RR (12-1120)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
12-00001120 _
Property Address:
57240 MERION
APN:
762-031-029- - -
Application description:
RE -ROOF
Property Zoning: .
LOW DENSITY RESIDENTIAL '
Application valuation:
1500
A ....17.. �..r.
Owner:
PGA WEST RES II
39755 BERKEY STE. A
PALM DESERT, CA 92260
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: C39 7 License 774482
Date ontractor:
CC OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 L'aw (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.).
(_ 11, 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:
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: �L
Lender's Address: r �
LQPERMIT
VOICE (760).
FAX (760) -70
INSPECTIONS (760) 777-7153
Date: 9/24/12
OGT 03 2012 DI
CffY OF lA
------------------
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 STATE FUND Policy Number 1890178-2011
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 workertI ompensation provisions of Section
3700 of the Labor Co L I`all forthw' comply wi se provisions.
te(_0 /, Applicant:
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 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. Iagree to�9.ply with all
city and county ordinances and state laws relating to buildi g co struction, and hereby author ep 4sentatives
of t//h))ioun qo nter upon the above-mentioned grope for ' spection p oses.
IJ ignature (Applicant or Agent):
Contractor:
Architect or Engineer:
WILLIAMS ROOFING
P.O. BOX 391841
ANZA, CA 92539
(760)399-9394
LiC. No.: 774482
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: C39 7 License 774482
Date ontractor:
CC OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 L'aw (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.).
(_ 11, 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:
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: �L
Lender's Address: r �
LQPERMIT
VOICE (760).
FAX (760) -70
INSPECTIONS (760) 777-7153
Date: 9/24/12
OGT 03 2012 DI
CffY OF lA
------------------
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 STATE FUND Policy Number 1890178-2011
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 workertI ompensation provisions of Section
3700 of the Labor Co L I`all forthw' comply wi se provisions.
te(_0 /, Applicant:
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 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. Iagree to�9.ply with all
city and county ordinances and state laws relating to buildi g co struction, and hereby author ep 4sentatives
of t//h))ioun qo nter upon the above-mentioned grope for ' spection p oses.
IJ ignature (Applicant or Agent):
- T
Application Number . . . . . 12-00001120
Permit . . . RE -ROOF
Additional desc .
Permit Fee . . . 30.00 Plan Check Fee
.00
Issue Date Valuation
0
Expiration Date 3/23/13
Qty Unit Charge 'Per
Extension
BASE FEE
30.00
Special Notes and Comments
RE -ROOF REAR PATIO FLAT DECK WITH
URETHANE FOAM ROOF SYSTEM. 2010 CODES.
-
-------=--------------------------------------------------------------------
Other Fees . ... BLDG STDS ADMIN:(SB1473)
1.00
Fee summary Charged; Paid Credited
-- - - - - -'- - - - - - - = ------ - - - - ------- - ---- - - - - - - - ----------
Due
-.- _
Permit Fee Total 30..00 •.00 .00
30.00 ,
Plan Check Total .00 .00 .00
00
Other Fee Total 1.00 .00 .00'
1.00
Grand Total 31.00 .00 .00
31.00:
LQPERMIT
Prescriptive Certificate of Compliance: Residential Rercof CF -1 R-ALT-ReRoc
Project Address:sqa
Product Weight
Climate Zone
Permit M
I ROOFING PRODUCTS (COOL ROOFS) §151(1)12
when the area of exterior root surface to be replaced exceeds 50% or the existing roof area, or 1,000 fr, whichever is less, the net
rooting area must meet the rooting product "Cool Roof" requirements of §152(b)1H1, 152(b)iHll, or 152(b)1Hlll.
Check applicable alternative or exception below if the roof alteration Is. exempt from the roofing product "Cool Roof requirements:.
❑ Cool roofs W required in Climates Zones 1-12,14, and 16 with a low sloped roof pitch (less or 2:12 pitch).
❑ Cod roofs agi required in Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2.12) and product weightless than 5/Ibil
Alternatives to §162(b)1H1 and §162(b)HII, Steep -slope roof (pitch} 2:12)
❑ insulation with a thermal resistance of at least US hr-te-OF/Btu or at least a 314 inch air -space is added to the roof deck over an attic; or
❑ Existing ducts in the attic are Insulated and seated according to §161(f)10; or
❑ In climate zones 10, 12 and 13, with 1 tit of free ventilation area of attic ventilation for every 150 fl2 of attic floor area, and
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or
❑ Building has at least R-30 ceiling insulation; or
❑ Building has radiant barrier in the attic meeting the requirements of §151(02; or
❑ Building has no ducts in the attic, or
❑ In climate zones 10, 11, 13 and 14, R-3 or greater root deck Insulation above vented auto.
