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07858 (SFD)4,4 w. ' P.O. BOX 1504 N o . 07858 Building 78-105 CALLE ESTADO Address 44-790 Seeley Drive . - LA QUINTA, CALIFORNIA 92253 , Owner Acacia CtfitniC$fen BUILDING;'TYPE CONST. OCC: GRP. Y Mailing Address ¢�$ Y A.P. Number Q City, � Zip lartan 92 _4 Tel. � - - ' Legal Description ' �>�s ct ,23%68 Plan D4 Contractor _ Project Description Lot 121 Address M,. r a� _ •a 'City Zip Tela State Lic.-1 City & Classif.- I-„,- i Lic: # Sq. Ft.. 2162 No. No. Dw. a Size Stories Units Arch., Engr., Designer New ❑ Add ❑ Alter ❑ Repair 0,- Demolition ❑ Address Tel. ; City s Zip State Lic. # - - LICENSED CONTRACTOR'S DECLARATION E- Ihereby effirm<fhat I am licensed uncle y1!firo4isions of Chapter 9 (commencing with Section 7000) of Divrision 3 of the�B�us(ine�ss/wand/Profes ions Code, and my licen}se/is in full force and - effect. Diel s,+ 43 : _ .J/ A• OWNER -BUILDER DECLARATION I heby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation -x; reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a a ` •permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also AMOUNT ,requires the applicant for such permit -to file a signed statement that he is licensed pursuant to PERMIT - the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) o1 • Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for'lhe alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit • Plan Chk. Dep. - subjects the applicant to a civil penalty of not more than five hundred dollars (8500). _ t O I, as owner of the property, or my employees with wages as their sole compensation, will . Plan Chk. Bal. ,�WAID do the work, and the structure is not intended or offered for sale. '(Sec. 7044,'Buisness and Const. ' 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, McCh 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' EIBCtfICdl' ` 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- Plumbing ' struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law r does not apply to an owner of property who builds or improves thereon, and who contracts for S.M,I, such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - O I am exempt under Sec. B. 8 P.C. for this reason' Grading 'r � a 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. Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No, • Company CVopy is, filed with the city. ❑ Certified copy is hereby furnished. f - .* TOTAL 4,297,82 t I C- 7 0 CERTIFICATE OF EXEMPTION FROM REMARKS a �� WORKERS'COMPENSATIONINSURANCEg This section need not be completed if the tb, C y �Mi ( p permit • is /or one hundred dollars ($100) valuation fV-1 �.>as'sy40 � 4-`��'r��,� ,�- orless.). I certify that in the performance of thq 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. bate Owner NOTICE. TO APPLICANT: If, after making this Certificate of Exemption• you should •become ZONE: • • - BY: ` subject to the • Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shag be deemed revoked. Minimum Setback Distances: 1 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 . Lender's Name 01 Lender's Address FINAL' DATE % INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to J� j�� 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 applicant Date Mailing Address Validation: City, State, Zip S 4_L !. S - .• M� *♦ }�•�,- - .i \• � Y , � (� Y-. Y + Y�}! .4� cl �1L i-� :' •L v.'i f '? . _ �t •�. t.. t 4 r .t `.;.t- `_ y �,. t +� y r. j, y„ .. � f.; �� .r�.+t.'u•Y,�i .,1, CCNSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SQ, FT. ® CAR P. SQ. FT. WALL SQ. FT. SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET 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) It '32 % [[[ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRYTRAY 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. SQ. FT. ® c BATH TUB FINAL INSP. QQ SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER VENTILATION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE - MECH.FEE PL.CK.FEE I CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE- I 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 v SEWER OA-6EPT � ROUGH WIRING DUCTWORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) It '32 % [[[ METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL Z7l�Q 40 GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. QQ FRAMING FINAL INSP. io Q /2i l ` ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND !Q e FINISH GRADING FINAL INSPECTION' l / l� CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL