RER (07-1484)55415 Medallist Dr
07-1484
P:O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
( / i
07-00001484
'55415 MEDALLIST DA
767-510-006- - -
REMODEL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
680
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING. PERMIT
Owner:
KATHY WALLEN
55415 MEDALLIST DRIVE
LA QUINTA, CA 92253
Contractor: -
SOLA LITE OF COACHELLA
42220 GREEN WAY, #B
PALM DESERT, CA 92211
(760)779-5591
Lic. No.: 865370
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/17/07
1 _ 1 I, as owner, of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License'Law does not apply to an owner of
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that) am licensed under provisions of Chapter 9 (commencing with
1. Each person upon whose behalf this application is made, each person at whose request and for
I hereby affirm under penalty of perjury one of the following declarations:
• Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
whose benefit workisperformed under or pursuant to any permit issued as a result of this application,
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
license C' ss: P, D34 •r ense No.: 865370'
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
•
of La Quinta, its officers, agents and employees for any act or omission related to the work being
issued. -
te: ntractor:
performed under or following issuance of this permit. -
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
-'-.
2. Any permit issued as a result of this application becomes null and void if work is not commenced .
Code,.for the performance of the work for which this permit is issued. My workers' compensation
OWNER -BU DER DECLARATION -
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
insurance carrier and policy number are:
hereby affirm under penalty of perjury that I amexempt from the Contractor's State License Law for the -
permit to cancellation.
Carrier EXEMPT Policy Number EXEMPT
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
I certify that I have read this application and state that the above information is correct. I agree to comply with all
`1 certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the _-
city and county ordinances and state laws relating to buijding co struction, and hereby authorize representatives
person in any manner so as to become subject to the workers' compensation laws of California, ,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
of this coun to enter upon the above-mentioned property for ' spe`tion purp
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or. _
-1 P700 of the Labor Code, -I shall forthwith cq ly with those provisions.
jv
that he or she is exempt therefrom and the basis for.the alleged exemption. Any violation of Section 7031.5 by
L✓ v
Dat .f i re (Applicant or Agent) -
Lender's Address:
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
icant: -
t I:AILIRE
I* I 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
WATO SECURE WORKERS' COMPENSA N COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,..
SUBJECT AN EMPLOYER -TO CRIMINAL PENALTIES AND C IL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
- improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
• 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.).
- - APPLICANT ACKNOWLEDGEMENT
1 _ 1 I, as owner, of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License'Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit workisperformed under or pursuant to any permit issued as a result of this application,
I—) I am"exempt under Sec. B.&P.C. for this reason
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
o
performed under or following issuance of this permit. -
Date: .Owner:
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
CONSTRUCTION LENDING AGENCY -
permit to cancellation.
I hereby affirm under penalty ofperjurythat there is a construction lending agency for the performance of the
I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.).
city and county ordinances and state laws relating to buijding co struction, and hereby authorize representatives
'
of this coun to enter upon the above-mentioned property for ' spe`tion purp
Lender's Name:
L✓ v
Dat .f i re (Applicant or Agent) -
Lender's Address:
LQPERMIT
Application Number 07-00001484
Permit. BUILDING PERMIT INV FEE
Additional desc
Permit Fee 38.00 Plan Check
Fee
12.35
Issue Date .. Valuation
. . .
. 680 ,
Expiration Date : 11/13/07
Qty Unit Charge Per
Extension
' BASE FEE
30.00
.2.00 4.00.00'HND BLDG 501=2,000
8.00
- ----------------------------7-------------
Special Notes and Comments
INSTALL 4 SOLATUBES, VUSION (SHGC .35,
U -FACTOR .43) INVESTIGATION FEE
ASSESSED PER 1997 UNIFORM
ADMINISTRATIVE CODE §304.5 FOR WORK
BEGUN WITHOUT BUILDING PERMIT.,
-----------------------------------------------------------------------------
Other Fees : . . . .'•ENERGY REVIEW FEE
1.24
STRONG MOTION (SMI)
- RES
:50
Fee summary Charged` Paid Credited.
Due
------- ---------- ---------- ----------
Permit Fee Total 38.00 .00
----------
.00
38.00
Plan Check Total 12.35 .00
.00
12.35
Other.Fee Total 1.74 .00
.00
1.74
Grand Total 52'.09 .00
.00
52.09
' LQPERMIT _
y_t
"
8 7 6 I r 5 <'
1. , i .'4! .. <' 3
2
<
a
DOME "' SOLATUBE 160DS
TUBE CLIP SHOGK 'PITCHED TILE FLASHING
NOTES
A:
INNER DOME (OPTIONAL) ,
F
F
DOME RING HARD CEILING
1.DIMENSIONS IN BRACKETS ARE METRIC
i
c•.,
a r r < ,; 4p /
t "y, -SPACER
UNLESS OTHERWISE SPECIFIED.
r
r e a ..
2,6" MINIMUM CLEARANCE SHOULD BE MAINTAINED
`
--FASTENER x q r
FROM ALL SOLATUBE COMPONENTS AND OTHER
i
< u PLENUM ELEMENTS.
,DOMEEDGE PROTECTION
BAND (OPTIONAL(
i 7--
` TURRET EXTENSION Y_
I
E'
[303]
LIGHT TRACKER
1 O1T
L
/ '
E
REFLECTOR
'DETAIL A r
j
SCALE 3 .l, [77]
1
3,. /
[338]
_
'-133/8"
I.
TILE ROOFING
{213] ,
FLASHING '83/8'
-
D .
f%
D
'SEALANT
TOP TUBE ANGLE245
1-.. \1. ; •ADAPTER0-30°/ 4195/8"-
EXPANSION JOINT
%. SEAL
FASTENER—
..
[305]
_
O
'PLYWOOD
rjj 12"
OPENING 'EXTENSION
TUBE
\
I
C
\
- `TUBE SCREW
II
C
DETAIL B BOTTOM TUBE ANGLE
r
I
I
SCALE 3: 1. ADAPTER 0-30• ` _
-ROOF RAFTER
I
I I
FASTENER
l RING
FASTENERCEILING CEILING- C
3
(OPTIONAL( /
[273]
BCLAMP,/
DUAL -
\r\
OPENING
I
P GLAZEDB
DIFFUSER
.[325]
f—
0123/4"
TOP VIEW
CEILING
/
DRESS RING- `DIFFUSER FULL SECTION
DM¢S mNER"E Srf Fs
I
• _ SCALE 1:1
Dw:NW T.El—f
feACro 1 uI
faulune nnaeroxet, lue.
eorrmnl nw
; ;
SOLnTUBE.
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A
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,
rxN Iwf Ew
wrw.wululeeou
mfc SOLATUBE 160 D5 PfTCHED
A
l SCALE 3C }
ov wN er
wrt
nEVEw
row
TILE FLASHING HARD CEILING
•
• W!N
'
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1
17
A"Z'S—OLATUBE...Innovation in Daylighting,
Solatube International, Inc. Brighten Up® Series 160 DS (10 in/250 mm Daylighting System) and 290 DS
(14 in/350 mm Daylighting System) Models are ENERGY STAR and NERC Certified throughout the
United States.
DIFFUSER OPT -ION SHGC U-FAc:TOR
tiVie'.0
0.33
1 0.43
Vusio.n' 1
0.35
10.43
U -Factor: U -factor is a measure of the heat loss from the interior to the outside through the skylight.
The lower the value the lower the rate of heat floNv. Heating and cooling bi1Lfi 'are reduced when less
interior conditioned air flows to the outside. English units are given in BTU/hr-ft2--*F. i1Jetric units are
given in W/m2-°K.
Solar Heat Gain Coefficient (SHGC): SHGC defines the fraction of solar radiation admitted through the
skylight and .measures the ability to block heat caused by sunlight. The .lower the SHGC, the more it
reduces air conditioning costs.
Skylights
U hc:v:
Clfl'JiU=i ^11 -
` 0.`0
s 0 15
Any
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Note: RF:S97 does not apply to Solatube- products.
For more information, please refer to
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SECTION 08625
TUBULAR DAYLIGHTING SYSTEM
Display hidden notes to specifier by using Tools/Options/View/Hidden Text.
PART 1
GENERAL
1.1 SECTION INCLUDES
A.
Tubular daylighting system, consisting of roof dome, reflective tube, and diffuser
assembly; configuration as indicated on the drawings.
B..
Accessories. 7
1.2 RELATED SECTIONS
A.
Section 07311 - Asphalt Shingles: Flashing of skylight base.
B.
,Section 07320 - Roof Tiles: Flashing of skylight base. '
C.
Section 07510 - Built -Up Bituminous Roofing: Flashing of skylight base.
D.
Section 07530 - Electrometric Membrane Roofing: Flashing of skylight base.
E.
Section 07550 - Modified Bituminous Membrane Roofing: Flashing of skylight base.
F.
Section 08620 - Unit Skylights: Skylights without reflective tube.
G.
i
Section 08630 - Metal Framed Skylights.
H.
Section 16150 - Equipment Wiring: Electrical connections.
L
Section 16500 - Lighting Equipment and Controls.
1.3 REFERENCES
A.
ASTM E 84 - Standard Test Method for Surface Burning Characteristics of Building
Materials; 2001.
B.
ASTM A 463/A 463M - Standard Specification for Steel Sheet, Aluminum Coated, by
the Hot Dip Process; 2001a.
C.
ASTM A 653/A 653M - Standard Specification for Steel Sheet, Zinc Coated
(Galvanized), by the Hot Dip Process; 2001 a.
D.
ASTM E 283'- Test Method for Rate of Air Leakage Through Exterior Windows,
Curtain Walls, and Doors Under Specified Pressure Differences Across the
J
r
Specimen.
s
08625-1
r
E. ASTM E 308-95 - Standard Practice for Computing the Colors of Objects by Using
the CIE System
F. ASTM E 330 - Structural Performance of Exterior Windows, Curtain Walls and ,
Doors.
G. ASTM E 331,- Test Method for Water Penetration of Exterior Windows, Curtain walls
and Doors by Static Air Pressure Difference.
H. ASTM D 635 - Test Method for Rate of Buming and/or Extent of Time of Buming of
Self -Supporting Plastics in a Horizontal Position.
I., ASTM D-1929 - Test Method for Ignition Properties of Plastics.
J. UL 181 - Factory Made Air Ducts and Air Connectors; 1998
K. UL 790 - Standard for Tests for Fire Resistance of Roof Covering Materials; 1997.
L. ICBG/ICC, AC -16 - Acceptance Criteria for Plastic Skylights; 2003.
1.4 PERFORMANCE REQUIREMENTS
J
A. Completed tubular daylighting system assemblies shall be capable of meeting the
following performance requirements:
1. Air Infiltration Test: Air infiltration will not exceed .30 cfm/sf aperture with a
pressure delta of 1.57 psf across the tube when tested in accordance with
ASTM E 283.
2. Water Resistance Test: No uncontrolled water leakage at 16.5 psf pressure
differential with water rate of 5 gallons/hours/sf when tested in accordance
with ASTM E 331.
3. Uniform Load Test:
a. No breakage, permanent damage to fasteners, hardware parts, or -
damage to make system inoperable or cause permanent deflection of
any section in excess of 1 percent of its span at a Positive Load of 110
psf (5.27 kPa) or Negative Load of 60 psf (2.87 kPa).
b. All units shall be tested with a safety factor of (3) for positive pressure
and (2) for negative pressure, acting normal to plane of roof in
accordance with ASTM E 330.
4. Fire Testing:
a. Class B Burning Brand- The buming brand shall self -extinguish
without transferring the fire to the dome Per: U.B.C. Standard 15-2
Class B Burning Brand Test. See ASTM E 108 and UL 790.
b. Self -Ignition Temperature - Greater than 650 degrees F Per: U.B.C.
Standard 26-6. See ASTM D-1929-68 (1975).
C. Smoke Density - Rating no greater than 75 Per: U.B.C. Standard 26-5.
(See ASTM D-2843-70) or no greater than 450 Per U.B.C. 8-1 (See
ASTM Standard E 84-91A) in way intended for use.
d. Rate of Burn - Minimum Buming Rate: 2.5 inches/min (64 mm/min)
Classification CC -2: U.B.C. Standard 26-7. See ASTM D 635-74:
1.5 SUBMITTALS
A. Submit under provisions of Section 01300.
B. [ Product Data ]: Manufacturer's data sheets on each product to be used, including:
1. Preparation instructions and recommendations.
2. Storage and handling requirements and recommendations.
08625-2
3. Installation methods.
C. Shop Drawings.
D. Verification Samples: As requested by Architect.
E. Test Reports: Independent testing agency or evaluation service reports verifying
compliance with specified performance requirements.
1.6 QUALITY ASSURANCE
A. Manufacturer Qualifications: Engaged in manufacture of tubular skylights for
minimum 10 years.
1.7 DELIVERY, STORAGE, AND HANDLING
A. Store products in manufacturer's unopened packaging until ready for installation.
B. Store and dispose of solvent -based materials, and materials used with solvent -
based materials, in accordance with requirements of local authorities having
jurisdiction.
1.8 PROJECT CONDITIONS
A. Maintain environmental conditions (temperature, humidity, and ventilation) within
limits recommended by manufacturer for optimum results. Do not install products
under environmental conditions outside manufacturer's absolute limits.
1.9 WARRANTY
A. Tubular Daylighting System: Manufacturer's standard warranty for 10 years.
B. Electrical Parts: Manufacturer's standard warranty for 5 years, unless otherwise
indicated.
PART 2 PRODUCTS
2.1 MANUFACTURERS
A. Acceptable Manufacturer: Solatube International, Inc., which is located at: 2210 Oak
Ridge Way ;Vista, CA 92081; Toll Free Tel: 888-765-2882; Tel: 760-477-1120; Fax:
760-597-4488; Email: commsatesCcr_solatube corn; Web: www_solatube.com
B. Requests for substitutions will be considered in accordance with provisions of
Section 01600.
2.2 TUBULAR DAYLIGHTING SYSTEM
A. Tubular Daylighting System General: Transparent roof -mounted skylight dome and
self -flashing curb, reflective tube, and ceiling level diffuser assembly, transferring
sunlight to interior spaces; complying with.ICBO/ICC AC -16.
B. Brighten Up Series: Solatube Model 160 DS, 10 Inch (250 mm) Daylighting System.
1. Roof Dome Assembly: Transparent, UV and impact resistant dome with
flashing base supporting dome and top of tube.
a. Outer Dome Glazing:: 0.125 inch, (3 mm) minimum thickness injection
molded acrylic classified as CC2 materiae and, meeting characteristics
of DR -101 blend.
08625-3
2.3 ACCESSORIES
A. Fasteners: game mat erial as metals .^ei^^ fastened non-magnetic n magntic s' :eel
, non-
... corrosive metal of type recommended by manufacturer, or injection molded nylon.
sealant. Pnivilrpthr4rip nr'n. r1n;w%IPCi'i sr .r Ai Cifiiir rfE: ia i ? lrllVilJtP.i rir-
. _ n. _ idpil
recommendedL by manufacturer.
PART 3 rl ECUT!C) ;
3. 1, ClWMHNA T ION
-^.. Dc not begat@ installation ;:nail si bstrates' have been pira;,e ;o prepared.
i
n nr
I
b. Raybender 3000: Prismatic pattern molded into dome to capture low
angle sunlight.
C. LightTracker Reflector: Aluminum sheet, thickness 0.015 inch (0.4 mm)
with Spectralight Infinity. Positioned in dome to capture low angle
sunlight.
2.
Flashing Base: One piece, seamless, leak -proof flashing functioning as base
support for dome and top of tube.
a. Base Material: Sheet steel, corrosion resistant, meeting ASTM A 653/A
653M or ASTM A 463/A 463M, 0.028 inch (0.7 mm) thick. '
b. Base Pitch (Slope): 22.5 degrees slope from horizontal.
3.
Dome Ring: Attached to top of base section; 0.090 inch (2.3 mm) nominal
thickness injection molded high impact acrylic; to prevent thermal bridging
between base flashing and tubing and ;channel condensed moisture out of
tubing.
4.
Reflective Extension Tube:. Aluminum, sheet, thickness 0.015 inch (0.4 mm):
a. Interior Finish: Spectralight Infinity high reflectance specular finish on
exposed reflective surface Visible spectrum (400 nm to 760 nm)
greater than 99 percent. T: otal' solar spectrum (400 nm. to 2500 nnn)
less than! 93 percent.
h _Color: a* and b` mi-finari by rAF I *a*b* cnlor model) shall not exceed
.--. - 1
plus 2 or'be less than minus 2 as determined in accordance to ASTM E
308,
C. Tube Diameter: Approximately 10: inches (250. mm):.
5.
Reflective 30 degree Adjustable tube: Aluminum sheet, tnic ness :015 inch
(0.4 mm)
a. Interior Finish: Spectraiight'Infinity high renectance specular finish rim
exposed reflective surface Visible spectrum (400 nm to 760 nm)
R L T L 1 1 ..... I R' R
Ah
• greater t rare 9a feri: - rt. `Ida ' soar-op %t eai,, (4 OG nim to 25vC e im).
'less -than .93 percent.
•v
C evslng'.Ring:.1n"ie R.ion 1-1 .vivud.re ist rt ac, .l.ic. `'Jo minn.! thic, ^. ss i
0.1.1.0 inches. -
7,
rl;ag- Ring FrTjvayserZ. t r,y nitic ' it YM resrstar?: —acrylic, il trrninal thickness :s
0.100 Inches. Prevents air infiltration and condensation from attic spaces.
8.