Exception to 9152(b)i Hill, Low -slops roof ( pitch 5 2:12)
❑ Building has no ducts in the attic.
Other Exceptions
❑ Rooting area is covered by building Integrated; photovoltaic panels and solar thermal panels are exempt from the Cool Roof criteria.
❑ Root constructions that have thermal mass over the root membrane with at least 25 lb/tt2 are exempt from the Coot Roof criteria.
NOTE: N any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittance requirements for roofing
products /n §118(1) are not applicable. Do not fill table below.
NOTE: When a Cool Root is required, the installing contractor shall complete and submit the Ci' -6R -ENV -01 for final inspection.
Declaration Statement
Roof Slope
Product Weight
Product
Aged Solar
Thermal
p
q- g- I
CRRC Product ID Number!
s 2:12 > 2:12
< 51biftz 2 511bite
Type'
ReflectanCs'A
Emitta ce
SR15
0
0
o
v°
�f3
❑
❑
❑
❑
❑4
Note: It no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance,
1. The CRRC Product ID Number can be obtained from the Cool Root Rating Council's Rat Product Directory at www.coolroofs.orNnroduc &earch.nha
2. indicate the type of product is being used for the rooftop, Ie. single -ply root, asphalt roof, metal root, etc.
3. If the Aged Reflectance is not available in the Cool Root Rating Council's Rated Product Directory then use the Initial Reflectance value from the same
directory and use the equation (0.2+0.7(p, w - 0.2) to obtain a calculated aged value. Where p is the initial Solar Reflectance.
4. Check box if the Aged Reflectance is a cakulated value using the equation above.
5. Calculate the SRI value by using the SRI- Worksheet at htbJhvww.enerw.ca.and enter the resulting value to the SRI Column above and attach
acopy of the SRI- Worksheet to the CF- 1R.
To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coven
recommended by the coatings manufacturer and meet minimum performance requirements listed In §118(1)4. Select the applicable coating:
❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other
NOTE: When a Cool Root is required, the installing contractor shall complete and submit the Ci' -6R -ENV -01 for final inspection.
Declaration Statement
• i certify under penalty of perjury, under the laws of the State of California, the information provided on this form Is.accurate and complete.
• I certify that tfie energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Part!
1 and 8 of -the California Qde of Reaulations.
Name:
1
Signature:
Compa'
p
q- g- I
Addr
LAI.
P)a 39M(
License:
-J
CilyisL, -(4-J11
Phoneij0-3 ffiM
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772.3300.
r
50
P.O. Box 391841, Anza, Ca. 92539 951-763-0769
So -855 Washington' St 2C,# 13.0, La Quinta, Ca. 92253 76o-344-93.94
Contract #5o5A . -
.
For: Monarch Management Trust, 39-755 Berkey Suite A, Palm Desert, Ca. 9226o
Attn: JoAnne Rose Date: July 15, 2012
Job Addresses: 57-240 Merion, .La Quinta, Ca. 92253
Schedule of extras if of extras if a�licable:
During the repair process, if any asbestos is discovered, the removal and disposal cost would be borne by owner. Any dry rot
will be replaced for an additional charge based on $8i.00 per hour labor and Lx6 or ix8 materials at $.2.50 per foot. Any
damaged rafter ends will be replaced for an additional charge based on s iog.00 each and fascia board at $12.00 per lin. Ft. Any
CDX/OSB plywood to be replaced at an additional charge based on $ 2.00 per sq. foot, labor included.
Scope of Work as follows; Urethane foam roof system as follows on the above
rear patio flat deck only: Clean and prep roof decks to accept new materials.
Install new edge metals as needed. Wipe down and prime edge metals.
Install 1" 3.0 SPF Poly Urethane foam roof system as per manufactures
specifications. Install Acrylic -roof coating as per manufactures specifications
@ a rate of i2" on perimeter and to receive 4 gallons per every loo square feet.
Remainder of roof system to receive 3 gallons per every loo square feet as per.
manufactures specifications. (This roof system is Title 24 Compliant)
Contract Price: $ 1600.00
Payment to be made as follows: To be paid upon regular billing cycle. (As completed)
Williams Roofing to leave jobsite clean and free of debris.
