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BSPN2015-0017
78015 Main St Ste 108 BSPN2015-0017 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Twit D 4 Qabtro VOICE (760) 777-7125 FAX (760) 777-7011 AMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 4/9/2015 Application Number: BSPN2015-0017 Owner: Property Address: 78015 MAIN ST 108 BUILDING A L Q APN: 770121007 6 ASHDOWN PL Application Description: PEDRO AGUIRRE SPECIAL INSPECTION HALF MOON BAY, CA 92253 Property Zoning: Application Valuation: Applicant: Contractor: PEDRO AGUIRRE [PI If 81148 PECOS PLACE INDIO CA, CA 92201 APR 9 2015 LICENSED CONTRACTOR'S 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 Professions Code, and my License is in full force and effect. License Class: License No.: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, 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 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 ) 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 I am exempt under Sec. . B.&P.C. for this reason Date: I5 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: Llc. No.: 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 work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: _ Policy Number: _ 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. Date: 7 Applicant: Vd"iD 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. 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 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 upon the above• mentioned property for inspection purposes. c Date: 1 S Signature (Applicant or Agent): COUNTY OF RIVERSIDE DEPARTMENT -OF ENVIRONMENTAL HEALTH Naior / Minor Violations: Major Violations are those that pose an imminent risk to public health and warrant imm ediate closure of the food facility or mediate correction. Minor Jiolations are those violations that do not pose an imminent public health risk, but do warrant correction, / 3RADES REPRESENT THE FOLLOWING RANGES: A = 100-90 Passed inspection / meets minimum health standards;..,B = 89-8,• 0 of pass_inspegg -Ydoes not meet minimum health ;landards; C = 79-0 Failed inspection / conditions exist which may pose a potential or actual threat to public health and safety. This facility' ¢ee quir d—fi t ?.p spray a grade card in a conspicuous place ;elected by the Enforcement Officer. The qrade card shall not be concealed and can only be removed by the Enforcement Officer. Per County Ordinancet492 /,County Code Section 8.40.020 FFICES IN: RIVERSIDE; BLYTHE, CORONA, HEME•T, INDIO, MURR ETA AND PALM Srrx For more information call (888) 722-4234 or visit the°Department Web Site — www.rivcoeh.org OBSERVATIONS AND CORRECTIVE ACTIONS Rea UA P 'T„0 jf 1 i rJ rt LJ C, 1 1 a SIA \tAA r 0.A > ZD ° Al I 0 0 La o 6A A 56SI VO?,- rar✓Ar RECEIVED BY DATE / -7 f/ EHS INITIALS GS 2 of ? FFICES IN: RIVERSIDE; BLYTHE, CORONA, HEME•T, INDIO, MURR ETA AND PALM Srrx For more information call (888) 722-4234 or visit the°Department Web Site — www.rivcoeh.org MANDATORY COOKING TEMPERATURES California Health and Safety Code requires these mandatory cooking temperatures to apply to the following foods of animal origin UNLESS the consumers specifically requests it cooked otherwise Type of Food Minimum Cooking Temperatures Blythe, CA 92225 • Raw shell eggs (that are broken for service) Phone 76D-921-5090 Fax 951-358-5017 • Whole pieces of fish • Whole pieces of meat including: Beef, veal, Iamb, pork and game animals 145°F for 15 seconds Temperatures should be taken • Ratite and injected meats • Comminuted meats or foods containing comminuted meats • Raw eggs unbroken and foods containing raw eggs 155°F for 15 seconds at the thickest part of the fwd to ensure the appropriate • Poultry temperature has • Comminuted Poultry Fax 760-320-1470 been reached • Stuffed fish, stuffed meat, stuffed poultry, stuffed ratites, stuffed pasta 165°F f15 d or seconds throughout the food. • Stuffing containing fish, meat, poultry, ratites • Reheating or Microwavin Oven temperature based on roast weight Oven should be Oven Type Less than 10 lbs 10 lbs or more preheated to the following Still Dry 350°F or more 250°F or more temperatures dependanton size of the roast Convection325°F or more 250°F or more High Humidity 250°F or less 250°F or more and then cooked in accordance to Time and teml erature ranges the list below. Temperature Time in Minutes Temperature Time in Seconds • Whole beef roasts, corned beef roasts, pork roasts and cured pork roasts Roasts should 130 112 147 134 be cooked to the following time I temperatures. 