprove for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 7. rA struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who blinds or Improves thereon, and who contracts for S.M.I. f ' such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading ,Z ,C23- ❑ 1 am exempt under Sec B. & P.C. for this reason Driveway Enc. jD-tslb Date Owner Infrastructure 2 WORKERS' COMPENSATION DECLARATION 1 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 �Q l=M nAJ7 //Ls u,CA,t�G b rt Copy is filed with the city. 0 Certified copy is hereby furnished. / TOTAL `L -7 Jr. o O CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE �r A n rn , n (this section need not be completed if the pear* is for one hundred dollars ($100) valuation j () (� �}) � � T �- or less.) I certify that in the performance of the work for which this permit is issued, I shall not =any pperson in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: 8, after making this Certificate of Exemption you should become ZONE: BY: subject to the workers' Compensation Provisiorns of the labor code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the work for which this permit ued.1sec. 3097, CM1 code.) Side Setback from Property Line Lender's 'Name I" FJI${j ,Q T /V/a/ �L AflNir Lenders Address 2 5- 5/C S O e�&A" rG This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE INSPECTOR 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. Issued by: Date Permit 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. Validated by: Signature of applican 6 " Date �� 63. Mailing Address Validation: City, State, Zip BUILDING DIVISION CONSTRUCTION ESTIMATE GROUND PLUMBING NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. , SQ. FT. a $ r UNITS BONDING HEATING (ROUGH) STORAGE TANK FORMS YARD SPKLR SYSPTEM 2ND FL. SQ. FT. DUCT WORK ROCK STORAGE FOUND. REINF. POR. SO. FT. ®C�lwMOBILEHOME METER LOOP SVC. BAR SINK 1 GAR. SO. FT. Q GAS (FINAL) POWER OUTLET ROOF DRAINS GROUT DRAINAGE PIPING CAR P. SQ. FT. BOND BEAM WATER SYSTEM WALL SQ. FT. GRADING CU. yd. $ plus x$ =$ DRINKING FOUNTAIN 00 ` FRAMING URINAL SO. FT. ® ROOFING ESTIMATED CONSTRUCTION VALUATION $ REMARKS: WATER PIPING NOTE: Not to be used as property tax valuation VENTILATION 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 LATHING LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP FINISH GRADING POLE,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. CERT. OCC. SQ. FT. ® c BATH TUB , FENCE FINAL SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1+/4 c S ( SEWAGE DISPOSAL SO.FT.GAR ® 3/ac I IHOUSE 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 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 APPJEQUIP. 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 SIGNATURESIINITIALS GARDEN WALL FINAL Vx r-%-n-V qF -P.,q —1; ,n,... .,.ry; r-fi.::t: vya• .�. ., ,a -r - ., _ -. _ - . n' �n'R° `!m' COACHELLA VALLEY WATER DISTRICT CASH RECEIPTDETAIL Received From: ptl& C� c�7 G �� w��v //,',G Address: ' e © • 4?ox !, P �.^ (16(1,(17,4 Cil Account No. Lot(s) I Ll Service Address S-,3 ❑ Meter(s) ❑ Service(s) ❑ Backflow(s) ❑ House Lateral(s) ❑ DetectorCheck(s) ❑ Meter Surcharge - anitation Capacity Charge ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Turn on Charge ❑ Uncollected Account - Name ❑ Inspection Fee - Tract - Fee - ❑ Plan Check Fees Water / Sewer - Tract - ❑ Bond Payment - A.D. - Bond Assmt. ❑ Customer Deposit ❑ Other Remarks: _ C'6{ ,r,-,0 b-' -'f 1Z-- [N / ❑Copy to: Cash Check / Money Order N2 '-30281 Date: 7-7—,0-70 Tract 5 C- 445 % G.A. Code TOTAL $ 1 f5 Water Service Cashier CVWD-438(11189) Desert Sands Unified School District CERTIFICATION OF PAYMENT OF iLb3J �r +�����SCHOOL FEES F�Gdv�TX KBO � tG• 1 �aS u�. n a,�rl�► t F �L�( DATE: a -�► Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This is to gprtify hat 6c, developer of which is located at within this District, has paid school facility fees imposed pu sua t to the au hority generat d by G vernmeit Co e ctiost 3080 in t e Amo nt of t $ ( (� E) covering a total of square feet of () residential or ( ) industrial/commercial development and that buildi g permits for this footage in this development may now be issued by your jurisdiction. 1-) (2:!�� D for DESERT SAND UNIFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning 0 Pink - Accounting • Gold - Developer (10)-37 RECORDING REOUESTED BY C0 AND WHEN RECORDED MAIL TO awl Name The Castle Group, Ince. Sweet P.O. $OX 237 Aclth ess ctty 6N. Palm Springs, CA 92258 L Stale MAIL. TAX STATEMENTS TO F Name .9APIF' A.�' Arab!;• Suonl Add,css City & Stale L.. J J 1- Q o J J Y a OD n N `ms`s Itc tD7 r rye _ •p O r-- •� 0 o O jj CJ C la. 4 u J •_> Q v y VW } N�M -- - ------ -- — —t----- - SPACE ABOVE THIS LINE FOR RECORDER'S USE — CA1'. NO. NN00'..82 Individual Grant Deed 1 U 1923 CA (2 63) THIS FORM FURNISHED BY TICOR TITLE INSURERS The undersigned grantor(s) dc•clare(s): Docunlc'ntary transfer tax is $ 15.95 ( XX ) c0n1lurt(-d on full value of property'conveyed, or ( ) c0n11`1uted On full Value less value of liens and encumbrances remaining at time of sale. ( ) UnincorPorated arca: (XX ) City of T, Ouinta , and FOR A VALUABLE CONSIDFRK1•ION, receipt of which is hereby acknowledged, 7.ELVA S. WOLPE, Tz-ustee, ZELDA S. WOLPE LIVING TRUST UID/0 1)h'CF:PfRAW •19, 1979 h(-rc'b);GRAN'l•(S) tc, THE CASTLE GROUP, INC., A CALI.I'ORNIA CORPORATION the following described real property in the Citi of La Ouinta County of Riverside I State of California: r,07' 14, BLOCK 247 OP SANTA CAR1113T TTA, UNIT NO. 23, A.S PER MAP THFPF•OP 111:'x. OPDF,D JA 2711; (r1•'1•'J C.'1:' UP' 1'11LC trL'C Vti/JnI: (/: t-uui�"'. r;:. !`J"LGi. ...i C"..' --5 ... . Dated: June 14, 1989 Z�VZELDA S. WOLPE, STA11. OF ICATtTIORNIA MA 0- K COIINTY01 ftO"t)L5fit, v On jUV%;- Ia1 1(t4`L before nlc, the undersigned, a Notary Public in and for said Statc, penvnally allpt•arcd Zelda S. Wolpe, Trustee personally knolvii it) me or proved to me on tlic basis of sat- isfaetor�• e�•idcnce ui lle thi• persun_H•hose name subscrihcd. to the within instrument and acknowleciged that ; t- exc•t•utcd the sank. WITNI-SS n1y hand alfij official seal, r Signatllrc ` ��1J.. (This arca for official notarial seal) Titic Orcicr No._1 l':Scruw or Loan No. ................. . ----- — MAIL TAX STATEMENTS AS DIRECTED ABOVE 44 1 JAMES O. WALLACE Agricultural Commissioner Director of Weights & Measures OFFICE OF AGRICULTURAL COMMISSIONER AND WEIGHTS & MEASURES 4080 LEMON STREET, ROOM 19 RIVERSIDE, CALIFORNIA 92501 (714) 787-2561 CALVIN C. KAMINSKAS Assistant Commissioner CLEMENT BENVENISTE Sealer 49613 Highway 86, Suite B12 Coachella, Ca. 92236 DATE /0 E2 (619) 342-CASEINO. F 7C/C /0 3 DEVELOPER'S NAME: TkA �_o. Srf G✓o c—p --T;i c, ADDRESS: % � --1 2 5- '-pe 110A1 TELEPHONE: �o t' I q 16 j( Z�f 7 uK� 4- 2315 s - ke'w e' -4P✓; ) Dear Developer: 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. cj" � 6� ,, -, � �- , Agricultural Comnis ner's Office cc: Indio and Riverside Office Q Z O U w U) m Z O H U W 0) j Z O F- 0 U W U) 0 Z O U W U) COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No. ENVIRONMENTAL HEALTH SERVICES 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 checklist. 