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12466 (SFD)Building 44 P.O. BOX 1504 No. 1.2466 78-105 CALLE ESTADO 78-8255 West Harland LA QUINTA, CALIFORNIA 92253 PiCriClc'1 Construction - BUILDING: TYPE CONST. - OCC: GRP.Mailin• Address 8141 B. Kaiser Blvd. 0310 604-232-009 A.P. Number City Zip Tel. Anaheim, CA 1 92808 1(714)282-5800 Contractor Acacia Construction State Lic. & Classif. B-1 293954 Arch., Engr., UC Ii�S�t g,n Designer A` sal Irvine Ave.. ""y1612 Lic. fi 4) 641-1505 ga:lita Ana Hei fits, CA 92r@lf LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am Ilcensed;under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Buslness'and Professions Code, and my license is in full force and effect. f' f y: ..' SIGNATURE f' •-, ' A. — ' _s'- DATE OWNE -BUILDER DE6LARATION I hereby affirm=that I am exempt from the Contractor's License law for the following reason: (Sec. 7031.5,Busifiess and Professions Code: Any city or'oounty which requires a permit to construct, otter, 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) of Division .3, of the Business slid Professions Code, or thathe 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 dogars ($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, Bulaness and Professions <Gode: 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 that4uch Improveunents are not Intended or offered for sale. If, however, the building or7mprovernenf -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 property who builds or improves thereon, and who contracts for such pro%acts with a contractor(s) licensed pursuant to the Contractor's License Law.) 0 ,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, ora certified copy thereof. (Sec. 3800, Labor Code.) Policy NC Company ❑Copy is filed wtth,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 DateOwner ,NOTICE TO APPLICANT. ff, after making this Certificate of Exemption you should become subjectto the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions orthis permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work.forwhich 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 Description Lot 133 'bract 23268 Phase .1 t Description 5?D Flan B 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 I FINAL DATE Issued by' Date. Val idated by: Validation: P it 7�1i\_inv9 i inn -3 Sq. Ft. 1595 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation�6 v c�47 0�j PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 532.32 Const. 626.00 Mech. 55.50 Electrical 133.42 Plumbing 150.00 S.M.I. 9.70 Grading 20.00 Driveway Enc. .00 Infrastructure 2,172.30 TOTAL aF4491r24 REMARKS 3 k 699.24 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 I FINAL DATE Issued by' Date. Val idated by: Validation: P it 7�1i\_inv9 i inn -3 By` CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. _ SO. FT. ® $ UNITS A.C. UNIT COLL. AREA SLAB GRADE ; G YARD SPKLR SYSTEM 2ND FL. SQ. FT. ® HEATING.(ROUGH) MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® ROUGH WIRING. GAR. SO. FT. ® POWER OUTLET ROOF DRAINS FOUND..REINF. .?- 93 GAS (ROUGH),)//)OPV ��VVV' DRAINAGE PIPING CAR P. SQ. FT. HEATING (FINAL) WALL SQ. FT. REINF. STEEL DRINKING FOUNTAIN. SQ FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation SERVICE FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER S, GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LUMBER GR. LAUNDRY TRAY AIR HANDLING UNIT CFM FINAL INSP. 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 SQ. FT. ® c WATER HEATER MAX., HEATER OUTPUT, B.T.U. SQ.,FT. RESID ® 1% c SEWAGE DISPOSAL SQ.FT.GAR ®'3/ic HOUSE SEWER GAR. FIREWALL 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 q3 PLUMBING ( OUND A.C. UNIT COLL. AREA SLAB GRADE ; G // -GROUND /4BOUGH PL U B BONDING HEATING.(ROUGH) STORAGE TANK FORMS SEWER ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND..REINF. .?- 93 GAS (ROUGH),)//)OPV ��VVV' METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM S, GRADING cu. yd. plus xS =S LUMBER GR. FINAL INSP. 9 FRAMING ! FINAL INSP. ROOFING l �� 9 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND / a� FINISH GRADING FINAL INSPECTION 3 S CERT. OCC. FENCE FINAL INSPECTOR'S SIONATURESIINITIALS , GARDEN WALL FINAL of (t n � 1`h t t b 'afet� DO ftlts ion s - i er"te issued pursuant to the requirements of Section 306 of the Uniform Building,, Code Certifying that at the time of 'issuance this structure was In compliance with the various r. ordinances of the. City regulating building construction or use.. For the following; BUILDING ADDRESS 78-825 West Harland :.use 646wf" Single Family DwellingBldg. Permit ft 12466 K -R Type Construction VN FIre Zone SR ."OwAsr-of Oilldihq Acacia Construction' 8141 E. Kaiser Blvd. #310 Address",X, City, �lunaheim, CA 92808 Mark Harold Byl March 25, 1994 'Bvlldlnq Officlol PM in A ownitcuous PLAtt