RPL (12403) + PLGB (12262) + BLCK (002838)52480 Avenida Madero
12403
12261
002838
1,
,•Lk r " .
Building -52-410 Hadero
Address
Owner Robeit Atkins
Mailing
Address Same
City Zip 4 rel.
La Qudni ra., ' . 2?53
Contractor ' 4
,",Cintyxe Pools a Spas
Address + '
Oar fxL;3ii a CA. Zip 92253 Te _ 42-3521
State Lic ; = City._
& Classlf. `--'0;-53`614611 61.461. Lic. # -.1995
Arch: Engr ;. j -4
Designer ""'`w .•
Address s Tel.
_ ! '',
City , -5 t, . Zip State '
ti 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 l
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 703 1.5, Business and Professions Code: Any city ori county which requires a
permit to construct, alter, improve, demolish, or repair any structure, I 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).
O I, as owner of _the property; or my employees with wages as their sole compensation, will
do the work, and the.stiucture is not intended or offered for sale. (Sec. 7044, auisness and
Professions. Codd:iTAB:'CO4tractor's License Law does not apply to an owner of property who
builds or improves, ttiereon ;and who does such work himself or through his own employees,
provided= thaf:.suctiimprovements are not intended or offered for sale. If, however, the building
or improvement Ise'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 projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
O 1 am exempt under Sec. B. & P.C. for this reason
4
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
BUILDING:, TYPE CONST;
A.P. Number
Legal Description
Project Description pool
V.
Sq. Ft. r No. No. Dw. = E -
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair❑ Demolition ❑.
'C
mated Valuation $10,000.00
PERMIT
Plan Chk.`Dep.,••
Plan Chk. Bal.
Const.
Mech. -
Electrical
Plumbing
S.M.I.
AMOUNT,",
4 •s 0
<j. :.a U ,..
d'/aSl'
Grading
Driveway Enc.
Date 4 •-Owner Infrastructure
WORKERS' COMPENSATION DECLARATION 7
1, 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. O Certified copy is hereby furnished.
` TOTAL
f•
CERTIFICATE OF EXEMPTION FROM REMARKS
:WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit Is for one hundred dollars ($100) valuation
or less.) r '
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. -
. )i
Date - Owner f
NOTICE TO APPLICANT: If, alter making this Certificate of Exemption you should become ` ' ZONE: BY: .iiii4W 0 Wil
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith -^•
comply with such provisions of this permit shall be deemed revoked. Minimum Setback Distances:
Front Setback from enter Line
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.) x
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
Rear Setback from Rp Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
A'..1-41
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
j
Validation: ~
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
ROUGH PLUMB. BONDING
2ND FL. S0. FT.
STORAGE TANK
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
REINF. STEEL
DRAINAGE PIPING
WALL SO. FT.
DRINKING FOUNTAIN.
SO FT ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
FINAL INSP. q -1—L
FINAL INSP. —
WATER PIPING
NOTE: Not to be used as property tax valuation
LUMBER GR.
FLOOR DRAIN
MECHANICAL FEES
ii to A )!—t7 _9 3 LA
1! t
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
VENTILATION
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIRE ZONE ROOFING
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIREPLACE
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 ® 11/a c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE JELECT.FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBINGD—Z7 DERGROUND -Z7`r?
(vi 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
FINAL INSP. q -1—L
FINAL INSP. —
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FRAMING
ROOFING
ii to A )!—t7 _9 3 LA
1! t
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION zl—
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
ceit
4,4
P.O. BOX 1504 ' N o . 12261.
Building78-105 CALLE ESTADO
AddresM, ii -470 vl3dero LA QUINTA, CALIFORNIA 92253
Owner virs., . iOber-t Atkind .
h•" r BUILDING: TYPE CONST.
Mailing OCC: GRP.
c; p
Address ' r ae •' `L
A.P: Number
CityZip Tel. 1
.LS N't]C tla, `-CAI 92253 Legal Description.
Contractor' `• " _ Project Description Sewer' Connect
Her dtic son Constunction, ,
Adftss3
, -• Ci I Rom
._ <:.r
City
C fil cl City
Zip -
92234
:
Tel128-1747.
3281'747
-
S
State Llc
& Classif t Z
City
Lie. # 194•x.,
,.
Sq. Ft. h No. `
Size - Stories
Arch: Engr 7
Designer 7 °
New ❑ „Add ❑ s` Alter ❑
Address q' '
Tel.
