003416 (SFD)T 0 0
4hf 4 4 QUA&
Building
Address ss 51-545 Carranza
Addr
Owner
Michael C. head
Address 4357E Wash3.nattl»IT St
City lZip V Tel
Contractor
Address
` jZip I Tel.
State Lic. I City
& Classif. 488018 Lic. #
Arch., Engr.,
Designer
Address Tel.
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
City Zip State
i
Lic. #
_ LICENSED CONTRACTOR'S,DECLARATION
m /
I hereby affirm that I alicensed under 6rovisions'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 r
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, 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 thathe 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.)
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 Con!ractor's License Law.)
0 1 am exempt under Sec. B. li P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATIONf
I hereby affirm that I have a certificate of consentsto self -insure, or a�ceilificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec! 3800;'Cabor Code.)
Policy No.Company - "' � i ( r, / )
❑ Copy is filed with the city. O Certified copy is hereby furnished.? 1
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 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 stale 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
- : -.L-
No. 043416
BUILDING: TYPE CONST. • OCC. GRP.
,A.P. Number 773-124-015
,Legal Description
Project Description ran. i1v nwaliinel
'REMARKS
ZONE:
BY:
Minimum Setback Distances:
Sq. Ft. No. No. Dw.
Size 1364 - Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑
Demolition ❑
GAR 4 CIO'
Side Street Setback from Center Line
Porch 216'
Side Setback from Property Line
Fence 20011
FINAL DATE
INSPECTOR
Issued by:
Date 1011187Permit
Validated by:
Estimated Valuatjon
$7679054
PERMIT
AMOUNT ,
Plan Chk. Dep. $250.00
Plan Chk. Bal. $
61.96
Const.
364A0
Mech.
30„00
Electrical
3 „ RO
Plumbing
103..00
S.M.I.
5.36
Grading
211711.1010
Driveway Enc.
20.00
Infrastructure
067.7--
TOTAL r
'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 1011187Permit
Validated by:
Validation:
HARD COPYI
T
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SQ. FT.
GAS (FINAL)
WALL SO. FT.
DRINKING FOUNTAIN
SO. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
GRADING
cu. yd.
$ -Plus-x$-
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
VENTILATION
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 111.4 c
SEWAGE DISPOSAL
SQ.FT.GAR a 3/ac
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 PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. c
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
�O11GH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
EMP. POLE �--�
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ -Plus-x$-
_$
LUMBER GR.
FINAL INSP.
FRAMIN 2�
FFINAL INSP.
ROOFING
r / % ( //J — C%
_,16
��Gu
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w
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
JOB ADDRESS
4 4(4.4 Qalq&
PERMIT #
M '
BUILDING DEPARTMENT
SUB -CONTRACTOR LIST
OWNER/ CONTRACTOR NAME AND ADDRESS Michael C. Head. General Contractor
#448018. 43-576 Washington st. Palm Desert. CA 92260.
PLEASE PROVIDE NAME, ADDRESS AND PHONE FOR ALL SUB -CONTRACTORS
GRADING Art Florez P:0. Box 1036 La Quinta. 92253 BUS. LIC. #
564-3624. STATE LIC.#
CONCRETE Andreason conts.. P.O. Box 694
La Quinta. CA 92253. (619) 564-5449.
MASONRY
BUS. LIC. #
STATE LIC.# 335900
BUS. LIC. #
STATE LIC.#
PLUMBING Robert Parks. P.O. Box. 863. La Quinta BUS. LIC. #
92253. 564-0081 STATE LIC.#
FRAMING `'Michael C. Head BUS. LIC. #
C 4)
STATE
LIC.#
ELECTRIC Michael C.
Head.
BUS.
LIC. #
STATE
LIC.#
ROOFING Michael C. Head.
BUS.
LIC. #
STATE
LIC.#
A/C -HEATING Artic-Air. P.O. Box 14. La Quinta 92253
BUS.
LIC. #
564-4895.
STATE
LIC.#
DRYWALL Michael C.
Head.
BUS.
LIC. #
STATE
LIC.#
LATH/PLASTER James
Ellis.'. 34-525 Judy Lane
BUS.
LIC. #
Cathedral City,
Y
CA. 92234. (619) 321-7354
STATE
LIC.#
PLEASE COMPLETE BOTH SIDES
SEWAGE Al l Pss= nnl _ P-0- Rnx 1 R' Tlcrf- Ht gpring BUS. LIC. #
(619) 329-6875. STATE LIC.#
INSULATION Angelus Insulation, 1221n Michigan Ave
BUS.
LIC. #
#9 Grand Terrace, CA. 92324. (714) 783-1304
STATE
LIC.# 328253
FINISH CARPENTRY Michael C. Head.
BUS.
LIC. #
STATE
LIC.#
CABINETS Prefab.
BUS..LIC.
#
STATE
LIC.#
FLOORING Roy Cannon. 82-400 Garden Ave, Indio,
BUS.
LIC. #
CA. (619) 347-6694
STATE
LIC.#
PAINTING Michael C.Head.
BUS.
LIC. #
STATE
LIC.#
TILE Romero's Tile. 52-401 Obregon La Quinta
BUS.
LIC. #
CA. 92253. (619) 564-4666.
STATE
LIC.#482635
PAVING Ficara Paving 2645 Rice Ave, Joshua Tree.
BUS.
LIC. #
(619) 328-9445.
STATE
LIC.#394527
LANDSCAPE Michael C. Head.
BUS.
LIC. #
STATE
LIC.#
GLASS/GLAZING Date Palm Glass & Mirror.
BUS.
LIC. #
45-480 Commerce st., Suite# 8 Indio, CA. 92201
STATE
LIC.# 425085
OTHER
BUS.
LIC. #
STATE
LIC.#
OTHER
BUS.
LIC. #
STATE LIC.#
FINAL INSPECTION WILL BE WITHHELD UNTIL ALL SUB -CONTRACTOR
HAVE OBTAINED A VALID LA QUINTA BUSINESS LICENSE.
Y
44P RUWCJJ (7)
P.O. BOX 1504 APPLICATION ONLY
Building 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
BUILDING: TYPE CONST. OCC. GRP.
Mailing
Address 43-576 Washington st . A.P. Number
City Zip Tel.
Palm desert 192260 1. Legal Description Lot#3 Blk#56
Contractor Project Description Santa Carmelita at Vale
Michael C. Head
Address
43-576 Washincrton st.
City Zip Tel.
Palm Desert 192260 345-2696
State Lic.
City
.& Classif. 448018 B
Lic. #
Sq. Ft. 1361 No. 1 No. Dw. 1
Size Stories Units
Arch., Engr.,
Designer Michael C. Head
New Ek Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
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
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 Ivhlch 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
me provisions of the Contractor's License Law, Chapter 0 (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).
❑ 1, 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.)
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
O 1, ag 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 knproves thereon, and who contracts for
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
O I am exempt under Sec. • B. 8 P.C. for this reason
S.M.I.
Grading
Driveway Enc.
Date owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
er
Work's Compgnsation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
O Copy is filed with the city. O Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
(This section need not be completed it the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the perlormancle of thg work for which this permit Is issued, 1 shall not
employ any parson In any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT., n, 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 doomed revoked.
ZONE: BY:
Minimum Setback Distances:
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 is issued. (Sec. 3087, Civil Code.)
Side Setback from Property Line
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.
FINAL DATE INSPECTOR
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.
Issued by: Date Permit
Validated by:
Signature of applicant Date
Melling Address
Validation:
City, State, Zip
FINANCE
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COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION
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 specifications required on the attached check list.
A non-refundable filing fee of $37,is required when the application is submitted. Check must be made payable to the County of Riverside.
Building Department Application Log #
Name (Owner, Agent, Co for, Etc.)
/A l , 141 P7 l r , l-r{ir r1.I&,
Mailing Address
-� 'S) K %!Js 141r— U,�) j / ,� -
City
State
Zip Code
Telephone C/
'Job Property Address
Mitt', dcommunity
Legal Description of Property. (Lot, PM TR)
!ATO s�! T��.�,a 1rg
� ,le . 1Wj,t4 _
_ 4 r_ , -, r ^J I a
51 !l S6
Assessor's Parcel No.
