11188 (SFD)P.O. BOX 1504 No. i-11.88,
Building 7&105 CALLE ESTADO .
Address 44750 SEELEY LA QUINTA, CALIFORNIA 92253
Owner
ACACIA
Mailing'
BUILDING: TYPE CONST.. - 'OCC! GRP.
Address' 1031 $ASTANCHURY A.P. Number
City zip ITel. LOT 123 PHASE 2326$'.
P�TLLEBTON 92633.714992 Q�60 Legal Description ,
Contractor Project Description PLAN C-3' PHASE III
ACACIA
Address
SAME
City Zip Tel.:
State Lic. City
& Classif. Lic. # S Ft. No. No. Dw.
B 2"9.39S4 1622 Size 1927- Stories Units
Arch., Engr.,
'Designer New ❑ Add ❑ Alter ❑ Repair ❑ :Demolition ❑.,
Address Tel.
'._CityZip State -
Lic. #
LICENSED CONTRACTOR'S DECLARATION
"1 hereby affirm that I arVIce sed,uride provisions of Chapter 9 (commencing with Section ~ w
7000) of Divislon`3-gf the 86sinss"s . rofession C e, and my license is'n,f ;f rc '
effect. !.m
S GNATUR / / DATE - •
OWNER -BUILDER DECLARATION EStlmated Valuation $105,783
I hereby affirm that I am exempt from the Contractors License Law for the following
-_ reason: -(Sec. 7031.5,ausiness and Professions Code: Any"cify or,county which requires a -
peimit 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 - PERMITr' AMOUNT
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. Plan Chk. Dep.
subjects theapplicant to a civil penalty of not more than rive hundred dollars yS500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk.• Bal. - 552200
.do the work, and the structure Is not intended or offered for sale. (Sec.•7044. Buisness and COr1St660.50_
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, Mech. n
provided that such improvements are not Intended or offered for. sale. It, however, the building - 60.00
or improvement is sold within one year of completion,- the owner -builder willhave the burden ' Electrical 114 47
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 torr Plumbing 144.50
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 S•M.I. -. .. ..•7.�'�2
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) • -
❑ I am exempt under Sec. B..Grading. 8 P.C. for this reason `
Driveway Enc.
Date owner Infrastructure
- 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.) : r 'T' r ,. •,
Policy No. .Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL1 3942.88
CERTIFICATE OF EXEMPTION FROM REMARKS '
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the permit is for one hundred "dollars (S100) valuation -
or less.)
I certify that in the performance of tha work for which this permit Is issued, 1 shall not • "� ®_ - ��.
•employ any person in any manner so as to become subject to the Workers' Compensation •' - ►C e -
Laws of Calm ornia.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become - ZONE:—
subject' to' the Workers' Compensation provisions of the 'Labor Code, you must forthwith - -
• - comply with such provisions or this permit shall be deemed revoked - - •Minimum Setback Distances: • - ' -'
Front Setback from Center Line'
Rear,Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY. - Side Street Setback from Center Line' '
Ihereby affirm that there Is a construction lending agency for the performance of the -
work for which this permit is issued. (Sec. 3097, civil code.) . Side Setback from Property Line
Lenders • Name
Lender's Address FINAL DATE INSPECTOR
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: Issued by: Date Permit -
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 applicant Dale
Mailing Address
Validation: -
City, State, Zip - '
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. $
2ND FL. SQ. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SQ. FT.
WALL SO. FT. ®
SQ. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
ra
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/. c
SEWAGE DISPOSAL
SQ.FT.GAR @ Vic
HOUSE SEWER
REMARKS:
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 APPJEOUIP.
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 SIGNATURES/INITIALS
GARDEN WALL FINAL
L,+
CITY OF LA 0 JINTA
of
b` DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR NOTE 1Y Of a%WkCTIONS
Owner ACACIA JUL Z 1 1997
Contractor SAME FINANCE DEPABTAUT
Permit Number 11188
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 44750 SEELEY
f
TYPE OF INSPECTION . TE Insp.
FOUNDATION & SETBACK 4,14L
FOOTING STEEL wn
MAIN GROUND SYSTEM
GROUND PLUMBING .Y
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL APOVE,HAS BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT - A/C
FIREPLACE
ROOF
BOND BlrAM
O.K. TO WRAP f j
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION 7 �_
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH r `.1v
POOL PRE PLASTER ! ,
POOL FENCE & GATE
SEWER 8E4q*6iANK
FINALS
ELECTRICAL t1
PLUMBING
FINAL GAS TEST
HEATING.- A/C
HOUSE NUMBERS
JOB COMPLETED A 3
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4.88