BLDG (9909-186) + PAT (9950)44550 Marguerite Ct
9909-186
9950
LICENSED CONTRACTOR DECLARATION -
I hereby affirm under penalty of perjurythat I am licensed under provisions oft
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 # ti -t' •• Lic. Class Exp. Date
Date 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 ofthe 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 withlicensed
contractors,., to construct'the•project (Sec..7044, Business%& Professionals
Code).✓,
O °ham`exempt'der Section B&P.C. for this reason
t
WORKER'S COMPENSATION -DECLARATION
I hereby affirm underpenalty 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: N workers' compensation insurance. carrier 8 policy; no.,
are:
Carrier Policy No. 1
(This section need not be completed if the: permit valuation is for $100.00or 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 l should become
subjectao the workers' compensation provisions of Sect on 3700 of the Labor
Code, I sP Ilforthwith comply.with those provisions: ' *•_
Date: , '/ ' %•,.. Applicant , •• : J ' ,. jr,,
Warning: Failure to secure Worke s Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000,:i i
addition to the cost of compensation, damages as provided for in Section 3,706
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 foe-whosebenefit 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. l gree to comply with all City, and State laws relating to the.building
constycuction, and hereby authorize representatives of this City to' enter upon
the dbove-mentioned 'property'for inspection puiposes.
! Ignature' (Owner/An'gXnt) /- ,, .` a t ItEe 1 y Date i/ e , ✓f>
PERMIT #
BUILDING PERMIT
9909_1
DATE 09f VALUATION . LOT TRACT
JOB SITE
ADDRESS 9f. L x Jlc .6 ' k ii
APN4 Y-di
OWNER
CONTRACTOR / DESIGNER / ENGINEER "
i.lrlfaa rti : s ;T rrr'j rr i" (sC'Y,'rY.l'44. F't :.
AMRJd I ,.f L,L, A. Gt.l 41"lk 1J
r 1ATi:' •f 1.41ITI D r,
tl ;•, L': Ql ./t ,s M _
4-4570 MAR(AYERITE
.: .fgtJl f1"fi CA 92223
USE OF PERMIT
t
FT. IqOCIDI 4-V
-
ii,
gg. ttAA, •• J{,, n .,7 y1^ yK>v'; `.;&&r'k' ' E :: +Q."1',d ` ,? ' :' 1'°+ 0 ' . f ;` '
r . RPI •. .
11Lvk.Pv)'BI fi'. Pd•,i' .4iEJtiY {76S-
CONS'1p2:"ci•CTi:O.:+tFEE toi-t.99.iir'-41F;Ktiii{1f
;Sr - tyxf•M, CON-SU.'MA7 NION AND P4A?d C146C K
;....TC3TA4:; II. H NI9 _' : r a : Er;9s; NOW
RECEIPTDATE
BY ,J'
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
I INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return 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
BLOCKWALL APPROVALS
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Pibg. 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
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
• 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 U S y y
Utility Notice (Perm)
COMMENTS:
TO City of La Quinta September 20, 1999,
RE; Permit to construct a white vinyl picket fence' inside
property line. -
By: Gertrude E. and Norris S. Bernard
44-550 Marguerite Court La Quinta, CA
Property: Lot 55 MB 223/022 TR -
Assessment Number: 604252035-5
Parcel Number: 604252035-5
Currently there are three ( 3) six foot sections of
fence that has been installed. When completeve will have
a total of forty two linear feet of vinyl picket fence between'
our yard and that of our neighbor to the North. The edge of
the fence posts are set six inches inside the property line..
See the attaches sketches of the property and the fence ,
measurements. r.
The completion of the fence ' is being held up until I ' can
Pave two lawn sprinkler heads moved.
Our telephone and FAX number is: ( '760) 360-1841.
• _ " ' FENCE HEIGHT DROPS FROM 4-112- TO 4-
[11-
1'
52' RI
45'
i
b,a, w =j Uj 160 L•T.1. Ni1 FJ t _
' 1 5 1 2 3 4 5 5:.'•- 4 3 2 1 { 2'
POST CENTERS ` "
i TRUE4X4=72" 33
y t
. ,
t Lot 56 Owner
r Tim & Sue Walton
44-520 Marguerite Ct.
366 -3032
3 5 - One c o
L
Fence is six inches from lot line. o
. Existing wood fence
Norrtt 8.8emitd '
4"N.lihrgNft Court
V Qu ftp CA 822M-4= j
House
icket fence
Transformer
►e
Exist Wood fence .
lth lot line Lot 54
T 0 44
WT
P.O. BOX 1504 No. 08305
78-105 CALLE ESTADO
O=t LA QUINTA, CALIFORNIA 92253
Tel.
345
taro.
Tela
City
Lic. #
Tel.
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencingwith 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 We 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 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. If, however, the building
orimprovement 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.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
BUILDING: TYPE CONST. OCC: GRP.-
A.P.
