The URL can be used to link to this page

12450 (SFD)��EFWA . P.O.. Building 78-720 '€fest Harland 78-105 CA Address LA QUINTA, C. Owner s� -met3.An AC�1C3.Ct t.'LaPb.a a. Address -.8.141 E. Kaiser Bled. 0310 City Zip Tel. timaha1m, Cay 92808 1(714)282-5800 Contractor Aca:is Construction Address City Zip Tel.' State Lid. g-1 293954 City 1612 & Classif. Lic. # Arch., Engr., DC Design Designer 4 Ad`4u351 1r�ri.ne %vee T 1/14) 641-1505 `I'anta Ana aei�'nrs, GA 9 is l LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am'licensed under provisions of Chapter 9 (commencing with:Section 7000) of Division 3 of the Business andiPr�° fessions Code;, and my license Is In full force and effect... -` 9 SIGNATURE - ,k. .yam DATE tOWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. - 7031.5;8usiness and Professions Code: Any city or county which requires a permit to construct, atter, improve, demolish, or repair any .stricture, 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 that -he Is exempt therefrom, and the basis W: the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to. a clw7 penalty of not more thanfivehundreddollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do.the work, and the structure isnot Intended or offered for sale. (Seca 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. N, however, the building or improvement is sold .within one year of completion, the owner -builder will have the burden of proving that 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.) ❑ Lam exempt under'Sec. B. &,P.C. for this reason Date Owner. 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's certified copy thereof. (Sec. 3800, Labor Code.) Policy N1 -f:� Company AD'Copy is filed with the city. 0 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 ($100) valuation or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not =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. CertNkate 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 end validated, and is subject to expiration if work'thereunder is suspended for 180 days. 1 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 BOX 1504 No. 12450 LLE'ESTADO ALIFORNIA 92253 BUILDING: TYPE CONST. OCC. GRP. A.P. Number 604-2.22--001 ' �« Legal Description Lot 33 Tract 23268 P lase I - Project Description SFD Plan 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- Validated yValidated by: Validation: { 1 I.V RV Sq. Ft. 120 Size No. Stories, No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $75014.00 314.00 PERMIT AMOUNT Plan Chk. Dep. • 00 Plan Chk. Bal. • Const. V Mech. 49. D Electrical / • Plumbing 144. LIU S.M.I. 10bu Grading U U Driveway Enc. •UU Infrastructure r 4 • 51 TOTAL 3r021.58 gd r 1. 0 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- Validated yValidated by: Validation: { 1 I.V RV CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. 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. I SQ. FT. ® GAS (FINAL) WALL SO. FT-® DRINKING FOUNTAIN. GROUT URINAL SQ FT ® FINAL INSP. ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING ,NOTE:. Not to be used as property tax valuation GRADING cu. yd.. $ plus x$ FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER n ��j / GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY 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 GAR. FIREWALL SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/. c SEWAGE DISPOSAL SQ.FT.GAR ® 9/ic HOUSE .SEWER INSULATION/SOUND 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 )L- GROUND PLUMBING DERGROUND A.C. UNIT COLL. AREA SLAB GRADE A$OUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER O K ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. (� + GAS(ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. 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. �f/ FRAMING x )I� FINAL INSP. ROOFING 1 n ��j / �j J 9 y � vvv REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE/ SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC.. —7 70 FENCE FINAL INSPECTOR'S SIGNATURESlINITIALS GARDEN WALL FINAL