PLBG (07-0418)44155 Mariposa Ct
07-0418
06295
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07 _00000418 x
Property Address: 44155 JMARIPOSA CT
APN: 604-091-011-11 -22982 -
Application description: PLUMBING
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 500
Tityl
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
1.4w
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 Professionals Code, and my License is in full force and effect.
License Class: C36 License No.: 828264
ate: C! ontractor:
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 a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec.. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale.. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
1 _) 1, as owner of the property; am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts .for the.projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.). -
(_) I am exempt under Sec. , B.&P.C. for this reason .
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: (
Lender's Address: -
LQPERMIT
Owner:
CAMERON SHAFFER
44155 MARIPOSA COURT
LA QUINTA, CA 92253
Contractor:
FOY, SCOTT A.
43579 MAIN STREET
INDIO, CA 92201-
(760)775-9405
Lic. No.: 828264
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/07/07
FEB' 2 12007
CITY OF LA
WORKER'S COMPENSATION DECLARATION '
I hereby affirm under penalty of perjury one of the following declarations:
1 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 ENDR INS Policy Number WEN000882301
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 nh those provisions.
•aD te.-? V(L54plicant:
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 Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whosebehalf 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 thisSiZZ
county toeabove-mentioned propert for in ection purposes.
Oate: (Applicant or Agent): -
LQkRMIT
Application Number . . . . . 07-00000418
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . 22.50
Plan Check Fee
5.63
Issue Date
Valuation . . .
0
Expiration Date 8/06/07
Qty Unit Charge Per
Extension
BASE FEE
15..00
1.00 7.5000 EA PLB WATER
HEATER/VENT
7.50
- - -----------------.-------------------------------------------------
----------------------------- ------------------------------------------------
Special
Special Notes and Comments
REPLACE WATER HEATER WITH 40 GAL. GAS
UNIT
.
Fee summary Charged Paid
Credited
Due
Permit Fee Total 22.'50
.00 .00
22.50
Plan Check Total 5.63 ..00
.00
5.63
Grand Total. 28.13
.00 .00
28.13
LQkRMIT
L
C
i Dill 8
ofLa Quinta
Btrildfng ar Safety ElWon
PGntttt P.O. Box 1504,78-495 Calle Tampim
La Quinta, CP, 92253 - (760) 777-7012
l Building Permit Application and Tracking Sheet
lrrojDCt Addr[ss: l ` pQS . G ' A Owners Forte:
A. P. Numbcr. r Addre
t S m
(_cZtxl Dctcri i n: City, ST. Zip:
n cl C h't'`! _7CU i' — i Telephon e: `l `_1 R- u? =
Addrecs: L C— t
. f I✓ tr4 j /1 / ''c {7-ee !'rojcuBau tion:
Cih ST, Zip. 12,ZC, }
j = :.jj
:, ., -77-MM - d li..IC:I-}i tr % (-!. er ire talar I/r'k',1, ]
`: f N
j'
Slate I.ia U City Lic. 9:j'TE'
MO., ErAr., Designer:
Address: i
Cito: ST, lip:
Ttluphone:
zlrf t4, fe€> COPLSV1rCQton T OccuplIDcy:
State ic.T # s hojcettvoa(circleone): Alec: Add'n lepereR pair' DMo
Manto of Contact Person: _ { SQ, Ft.: Searles: 41 Unit:
a
TLlelshone4 urconmct Person: I Estimated Value ofProj
=_- - - l
APPLICANT: DO RIOT WRITE BELOW TIRS EME
N Su6mIMa'd Recd TRACiCOVG
P>i►err res
Illso Sets 1 Pbo Chat subtaitted iteer mrni
Ntroctaral Cnlcc. ;
_ i Idecietre t, resdp for ecrrectioas Plan Check Deposit
Taus Calm Called ContacrPerson Pisa Check Bolance
'tidr. Z4 0ales. Pls®s picked up Cul n struction
t
!loud plain plan k' Ptbns resubmitted MedmalrA
Grndlng. plan — l :!d Review, ready ror eorredio>vlssee Electrical
Subrnnraetor LLn Called Contnct Person Plumbing,
Grant Dccd Plans piehed up SAM 1.
ILU.A. Approval Ptnas resubrnietedCrz 'rig
1N HOUSE:P.evicty, rwd,• for correcdons/tssue i Developer Empact Pee
Ytanotng .9pprocal Called Contact Ptrson A.I.P.P.
6.1Whc. A r !!
Pu
t_ PP j IIate or permit issue
School Fccs
Tout Permit ym
CERTIFICATE OF C®MI'LUNCE: RESIDENTIAL (Page'3 of 4) C&IR
Gl 4enk ' .
Project Tjtic' A t ` S, G Date
vt J
SEALED DUCTS and TXVs (or Alternative Measures)
A signed CF -4R Form must be provided to the building department for each home for which the following. are
required.
1
f
r
i
WIN
Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14.
OR
For additions and alterations, duct systems that are not documented to have been previously
❑ sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the
Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned
spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D.
tTtllr, iLG[i11111= JYJ1LI1V1>
Distribution
Type
❑
Scaled Ducts all clintate zones Installer testing and certification and HERS rater field verification required.)
❑
TXVs, readily accessible (climate zones 2 and 8-15 only)
Installer testing and certification and HERS Rater field verification required-)
❑
Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HRS Rater field
verification ' ' uired.
WIN
Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14.
OR
For additions and alterations, duct systems that are not documented to have been previously
❑ sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the
Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned
spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D.
tTtllr, iLG[i11111= JYJ1LI1V1>
Water Heater
Type/Fuel Type
Distribution
Type
Number
in System
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per
❑
dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is
not allowed.
❑
Check box when using Preapproved Alternative Water Heating table, Table 5.4 in Chapter 5 in the Residential
Manual. No water heating calculations are required, and the system complies automatically.
Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved
❑
Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the
submittal.
13
Check box to verify that a time control is required for a recirculating system pump for a system serving multiple
units
Water Heater
Type/Fuel Type
Distribution
Type
Number
in System
Rated
1
Input T
(kw or Capacity
Btuthr) (Zalolls
Energy Tank
Factor' or External
Thermal Standby' Insulation
Efficiency Loss/4R Value
Tank
External
Insulation
R -Value
AJa.e.0 ACs pure nruivare uwerune units
Water Heater
T
Distribution
Type
Number
in S stem
Input' ut'
(kw or
BuAr) r)
Energy
Tank Factor or
Capacity Thermal Standby'
ugions Efficiency Loss %
Tank
External
Insulation
R -Value
• • • • a....+.. gun -01 water neaters trateo inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat
pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000
Btu/hr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water
heaters, list Rated Input and Thermal Efficiencies.
Ifioe Insulation (kitchen lines >_ 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are 1/a
inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 (j) 2 B.
Rcsidcnlial Compliance Forms
March 2005
h
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page t of 4) CF -IR
Project Title
Project Address
Documentation Author Telephone
Compliance Method (Prescriptive)
Climate Zone
Date
Building Permit #
Plan Check / Date
Field Check / Date
Enforcement Agcncy Use Only
✓ 0 Altemative Component Package Method: (check one) C D D (Alternative)
Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -IR page 3)
For Package D Alternative see Appendix B Table 151-C Footnotes 7-14
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) fe Average Ceiling Height: ft
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (5% X CFA) ftZ
Maximum Allowed Total Fenestration Products Per Table 15I -B or 151-C — (20% X CFA) R
✓ ❑ Building Type: (check one or more) Single Family . Multifamily Addition Alteration
(If adding fenestration fill out WSAR, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2
for Additions and 8.3.3 for Alterations.)
Number of Stories: Number of Dwelling Units:
Floor Construction Type: Slab/Raised Floor (circle one or both)
Front Orientation: North / South / East / West / All Orientations (input front orientation in degrees from True
North and circle one).
✓ ❑ RADIANT BARRIER (required in climate zones 2.4,8-15)
OPAQUE SURFACES INCLUDING OPAQUE DOORS
Component
Type (Wall,
Roof, Floor,
Slab Edge,
Doors)
Frame
Type
(Wood
or Metal)
Assembly U -
factor (for
Cavity Continuous wood, metal
Insulation Insulation " frame and mass
R -Value R -Value assemblies t
Joint
Appendix
IV
Reference
Roof Radiant
Barrier Location/Comments i
Installed (attic, garage,
Yes or No typical, etc.
l) Sec Joint Appendtx IV.m section iv.L, rv.s ane rv.w, wntcn Is the oars JUL utc v-racwa - 11LV4AV1l. ■aa w.0 ...+• .•..•
exceed prescriptive value to show equivalence to R -values.
Residential Compliance Forms
March 2005
—'CERTIFICATE OYCOWLIANCE: RESIDENTIAL (Page 4 of 4) CF -IR
Pro act Titla Date
• ' LS h C: , c o C
SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if necessary)
Indicate which special features are part of this project. The list below only represents special features relevant to the
Prescriptive method.
SPECUL FEATURES REQUIRING HERS RATER VERIFICATION
(add ext -a sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need
verification.
1
Feature
Required Fortes if a ffcable
Description
O
Mewl Framed Walls
CF -1R
Refri erant Chame
❑
Radiant Barriers
CF -1R
CF -611 part 6 of 12
❑
Exterior Shades
WS -4R
❑
Cool Roof
N/A; Attach CRRC Label to
Forms.
Dedicated Hydronic Heating
Performance Calculation
system
R uired•'Attach Run to Forms.
0
Combined Hydronic System
Performance Calculation
Required, Attach Run to Forms.
❑
Gas Cooling
Performance Calculation
Required.
0
Buried Ducts
N/A; Indicate on building plans.
❑
Kitchen Pipe Insulation
See Section 5.6.2 Distribution
System in Residential Manual.
Multiple Water Heaters Per
See Table 5-13 or use
❑
Dwelling Unit
Performance Calculation and
attach Run to Forms.
❑
Central Water Heating System
Performance Calculation and
Serving Multiple Dwellings
attach Run to Forms.
❑
Nan-NAECA Large Water
Heater
CF -1R
See Table 5-13 or use
❑
Indirect Water Heater
Performance Calculation and
attach ftn to Forms
See Table 5-13 or use
O
Instantaneous Lias Water Heater
Performance Calculation and
attach Run to Fors
See Table 5-13 or use
❑
Solar Water Heating System
Performance Calculation and
attach Run to Forms
❑
Wood Stove Boiler
Performance Calculation and
attach Run to Forms
SPECUL FEATURES REQUIRING HERS RATER VERIFICATION
(add ext -a sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need
verification.
1
Feature
Required Forms if a 6cable Description
❑
Duct Sealing
CF -6R part 4 of 12
❑
Refri erant Chame
CF -6R part 5 of 12
O
Thermostatic Expansion Valve
CF -611 part 6 of 12
Residential Compliance Forms
March 2005
DETAIL STARTS HERE
i
FAX PURCHASE ORDERS Date: 12/26/2006
page: 2
FROM: THE HOME DEPOT FAX: (760) 775-2687
STORE 6630- LA QUINTA PHONE: (760 347-8722 Ext. 382
)
79900 HIGHWAY 111
LA QUINTA, CA 92253
-=- ==_===(Use this number to invoice The Horne Depot) P.O. Nbr 30461028=====__
- For customer: SHAFFER, CAMERON=======
293-867 WATER HEATER INSTALLATION
INSTALLATION SITE:
SHAFFER, CAMERON PHONE: (760) 345-4670 Ext. _
44155 MARIPOSA CT.
LA QUINTA, CA 92253. TRIP CHARGE: $0.00
CUSTOMER NAME: CAMERON SHAFFER
PHONE: (760) 345-4670 WORK (480) 89170763 Ext
ORDER: 203280 REF #: I04
No merchandise selected.