'Water Agenc' r:Wetl
T } 1 ►/
Use of Permit (jt� �/`�-t `�j4anning Case #
Lot Size
G
_q
r#,4 /
SFD, MH Site Preparation Etc. �F'j
�Signature `of Applicant f f r, Date
'The above information must be ver#led from Building Application
STAFF USE — DO NOT WRITE BELOW THIS LINE
�Iniitial Q Date
Certification of Existing S.D. System required. E3 Yes ❑ N '� /' �� /
WQCB Clearance required., ❑ Yes s® No I
Soils feasibility report required. ❑ Yes ® No
tae I e boring reportrequired. ❑ Yes No --�--
Detailed contour plot plans required. ❑ Yes ZN6
Staff Specialist approval required. ❑ Yes ❑ No Lot Inspection Date t
Soils/boring report by - Project # Date
Soils Map Page 1 !?� �� 9 Soil Type NI/ Approved by Date 'f "
n �•
Type of System: y
No. of Bedrooms
(1) Septic Tank
Soil Rate Required
❑ Existing ®`� ❑ Additional ❑ Replacement
!'1^
AVV Gals.
0�7, 3 rj
(2) Leach line sq. ft.
trench
Sidewall allowance
ft. Sq. Ft.
Install---.Line(s) Ft. Long,
Ft. iin. inches
Leach bed Sq.
Ft. bottom
(Bo area)
rock/
wide with
_"'�~
of
per running ft. L�J`N/A
rock below drain lines
area
Leach lines/bed-special design for slope:
(3) Pit Diameter/
No. Pits
Pit BI
Seepage Pit total depth "" r.? "
Applicable -�
/
N/A C� Overburden factor
'91;55, ®i61
�!
Max. allowable depth
1
This application is a prove enied1or the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements
set forth in Section B a ove. A building permit, is necessary for the installation of the above designed, system.
(1 Septic tank and sewer lines must be 50' from any wells iD
(2) Leach lines must be 100' min. from ny wells including expansion area
(3k Seepage pits must be 150' min. from any wells including expansion area{/(j
TD- d7
Signature of Health Official! / f.,.- /I A. U 1 tDate �(�(%Ad.,t/'•a
%
RECEIPT NO. .%•� - Issued by54L• � Date
District: ❑ Riverside g'Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe
Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept.' GOLDENROD—Pending File
DOH -SAN -122 (Rev. 6166)
r�
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OFFICE OF
AGRICULTURAL COMMISSIONER E. LEON SPAUGY
IONER
4080 LEMON STREET. ROOM 19 5
RIVERSIDE, CALIFORNIA 92501 LAMES EST 0. WALLACEL
ASSISTANT COMMISSIONER
(714) 787.2561
Dear Developer/Landscapers
49-613 Hwy 86, Suite B-12
Coachella, CA 92236
(619) 342-8291
Thank you for inquiring with the Agricultural Commissioner's Office regarding
local quarantine laws.
Any diseases or insects associated with the plants/landscaping material presented
on your landscaping plans do not pose a threat to the Coachella Valley Citrus,
Date, Grape, Vegetable, or Field Crop industry. We therefore approve your
landscaping plans.
If however, any substitutions of plants/landscaping materials within your plans
occurs between now and the actual planting datep you must contact this office
Within 48 hours before delivery into the Coachella Valley. Also, the substituted
plants/landscaping material must be held for inspection upon arrival. Any sub-
stituted landscaping material found infected/infested with quarantine pests will
be immediately treated or shipped out of the Coachella Valley at the discretion
of the Agricultural Commissioner's Office.
Under penalty of perjury, I the undersigned will comply with the.above.
Authorized Agentt r �7
Name ,C A / Date
Signature
�nJ
Permit Number(s) t87 9.5b91.f C_
Developer
AGRICULTU
Aar 4
G
Authority cited: Agricultural Code; Sections 6301, 6461, 6462, 6464, 6501, 6521-
6524
cct 2 Plan Check, Indio Office, Riverside Office
Desert Sands Unified School District
CERTIFICATION OF PAYMENT
OF
SQiQQ F,j:C- LITY FEES
NOTICE: �' clot :.. -��r�
�
BE ����.t-CAVED.
TO: City of La Quinta DATE-
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
This is to certthat I Iq ✓
developer of if which is
located at 1 , within
this District, has paid school facil' fees imposed pursuant to the
aut�h�or��.i,,tten ated by overnment C de Section 53080 in t e ampunt of
covering a total of quare feet of (X) residential or
( ) industrial/commercial development and that building permits for
this footage in this development may now be issued by your jurisdiction.
for DESERT SA DS•UNIFIED SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
0 007