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15376 (SFD + 15824 (BLCK) + 15823 (BLCK) + BPOL2014-1071 (BPOL)54485 Avenida Alvarado INIIIE IN 23 V 4 QV{/ Building 54-485 Avenida Alvarado Address P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Owner Sunrose Corporation Mailing Address 72-850 Somers Road City Palm Desert Zip 92260 Tel. 346-2840 Contractor c I AIWA R C .1n elITP Address No.15376 V - BUILDING: TYPE CONST. i1 OCC. GRP. R A.P. Number 774-235-023 Legal Description XRA Project Description SPD City Zip Tel. State Lic. & Classif. 533670 City Lic.# 1137 Arch., Engr., Designer Sq. Ft. Size 1742 No. Stories No. Dw. Units New E Add ❑ Alter ❑ Repair ❑ Demolition 0 Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION - I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division& of„the Butiriess and Professions Code, and y license is in full force and /s' f *:— 9s SIGNATU9 ." --`"` DATE OWNER -BUILDER DECLARATION 1 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 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 o1 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 sdch improvements are not intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the owner -bolder will have the burden of proving that he did not build or improve for the purpose of sale.) ❑ I, as ownenof 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 Ucense Law.) O I 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 o .Company opy is filed with the city. 0 Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed B 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: 11, after 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. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 Estimated Valuation $102,753.00 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 297.57 Const. 650.00 Mech. 62.00 Electrical 131.27 Plumbing 138.00 S.M.I. 10.28 Grading 20.00 Driveway Enc. Infrastructure 2260.23 Precise Plan 25.00 Ares in Pubil c Places 20.00 TOTAL REMARKS 3864.35 3614.35 ZONE* BY. Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear P/rop. Line m C Side Street Setback fron%. Line Side Setback from Prop /l tN Line FINAL DATE INSP / 7//41,_ r Date Permit. Issued by: Validated by: Validation: '83,// CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINv FEES 1ST FL SQ. FT. SO. FT. SO. FT. SO. FT. SO. FT. SO. FT. SO. FT. VALUATION ® $ STORAGE TANK FORMS /9 9 UNITS ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF.G//9 qfie GAS (ROUGH) METER LOOP 2ND FL. OTHER APPJEQUIP. REINF. STEEL A/ 9C7% / [,a GAS (FINAL) TEMP. POLE /w//0 ,f/ GROUT / WATER HEATER YARD SPKLR SYSTEM FINAL INSP. POR ® GRADING cu yd MOBILEHOME SVC. LUMBER GR. FINAL INSP. f/05--- BAR SINK $ plus x$ FRAMING 1.57 GAR. ® ROOFING / 9 / 1 0/e ro .e I _ 0033/ 4 //%T POWER OUTLET VENTILATION , ROOF DRAINS FIREPLACE CAR P. SPARK ARRESTOR GAR. FIREWALL LATHING S/OS****-- A DRAINAGE PIPING /// INSULATION/SOUND /l/ /9'. // WALL ® FINAL INSPECTION 9/6 CERT. OCC. FENCE FINAL DRINKING FOUNTAIN INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL ® URINAL ESTIMATED CONSTRUCTION $ WATER PIPING NOTE: Not to be used as property tax valuation 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 LAUNDRY TRAY 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 @ 1+ c SEWAGE DISPOSAL SO.FT.GAR ® 3/.c HOUSE SEWER 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 :/6j GROUND PLUMBf UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE /5 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS /9 9 SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF.G//9 qfie GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL A/ 9C7% / [,a GAS (FINAL) TEMP. POLE /w//0 ,f/ GROUT / WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu yd _$ LUMBER GR. FINAL INSP. f/05--- $ plus x$ FRAMING 1.57 FINAL INSP. ROOFING / 9 / 1 0/e ro .e I _ 0033/ 4 //%T REMARKS: VENTILATION , FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING S/OS****-- A MESH /// INSULATION/SOUND /l/ /9'. // FINISH GRADING FINAL INSPECTION 9/6 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL 11111111011001 IE 24 COACHELLA VALLEY WATER DISTRICT NZ". .? trIS eat CASH RECEIPT DETAIL Received From(( 67.-/7-6/2...ell":-..-1-e...-- Kiel'il. elie,,,..S• - i_ . - - (... d r ... i Date. Address. -- S'S. --"C.) ,.....—).(.7,) 7Z./.- -.I -eek. .e.'2 -t. 2( itifr;.e. i v; (1 -r - ) v a c) I :... , Account No. eV(.16 /3 :-/4s- L 44///, t4, , e. Tract Z-5-. C., Az ,n.. i,/ ( Service Address £4'' k S— ,.. 7 (e-• . 4'4.446 1. Meter(s) . i "' -Z-/Z, '1 Y Service(s) / _ / / , O Backflow(s) '0 House Lateral(s) O Detector Check(s) O Meter Surcharge spSanitation Capacity Charge /4 O W.S.B.F.C. O Temporary Construction Meter O Turn on Charge O Uncollected Account - Name O Inspection Fee - Tract - Fee - O Plan Check Fees Water / Sewer - Tract - O Bond Payment - A.D. - Bond Assmt O Customer Deposit O Other Remarks: 0 Copy to: Check Money Order G.A. Code TOTAL $ S-6 • 00 E-S—d • 6 d s-. o $ /e? • Water Service /. •-•-• . Cashier CVWD-438 (11/89) CARLOS ELIAS Civil Engineer 38825 Charleaworth Dr. Cathedral City, CA 92234 (619) 328.7271 11111 1111 25 IE Sp2OC7112i91, CeLCUL.T/ONS t: 416 19c. 1,04V oN 114472 (AM -LL W iNOy 9► S(') /0.9(,( 17.4' + T145 eviwo Truss g S /Nsuc. 1/2 "60. P B t2 D. 5 10195 1,06/ 80 / 0, (Af Z,s 0,S" Z. Z ,S- Z,Z 1,0 l7,) ..f 14,3 41/. r.`. J Fo-L.. (mss -- ,(,5)(,38(18,5) +.8,s(z) / 322 CoNT2ot,� SEISM tC : LAAV- W= CZ(17,7)4* 4(14.3) +14.1+( 1341, 183 S1=tSM�C = 1112 C9,5),5+ 180(13.8,183 epo. u41.t. = /0 /14 'teoiI . 4'SH' , (N'L G6o0 w2 S'S -z.@ -).....21094:t *OKI ZZo$ > int P ovtoc 4' SMR, pewit. vv//t-P Azz 1/01,aums 014 4x rebsr 4-r /2gP W 11&s11 i2. sc! r r . toTrot CO3) ON oiN,/F60..t2t4. Root= Z(2( Ill) it 33(1) 11.CVAN. + 2tCZ.113,s.w►i�� SE4SPitc = 6.B?o(483) /2.59' S>fiR, P> 'c. lS.NGTN REo4 s 1259 - = Z, ZS Pg0l/10g- •3 CCAIG70 S)112 1 'c. c peoNr cu4U w/ HP6No 2 z, ons 4 u Pos rs /�/ JAMES O. WALLACE Agricultural Commissioner Director of Weights & Measures DATE 6- b / s M IIIIIIIIIIII�IIIVIIIIIII 2v IE OFFICE OF THE 'AGRICULTURAL COMMISSIONER P.O. BOX 1089 RIVERSIDE CA 92502-1089 PHONE (909) 275-3000 FAX (909) 275.3012 83-612 Avenue 45 Suite 7 Indio, CA 92201 (619)863-8291 CASE NO. V C- C C- CDG / s CALVIN C. KAMINSKAS Assistant Commissioner DAN RILEY Seater. Weights & Measures (909) 275-3030 FAX (909) 276-4728 DEVELOPER'S NAME: ,5G,,7 /a, e_ CcYcD/it11:7 7,) ADDRESS: 7;27 '5".", /71e/- J L2 ,D6?(17, r TELEPHONE: (/52D 3416 .z gd 1 -DA- 47 41 3} aG47' Dear Developer: L. ur C \t\ After reviewing your landscaping plans, all plant material listed is not in violation of quarantine laws governing the Coachella Valley. If substitutions - do occur and they differ from plant material listed, this office must be notified immediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. Agricultural ommissioner's Office cc: Indio and Riverside RECORDING REQUESTED BY: Investors Title Company - Escrow Division AND WHEN RECORDED MAIL TO: Sun Rose Properties 72-850 Somera Road I VIII IIIIIIIIIII III 27 Palm Desert, CA 92260 IE RECORDING RCQUEsTED EJY FIDCLfIY NATIONAL TITLE INSURANCE Co. ESCROW NO. 32-10357 RECEIVED FOR RECORD AT 8:00 O'CLOCK APR 141995 ftsoordaf In Official Nome, d ftivaetda Cov sy. Cdl orornk \6.) Feet $ Tills SPACE FOR RECORDER'S USE ONLY: INDIVIDUAL GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE( DOCUMENTARY TRANSFER TAX- $ 23.65 IXJ computed on full value of pro er-t-y�en-veytrd, or I 1 computed on full value less value of liens or encumbrances remaining at time of sale. I I Unincorporated area (X J City of La Quinta, AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Dale L. Butler arid Pearlirte Butler as Trustees, or any successor Trustees, under that certain Declaration of Trust created by Dale L. Butler and Pearline Butler as Trustors, dated July 9, 1990 hereby GRANT(s) to: SUN ROSE PROPERTIES, a California Corporation the real property in the city of La Quinta, County of Riverside, State of California, described as: Lot 11, in Block 264, of Santa Carmelite at Vale La Quinta, Unit No. 24, as shown by Map on file in Book 19 Page 44 and 45 of Maps in the office of the County Recorder of Riverside County, California. ALSO KNOWN AS: APN 774-235ij -- La Quinta, CA 92253 A.P.It 774-235-023 . tf)- v 2cD TITLE ORDER NO. 253282 DATED March 13, 1995 STATE OF CALIFORNIA COUNTY OF __Q/ �) On J R /. 2 before me, CaCCL a Notary Public in and for State, personally appeared ;Thie. L,13u1-fer thti lir, 13 lr personally- known.-to-rne (or proved to me ori the basis of satisfactory evidence) to be the person(s� whose narnejj Ware subscribed to the within instrument and acknowledged to nie that RV/they executed the same in leigjhg{/their authorized capacity(ips), and that by t /(yer/their signature) on the instrument the person(, or the entity upon .behalf of which the person(41 acted, executed the instrument. WITNESS niy hand and official seal. Signature / `- L% (L,)�.t. Mail tax statements to: Sun Rose Properties 72-850 Somera floa Declaration of Trust created by Dale L. Butler and Pe9rlineButler as,Trustor dated July 9, 1990 • • Dale L. Butler, TRUST =E Pearline Butler,TRUSTEE OFCIAL SEAL CN1OLYN LEE ARCH BALD NOTARY PUBLIC • CALIFORNIA fA COMMISSION* 1047599 C ORANGE COUNTY My CommIsslon Exp. Dec. 18, 1998 (This area for official notarial seal) Palm Desert CA 92260 r1lui\u1\ul 28 IE DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 Indio, CA 92201 619-775-3500 NOTICE: Document Cannot Be Duplicated Date [6/7/95 No. 13480 Owner Name Sunrose Corporation APN # Type of Development Comments Type of Permit No. 54485 Street Avenida Alvarado La Quinta City La Quinta Zip 92253 Tract # Lot # Permit # Study Area Log # 110 Square Footage No. of units Single Family Residence 1702 1 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.72 X 1(702 or $ 2,927.44 have been paid to D.S.U.S.D. for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By Sunrose Corporation Name on the check By Dolores A. Ballesteros Superintendent Fee collected /exempted by Pauline Pearson Signature P&Ii)lA { P,` /1.t Teleplio ie .)346=2840 - r Payment Received' c `" Check No. 6745 Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept. /Applicant Copy - Applicant/Receipt Copy - Accounting )11111$111 29 Building Address 54-485 Ave Alvarado 0 1/ e eFi P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Owner Sunrose Corporation Mailing Address 72-850 Somers Rd City Palm Desert Zip 92260 Tel. 346-2840 Contracts -same as above Address No.15824 BUILDING: TYPE CONST. OCC. GRP. A.P. Number 774-235-023 Legal DescriptionL%t 11, BIk 264 Project Description19 X 101 Lattice Patio City Zip Tel.: State Lic.ff & Classif. 33 0 City Lic. # 1137 Arch., Engr., Designer Sq. Ft. Size No. Stories No. Dw. Units New 0 'Add 0 Alter 0 Repair 0 Demolition 0 Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S. DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section . 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. . SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors 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 file a signed statement that he is licensed pursuant to the provisions of the Contractor's Ucense 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 subjects the applicant to a civil penalty of not more than five hundred dollars (S500). O 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 Ucense 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.) 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 Ucense 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 Ucense Law.) O I 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 0 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 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 APPUCANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of tire' Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. This is a building permit when' properly filled out, signed andvalidated, 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 Estimated Valuation 2,527.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 35.10 Const. 54.00 Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL 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: • • Date —Permit— Validated by: f I Validation: r By HOU CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING; FEES 1ST FL SQ. FT. SQ. FT. SO. FT. SO. FT. SQ. FT. SO. FT. SO. FT. VALUATION @ $ ROUGH PLUMB. BONDING UNITS STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING 2ND FL. ROCK STORAGE FOUND. REINF. ��� GAS (ROUGH) METER LOOP HEATING (FINAL) YARD SPKLR SYSTEM REINF. STEEL POR ® MOBILEHOME SVC. WATER HEATER SERVICE BAR SINK GAR. ® WATER SYSTEM GRADING cu yd POWER OUTLET LUMBER GR. ROOF DRAINS $ plus FRAMING y/ //1.-- CAR P. _ ® ROOFING // REMARKS: DRAINAGE PIPING WALL ® FIRE ZONE ROOFING FIREPLACE DRINKING FOUNTAIN @ SPARK ARRESTOR GAR. FIREWALL URINAL LATHING ESTIMATED CONSTRUCTION $ MESH INSULATION/SOUND WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN 5 r MECHANICAL FEES CERT. OCC. FENCE FINAL WATER SOFTENER VENT SYSTEM FAN EVAP.COOL H000 GARDEN WALL FINAL SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY 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 SQ. FT. ®c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1'/ c SEWAGE DISPOSAL SQ.FT.GAR ® 3/c HOUSE SEWER 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 /i/�� `/ 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 APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu yd x$ _$ LUMBER GR. FINAL INSP. $ plus FRAMING y/ //1.-- FINAL INSP. ROOFING // REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING`�9 FINAL INSPECTION 5 r CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Rafter )la• 1 'racist : foot ►tt.h via Cornflower lodger easier to__ 6111 � Sof ter fres t� --- 10,9*_ 14 • /.IAS • Sas feefi.l rot• f•lw fpc1ty foolial 1 &heathlike or Clue Lott lc. * • T LH &ogle imps S ai-al-s1A- aiti 4-16 6 Mile se belt Pert spacta$__ RUR. sior P�. �t• 1YJir:� 2000"'o.. t. et — r_J 3/1"14)- lag serves late •tris at 1&- •.c. CND i.WWI Lodger &.1.t Seeger .r 6.114 Il.cita& Mall Raster t. uetkirt& enroll let$tl► p..t. Provide 1' learanc ost To Concret 4 • 1' 6 .111..K belt Wed Raveere r sr esee.„ 1 t 1 1..-eer►..1t s. Plat. I rii7l SPAN Irk= eraditq Pula: P3 20-:0 . (rest t L..haa) 2s4 --- 16' o.c. 24' -' 11-2 9-6 - 10-1 1-1 7-11 i -S 0-3 H 6-4 5-2 X l 12' o.c. 17-10 17-S 33-0 13-7 10.0 16' • 16-) 1S-1 11-3 1.1-9 H - 24' • 13-3 124 1-2 9-7 7-1 •--- - 32? -11:: "10-10._ 9-11 7-0 7.O 5-. be 16• o.c. 31-5 19-10 14-10 13-4 114 24' ' 17-6 16-) 12-1 124 9-4 32' ' 14-5 13-0 10-0 10-2 7-6 a- .'ati.kas 4A2 pit (3/12 sin. pitch 1.:a 301 . ' ',(elt;:is+be kayl Class A b. fid, at>rflsltiar. a':><]ts 4f12 Null 13/12 ;etch oath 1St felt trek lay) . Class A c. 1. It tap rolled rmf slce d. Rant rto' 3/12 snx.:.zr+ put. ZYPIGL PLAN CHECYSUB iel I • is,1•0 me,...,,rre,Iccervm•••••.*" REVIEWED, KiilL.CP.' • CALLED CwNiTs PLA PLAW„4 ; .• REVIEWED, PI.; CALLED DATE ISSUE .f)ATE FINALED CITY OF LA:. ()UINTA BUILDING & SAFETY • • c;oNDiii(MAL;,,:v ACCEPTED VEM ,nt41"MiCTION SUBJECT TO V.c. • .AS PER DATE iALLAP6Z;Zil CODES BY ‘. A r 11111111IIIIIIIIIIIIII11130 IE Building Address 54-485 Ave Alvarado 4 4 4414 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Owner S unroae Corp. Mailing Address 72--850 Somers: Rd. . City • Palm Desert Zip 92260 Tel. 346-284.0 Contractor Same as above Address No. 15823 BUILDING: TYPE CONST. OCC. GRP. A.P. Number 774-235-023 Lot 11 Blk 264 Legal Description Project Description 3866 Block wall Propane enol City Zip Tel.: State Lic. & Classif. '53.36,7t) City Lic. # /A2.. Arch., Engr., • Designer Sq. Ft. Size • No. Stories No. Dw. Units New ❑ Add ❑ Alter 0 Repair 0 Demolition 0 Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE 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 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 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 improvements are not intended or offered for sale. ll, 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 knprove 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 projects with a contractor(s) licensed pursuant to the Contractor's License Law.) O I 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 0 Copy is filed with the city, 0 Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Thls section need not be completed it 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 anymanner so as to become subject to the Workers' Compensation Laws of California • Date Owner NOTICE TO APPLICANT: f, after 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. , WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Thin 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 1 have read this application and state that the above information is correct: 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives softhis city to enter • the above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip t Estimated Valuation $375.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. 330.00 Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL *30.00 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: - Validated by: Validation: INSPECTOR Date Permit ANN 11 11 LJ NUb i995 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL SO. FT. SO. FT. SO FT SO FT SO. FT. SQ. FT. SO. FT. VALUATION ® $ ROUGH PLUMB. BONDING UNITS STORAGE TANK • FORMS SEWER OR SEPTIC TANK ROUGH WIRING 2ND FL. ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) YARD SPKLR SYSTEM REINF. STEEL POR @ MOBILEHOME SVC. WATER' HEATER SERVICE BAR SINK GAR. @ WATER SYSTEM GRADING cu yd POWER OUTLET LUMBER GR. ROOF DRAINS $ plus FRAMING CARP. ® ROOFING/1 /� " -- Y/6-1/,5- REMARKS: DRAINAGE PIPING WALL ® FIRE ZONE ROOFING FIREPLACE DRINKING FOUNTAIN ® SPARK ARRESTOR GAR. FIREWALL URINAL LATHING ESTIMATED CONSTRUCTION $ MESH INSULATION/SOUND WATER PIPING NOTE: Not to be used as property tax valuation — FLOOR DRAIN MECHANICAL FEES CERT. OCC. FENCE FINAL WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD GARDEN WALL FINAL SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY 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 BATH TUB SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 11/4 c SEWAGE DISPOSAL SQ.FT.GAR 0 3Ac HOUSE SEWER GAS PIPING RERMIT 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 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 APP./EQUIP. ' REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER' HEATER SERVICE FINAL INSP. BOND BEAM A/�� ,. � WATER SYSTEM GRADING cu yd x$ =$ LUMBER GR. FINAL INSP. $ plus FRAMING FINAL INSP. ROOFING/1 /� " -- Y/6-1/,5- REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING — FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL IIIIIIIIIIIIIIIIIIIIIIIII 31 IE 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 `6,4 eleP 0(441 COMMUNITY DEVELOPMENT DEPARTMENT BWLDING PERMIT Application Number: BPOL2014-1071 Property Address: 54485 AVENIDA ALVARADO APN: 774235023 Application Description: POOL ONLY Property Zoning: Application Valuation: $15,000.00 Applicant: FAMILY POOLS CONSTRUCTION 53-300 AVENIDA RAMIREZ LA QUINTA, CA 92253 LICENSED CONTRA' R'S ' CLARATION I hereby affirm under penalty of perjury t - licensed under provisions of Chapter 9 {commencing with Section 7000} of Divis ••f the Business and Professions Code, and my Li ense is in full force and effect License . s: •3 License No.:: a\\►1 m Date: 1 .J 111 •a' actor: LI\ LVj\ OWNER -BUILDER LARATION I hereby affir under penalty of perjury that I am xempt from the Contractor's State License Law for the following reason (Sec. 7031.5, usiness and Professions Code: Any city or county that requires a permit to construct, a -r, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she 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, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the 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 or she did not build or improve for the purpose of sale.). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who -builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.), Lender's Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: BOB & DEE KARLEN 54485 AVENIDA ALVERADO LA QUINTA, CA 92253 Contractor: 'FAMILY POOLS CONSTRUCTION 53-300 AVENIDA RAMIREZ LA QUINTA, CA 92253 (760)564-3655 Llc. No.: 658996 Date: 9/30/2014 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the wo for which this permit is issued. My workers' compensation insurance carrier an olicy number are: Carrier: _ Policy Number: I certify that in the performanc- •f the . •rk for which this permit is issued, I shall not employ any person in any mann o become subject to the workers' compensation laws of California, and agr - t, if I should become subject to the workers' compens. ion provisions of Se 700 of the Labor Code, I shall forthwith )mpl it those ro '.ions: 4, ate: e : •'cantein, WARNIN : FAI RE TO SECURE WORKERS' Cs PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00• IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR I SECTION 3706 OF THE LABORCODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT:Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that 1 have read this application and state that t I agree to comply with all.city and county ordinances an construction, and he eby authorize representatives of mentio -d p •perty •r i ,spection purposes: re (Applicant o ormation is correct. e laws relating to building to enter upon the above- Permit Details City of La Quinta Description: POOL ONLY Type: POOL Subtype: Status: APPROVED Applied: 9/29/2014 SKH Approved: 9/30/2014 KHE Issued: Finaled: Expired: 3/28/2015 SKH Parcel No: 774235023 Site Address: 54485 AVENIDA ALVARADOLA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 264 Lot: 11 UNIT 24 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Valuation: $15,000.00 Occupancy Type: Construction Type: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: POOL. (DENISE POELTLER ENGINEERING) THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. I Applied to Approved ADDITIONAL SITES CI Rf1Nf11 nf;Y CONDITIONS NAME TYPE NAME ADDRESS1 CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT' FAMILY POOLS CONSTRUCTION 53-300 AVENIDA RAMIREZ LA QUINTA CA 92253 (760)360-9644 CONTRACTOR FAMILY POOLS CONSTRUCTION 53-300 AVENIDA RAMIREZ LA QUINTA CA 92253 (760)360-9644 OWNER JANE BVADY 54485 AVENIDA ALVERADO LA QUINTA CA 92253 (760)360-9644 FINANCIAL INFORMATION Printed: Tuesday, September 30, 2014 11:48:12 AM 1 of 2 CRSYSTEMS Permit Details City of La Quinta PERMIT NUMBER DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 SWIMMING POOL/SPA PC 101-0000-42600 0 $98.62 $0.00 Total Paid forPOOL / SPA: $279.91 $0.00 TOTALS: $280.91 $0.00 SEQID INSPECTION TYPE INSPECTOR INSPECTIONS SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL** PARENT PROJECTS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE REVIEWS STATUS REMARKS NOTES NON-STRUCTURAL KIRK KIRKLAND 9/29/2014 9/30/2014 9/30/2014 APPROVED READY TO ISSUE BOND INFORMATION ATTACHMENTS Printed: Tuesday, September 30, 2014 11:48:12 AM 2of2 eIPSYSTEMS ,,,e4: hv=F A w{ at"'c'c ..., $ ¢`\ DESCRIPTION =a ,,,,,...t.v,,,,,,r'.?.:-�P.ri.. 'd" <;V5 FINANCIAL INFORMATION fib �d✓'. �:a: '� :.•i9 s., .E: ..Y:.; :_ :'r .F ..r.Cr£.. t.f y f ay..,Y, l''._ 'r : F}' ACCOUNT�� 3 v, 5 `ice '' - f E a l - ,+ v = °. # • QTY W t AMOUNT �F un .54 Sk wF.4 ,,,, if. Y-v� .: 5:.: J _ e KxPAID <i,+ PAID'DATE: BSAS SB1473 FEE •101-0000-20306 • 0 , $1.00 , $0.00 xs»' u,. .. y$P h a .' -�C ,y . y' @- _ ., z }syr >yPAID: BYry s� '!S 4 E r r^ ,� - 5 :mss { l _ 4 Rx �MET,HOD, ia''' e '<..,... '. .. z.t_ :.:'... '.,s f A , •Kg, f Y � as h e k RECEIPT # _ . . CHECK # r CCTD BY .., .. Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 • • `DESCRIRTION e c,. ,J1..O..x.<„„ _ � '.-z`a ._3� ,.. t ACCOUNT.y 1QTYAMOUNT �'•1"d' ... _ {'._<. .a .1 ."..._a:YFh-., ..3:.'. ....auS _ ... ,Pi41D3�, YT_ :..5' iv.G K:'P'""` ":..�`� PAID;DATE> SWIMMING POOL/SPA 101-0000-42404 0 4181.29 $0.00 'r PAID BY�:.n. wr« x METHOD�r „.s4 w <r < s "x Er:`,' ,RECEIPT# r 'ter ,:.; : < <, H ECK P. f:>�,Y. e . r..,;.+_._ - 3.E d 'ra x= r �DESCRIRTI.ON'r '� r� ,��„�nd �r �. _ .. s..�. � rs�� i F "t ;. 3 R: ,aa; " - n x 1 ACCOUNTx, c �fi-`s ..x.:.,. �, , �r,. ,,-1.(4.:i4:,?' �,.: � E�^. a'�, .. 'ii �#.(1•; TY . Q w .. ��� s .a ;'., is '' V ,....• '� AMO'UINT� :, z'�_°,"_ ��7� ,�g,:nz�r� � '� a " .. c •�. �. PAID g 3 y PAID DATE; '_ SWIMMING POOL/SPA PC • 101-0000-42600 0 $98.62 $0.00 .., -� b.,J E d'� 'le BY` .s.,� y<.� ,� `t ET.. ::� �" a; iz "„ r� ? _ '' g N'�*2'�i'.r E.. METHOD..,RECEIPT# z° ? . «.:Kmo ' ,,,,b,'c� •?E :3irz� 4 yCHECK #E�CLTD BY • Total Paid for POOL/ SPA:- • $279.91 $0.00 TOTALS , $280:91':.:"' a $0.00 'i 3/4 hp pump 320 cfm filter 250,000 btu propane heater P/L Rear Yard P/L —5'-- +6" rear beam P/L Existing Covered Patio BOB AND DEE KARLEN 54485 AVENIDA ALVARADO LA QUINTA 760-360-9644 Electric Propane Driveway CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE % /4( svia Pool w/white plaster interior 1/8"=1' 9/25/14 FAMILY POOLS CONSTRUCTION LIC.#658996 (760)564-3655 Avenida Alvarado Bin # City of La Qulnta Building & Safety Division • P.O. Box 1504, 78-495 Calle Tampico La Quanta, CA 92253 - (760) 777-7012 b7 I Building Permit Application and Tracking Sheet Permit # ' L Project Address4l4 U5 !4 I )J. f1 Owner's Name: /3/ o) q j4,i A. P. Number. . Address:5L1� f +) 9)QIJ Legal Description: City, ST, Zip: l /�J U v ' ,• i .• b 6 >".l:f`tr':''.:� (- /f� Contractor: :� ) �1� Telephone: Address: P 0. I♦I c2f33 _ . Project Description: City, ST, Zip: / 'I f:1 i3i- 2-- 7 . Telephone: L/) 4-56;S State Lic. #: (., City Lic. #; Arch., Engr., Designer Address: City., ST, Zip: Telephone ep y<rr S x •� ti xt g.C"'Ei ? ` � �; �... -�, • � . Construction Type: Occupancy: State Lic. # 'T Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: J Sq. Ft: # S ries: # Units: % Telephone # of Contact Person: S Estimated Value of ProjeC /M) • , 2f) APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Pian Cheek submitted ✓� Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs Called Contact Person Plan Cheek Balance Titre 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading pian 2"' Review, ready for corrections/issue 11eetriea1 Subcontactor List Called Contact Person -Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading INHOUSE:- ''" Review, ready for correcti � � s/issae �`' f Y Develo p e Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees . . SEP 9 2014 QTY O umim _._ . _—. Total $c LAITY EVELOPMEN1