MERCHANDISE WILL ARRIVE AT SITE VIA THE FOLLOWING:
WATER BEATER INSTALLATION
OPTIONAL LABOR PURCHASED:
15 ...PERMIT AS REQUIRED (SEE PRICE LIST)
LA QUINTA
Quantity: 00 UM: $A Price Ea.: $22.00
SPECIAL INSTRUCTIONS:
LAQUINTA PERMIT '
INSTALLATION LABOR SUB -TOTAL:
TION LABOR, TOTAL:
Extension
J
$22.00
$22.00
$22.00
JIM
4I YEAR -
00002200 P.O. Nbr 30461028==a====
-7 8q 0
901-1 Z00/Z00'd 109-1 189291LOR0 sJoiipodxo lodep OW044N0ad Lill 9002-9Z-330
4'4 a"
P.O. BOX 1504 No.
Building 78-105 CALLE ESTADO -
Address 44-15.5 Hari p09a Court LA QUINTA, CALIFORNIA 92253
_ ... -_. B1.ebard - 6 Ruth Ana G2.deA
Mailing
Address Sam
City Zip Tel. ,
La Quinta 92253 3611-6260
Contractor. Omerllau de)r' u n y
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number cactus Mover
Legal Description
•w S•
Project Description BaEtus r14yer
D
City
Zip
Tela
State Lic.
City
& Classif.
Lic. #
Sq. Ft.
Size
No. No. Dw.
Stories Units
Arch., Engr.,
New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑
Designer
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section
77000) of Division 3 of the Business and Professions Code, and my license is in full force and
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Busmess 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 rile a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Oi 4sion 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any vrolarion of Section 7031.5 by 'any applicant for a permit
suNects the applicant to a civil penalty o/ not more than Ove hundred dollars ($500).
❑ 1, 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 #Wr0veS thereon and who does such work himself or through his own employees,
provided that such linprovements 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.)
Estimated Valuation
e
5 -
PERMIT
AMOUNT
Plan Chk. Dep.
'
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
❑ 1, 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
S.M,I,
does not apply to an owner o/ 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. 8 P.C. for this reason
Grading
Driveway Enc.
+
Date Owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
Works hereby affirm that l have a certificate of consent to self -insure, or a certificate of
Compensationers 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
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCES
is section need not be
(m completed i/ the permit is for one hundred dollars ($100) valuation
or fess.)
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.
REMARKS
_
7 (Ftp: 1:if; vF it l ? r1: 1 f i kt
' `If• ii
Date Owner
NOTICE TO APPLICANT: ff. 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 shah be deemed revoked.
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this,perrnit is issued. (Sec. 3097, Civil Code.)
Nam
Lenders Nae
Side Street Setback from Center Line
Side Setback .from Property Line
Lenders 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.
FINAL DATE
INSPECTOR
10/11/80 0
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
censtrudion, and hereby authorize representatives of this city to enter, the above-.
mentioned property for inspection purposes.
Issued by:
y
Validated by:
Date Permit
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
MOBILEHOME SVC.
BAR SINK
POR. SD. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. I SQ. FT. ®
GROUT
WATER HEATER
WALL SQ. FT.
FINAL INSP.
DRINKING FOUNTAIN.
SQ FT ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
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
VENTILATION
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING:
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
LATHING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1% c
SEWAGE DISPOSAL
SQ.FT.GAR ® VVac
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 APPJEQUIP.
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
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
'
GARDEN WALL FINAL
r I`
Building
Address 44-155
Mailing '
Address
.`east
CityZip
.al iota _ 92253
Contractor .