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. VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG Agent, Contractor, Contact Person "''�_ �. Phone y0E � �. � .: � Address & Phone 7 y %� � Aro iv l �� s � � � � . U ,!moo A- 7 Owner i �iE c•9 s Tc f' G a o�F' ���, Phone Mailing Address i v . !�o k �.s�7. ,Zi - �/fi�r .= rA city State Zip Job Property Address Legal Description Prop. (PM, Tract, Lot t!N Lot Size Water Agency/Well Use of Permit P/P, CU, etc: 0 Other f A G k oo /4 //,, A' V411", �,�u,►,�r 91 t MH�SiPrp, et ec < Gts -01 c �) / Signature of Applicant �- Date / CATEGORY: REV CODE FEE - CATEGORY: REV CODE FEE SUBSURFACE DISPOSAL 1238 7Q ❑ SITE EVALUATION UPON REQUEST 7349 $42.00 ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00 a. 1st 4 Parcels (Each) 1238 $45.00 (Less than 1 year) 0 b. Each Parcel after 4 7344 $16.00 ❑ PRELIMINARY ELECTIVE 7352 $45.00 ❑ Rereview (2nd review same parcel) 7344 $16.00 EVALUATION (Attach DOH SAN 53) ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351 $45.00 Critical Area 7346 $86.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $132.00 ❑ Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $86.00 INITIAL,DATE Holding Tank Agreements Completed ❑ Yes N �J0' r Certification of Existing S.D. System Required ❑ Yes d No WQCB Clearance required. (Attach Form ❑ Yes o DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required. ❑ Yes N Special Feasibility Boring Report Required. ❑ Yes!/ Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes fd N rc Other ❑ Yes %N Staff Specialist Lot Inspection Required ❑ Yes Lot Inspection Date Soils boring report by Project,* Date n Soils Map Page /V Soil Type Approved by 40jk_ Date /0 -.3- it No. of Systems T of System(s) No. Dwelling Units (1) (1) Septic Tank Soil Rate rease/Sand In ding Tank ❑ Existing fS New ❑ Replacement Bedrooms, omits -3,64 n / Intcp / , I Gal 9(,l, / i Gal "(21 Leach Line Sq. Ft. Sidewall allowance Instal Line(s) ft. lon j ft wide with Leah ft. trench area ft. rock/ sq. ft. _77Bo min. inches r M�4 rainlines or oma. per running ft. fJ/KIA Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage Pit TgjaDepth Applicable�� 111111111111161- &" 6 Inlet (BI) r Max. Allo i Pepth N/A Overburden factor !� No. 2 System/!,✓ A REMARKS:— }/%, LC�i� �L^ �_�' ��s�-�c� ��.r/� Qom'_. . /J�LS`-7�"•YL. III/�a i.1w4 This application is PROVED/ EiED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompanie an, 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 required reserved 100% expansion area. (1) Septic tank and sewer lines must be 50' minimum from any wells:Y Leach lines must be 100' minimum from any wells, including expansion rea k f �� L{/`a J14 (3) Seepage must be 150' minimum from any wells, including expansion area GO pits �/ �C Signature of Health Official r •^ (-�t�. �LQyI g�t�"�--► Date RECEIPT NO. 60 Issued By Date �/n DISTRICT: ❑ Riverside, 2--1 'nd i o ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records � SAV art of '14tt Quinta Ilutomg.anb �Safet�r 34t*1Tt*rm*11n This Certificate issued pursuant to the requirements of Section 306 of the Uniform Buildings 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 53-960 Eisenhower Use Classification SFD Bldg. Permit No. 6494 Group R3 Type Construction VN Fre Zone Use Zone SR Owner of Building The Castle Group Inc. Address P.O. Box 237 City Palm Springs. C 4 92262 Mark Harold Date; December 4, 1990 Building Official POST IN A CONSPICUOUS PLACE