RP. A.P. Number Frsuefr P111:.aee T
Legal Description cfte•tlyllt 1pleywAr
Project Description s1E .t Tat 5i
Sq. Ft No. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
87 514.00
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const. 585
Mech. 531,50
Electrical 1111A.00
Plumbing 123,00
S.M.I.
Grading
Driveway Enc.
Date ` /Owner,"- % /✓ 'Infrastructure 1,969.07
WORKERS' COMPENSATION DECLARATION
f 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. ❑ Certified copy is hereby furnished.
TOTAL SOS An
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.)
I certify that in the performance of thg work for which this permit is issued, I shall not
employ anyperson in any manner so as to become subject to the Workers' Compensation
Laws of California.&1r 3 x5ai 4 s
Date Owner
NOTICE TO APPLICANT: If; after making this Certificate of Exemption you should become ZONE: BY:
subject to the Workers' Compensation 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
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
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 sof this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
FINAL DATE INSPECTOR
Issued by:
Validated by:
Validation:
Date Perm
Building
Address -}F31'1
Owner
a .lnitn
i
Mailing
Address
City
zlp
Palm Devert
9i
Contractor
R. P. wi13!
Address
City
Zip
State Lic.
& Classif. t►S '3 9
Arch., Engr.,
Designer
Address
City
lZip
T 0 44
WT
P.O. BOX 1504 No. 08305
78-105 CALLE ESTADO
O=t LA QUINTA, CALIFORNIA 92253
Tel.
345
taro.
Tela
City
Lic. #
Tel.
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencingwith 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 We 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 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. If, however, the building
orimprovement 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.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
BUILDING: TYPE CONST. OCC: GRP.-
A.P.
RP. A.P. Number Frsuefr P111:.aee T
Legal Description cfte•tlyllt 1pleywAr
Project Description s1E .t Tat 5i
Sq. Ft No. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
87 514.00
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const. 585
Mech. 531,50
Electrical 1111A.00
Plumbing 123,00
S.M.I.
Grading
Driveway Enc.
Date ` /Owner,"- % /✓ 'Infrastructure 1,969.07
WORKERS' COMPENSATION DECLARATION
f 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. ❑ Certified copy is hereby furnished.
TOTAL SOS An
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.)
I certify that in the performance of thg work for which this permit is issued, I shall not
employ anyperson in any manner so as to become subject to the Workers' Compensation
Laws of California.&1r 3 x5ai 4 s
Date Owner
NOTICE TO APPLICANT: If; after making this Certificate of Exemption you should become ZONE: BY:
subject to the Workers' Compensation 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
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
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 sof this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
FINAL DATE INSPECTOR
Issued by:
Validated by:
Validation:
Date Perm
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SO. FT, ®
CAR P. SQ. FT.
WALL SQ. FT. ®
SQ 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
SLAB GRADE
FLOOR DRAIN
MECHANICAL FEES
ROUGH PLUMB.
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
DUCT WORK
LAUNDRYTRAY
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.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/a c
SEWAGE DISPOSAL
BOND BEAM
SQ.FT.GAR ® 3/ac
HOUSE SEWER
WATER SYSTEM
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
V
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) a c0
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./ 1Cv CLl Ctq
/y
FRAMING
FINAL INSP. 7(((h
ROOFING 340(
(_4 ((—",P
D
REMARKS:
VENTILATION
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LING 6 ct I c 0
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION ll
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Building
Address 44-550 Marguerite
Owner
Norris Bernard
Mailing
Address :carte as above
City Zip
La Quante 92253
Contractor
FaraCY Construction
81324 Trader Place
City lZip
Indio
92201
77
State Lic.
Sq. Ft.
Size /
City
& Classif. 5625061
Lic. #
Arch., Engr.,
Designer
Address
Tel.
tyI Zip I State
Lic. #
P.O. BOX 1504
78-105 CALLE ESTADO -
LA QUINTA, CALIFORNIA 92253
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 Profession4,Code, and my license is in full force and
act. ;
MATURE 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, 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
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.(E500).
❑ 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. ff. 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 corn
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.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company,
6Copy is filed with the city. O 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 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. If, 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= 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.
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, Slate, Zip
No. 9950
BUILDING: TYPE CONST.. OCC: GRP.
A.P. Number
Legal Description
Project Description Patio and Cover
Sq. Ft.
Size /
N9. No. Dw.
Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
35.10
Const. '
54.00
Mech.
Electrical
Plumbing
S.M.I.
.30
Grading
Driveway Enc.
Infrastructure
TOTAL
"S%,40,+r. .. n r .. n ..- t t
REMARKS
f t ` "A 1`31 I 1-I1TAC i '89.40 V
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:
i
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. S0. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SO. 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 APPJEOUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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 ® 1% c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
REMARKS:
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.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 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
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL ::1