IF6c
Address ,
i6
P.O. BOX 1504t N O.
7&105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253 "
BUILDING: TYPE CONST.,' OCC: GRP.
.v A.P. Number Cactus `lower
Tel.
Q- Legal Description
Project Description Y Pool spa
78-7.55 Martinique
City
Zip
Te34
Bermda Dunes
92201
-.5970 ,
State Lia
City
& Classif. 476 307
Lic. # 13fl
Sq. Ft.
No. No. Dw.'
Arch., Engr., "
-Size
Stories Units
Designer.
New ❑ AY6
❑ Alter ❑ Repair ❑ Demolition ❑
Address'
Tel.
City
Zip
State
'
Lic. #
LICENSED CONTRACTOR'S DEC LA TION
I hereby affirm that I am licensed under provisions of Chapte 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code,
and li
effect. cense is in full force and
<-
-
SIGNATURE DATE
• 'j
OWNER -BUILDER DECLARAT1oN
I hereby affirm that I am exempt from the Contractor's License for the following
tlmated Valuation • /}
reason: (Sec. 7031.5,Business and•.Professions Code: Any city or coun which requires a
'
_ permit to construct, alter, improve, demolish, or repair any structure, prior t its issuance also
requires the'applicant•for such permit to file a signed statement that he Is tic sed pursuant to
PERMIT
AMOUNT
the provisions of the Contractor's License law, Chapter 9 (commencing with tion 7000) of
Division 3 of the Business and Professions Code, or that. he is exempttherefro and the basis
• for the alleged exemption. Any violation of Section 7031.5 by 'any applican for a per
Plan Chk. Dep.
subjectstheapplicant 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 compe sation ill
Plan Chk. Bal.
$ 99.45
do the work, and the structure is not intended or offered for sale. (Sec. 7044, isne and
. Professions Code: The Contractor's License Law does not apply to an owner of p e who
Or1S.
Ct
ttc ee•ffttss
- .153.00
builds or improves thereon and who does such work himself or through his own a loyees,
that' such improvements intended
Mech.
3VI/ nn
'
provided are not or offered for sale. N, however, th uilding
' or improvement is sold within one year of completion, the owner -builder will have a urden
Electrical
.00
of proving that he did not build or improve for the purpose of sate.)
Z .. 00'
• ❑ 1, as owner of the property, am exclusively contracting with licensed cont tors to on•
Plumbing
24.00
struct the project. (Sec. 7044, Business and Professions Code: The Contractoi License w '
does not apply to an owner of property who builds or improves thereon, and w o contracts
S•M•1•
_
- sb.
such projects with a contractor(s) licensed pursuant to the Contractor's License La
❑ I am exempt under-Secg- 8 P.C. for this reason
Grading '
.98 .
'
Driveway Enc.
Date owner
nfrastructure
WORKERS' COMPENSATION DECLARATI N
+ I hereby affirm that'I have a certificate of consent to se -insure, or a certificate of
-
Worker's Compensation Insurance, or a certified copy thereof. ( c. 3800, Labor Code.)
Policy No Company
❑ Copy is filed with.the city. ❑ Certified copy is hereb furnished.
s
TOTAL
C
CERTIFICATE OF EXEMPTION ROM
REMARKS
WORKERS' COMPENSATION IN RANCE
(This section need not be completed IF the permit is for a hundred dollars (8100) valuation.;3
'
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: ff. after making this Certificate of Exemption you should become
'
ZONE: •
- - BY: -
subject to the' Workers' Compensation provisions of the Labor Code, , you must forthwith
comply with such proviskms or this permit shah be deemed revoked.• .- -
-
Minimum Setback Distances:
Front Setback from Center Line
•
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY.
Side Street Setback from Center Line
Ihereby affirm that there is a construction lending agency for the performance of the •
work for which this permit is issued. (Sec. 3097, CM/ code.)
1 ,
Side Setback from Property Line
• Lender's Name
Lender's Address
FINAL DATE'•
INSPECTOR
' This is a building permit whenproperly filled out, signed and validated, and, is subject to
expiration if work thereunder is suspended for 180 days.
, 9/22/89
I certify that I have read this application and state that the above information is correct:
Issued by:
Date Permit
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
-
_.Mailing Address
Validation:
r"
City,. State, Zip,f
,
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. I SO. FT. ®
GROUT
WATER HEATER
WALL Sp. FT.
FINAL INSP.
DRINKING FOUNTAIN.
SQ FT ®
WATER SYSTEM .
URINAL
ESTIMATED CONSTRUCTION VALUATION $
_$
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
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
VENTILATION
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
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
LATHING
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® V4c
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.IEQUIP.
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
WARRANT REQUEST FORM
•INSTRUCTIONS: Complete
form. Send to the Finance Department for
- approval.
1. Kamp• and title of requestee: 2. Date Warrant Needed: ])EMA.1
3. Explanation of warrant request:
` 11K)D `PQM ITS POL
TH L 'AAL C
4. Warrant made payable to:
S. Warrant Amount: s 334 3
F r- Res
_
Name of Payee
6.. Account No.
b- i► to Lu .
SI 3 7. Is this Warrant Request in
Address
accordance with your departmental
N (( C
ZZ I ' budget? Yes No
City State.
ZIP
g, _Amount of funds budgeted for this.
expense? $
9. Signature of Requestee
10. Approved by Dept. head, 11. Date of Request
Q
12. APPROVED/DENIED
Finance Director
• or City Manager
Date
Building 44-155 Mariposa
Address
Oaul en
Mailing
Address Same
City Zip
La Quint a 92233
Contractor
F '& F Pools
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
No. 06295
BUILDING: TYPE CONST. a i OCC: GRP.
A.P. Number crus Flower
360-6260 Legal Description
Project Description P*01 & Spa
79-75 VArtini ize
City Zip Tela
Ber" Duaeei 92201 34575070
State Lic. City
& Classif. 476807 LiC. # no
Arch., Engr.,
Designer
Address I Tel.
CityI Zip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
70D0) of Division 3 of the Business and Professions Code, and my license is in full force and
effect-
SIGNATl1RE DATE
OWNEWBUILDER 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 any structure, prior to its issuance also
requires the applicant for such permit to rile 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 rive hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, the building
or improvements sold within one year of completion, the owner -budder will have the burden
of proving that he did not build or improve for the purpose of safe.)
❑ 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
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
❑ Copy is filed with the city. ❑ 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 thg work for which this permit is issued, I shall not
employ any penton in any manner so as to become subject to the Workers' Compensation
Laws of California
Date owner
NOTICE TO APPLICANT: H, after making this Certificate of Exemption you should become
sut4ect to the workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or Nis 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.)
Lenders Name
Lenders 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 certity 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
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuationi s.
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
, 93.60
Const.
244.00
Mech.
30.00
Electrical
g4. 00
Plumbing
24.00
S.M.I.
091
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS 111.r.n-h a_M A ,% .,e, z, i%n 0r-00 a;,,
iT ` "CAS1W 3 10 T AU x" " V : iY.1)1 ..
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
9/18/89
Issued by: Date Permit
Validated by:
Validation: .
CONSTRUCTION ESTIMATE
NO. I ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
ROUGH PLUMB. ` d BONDING
HEATING (ROUGH)
STORAGE TANK
YARD SPKI.R SYSTEM
2ND FL. SQ. FT.
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
REINF. STEEL
GAS (FINAL) TEMP. POLE
GAR. SQ. FT. Q
I POWER OUTLET
ROOF DRAINS
WATER HEATER SERVICE
FINAL INSP.
DRAINAGE PIPING
CAR P. SQ. FT. ®
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
WALL SQ. FT.
LUMBER GR.
DRINKING FOUNTAIN.
