SFD (14030)78790 Lowe Dr
14030
4
!GGlt CV .
P.O. BOX 1504 No. 14030
Building 78-105 CALLE ESTADO
Address 78-790 Lowe Drive LA QUINTA, CALIFORNIA 92253
Owner ,Acacia Construction
Address 8141 E. Kaiser Blvd. #310
City Zip Tel.
Anaheim, CA 92808 1010282-5800
Contractor
irxi<s8e
Address
Zip I Tel.
State Lic.
& Classif. B-1 293954
•
--Arch., Engr', i3C fieri l7 -
Designer
AldL JS1 .Irvine Ave..
Cit ip
"I'y 1612
Lic. #
TT714j641-'1505
tanta Anta Hei hts t CA 921-tie.
LICENSED CONTRACTOR'S DECLARATION
At hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
"7000) of Division 3 of the Business annd Professions Code, and my license is in full force and
effect. 2. q -. q %1
SIGNATURE 'A DATE
OWNER-BJILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License law forthe 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) or
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 (8500).
❑ 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.)
❑ 1, 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 Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I here b yyyyyyi ffirm that I have a certificate of consent to self -insure, or a certificate of
Worker'sXmpensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy Company
❑ opy isfiled with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed i1 the permit is for one hundred dollars (8100) 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 or 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
ame
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.
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
BUILDING: TYPE CONST: VN OCC: GRP. R3
A.P. Number 604'232-036
Legal Description Lot. 165 Tract 23268--3
Project Description SFC
Acacia Homes
TOTAL
i.
REMARKS
19941
i
ZONE: BY: ;
Minimum Setback Distances: by
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line I
V
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated
Validation:
Sq. Ft. 1591
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
*98t445.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bat.
r." 536.78
Const.
635.00
Mech.
55.50
Electrical
• 131.49
Plumbing -
144.00
S.M.I.
9.84
Grading
20.00
Driveway Enc.
00
Infrastructure
2,215602
TOTAL
i.
REMARKS
19941
i
ZONE: BY: ;
Minimum Setback Distances: by
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line I
V
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. @__ $
UNITS
COLL. AREA
r r
2ND FL. S0. FT.
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SO. FT. ®
I
DRAINAGE PIPING
WALL S0. FT.
ROCK STORAGE
DRINKING FOUNTAIN.
SO FT ®
GAS (ROUGH) r
/
URINAL
ESTIMATED CONSTRUCTION VALUATION $
OTHER APPJEOUIP.
WATER PIPING
NOTE: Not to be used as property tax valuation
GAS (FINAL)
P
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
WATER SYSTEM
FINAL INSP.
LAUNDRYTRAY
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
SPARK ARRESTOR
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 J,,
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. t
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) r
/
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
P
TEMP. POLE
GROUT
-j vm
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
i
FINAL INSP./
GRADING
cu, yd.
$ plus x$
_$
LUMBER GR.
FRAMING L
ROOFING / / f
// r' j
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LA HING v(
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION 7
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL