0307-82 (PLBG) + 09046 (BLCK) + 3336 (BLCK)54631 Avenida Alvarado
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LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect.
License #/ (L+iqc. Class[EExp. Date
j )hC
202,14 1 C42 Fiat.: r 2/28,tt?5
•
/J ?: sc-0 (."4"--11/7"•••"7-
spate r Signature of Contractor - `
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the. project (Sec. 7044, Business & Professionals
Code). 1
() I am exempt under Section , B&P.C. for this reason
Date Signature of Owner
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.
1:./5 I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier *TATE AND Policy No. 00A01130-2003
(This section need not be completed if the permit valuation is for $100.00 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, and agree that if I should become
subject to the workers' compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those• provisions.
spate. !- -r,,.-'' :t Applicant _...; _. ,,Mt's•, 4./1•`
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
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 applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
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 I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
;
,Signature (Owner/Agent) -'- r .•i,. -•-•ft' / .l! Date } (/ "423
•
BUILDING_PERMIT .
DATE 7t 3 fJ VALUATION ti,500.00 LOT
PERMIT#
O3O -OW
TRACT
JOB SITE
ADDRESS 541-637:: AV's; IDA. ALVAR DO
APN
OWNER
JE,147VEY
54.153) AV?a I-DAAR J)O
LA QUINTA t:.z!!. 9225
USE OF PERMIT
P tTM:JT'G
CONTRACTOR/DESIGNER/ENGINEER
.A- t Ci &;WOOL 2 +'RW: , INC
0, -BOX 10
L'ESERT Taar SPRINCO,Z A 92240
(1160:M-6875 C'-.aL4 00 V
r.111;L:l.0r11•411SIA,. ► ,xwr, ►,>au .►,
VALUA:1 >1 )iii
Z: • A, to L
E:a;f; A ATEf) COST OF CSO u 1 4 TIC tt
PERMIT na KIIMMAR1
r $,UM:Br O lfEI .. rinit?:ft. 10)..('04 419.00 i
ff1
Ir',a
Al 0 8 2003
CITY01.L
ptNANCE DEPT
$30.0
MI -TOTAL CON 'iTLt7C'.i'EO AND 1*,AN CHEM
PREPAID
TOTAL, PERS 1T 'AS ME NOW
I
i$30.0t)
01).00
11110110111III100111133
IE
RECEIPT
DATE
1
BY
DATE FINALED
7
INSPECTOR
N
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Retum Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
.
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sever Lateral
't/
Pool Cover
Sewer Connection
/
Encapsulation
Gas Piping
_
Cas Test
;
Appliances
Final
COMMENTS:
/ "'"./% % /
• -
.
.
Final
A
Utility Notice (Gas)
2
ELECTRICAL APPROVALS
Temp. Power Pole
•
Underground Conduit
Rough Wiring
Low Voltage Wiring
.'
Fixtures
_
Main Service
.
Sub Panels
.
Exterior Receptacles
G.F.I.
..
Smoke Detectors
•
•
Temp. Use of Power
Final
Utility Notice (Perm)
<'
01
2:39bd
H-
0
Z�d 1U101
COACHELLA VALLEY WATER DISTRICT
CASH RECEIPT DETAIL
•
Received From: /-1-* ,.7;-•crt-&-•
Address:
Account No , '4144 Q. 0
Service Address 14?3,/ Ave.'
y
5-47/- (i 31 • ke,vdr,z
:CI Wd6S:CO NOW 2002 -L -111f
f. .
IV? 90105
'74 kt /es rae
Date -
A /fr rel de: / I .4)
tnt( 5(z,
O Meter(s)
O Service(s)
o Backflow(s)
o House Laterahs)
O DeteckwChecMs)
O Meter Surcharge
Etigani tat1011 Casacity Charge.
O W.S.B.F.C.
0 Temporary Construction Meter
o Tum an Charge
O Unconected Account - Name
O Inspection Fee - Tract -
Fee -
O Plan Check Fees Water/ Sewer
Tract -
O Bond Payment - A 6 -____Bond
Assmt
O Customer Deposit
O Other
Remarks:
Tract
G.A. Code
•
•
' •
ToTAL $ at's'
ICash
Check
Money
E0/Z0'd
NOI1D3NNOO 101S0d • '
WaterServIce 4e#111
LE :91 EVin?-1.G1-1n
SRN
A-1 Cesspool Service, Inc. ,.
P.O. Box 580188, North Palm Springs, CA. 92258 JOB INVOICE 46
`Since 1959'
(760) 329-6875 Fax (760) 251-3405
State Lic.#2652.14
www.al cesspool.com Order Taken By
Customer Order No.
Date Ordered
7%IP WMU27
BILL TO
'PHONE
ADDRESS /\\ I AL \ t n. \DO
TECHNICIAN
Li' c
CITY 1 N o Ul )-)TA
HELPER
JOB ADDRESS
SERVICE
REQUESTED
.O:PUMP SEPTIC TANK HAS SEPTIC TANK BEEN DUG UP4_E1 Yes 0 No
❑ PUMP SEEPAGE PIT AT ITS RISER
❑ PMT. ON SITE
❑ OFFICE BILLING
QUANT.
DESCRIPTION OF
P
AMOUNT
a
Pumping Fee per 1000 Gallons (or fraction)
Waste Discharge Fee per 1000 Gallons
Locating and Opening Fee (lhr. Min.)
Out of Area Fee
❑
❑
- .
❑
❑
❑
A
DRIVERS
hereby
SIGNATURE
THE LEACHING SYSTEM HAS FAILED.
THERE IS AN OBSTRUCTION "UPSTREAM" OF THE SEPTIC TANK
1t will be necessary to contact a line cleaning company.
WE RECOMMEND MAINTENANCE PUMPING OF T:IE SEPTIC TANK EVERY
0 YEAR ❑ OTHER YEAR 0 2-3 YEARS
To remove built up solids. This will ince the life of your leaching system.
THIS PUMPING WILL PROVIDE ONLY TEMPORARY RELIEF AND NOT
SOLVE CUSTOMERS SEPTIC PROBLEM BECAUSE OF THE ABOVE.
CUSTOMER HAS BEEN GIVEN AN "EXPLANTATION" PACKET.
A SERVICE CHARGE OF 522 WILL BE DUE
ON ALL RETRUNED CHECKS.
FINANCE CHARGE OF 1 1/2% PER MONTH, 18% PER YEAR, WILL BE
CHARGED ON PAST DUE ACCOUNTS OVER 30 DAYS.
IF PAYMENT IS BY CHECK
LIC. # STATE
..jr ,
acknowledge the satisfactory completion of the above described work:
.` ( ""
Total
Due
7q.
r
IIIIIIIIIIIIIIIII 34
i IE
Building
Address
54--631 Alvarado
Owner
71T-4- :taffy -gees Ritt4 t-%
4.• 4 a this
P.O. BOX 1504 No. 09046
78-105 CALLE ESTADO vv
LA QUINTA, CALIFORNIA 92253 01&1\
Mailing
Address
54-631 Alvarado
City
La Quints
Zip
92253
Tel.
564-3254.
Contractor
tomer/Builder
Address
BUILDING: TYPE CONST. • OCC: GRP.• -
A.P. Number
Legal Description -
Project Description
6' masonry wall with red concrete cap
City
Zip
Tel:
7
alone' East and West property lines and
the small connection from the East to the
State Lic.
& Classif.
City
Lic. #
Arch., Engr.,
Designer
patio
Sq. Ft.
Size . 175 if
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑ 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). yas owner of the property, or my employees with wages as their sole compensation, will
he work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
rofessions 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.)
0 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.)
0 I am exempt under Sec B & P.C. for this reason
.; .f ./
Date Owner11i ✓
1
1 11/11/1/ ,3
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificatejof 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 it the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: Il, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. •
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the: performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.) ,
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
1 agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives .of this city to enter the above-
mentioned property for Inspection purposes.
Signature of applicant
Mailing Address
City, State Zip
Date
Estimated Valuation
PERMIT
4375_ni
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
72.00
Mech.
Electrical
Plumbing
S.M.I.
.35
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
72.35
In SC0 4A 041S 4!L.44_OA 40
iO C#$S#'1 i MAL L i 2.45
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:
Validation:
CONSTRUCTION ESTIMATE
" NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
1ST FL.
SO. ET.
SQ. FT.
SQ FT
SQ. FT.
SQ. FT.
SQ. FT.
SQ FT
VALUATION
@
$
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
GAS (FINAL)
POR.
®
MOBILEHOME SVC.
WATER HEATER
SERVICE
BAR SINK
GAR.
®
GRADING
cu yd
POWER OUTLET
LUMBER GR.
FINAL INSP.
ROOF DRAINS
$ plus
FRAMING
CAR P. _ _
ROOFING
, / /
/ G7 Tie / / AQ
(Att i 4 0 li i ' 3 i
nAl *1//1 /277/979
(illi/
lete
/i,(/
REMARKS:
DRAINAGE PIPING
VENTILATION
WALL
FIRE ZONE ROOFING .
FIREPLACE
DRINKING FOUNTAIN.
SPARK ARRESTOR
®
GAR. FIREWALL
LATHING
URINAL
MESH
ESTIMATED CONSTRUCTION
INSULATION/SOUND
$
FINISH GRADING
WATER PIPING
NOTE: Not to be used as property tax valuation
FENCE FINAL
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, TEM/PERM
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 ® 11/4 C
SEWAGE DISPOSAL
SO.FT.GAR ® pec
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
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
WATER SYSTEM
GRADING
cu yd
x$ _$
LUMBER GR.
FINAL INSP.
$ plus
FRAMING
FINAL INSP.
ROOFING
, / /
/ G7 Tie / / AQ
(Att i 4 0 li i ' 3 i
nAl *1//1 /277/979
(illi/
lete
/i,(/
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
MEMORANDUM
TO: TOM HARTUNG, BUILDING & SAFETY DIRECTOR
FROM: JERRY HERMAN, PLANNING &'DEVELOPMENTDIRECTOR
DATE: DECEMBER 13, 1990
SUBJECT: WALL AT 54-631 AVENIDA ALVARADO FOR ALBERT JEFFREY SMITH
Please be advised that I have determined that the above mentioned property owner
is allowed to replace a damaged six feet of fence along the street side (easterly
boundary) northern side and a small portion connecting the street side to a patio
structure with a six foot grey block masonry fence with a red concrete brick cap.
The fence may be installed on the property line.
Should you have any questions, please contact this office.
MEMOJH.041
DEC 1 4 ;,..
'
CITY OF LA QUINTA
1
Building
Address
1111111111111111 35
54-631 ALVARADO
4 fief/444d
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Owner
JI FF SMITH
Mailing
Address
sve
City
LA QUINTA ...
Zip
92253
Tel.
Contractor
OWN R/BUILT')RR
Address .
No. 003336
BUILDING: TYPE CONST. OCC.•GRP.
A.P. Number 774-272-018
Legal Description
Project Description 220. OP 6' IIIGii 'WOOD SCE
City
Zip
Tel.
State Lic.
& Classif.
City
Lic. #
• 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 l am licensed under provisions of Chapter 9 (commencing with Section'1'•
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, after, improve, demolish, or repair anystructure, 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
subjecfs'fhe applicant to a civil penalty of not more than livehundred 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. Il, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
of proving thaf,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 projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
O I am exempt under Sec. • B & P.C. for tfiis reason
Date - ;r Owner 1'4F.
r -
WORKERS' COMPENSATION DECLARATION
X
hereby affirm that l 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 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 (5100) valuation'
orless:) - -
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: Il, after making this Certificate of Exemption you should become
subject to fhb Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
1 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 and 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
HARD COPY
Estimated Valuation
1,670
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
31.50
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
31_51
REMARKS
/1(:`a el -. c % .r. .Yr _ +S 07,
ZONE
I* t.tiuti x i`fl L 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
)t
FINAL DATE INSPECTOR
Issued by: Date A/25/87 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
1ST FL
SQ. FT.
SO. FT.
SQ FT
so. FT.
SQ. FT.
SO. FT.
SO. FT.
VALUATION
@
$
ROUGH PLUMB.
UNITS
HEATING (ROUGH)
STORAGE TANK
FORMS
2ND FL.
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
YARD SPKLR SYSTEM
HEATING (FINAL)
POR
®
REINF. STEEL
GAS (FINAL)
MOBILEHOME SVC.
BAR SINK
GROUT
GAR.
@
FINAL INSP.
POWER OUTLET
BOND BEAM
WATER SYSTEM
ROOF DRAINS
GRADING
cu yd
CAR P.
LUMBER GR.
FINAL INSP.
$
plus
FRAMING
„
DRAINAGE PIPING
WALL
®
REMARKS:
VENTILATION
DRINKING FOUNTAIN
@
FIREPLACE
URINAL
SPARK ARRESTOR
ESTIMATED CONSTRUCTION
$
GAR. FIREWALL
LATHING
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
FINISH GRADING
WATER SOFTENER
,/
/(FINAL INSPECTION
FFF
01. b As 2
VENT SYSTEM FAN EVAP.COOL HOOD
CERT. OCC.
SIGN
FENCE FINAL
WASHER(AUTO)(DISH)
INSPECTOR'S SIGNATURESIINITIALS,
APPLIANCE DRYER
GARDEN WALL FINAL
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.
SQ. FT. RESID @ 13 c
SEWAGE DISPOSAL
SO.FT.GAR @ 3c
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
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
WATER SYSTEM
GRADING
cu yd
x$ =$
LUMBER GR.
FINAL INSP.
$
plus
FRAMING
„
FINAL INSP.
ROOFING•
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
,/
/(FINAL INSPECTION
FFF
01. b As 2
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS,
GARDEN WALL FINAL