Di al Glaze=d Diffuser Assembly:
a. upper Glazing_: Acrylic piastic.ciassified`as CIC -21. i'he nominai ti"iickness
is 0.040 inches (1.02 mm).
b.Lower Glazh—.,.,g Ciiusion),: Aci NC plash': ciassiSiei,L a$ CC2. The iionnina
thickness is i:090 inches (2.29 mm).
C%1
a.
A .
n .Cc$$ilricS:
/
a. Tile Roof Counter -Flashing:: corrugated' aluminum. 1.1 00 0„ L.0201 , nch:
Catalog Nurnber:-S160DS-DA-FFT:L4-
2.3 ACCESSORIES
A. Fasteners: game mat erial as metals .^ei^^ fastened non-magnetic n magntic s' :eel
, non-
... corrosive metal of type recommended by manufacturer, or injection molded nylon.
sealant. Pnivilrpthr4rip nr'n. r1n;w%IPCi'i sr .r Ai Cifiiir rfE: ia i ? lrllVilJtP.i rir-
. _ n. _ idpil
recommendedL by manufacturer.
PART 3 rl ECUT!C) ;
3. 1, ClWMHNA T ION
-^.. Dc not begat@ installation ;:nail si bstrates' have been pira;,e ;o prepared.
i
n nr
I
R -if FI liiCirAlp nro..nnrnfinn, i. -,the reRnnnCiiiilily of another, 1nCfS iiP.r nrififu iarr:hitect of -
unsatisfactory preparation before proceeding.
pn?EpaR' Tl—'
A.' Clean surfaces tnorougNy p.^.Lar to in5taiiabon.
a ti
B. Pre -Dare $urfavvso usina that. ,iicaiivd.i,reco immended`I-the iiia n'ufa cturer'for
achieving the'best result for the substrate.under the project conditions.
3.3 INSTAL 1 ATIfZN
A. install in. accordance :",Jit^ manufacturer's printed "instructions.
C AA installation f f -.:s4 't 6ielyd tent to ideter s ' e d 1f inst ll kion. '-"-^n 2. 4
v. i -
a,a@r Iiiusao uoaiv„ vi I. a ui, is„nc,u acoa u ucacn,iii, oa cii uai, ' v,'ii, iaiiauvn. vvnutiva
water test. in presence of Owner, Architect, or Contractor,. or their designated
ranrcgarztati_ra C`nrror! if noc"lcrl befttr= nrrraaMlinn % ith ;hctaliatinn of 5i,hcan, =nt
.,r.• . r y M , ...
units.
.4 PROTECT ION
A. Protect installed products uritii completion of proiect. `
Q I ouv~ :p, repair or a plane damaged products before Substantia, Completion.
Fnlrl _F CFr`Tlnkl
1'
S160DS = Brighten I In(Z i n-inr_.h/750 mm SugnP.nfiP.rl/HnrrJ C eilinn
DA = Dome Acrylic
FFT = Tile .Roof, No Pitch Metal Flashing
L4 = Vusion
08625-5
MAY -17-2007 02:54 PM Sola Lite PALM DESERT 7607795597
Bin 'faOfcity .of La Quinta
Building 8z Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Qulnta, CA 92253 - (760) 777.7012
Building Permit Application and Tracking Sheet
Project Address: 5 M 9, t, S7- L.Q.Cjq Owner's Name: /C wAL1'60
A. P. Number' Address:
,Legal Description; City, ST, ZipQj (
Contractor: ,SoL rel
Address:
City, ST, Zip:
Telephone: 7( X779
State Lic.
Arch„ Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person;
# . -Submittal
Plan Sete
Structural Cales.
Truss Calte.
Energy Cates.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wka. Appr
School Fees
Fj
Lic. #:
Project Description;
tJS/o ti . S
P. 01-
2 253
Total Permit Dees
Construction Type; S F Occupancy;
Project type (circle one): New Add'n Alter Repnir Demo
'' GG
' W
S9. 1't.'
#Stories:
# Units:
)-'7-79 -5'5'q
Estimated Value of Pro'cct.
,
APPLICANT: DO NOT WRITE (BELOW THIS LINE
Ree'd
TRACKING .
1'EItM1T FEES
P k submitted
71716-1
Item
Amount
Revlewe ready for corrections
a
Plan Check. Deposit
0Ied Person
Plan Check Balance
Plane ticked up
Construction
Plans resubmitted
Mechanical
2' Review, ready for correetloWssue
Electrical
Called Contact Person
Plumbing
Plans picked up
S.M.T.
Plahs resubmitted
Grading
Review, ready for corrections/Issue
Developer Impact Fee
Called Contact Person
Date of permit tesue
Total Permit Dees