SQ FT ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTOHDISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SQ. FT. ®c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
FINAL INSPECTION
SO.FT.GAR ® V4c
HOUSE SEWER
CERT. OCC.
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. ` d BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK ROUGH WIRING
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH) /s -(R? i 4"'I'METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
/
1 %
REMARKS:
VENTILATION✓ t
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESlINITIALS
GARDEN WALL FINAL
T4'tyl 4 4 Q"
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 44--155'Mariposa Court LA QUINTA, CALIFORNIA 92253
Mailing
Address
City Zip Tel'
Palm Desert 9-2260 "345-7541
Contractor
Address
ty IZip I Tel'
State Lic. City
& Classif. 493919 Lic. # 12.31
Arch., Engr.,
Designer
Address I Tel.
City IZip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7i)00) of Division 3 of the Business and Professions Code, and my license is in full force and
effect-
SIGNAILRE DATE
OWNER -BUILDER DECLARATION
I hereby affiryn that 1 am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Bshess and Prdessions Code: Any city or county which requires a
permit to construct, alter, irprove, demo". or repair any structure, prior to its issuance also
requires the applicant for such peri to fie a signed statement that he is licensed pursuant to
the provisions of the contractors 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 vibblion of Section 7031.5 by 'any applicant for a permit
subjects the appicarrt to a eiri penalty of not more Mari five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's License taw 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 std rthn one year of completion, the owner -builder will have the burden
of proving that he did not bold or improve for the purpose of safe.)
❑ I, as owner of the properly, am exclusively contracting with licensed contractors to con-
struct the project (Sec- 7044, Binhess and Profession Code: The Contractor's License Law
does not apply to an owner of property who bolds or improves thereon, and who contracts for
such projects with a contractor(s) lice sedpursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec_______J3_ & P.C- for this reason
Date Owner
WORKERS COMPENSATION DECLARATION
hereby affirm that 1 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
rO' Copy is filed with the city. O Certified copy is hereby fumished.
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need not be completed it the Permit is for one hundred dollars (8100) 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- I, after making this Certificate of Exemption you should become
subject to the Workers' Compensation prorisiors of the Labor Code, you must forthwith
comply with such provisions or flys permit shag 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
Lenders Address
This is a building permit when property filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certity 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
No. 05184
LDING: -TYPE CONST. OCC: GRP.-
A.P. Number .r1C4-t1gt S 1,M%T r
Legal Description
Project Description Phase Is Plan 2B, Lot 11
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
I2/29/88
Issued by: Date Permit
Validated by:
Validation:
Sq. Ft. 1621
Size
No..
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑
Repair ❑ -Demolition ❑
Estimated Valuation
$87 0'514
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
3110.95
Const.
_397,00
Mech.
33.0n
Electrical
•A 15
Plumbing
A2 00
S.M.I.
6,11,11
Grading
Driveway Enc.
Infrastructure
I 969 . 07
TOTALS
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
I2/29/88
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL SQ. FT. ® $
UNITS
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
YARD SPKLR SYSTEM
2ND FL SQ. FT.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
REINF. STEEL
GAS (FINAL) TEMP. POLE
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
WATER HEATER SERVICE
FINAL INSP.
DRAINAGE PIPING
CAR P. SQ. FT.
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
WALL SQ. FT. ®
LUMBER GR.
DRINKING FOUNTAIN.
SQ FT ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, 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.
SO. FT. RESID ® 1+/4 c
SEWAGE DISPOSAL
FINAL INSPECTION
SQ.FT.GAR ® V4c
HOUSE SEWER
CERT. OCC.
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
-41/
SETBACK
OUND PLUMBING UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SE IC TA ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
S (ROUGH) / ER LOOP
7 `
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
INAL INSP.
FRAMING Z(i / ,
FINAL INSP.
ROOFING
F7
7
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING 17-1
MESH
INSULATION/SOUND
VV
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
'
GARDEN WALL FINAL