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11189 (SFD)Tihf 4 P.O. BOX 1504 Address 4487,6 SEELEY LA QUINTACCALIFORNIA 92253 Address ACACIA Mailing Address 1021 BASTANCHYRY City Zip .FULLERTON 92633 Contractor 'ACACIA CONST. Address No. 11199 BUILDING: TYPE CONST. OCC: GRP. Number. el. 714 992-0880 Legal Description LOT 118 PHASE III Project Description TRACT 23268 PLAN C-3 ty lZip I Tel.: State Lic. I City & Classif. Lic. # Arch., Engr., Designer Address Tel. City( Zip ( State I Lic. # 1 hereby affirm that -.1 am jfcensed under proAsi? o iChapter 9 (commencing with Section 7000) of Division 3 odthe B siness/arib'Profe idn��.Gode, and my license's in II ord� d effect. X, / ////� l�i6J/ j7 /h'i3/C;n-� 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 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 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 Division 3 of'fhe 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). ❑ 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 improvementsoare 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,piopertywho builds or improves thereon, and who contracts for such projects with a contractor(s),ficensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. `+ B. & P.C. for this reason Date Owner k WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation,lnsurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. 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.thp work for which this permit is issued, I 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. If, after making this Certificate or 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 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 REMARKS II �it 7 5 ZONE: �ty 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 Permit Validated by: Validati Sq. Ft. 1927 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation %105,733 . PERMIT AMOUNT Plan Chk, Dep. Plan Chk. Bal 552.00 Const. 660.50 Mech. 60.00 Electrical 116.47 Plumbing 144.50 S.M.I. 7.42 Grading 1 Driveway Enc. Infrastructure 2378.99 ARTS IN PUBLIC 25.00 TOTAL C ¢ , ,! �`� 3942.88 REMARKS II �it 7 5 ZONE: �ty 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 Permit Validated by: Validati CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. FT. ® SO 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) 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, TEWPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL SO.FT.GAR ® 3'ic HOUSE SEWER REMARKS: GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES ' MICRO FEE MECH.FEE PLCK.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 SIGNATURESlINITIALS GARDEN WALL FINAL a T 1 I ?5 *,OfCITY OF LA QUINTI► DEPARTMENT OF PLANNING & DEVE-_OPMENT BUILDING DIVISION 564-2246 24-HOUR NOTICE FOR INSPECTIONS CITY OF LA UUINTA Owner ACACIA JUL z I Igg2 Contractor SAME FINANU DEPARTear�IT Permit Number 11189 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 44870 SEELEY TYPE OF INSPECTION DTE j INSP. FOUNDATION & SETBACK _ FOOTING STEEL -2— LMAIN MAINGROUND SYSTEM GROUND PLUMBING 2131 PRE-GUNITE DO NOT POUR CONCRETE UNTIL ALL A OVE AS BEEN SIGNED CONCRETE SLAB Z JOISTS 8 GIRDERS ELECTRICAL GROUND WORK PRE -ROOF DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC COVER NO WORK UNTIL ABOVE H S ROUGH PLUMBING DRYWALL INTERIORC, EXTERIOR LATH ROUGH GAS & GAS TEST =.'L - L HEATING HEATING & VENT - A/C FIREPLACE BOND BEAM O.K.TO'WRAP T, 11 L GROUT ❑ 4' ❑ 8' FRAMING INSULATION PRE -ROOF COVER NO WORK UNTIL ABOVE H S EEN SIGNED DRYWALL INTERIORC, EXTERIOR LATH POOL PRE PLASTER POOL FENCE & GATE SEWER SENK 7 i FINALS ELECTRICAL I ,� •', j, PLUMBING FINAL GAS TEST HEATING - A/C HOUSE NUMBERS JOB COMPLETED 7 7 _ ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 4/88