131 89 149 85 133 56 151 54 135 36 153 34 136 28 155 22 The 138 18 157 14 temperature should be taken 140 12 158 0 at the thickest portion of the mast. 142 8 144 5 145 4 MANUAL SANITIZING OF EQUIPMENT AND UTENSILS Using a three compartment sink 1. Clean, scrape or soak items as necessary before washing. 2. Wash items in detergent and hot water of at least 100°F in the first sink. 3. Rinse items in clear water in the second sink. 4. Submerge each item in a sanitizing solution in the third sink. Use one of the following sanitizing methods: • 100ppm of a chlorine based sanitizer for a minimum of 30 seconds in the solution • 200ppm of a quaternary ammonium based sanitizer for a minimum of 60 seconds in the solution • 25ppm of an iodine based sanitizer for a minimum of 60 seconds in the solution • Water at a temperature of 171'F for a minimum of 30 seconds in solution 5. Set items out to air dry. Sort / Scrape Air Dry Wash Rinse Sanitize PROPER COOLING OF FOOD IN YOUR FACICI`fY hazardous foods (like meats, beans a should. always be waled properly TIME IS THE KEY FACTOR IN GOOD COOLING • Foods must cool from 135°F to 70°F in 2 hours or less • Foods must cool from 70°F to 41°F in 4 hours or less Use one of the following methods to cool food properly • Break large foods down into smaller portions and place in shallow pans no more than 4 inches deep. Metal pans cool better than glass and plastic pans. • Add ice as an ingredient to replace water used in the recipe. • Place foods within an ice bath and rapidly and frequently stir the foods to speed the cooling process. • Loosely cover foods so that heat and steam can escape during cooling. • Arrange containers within a refrigeration unit so that air can flow properly around containers. • Use special equipment like chill paddles or blast chillers to rapidly bring down food temperature. Make sure you have an accurate thermometer to verify that food is being cooled within proper timeframes. I PROPER THAWING OF FROZEN FOODS IN YOUR FACILITY Only thaw foods using one of the following methods: • Under refrigeration to maintain food at 41 °F or below. • Submerged in potable running water that is cool (70°F or less) for no more than 2 hours. • In a microwave oven if the food is going to be immediately prepared. • As part of the cooking process. REASONS FOR IMMEDIATE CLOSURE OF A FOOD FACILITY Per California Health and Safety Code Section 114409 (a): "If any imminent health hazard is found, unless the hazard is immediately corrected, an enforcement officer may temporarily suspend the permit and order the food facility immediately closed" A food facility may be closed for any of the following reasons: • Overflowing sewage (inside or outside the facility) • No potable water • No hot water • No electricity • Rodent or insect infestation • Any other conditions at the facility that may create an imminent public health risk In addition to the reasons above, Per California Heath and Safety Code Section 114411: "The enforcement agency may, after providing opportunity for a hearing, modify, suspend, or revoke a permit for serious or repeated violations of any requirement of this part or for interference in the performance of the duty of the enforcement officer." FOR QUESTIONS OR COMMENTS CONTACT YOUR LOCAL AREA OFFICE RIVERSIDE OFFICE & MAIN ADMINISTRATION BLYTHE 4065 County Circle Dr Room 104 260 N Broadway Riverside, CA 92503 Blythe, CA 92225 Phone 951-358-5172 Phone 76D-921-5090 Fax 951-358-5017 Fax 760-921-5085 INDIO MURRIETA 47-950 Arabia St Ste A 38740 Sky Canyon Dr Indio, CA 92201 Murrieta, CA 92563 Phone 760-863-8287 Phone 951-461-0284 Fax 760-863-8303 Fax 951461.0245 CORONA HEMET 2275 S Main St Ste 204 800 S Sanderson Ave #200 Corona, CA 92882 Hemet, CA 92545 Phone 951.273-9140 Phone 951-766-2824 Fax 951-520-8319 Fax 951-766-7874 PALM SPRINGS 554 S Paseo Dorotea Palm Springs, CA 92264 Phone 760-320-1048 Fax 760-320-1470 ` - COUNTY OF RIVERSIDE co, TY 'RIVER3;DE ,,.,..;,, OFFICIAL RECEIPT Department %tA / v` Date q 20 /," Received from 1 A - .' DescriptionZ/,, $ — 'M o DO "'EC K PAYOR COPY 11 A 368.9402 DOLLARS 00 30000 Y71,d'l9 /6Z,00 zoo I-lyooQ 7Y oD 63 • Da Al69 %4 G Division " 1ir r By -&—,&A,1 AIR COMMERCIAL REAL ESTATE ASSOCIATION STANDARD INDUSTRIAL/COMMERCIAL MULTI -TENANT LEASE - GROSS 1. Basic Provisions ("Basic Provisions"). 