**Ten year workmanship warranty on all work performed by Williams Roofing only**
Owner/Agent Contractor
tern ff
Permit #
e Project Address:
A. P. Number:
Legal Descriitio
14
Contractor: j
1W
Address: �1}
Sq. Ft.: # Stories: # Units:
Ciq. ST, Zip:
It
Telephone: r �-3� ��
K
State Lic. # :
TRACKING
PERMIT FEES
Arch., Engr., Designer:
Plan Check eubmittcd Item
Address:
Amount
City. ST, Zip:
Reviewed, ready for corrections n Check Deposit
Tcicphunc:
Called Contact Person Chcek Balance
State Lic. p:
JPJan
Plans picked up struction
Name of Contact Person:
Telephone # of Contact Person:
# Submittal
Plan Sets
Structural Calcs,
Truss Catcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Dccd
ILO.A. Approval
IN'HOUSE:-
Planning Approval
Pub, Wks. Appr
School Fees
QY Of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78.495 Calle Tampico
La Ouinta, CA P2253 • (760) 777.7012
Building Permit APPlication and Tracking Sheet
PIUM
A tuner's Name: n IM -7—T t
. sr, Zip:���nnRlrn
l6y)—j -11A�j ^�
Ph—One: ' ... .
ect Description:
Citv Lic. #:
Total Permit Fees
Type: Occupancy:
&—kConstruction
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Estimated Value of Project: + Q�
APPLICANT:
DO NOT WRITE BELOW THIS LINE
Recd
TRACKING
PERMIT FEES
Plan Check eubmittcd Item
Amount
Reviewed, ready for corrections n Check Deposit
Called Contact Person Chcek Balance
JPJan
Plans picked up struction
Plans resubmitted echanicat
2" Review, ready for corrections/ issue Electrical
Called Contact Person Plumbing
Plans picked up 4 Mt I
Plans resubmitted Grading
Reviett, ready for corrections/issue Developer Impact Fee
Called Contact Person M.P.P.
Date of permit issue
Total Permit Fees
.. Al
4
P.O. BOX 1504 No. OTS53
Building 78-105 CALLE ESTADO
Address 57-240 Herf OA Y LA.QUINTA, CALIFORNIA 92253 ^ �
' Owner SeJ
mrise Ca a
`(/�
Mailing BUILDING: TYPE CONST. OCC:•GRP.
Address —600 Cwk SC Suite A.P. Number
City Zip Tel.
ft4toft 0 5' Legal Description_. lmct 254"A
Contractor N Project Description PhARA 7R Plan HIR
ge
.Address''—
City
AddressCity Sam Zip Tela
State Lia City
& Classif. 2MI3 } Lic. # _ Sq. Ft. 235,3 No. No. Dw.
Arch., Engr., Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑
Address TeL
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION +
Fhereby affirm that I am licensed under Provisions.of'Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license: is in full force and
few ctt. 'vi1' - a }'�rk '
SIGNATURE-.✓ -fir r •�.�i.••w•-+r f /DA(T�
OWNER -BUILDER DECLARAT ON '
I hereby affirm that I a'ezempt from the ContractotsvLicense Law for the following Estimated Valuation q�
w reason: (Sec. 7031.5,Buslness and Professions Code: Any city or county which requires a $1700470
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also AMOUNT
requires the applicant for such•permit to file a.signed statement that he is licensed pursuant to PERMIT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or thathe is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. -
subjects the applicant to a civil penalty of not more than five hundred dollars (5500). -
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal.
720.04
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and r1S�}�
Professions Code: The Contractor's License Law does not apply to an owner of property who. Const. W .
builds or improves thereon and who does such work himself or through his own employees, Mech. �� P.l�
provided that such 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 Electrical
of proving that he did not build or improve for the purpose of sale.) 113 47
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 156,50
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 S. M. I.
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.). 11.97-
❑ I am exempt under Sec. B. 8 P.C. for this reason Grading
Driveway Enc.
Date Owner Infrastructure 3,835.60
1, ogs (,'mdft 149MR6
WORKERS' COMPENSATION DECLARATION p
hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Infte
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.
CERTIFICATE OF EXEMPTION FROM REMARKS w
WORKERS' COMPENSATION INSURANCE
or iss.ection need not be completed if the permit is for one hundred dollars ($100) valuation_ . q , c� ,~5- uu -)q
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: 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 FINAL DATE INSPECTOR
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. e� !!
I certify that I have read this application and state that the above information is correct. Issued by: Date 2 90 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:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. S0. FT.
FOR. SO. FT. ®
GAR. SQ, 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
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
EWER OR SEP�iC3AI�
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, 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.
SQ. FT. RESID ® 11/. c
SEWAGE DISPOSAL
BOND BEAM
SO.FT.GAR ® V4c
HOUSE SEWER
GAS PIPING
PERMIT FEE
MIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE EPL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
ROUND PL �I
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
EWER OR SEP�iC3AI�
ROUGH WIRING
DUCT WORK
ROCK STORAGE
916 OUND. REINF �Q-Zej,
S (ROUG �i )
v
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 v -�
q44RAMING �^1l/
FINAL INSP.
OFING
r6�`�� _2_CREMARKS:
"L/ tee✓ h� D - �/ ���
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
THING- -q�o
MESH
f SULATION/SOUNf
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL