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12514 (SFD)Iding P.O. BOX 1504 78-105 CALLE ESTADO 78-740 Hest Harland LA QUINTA, CALIFORNIA 92253 Acacia Construction - Mailin Address 6141 E. Kaiser Blvd. 0310 No. 12514 )ILDING: TYPE CONST. OCC. GRP. - P. Number 604-231-001 City Zip Tel.1 23 Anaheim, CA 92808 Contractor Acacia co"tructi©n Address (714)282-5$00 Legal Description L4 3abE Phase: I Project Description SFD Plan C Zip j Tel.' State Lic. B--1 293954 (City 1612 & C.lassif. Lic. # DesIII.1 eI mi., DC Design j n Designer i%',w w,r�; jC� Ad, 15, Irvine Ave. T(J14)641-1505 Santa Ana Hod cah.ts, CA.910M LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am'lirer nsed under provaions;of Chapter 9, (commencing with Section 7 of Division 3 of the Buaktass and Profession s'C my license Is in full force and dWNER•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 pemdt fo consfnrct, atter, improve, demolish, or repair any structure, prior to Its Issuance also requires the. epplicanf 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 for the alleged .exemption. Any violation of Section 7031.5 by .any applicant for a permit subjectsthe applicant to a civil penalty of not more then live hundred dollars ($500). ❑,l,.as owner of the, property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Prolisslons Coder ,The Contractor's License Law does not apply to an owner of property who bul(s: or Improves: thereon .and who does such work himself or through his own employees, provided that such improvements are not Intended or offered for sale. If, however, the building or improvement 'is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) O I, as.owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects wt i a. contractor(s):lioensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION, DECLARATION I hereby affirm that. I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec..3800, Labor Code.) Policy No:' Company ❑ Copy Is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit Is for one hundred dollars ($ 100) valuation or less.) I certify that in the performance of the 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, alter making this Certificate 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 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.) Lender's Name 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 v Sq. Ft. 1591 No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑. Estimated Valuation$ 648 00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. b b • 50 Mech. Electrical 131.49 Plumbing 144. UO S.M.I. 9 • Grading 20.()U Driveway Enc. .00 Infrastructure 2,129.5'� TOTAL • 623 3,373.60 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 Issued by: Date Validated by: Validati CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES' NO. PLUMBING FEES 1ST FL. SQ. FT. ® E 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 ROCKSTORAGE GAR. SQ, FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) DRAINAGE PIPING CAR P. SQ. FT. ® GAS (FINAL) TEMP. POLE WALL SQ. FT. DRINKING FOUNTAIN. SO.,FT ® URINAL ESTIMATED CONSTRUCTION VALUATION S FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. $ plus x$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER 11-7 ROOFING /oi.r GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED REMARKS: LAUNDRYTRAY AIR HANDLING UNIT CFM 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 c BATH TUB SQ. FT. ®:c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1+/s c SEWAGE DISPOSAL SQ.FT.GAR ® 3/4c HOUSE SEWER MESH GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE r5—L— 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 /' �JNNBERGROUND A.C. UNIT COLL.,AREA SLAB GRADE ROUGH PLUMB. BONDING Ora HEATING (ROUGH) STORAGE TANK FORMS pt,104P SEWER QR SE MP.IA�AROUGH WIRING DUCT WORK ROCKSTORAGE FOUND. REINF. I 3 / GAS (ROUGH) /1/?/METER LOOP rrr 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$ =E LUMBER GR. FINAL INSP. �� FRAMING FINAL INSP. 11-7 ROOFING /oi.r 7��/Q Ata r, REMARKS: VENTILATION FIRE ZONE ROOFING, FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING kly MESH INSULATIONISOUND //7 FINISH GRADING FINAL INSPECTIONki CERT. OCC. FENCE FINAL INSPECTORS SIONATURESIINRIAI:S GARDEN WALL FINAL