.'
City
j .
Zip
State
Lie. #
6.
Side Street Setback from Center Line
TOTAL
LICENSED CONTRACTOR'S DECLARATION '
'I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) t. of D iIvfissiofnni3 o ff.tCtth heBusme sand Proyfe Ions Code, and my license is in full force and
at
YF JtsA7" 'tic`^i/
"
,
Side Setback from --Property Line
_SIGNATURE - DATE
OWNER -BUILDER DECLARATION }
y' p 9 Estimated Valuation ra 6 - 00
I hereb affirm that I am-exem t from the Contractor's License Law for the following
e
reason: (Sec.,.7031:5,Business and Professions Code: Any city orjcounty which requires a -
permit to construct• after, '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 - • PERMIT' . ..
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 (S500).
❑ 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, euisness and
Code: The Contractor's License Law does not apply to an owner ofproperty who
builds or improves thereon and who does such work himself or through his own employees,
provided that suchimprovements 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.)
❑ 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.)
❑ I am exempt under Sec. B. ti P.C. for this reason
•' "
-
Plan Chk. Dep. "
Plan Chk. Bal.
Const..
Mech. _ '
Electrical
Plumbing
.S, M. 1. ,
Grading
Driveway Enc.•
Date `;., ..Owner
Infrastructure
^ 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 No. - Company
' ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
:.,.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(This section need not becompleted if the permit Is for one hundred dollars '(S100) valuation
or less.)
I certify that in the performance of th0 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. a
Date Owner '
CONSTRUCTION LENDING AGENCY
'
6.
Side Street Setback from Center Line
TOTAL
REMARKS
Side Setback from --Property Line
-
Lender's Name
No. Dw. S
Units = "
`Repair ❑ Demolition O'
. r
AMOUNT
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
ZONE:
subject to the Workers' Compensation provisions of the Labor Code, you- must forthwith,
comply with such provisions or this permit shall be deemed revoked.
--BY:—
Minimum Setback Distances:
_
`
Front Setback from Center Line
Rear Setback•''from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
6.
Side Street Setback from Center Line
j
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.)
Side Setback from --Property Line
Lender's Name
I _
Lender's Address
FINAL' DATE
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.
Q
I certify that I have read this application and state that the above information is correct.
Issued by:
Date
mit
t
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.
Validated by:
Signature of applicant Date
I
,
• Mailing Address
.Validation:
City, State, Zip
_
i;
By
t
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
`
l
1ST FL. SQ. FT. ® $
UNITS
ROUGH PLUMB.
BONDING
2ND FL. S0. FT.
STORAGE TANK
YARD SPKLR SYSTEM
EWER OR 66R" ;"'. :
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
FOUND. REINF.
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
OTHER APPJEOUIP.
CAR P. SQ. FT.
GAS (FINAL)
DRAINAGE PIPING
WALL SQ. FT.
GROUT
DRINKING FOUNTAIN.
SERVICE
SQ FT ®
URINAL
WATER SYSTEM
ESTIMATED CONSTRUCTION VALUATION $
GRADING
cu. yd.
$ plus x$
WATER PIPING
LUMBER GR.
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
FINAL INSP.
MECHANICAL FEES
ROOFING
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
VENTILATION
GARBAGE DISPOSAL
-
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
FIREPLACE
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
GAR. FIREWALL
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
MESH
BOILER B.T.U.
SO. FT. ®c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
FENCE FINAL
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
EWER OR 66R" ;"'. :
OUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
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.
FRAMING
FINAL INSP.
ROOFING
C -p
REMARKS:
VENTILATION
-
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION O�
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
P.O. BOX 1504 f
78-105 CALLE ESTADO
adddess i 5x-470 Am=LA QUINTA; CALIFORNIA 92253
Owner
Mailing' BUILDING: TYPE.CONST. OCC: GRP.
Address, A.P. Number
s City Zjp Tel.
.' r tS3c3 . • g2 5321i Legal Description
Contractor
.rlbl. . .
Project Description
Address _ ..
City ]ZI. p . Tel;:
State Lic. City
& Classif. . • Lic. # Sq. Ft. No. No. Dw.
..... - :.. . _
Size Stories Units -
Arch., Engr.,
:'.Designer New D: Add°❑ Alter❑,: Repair ❑ -Demolition ❑
Address Tel.
City Zip State 3d1 ..3, ..fli8fi2ti
Lic. #
LICENSEOCONTRACTOR;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' Estimated Valuation.
.
'I hereby affirm that I am exempt. from the Contractors License Law for the following. '.!°^9;'p' 1`A!1 ..
reason: (Sec.. 7031.5,Business and Professions Code: Any city or county, which requires a • Y'' vV
permit toconstruct, after, .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. ..:t PERMIT - - " - AMOUNT '
the provisions of the Contractor's License. Law, Chapter. 9 (commencing -with* Section 7000) of. es_ - I... . I'
'Division 3 of the Business and Professions "Code, of 'that: he is' ezemph;tlierefrom, and the basis - -- -
for the alleged exemption. Any violation of 'Section. 7031.5 by 'any applicant, for a- permit Plan Chk.: Dep. ,:.•'
subjects the applicant to a'civil penalty of not more than five'hundred dollars ($500).,
O I, as owner of the property, or my employees with wages as their.sole compensation, will; - . . Plan Chk. Bal. , 44.52 _,
do the work, and the structure is not intended or offered forsale.,(Sec. *7044, Buisness and'.0 V
Professions Code: The Contractor's License. Law, does 'not apply to an. owner of property who. ons .'." •
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.'completlonj the owner -builder will have the burden Electrical'
of proving that he did not build or improve for the purpose of sale.), , r , ,
p I, as owner of the property, am exclusively contracting with licensed contractors to con-, Plumbing
strucl the,project. (Sec. 7044,. Business and Professions Coder The'. Contractor's License Law _
' does not apply to an owner *of property who builds or -improves thereon; and who contracts for - S.M.I. - - -
such projectsmith-a contractor(s) licensed pursuant to -the Contractor's License Law.) - • - .53-
Grading
0-1 am exempt under Sec. - B. & P.C. for this reason
Driveway Enc.
,Date Owner. ` - , f Infrastructure
WORKERS' COMPENSATION DECLARATION
,l 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
O. Copy is filed with.the.city.. • D Certified copy is hereby furnished.,
TOTAL
CERTIFICATE OF EXEMPTION FROM • ' REMARKS
WORKERS' COMPENSATION INSURANCE .1
.(This section need not be completed if the permit is for one hundred dollars (S 100)' valuation - - - -'
or less.). .. .. ., ..
I certify that in the performance of tha work for which this permit is issued, l 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, ager making, this Certi/icate of Exempfiorr you should -become . ZONE:' - BY: "'
subject 'to" the Workers' CompensWfon provisions of the 'Labor Code;' you must forthwith Minimum Setback Distances'
comply with such provisions or this permit shall be deemed revoked. -
_ . Front Setback.from Center Line
Rear.Setback from. Rear.Prop.,Line
CONSTRUCTION LENDING AGENCY
" •' ' Side Street Setback.from. Center Line
1 -hereby affirm that there is a construction lending agency for. the performance of the
work for which this permit is i_ssued..(Sec. 3097, Civil Code.) Side Setback from Property Line
Lender's Name
Lender's Address ` ?
This is a building permit when properly filled out, signed and validated; and'is subject to FINAL DATE ` INSPECTOR ' / i4r
expiration if work thereunder is suspended for 180 days.
Lcertify that I have read this application and state that the above' information is correct. -• Issued by: Date "`7 Permit.
I'agree to comply with all city andicouhty ordinances and state laws 'relating to building a c
Tit _
construction, and hereby authorize representatives -of •:this city to- enter the above-.
mentioned property for inspection purposes. Validated, by:'
Signature of applicant f1 -Dale
Mailing Address Validation:
City, State, Zip
A 7 1 1 0 1 13 1135:5 Ck
HARD COPY >
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. I SO. FT. ®
POR. SQ. FT. ®
GAR. SQ. FT. ®
CARP. SQ. FT.
WALL SQ. FT. ®
SO, FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP.IEOUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
REMARKS:
VENTILATION
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 GOND. 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
V-16OUND. REINF. / / �7
�v
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
WOND BEAM Il
J
WATER SYSTEM
GRADING
cu. yd.
—Plus—X$—=$
LUMBER GR.
FINAL INSP.
FRAMING
AL INSP. %$
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
"""
/LFENCE FINAL fy ► �/ /
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
v t,
16
+i
t r a `,t
a z .
+ i - 1
I IA
No