1.1 Parties: This Lease. ("Lease"), dated for reference purposes only August 27, 2014 is made by and between Building A L.Q. LLC (".Lessor") and Pedro C. "Aguirre (dba Morelia's ("Lessee"), (collectively the "Parties", or individually a "Party"). 1.2(a) Premises: That certain portion of the Project (as defined below), including all improvements therein or to be provided by Lessor under the terms of this Lease, commonly known by the street address of 78-015 Main St . , Suite 108 located in the City of La Quinta County.of Riverside State of California with zip code 92253 as outlined on Exhibit attached hereto ("Premises") and generally described as (describe briefly the nature of the Premises): 747 square feet of food service space on first floor In addition to Lessee's rights to use and occupy the Premises as hereinafter specified, Lessee shall have non-exclusive rights to any'utility raceways of the building containing the Premises ("Building")and to the Common Areas (as defined in Paragraph 2.7 below), but shall not have any rights to the roof, or exterior walls of the Building or to any other buildings in the Project. The Premises, the Building, the Common Areas, the land upon which they are located, along with all other buildings and improvements thereon, are herein collectively referred to as the "Project." (See also Paragraph 2) 1.2(b) Parking: unreserved vehicle parking spaces . (See also Paragraph 2.6) 1.3 Term: One years and 0 months ("Original Term") commencing October .1, 2014 ("Commencement Date") and ending September 30, 2015 ("Expiration Date"). (See also Paragraph 3) 1.4 Early Possession: If the Premises are available Lessee may have non-exclusive possession of the Premises commencing September 1, 2014 ("Early Possession Date"). (See also Paragraphs 3.2 and 3.3) 1.5 Base Rent: $ 1, 120. 50 per month ("Base Rent"), payable on the first day of each month commencing November 1, 2014 (October rent paid upon lease execution) (See also Paragraph 4) 21 If this box is checked, there are provisions in this Lease for the Base Rent to be adjusted. See Paragraph 1.6 Lessee's Share of Common Area Operating Expenses: -522 . 90 peFG"t °' ""' ^^"^ Share!4- In the event that the r_ize.ef the PFemi6es and -/GF thO PFejeGt aF8 medified dUFiAg the teFFn Of this Lease, I=e66OF shall Feraa!Gulate I=e6see's Sl;aFe to 1.7 Base Rent and Other Monies Paid Upon Execution: (a) Base Rent: $ 1, 120. 50 for the period October 1 to October 31, 2014 (b) Common Area Operating Expenses: $ 522.90 for the period Oct . 1—Oct . 31, 2014 (c) Security Deposit: $ 1, 700. 00 ("Security Deposit"). (See also Paragraph 5) (d) Other: $ for (e) Total Due Upon Execution of this Lease: $ 3, 343. 00 (amount rounded off ) 1.8 Agreed Use: selling fruit and yogurt with toppings (See also Paragraph 6) Lessor will ensure that refrigerated unit in suite is operable at leasing time, Lerree will be responsible for any servicing or repairs for raid unit thereafter. All other equipment brought in by Leasee will be their responsibility to Service and repair. 1.9 Insuring Party. Lessor is the "Insuring Party". (See also Paragraph 8) 1.10 Real Estate WokOM (Sep alse Para gFaph 15) (a) RepFesentation; The fellewing Feal estate bFekeFS (the "BiPekeirs") and bFGkeFag0 Felatienships exist in this tFaF16aGtiQR (Gh applicable bexes} II repFe i Le669F eXGIU6iVeIY (" e ^ Q...Ln FepFesents 1 ^r L. 1 ♦ both e and Lessee e ("fluid AgenGy!4. II (b) i2aymen t W BFeke ,UponexeG44t:s-[=-ease--' :both-Pa,'#fa6=i=e OF sha11:pay-to Fek,&;-- d"-- % Of the 1.11 Guarantor. The obligations of the Lessee under this Lease are to be guaranteed by Pedro C. Aguirre ("Guarantor"). (See also Paragraph 37) 1.12 Attachments. Attached hereto are the following, ail of which constitute a part of this Lease: Elan Addendum consisting of Paragraphs 51 through 58 ❑ a site plan depicting the•Premises; PAGE 1 OF 17 _ ___ INITIALS INITIALS ©1998 - AIR. COMMERCIAL',REAI_ ESTATE ASSOCIATION FORM MTG-8-08108E 400 1. AIR COMMERCIAL REAL ESTATE ASSOCIATION GUARANTY OF LEASE WHEREAS, Building A L.Q. LLC hereinafter "Lessor", and Pedro C. Aguirre hereinafter "Lessee", are about to execute a document entitled "Lease" dated October 1, 2014 concerning the premises commonly known as78015 Main Street, Suite 108, La Quinta, CA 92253 wherein Lessor will lease the premises to Lessee, and WHEREAS, Pedro C. Aguirre hereinafter "Guarantors have a financial interest in Lessee, and WHEREAS, Lessor would not execute the Lease if Guarantors did not execute and deliver to Lessor this Guaranty of Lease. NOW THEREFORE, in consideration of the execution of said Lease by Lessor and as a material inducement to Lessor to execute said Lease, Guarantors hereby jointly, severally, unconditionally and irrevocably guarantee the prompt payment by Lessee of all rents and all other sums payable by Lessee under said Lease and the faithful and prompt performance by Lessee of each and every one of the terms, conditions and covenants of said Lease to be kept and performed by Lessee. It is specifically agreed by Lessor and .Guarantors that: (i) the terms of the foregoing Lease may be modified by agreement between Lessor and Lessee, or by a course of conduct, and (ii) said Lease may be assigned by Lessor or any assignee of Lessor without consent or notice to Guarantors and that this Guaranty shall guarantee the performance of said Lease as so modified. This Guaranty shall not be released, modified or affected by the failure or delay on the part of Lessor to enforce any of the rights or remedies of the Lessor under said Lease. No notice of default by Lessee under the Lease need be given by Lessor to Guarantors, it being specifically agreed that the guarantee of the undersigned is a continuing guarantee under which Lessor may proceed immediately against Lessee and/or against Guarantors following any breach or default by Lessee or for the enforcement of any rights which Lessor may have as against Lessee under the terms of the Lease or at law or in equity: Lessor shall have the right to proceed against Guarantors following any breach or default by Lessee under the Lease without first proceeding against Lessee and without previous notice to or demand upon either Lessee or Guarantors. Guarantors hereby waive (a) notice of acceptance of this Guaranty. (b) demand of payment, *presentation and protest, (c) all right to assert or plead any statute of limitations relating to this Guaranty or the Lease, (d) any right to require the Lessor to'proceed against the Lessee or any other Guarantor or any other person or, entity liable to Lessor, (e) any right to require Lessor to apply to any default any security deposit or other security it may hold under the Lease, (f) any right to require Lessor to proceed under any other remedy Lessor may.have before proceeding against Guarantors, (g) any right of subrogation that Guarantors may have against Lessee. Guarantors do hereby subordinate all existing or future indebtedness of Lessee to Guarantors to the obligations owed to Lessor under the Lease and this Guaranty. If a Guarantor is married, such Guarantor expressly agrees that recourse may be had against his or her separate property for all of the obligations hereunder. The obligations of Lessee under the Lease to execute and deliver estoppel statements and financial statements, as therein provided, shall be deemed to also require the Guarantors to do and provide the same to Lessor. The failure of the Guarantors to provide the same to Lessor shall constitute a. default under the Lease. The term "Lessor" refers to and means the Lessor named in the Lease and also Lessor's successors and assigns. So long as Lessor's interest in the Lease, the leased premises or the rents, issues and profits therefrom, are subject to any mortgage or deed of trust or assignment for security, no acquisition by Guarantors of the Lessor's interest shall affect the continuing obligation of Guarantors under this Guaranty which shall, nevertheless continue in. full force and effect for the benefit of the mortgagee, beneficiary, trustee or assignee under such mortgage, deed of trust or assignment and their successors and assigns. The term "Lessee" refers to and means the Lessee named in the Lease and also Lessee's successors and assigns. Any recovery by Lessor from any other guarantor or insurer shall first be credited to the portion of Lessee's indebtedness to Lessor which exceeds the maximum liability of Guarantors under this Guaranty. Any recovery by Lessor from any other guarantor or insurer shall first be credited to the portion of Lessee's indebtedness to Lessor which exceeds the maximum liability of Guarantors under this Guaranty. No. provision of this Guaranty or right of the Lessor can be waived, nor can.the Guarantors be released from their obligations except in writing signed by the Lessor. Any litigation concerning this Guaranty shall be initiated in a state court of competent jurisdiction in the county in which the leased premises are located and the Guarantors consent to the jurisdiction of such court. This Guaranty shall be governed by the laws of the State in which the leased premises are located and for the purposes of any rules regarding conflicts of law the parties shall be treated as if they were all residents or domiciles of such State. In the event any action be brought by said Lessor against Guarantors hereunder to enforce the obligation of Guarantors hereunder, the unsuccessful party in such action shall pay to the prevailing party therein a reasonable attorney's fee. The attorney's fee award shall not be computed in accordance with any court fee schedule, but shall be such as to full reimburse all attorney's fees reasonably incurred. If any Guarantor is a corporation, partnership; or limited liability company, each individual executing this Guaranty on said entity's behalf represents and warrants that he or sheds duly.authorized to execute this Guaranty on behalf of such entity. If this Form has been filled in, it has been prepared for submission to your attorney for his approval. No representation or recommendation is made by the AIR Commercial Real Estate Association, thereal estate broker or its agents or employees as to the legal sufficiency, legal effect, or tax consequences of this Form or the trap do rela 'ng thereto. Executed at: 0 On: Pedro C. Jg6lrre Address: "GUARANTORS" PAGE 1 OF 1 ©1996 - AIR COMMERCIAL REAL, ESTATE ASSOCIATION FORM GR -2-09/06E FINANCIAL INFORMATION DESCRIPTIONS ACCOUNT,; QTY. AMOUNT . PAID PAID DATE SPECIAL INSPECTION 101-0000-42404 1 $72.52 $0.00 PAID BY • '' METHOD :.RECEIPT# CHECK# CLTD BY Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION: TOTALS:00 $72.52 $0.00 Description: PEDRO AGUIRRE SPECIAL INSPECTION CONDITIONS Type: SPECIAL INSPECTION Subtype: Status: UNDER REVIEW Applied: 4/9/2015 PJU Approved: Parcel No: 770121007 Site Address: 78015 MAIN ST 108 LA QUINTA,CA 92253 Subdivision:' PM 30850 Block: Lot: 1 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $0.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: SPECIAL INSPECTION TO MOVWE INTO UNIT NO CHANGES BEING MADE. CHRONOLOGY CONDITIONS NAME TYPE NAME _ ADDRESSI ' . CONTACTS CITY STATE ZIP 4PHONE FAX EMAIL APPLICANT PEDRO AGUIRRE 81148 PECOS PLACE INDIO CA CA 92201 OWNER BUILDING A L Q 6 ASHDOWN PL HALF MOON BAY CA 92253 TENANT PEDRO AGUIRRE 91148 PECOS PLACE INDIO CA 92201 Printed: Thursday, April 09, 2015 5:06:47 PM 1 of 2 CRSYS ifMS Printed: Thursday, April 09, 2015 5:06:47 PM 2 of 2 CRWYSTEMS .. Bin # Permit # Project Address: City of La Quin is . Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Owner's Name: ip . 6 Q A. P. Number: Address: Legal Description: City, ST, Zip: MAS Q CA Contractor: n0- Telephone: % r •- Ob• Address: 8 2 coS Project Description: City, ST, Zip: ( 0 a1 Telephone: 76'Q ;>:<-,;-:-:>::<•::;:><:>•:;.. :;;:;.:<.>.< State Lic: # : City Lie. 41: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: «t ' >" '- a r > >r,cin Construction Type: Occupancy: State Lie. # one): New Add'n Alter Repair Dem Project type (circle o ) ep o Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone #,of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets PIan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance, Title N Calcs. Plans picked up Construction Flood plain plan • Plans resubmitted Mechanical. Grading plan Z°" Review, ready for corrections/issue Electrical Subcontactor List Called Contactl?crsouPlumbing Grant Decd Plans picked up S.M.I. H.O.A. Approval Plans. resubmitted Grading IN ROUSE:- Rcyicw, ready for eorrectionsfissuc Developer Impact Fee Planning Approval Called Contact.Person A.I.P.P.. Pub. Wks. Appr Date of permit issue School Fees Tonal rcrmit Fees