AR (9609-078)LICENSED CONTRACTOR 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 # Lic. Class Exp. Date
5523-14 # f 213In3G.
,pate Signature of Contractor %j' Z�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) I, as owner 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section B&P.C. for this reason
Date Signature of Owner
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
p rformance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 37, QOof. the Labor Code,,.for the performance of the work for which this
permit isf§ssGed. My�W rktersf'cto&pensation insurance carrier & policy no. are:
Cartier Policy No.
(This section. need not be completed if the permit valuation is for $100.00 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, and agree that if I should become
subject to the workers' compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions.
Date: '''' '�' s Applicant''.
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void_ if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property'for inspection purposes.
)Signature (Owner/Agent) 1-0ate
PERMIT#.
BUILDING PERMITbaf�-+���
CONTROL#
4121
DATE 9/1 9196 VALUATION $6,.543.60 LOT- TRACT .
JOB SITE W.15511$ri.,KfION
APN 76.11-101-005
ADDRESS
OWNER
CONTRACTOR/DESIGNER/ENGINEER
GF_N ' h MA ILl`R11<jItiUS
Rfflki'$: 1ZT?Yi`.Ui�U�� CCDNS'1'kaJ('`.€'�
Mly.lt..0N
21'70 VIA. R101ri I'8 V1.S'TA
.80155
LA QLIIN 1 A CA. 3115J'
PALM SPk1NGS C;A. 92262
f216flix-mgI
(;H9)323-2522
CgLff 4367
USE OF PERMIT
kl Sl.l; IN +'IAL AC:)1}t'i iON
C'ffriNfX Xf.R1V1V.T T 9HDR(X_)M 811-11NO- ROOM.
as •. . .. ,..x
5
k:.�e'I r,.'?►'!°ED COST OF E:ON5"a RUC Y10N
X AIv CRECK 1{Et 101AV-430.318 SR.50
€'ttil�37X2 r"!'.O�t t Sv:"s 101-00041.8-0010 4'.90. vj
AFL 921vtl.UlN%-Ojlei1�a15.00
101-000-421-000 $17.94
SWING &10TtCYN F F,91 -.RE. a1f1 _ 101 -00.0 -?4)-000 $.65
rc:
s
SU .TC17A%, CONS'T WICTIORT.AND MAN CRECK
$182.09
t,
;LFSS PRE-VAID DIMS
$0.00
-F ICTAL ['It;RMIT 1r EE%, DUE NOW
S182.09..
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck 24
Exhaust Fans
O.K to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Pibg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment. Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
PGA WEST 11 RESIDENTIAL ASSOCIATION, INC.
P.O. Box 1282 • La Quinta, CA 92253
August 30, 1996
Jim Baker, CEO
Menage
83711 Peach
Indio, CA 92201
RE: 'PGA WEST Il Residential Association
Norris Residence / S 85SMerion / E61 .
got v;,
Dear Mr.. Baker:
' Thank you for appearing before the PGA WEST U ResidentialAssociation Architectural
Committee on August 26, 1996 to review additional information with regards to the approval of
the atrium enclosure and proposed spa'at the above referenced residence. Please be advised that
both items were approved under the following conditions:.
1. The Association's landscape maintenance contractor,' Valley Gardening Services,:
review landscape palette and irrigation plans.prior to installation. The installation crew
should interface with Miguel Valenauala of VGS,- (619) 399-1844 prior to installation to'
make sure that.the Association's common area irrigation is not compromised.
2... Homeowner.is responsible for maintenance of all landscaping in pots.
3, All City building and ordinance codes are met with regards to the structural and
architectural elements to the atrium enclosure:.
Thank you for meeting with the Committee, should you have any further questions please do. not
' hesitate to contact me at your convenience.
Sincerely,
'PGA WEST 11 RESIDENTIAL ASSOCIATION
���
John H. Handel G
Association Manager
cc: Don Troy, Architectural Chairman
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,,,.-Certificate of Compliance: Residential (Page 1 of 2) CF-1 R
GE"e, 0ORP,16 -7/9/9(0
Project Title Date
80- 155 "ER-100 - 'LA QutuTA
Project Address Building Permit #
aOAOJ T_), 4-A ACILF e (i9(9) 304- 04111 U Plan Check/ Date
Documentation Author Telephone
:PAt:KA(4 l Field Check / Date
Compliance Method (Package; Point System or Computer) Climate Zone Enforcement Agency Use Only
GENERAL INFORMATION
Total Conditioned Floor Area: 103 - ft,
Building Type: Single Family C Addition
(check one or more) Multi -Family Existing -Plus -Addition
Front Orientation: Eh / East / South / West / All Orientations
(Input orientation in degrees and circle one.)
Number of Dwelling Units: i
Floor Construction Type:�lab Raised Floor (circle one or both)'
BUILDING SHELL INSULATION
Construction
Component Insulation Assembly Location/Comments
Type R -Value U -Value (attic, to garage, typical, etc.)
Wall .............. (k -
Wall ..............
Roof ............. R -1;8
Roof .............
Floor .............
Floor .............
Slab Edge ....
FENESTRATION
Shading Devices
.a
Fenestration Area Fenestration Interior Exterior Overhang Framing Type
Orientation (sf) U -Value (roller blind, etc.) (shadescreen, etc. (yes/no) (metal/wood/vinyl)
Front..... (Q)
Front..... ( )
Left....... (F) 0`�5 Pi1A01'>S a0(o6Cf?FF_J y.F-S JL4 ErkL_
Left.....,. ( )
Rear ..... QS)
Rear..... ( )
Right..... (W) n
Right..... ( )
Skylight .....:. =G77
Skylight .......
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen bath etc.)
T1 u_� ( O_; t1�11 Am-ri oo
r
hr
Revised December 1992 -.
* .r
i
c
Certificate of Compliance: Residential (Page 2 of 2) CF -1 R
GEu� No�et� -7(g 19!(e
Project Title Date
HVAC SYSTEMS
Note: Input hydronic or combined hydronic data
under Water Heating Systems, except Design Heating Load.
Distribution
Heating Equipment Minimum
Type and
Duct or
Heat Pump
Type (furnace, heat Efficiency
Location
Piping
'Thermostat
Configuration
pump, etc.) (AFUE/HSPF)
(ducts/attic, etc.)
R -Value
Type
(split or package)
Cooling Equipment Minimum
Duct
Type (air conditioner, Efficiency
Location
Duct
Thermostat
Configuration
' heat pump, evap. cooling) (SEER)
(attic, etc.)
R -Value
Type
(split or package)
_eu6TIU(o
WATER HEATING SYSTEMS'
Energy
External
Ratedl
Tank
Factor or
Tank
Water Heater Distribution
Number Input (kW
Capacity
Recovery
Standbys Insulation
Type Type
in System or Btu/hr)
(gallons)
Efficiency
Loss (%) R -Value
FyCISTI P�t0
- -
1. For small gas storage (rated input:5 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor.
For large gas storage water heaters (rated input 2 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss.
For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency.
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) i
-X R.EN oy t u (0 (UP -a I✓ -41s r w cc &LAzt u to -1- 1U670 01: f a3 = t (c = l Z (P f A LLO r &A & LA 14 16
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to'comply with Title 24, Parts 1 and 6, of
the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the
individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple
orientations, any shading feature that is varied is indicated in the Special Features/Remarks section.
Designer or Owner (per Business & Professions Code)
Name:
Title/Firm:
Address:
Telephone:
Lic. #:
(signature) (date)
Enforcement Agency
Name:
Title:
Agency:
Telephone:
(signature/stamp) (date)
Revised December 1992
Documentation Author
Name: .Finekl r-) - L4
Tide/Firm:
Address: (D8'48% f4i(o1(11101%4 lilt X5(0
CAn+IEDeAL Clrg, CA 9x-.34
Telephone: tlat9l .2x 4,— 6a-1&
APPROVED ALTERNATIVE ENERGY DESIGN FOR RESIDENTIAL ADDITIONS -
'
SQUARE FOOTAGE OF THE ADDITION - ' / PACKAGE'
BUILDING
<a
•" 100-
.. 500•
>_
COMPONENTS
.100
499
999 "
1000
LAB
ISE
4
INSULATION
COUNG INSULATION : '
R-19
R•38
R38 ...
R•38
R•38
R•3$
WALLINSULATION
R43
R-13
- R-13 .
R-21
R-21
R-21
'HEAVY• WALL
(R-4.76)
- (R-4.76)
(F".76)
(84.76)
(R-4.76)
0R-4.76 .
RAISED FLOOR INSULATION
R-19
R-19
R-19
R-19
R-19
R•19
f
GLAZING
ALLOWASI E U•VALUE
-0.75.
0.75 ,
0.65 •
0.65
0.65
0.65
MAXIMUM GLASS AREA
<= 50 FT,^ 2 .
.16%'
16%
16%
e16%
16%
•
Urs GLASS AREA
(PWB GLASS AREA
REMOVED FROM ESU
REMOVED FROM EX)
c
SHADING,
COEFFICIENT
SOUTH FACING GLASS
WR
0.40
0.40
0.40
0.40
0.40
WEST FACING GLASS
`• WR :
. 0.40
0.40 -
0.40
0.40"
0.40
EAST FACING GLASS
NIR
0.40
0.40
0.40 _
0.40
0.40
NORTTG FACING GLASS
N/R
0.66 ..
0.66
0.66
0.66 .
0.66 -
THERMAL MASS
PACKAGE 0 OR E
PACKAGE 0 OR E
PACKAGE DOR E
20%
5%
SPACE HEATING
,
GAS WUE)
78%
78%
78%'
78%
78%
78% !
NGT PUMP (HSPF)
..
SPIT SYSTEM
6.8
6.8
6.8
6.8
6.8
6.8
SINGLE PACKAGE UNI
6.6
6.6
6.6
6.6-
• ' ' 6.6
•• -6.6
SPACE COOLING
SPILTSYSTEW (SEER)
10.0
`. 10.0.
10.0
" .10.0
.10.0
;
SINGLE PACKAGE UNIT (SEER)
9.7
9.7
9.7
9.7
9.7
_10.0
• 9.7
WATER HEATINGOF
A`EPLACEG)
GAB <: So GAL
GAS <- 50 GAL
GAS <- Eo GAL
GAS <. SOCIAL
GAB <- SO GAL'
GAB <- E0 GAL
OF ADDED)
MUSTMEET
MUSTMEET
MUST MEET
MUSTMEET
MUSTMEET
MUST MEET
•
BUDGET
BUDGET
. BUDGET
BUDGET
BUDGET
BUDGET'
. I
SOME OF THE OPTIONS AVAILABLE TO MEET SHADING COEFFICIENT OF 0.40 ARE: -
1. METAL FRAMED WINDOWS WITH 'EITHER LIGHT VENETIAN BUNDS OR ROVER SMAOES (OPAQUE WHITE OR TRANSLUCNET LIGHT) AND SUGSCREENS.
2 WOOD FRAMED WINOOWS WITH MU WONS. VENETIAN BUNDS ANO BUG SCREENS
S WOOD FRAMED WINDOWS WITH WNITIEWF WHITE DRAPERY AND BUG SCREENS
♦ METAL WINDOWS WITH MULLIONS, WMffLWF WMRE DRAPERY AND SUGSCREENS . r
A DRAPERY IS A LOOSE FABRIC HANGING JUST INS10E AND CAPABLE OF,COVERING A WINDOW.
VENETIAN BUNGS. MIN16UNDS OR VERTICAL BUNOS CAN Of! MADE ESSENTIALLY FLAT FACING TME WINDOW. .
UGHT OR OFF WHITE INCLUDES WHITE WITH A LIGHT PASTEL TM (EG, EGWMELJ. CREAM. ETC.) AND MIRROR LIKE COATING THAT REFLECTS IMAGI<S
TYPICAL THICKNESSES OF INSULATION AREAS FOLLOWS:
R-13=31/2', R69=51/2', R•21=51/2', R•38=11' FIBERGLASS BATTS Y ,•
ALL MANDATORY MEASURES ARE REQUIRED TO BE MET REGARDLESS OF THE SIZE OF THE
ADDITION. PLEASE SEE THE ATTACHED NOTES FOR THESE REQUIREMENTS.
THESE, PACKAGES ARE DESIGNED FOR THE SMALL RESIDENTIALBB •
GLAZING, AS AN ALTERNATIVE TO THE POINT SYSTEM OR COMPUTER COMPLIANCE METHOD.
THESE TYPICALLY WILL NOT •- THE LARGE CUSTOMADDITION AND/OR REMODEL
4
NOTES TO PACKAGES AND MANDATORY MEASURES '
1. The value shown . in parenteses is the minimum R -value for the entire -wall assembly.,
excluding the interior and exterior air films if the wall weight exceeds 40 pounds oer
• square foot.
2. A slab floor is defined as greater than 50% slab on grade and a raised floor is defined
as less than 50% slab on grade.
3. Automatic' setback thermostats must be installed in conjunction with. all space heating
systems. ,
4. HPSF means "Heating Seasonal Performance Factor'. r
5. Electric resistance heating is not permitted when using the attached',method of
compliance.
6.- The fenestration U -value rating procedures and labeling requirements are now effective
for all fenestration products except dual pane, aluminum frame fenestration proddds,,for
which these are optional until July 1, 1993.
1993.
7. All insulation installed must meet the C. E. C.. quality standards. Note on plans.
8. All fireplaces have closable metal or glass doors, outside air intake with damper and
control, (when installed on an exterior wall) and flue damper and control. Continuous
burning gas pilots are not permitted. '
9. All HVAC equipment, water heaters, showerheads and faucets must be certified by the,
California Energy Commission.
10. Piping and tank insulation is required as follows; 1. Indirect hot water tanks require
insulation blanket (R-12 or. greater) or combined 'interior/exterior insulation (R-16 or
greater); 2. First 5 feet closest to water heater (both cold and hot water lines) R-4 or
greater.
11. Duct insulation to R-4.2 minimum or show located entirely within conditioned spaces.•
'12. Pool and spa heating systems shall be a certified as minimum of 78% thermal efficiency,
on-off switch, .weatherproof operating instructions, no electric resistance and no pilot
light. Covers are required for both pools and spas. A•36" minimum long pipe is required
between filter and heater for future solar heating installation.
13. 40 lumens per watt or. greater (fluorescent) for general lighting in kitchens and rooms
with water closets is required. !'
14. Type 'IC (insulation- cover) recessed incandescent fixtures are required, if.installed.'
J '
'Building
Address
Owner •
_�C1tii�lRiCi C
Address
City
Contractor
Address , ,. ;: - - - -_
., -
City
Zip
State Lic.#�
8 Classif. '.. 2M30
Arch., Engr.;"
Designer
„ Address -
City
Zip
LICENSED CONTRA
I hereby affirm that I am licensed under or(
•st�.
` P.O. BOX 1504 ' '
No. 08466
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
a BUILDING: -TYPE CONST. J• t
• ...; OCC: GRP.
c n A.P. Number PiGA'WEST. — TRACT #25499-3
... a Cep ..- -
568-2828 Legal Description -7—
Project
Project Description} PHASE 3; —'01 m I.-OiR' •
City'
Lic: #
Tel.
State
DR'S DECLARATION
ions of Chapter 9 (co
ons Code, and my lif
Sq. Ft.
Size
New ❑
<.. No:
. Stories
Add,❑, fir. Alter ❑
ng with -Section I .
in full force and -
ff 11 �-
., -
.. ..
SIGNATURES ,e.:rs cam'-•` c.r•�-✓'a� li ..asi .../ s..rs>'^'.e CJ 'CODATE
1% C I OWNER -BUILDER DECLARATION % d
I hereby affirm that I am exempt from the Contractor's License Law for the following
' ..reason: '(Sec. 7031.5,Suslness,and Professions Gide: Any. city or, county which requires a
Estimated Valuation
979 '
. peimlf to construct,. alter, improve, demolish, or repair any structure, prior to its issuance also
requires theapplicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 -(commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he is .exempt therefrom, and the basis
' for the alleged exemption. Any -violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500). -
' O I, as owner of the property, or my employees with wages as.their sole compensation, will _
'do the work, and the structure is not intended or offered for sale. (Sec. •7044, Buisness and "
'Professions Code:•The Contractor's License Law does not apply to an owner of property,who
+ builds or improves thereon and who does such work himself or through his own employees,
* ..provided that' such improvements. are not intended. or offered for sale. If, however, the building
-
PERMIT ,-
- _ - - - -
.. - AMOUNT'••+',
-
, Plan Chk. Dep.
Ea
- -
plan Chk. Bal.
'
Const. ''
♦, a
�i 00
Mech. •
n.
.Electrical -
-
-
or improvement is sold .within ,.one year of completion, the owner -builder will have the burden
• .of proving that he. did not buildor improve for the purpose of sale.) -
`Plumbing
• ❑ 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
11
.• $, M. 1.
'
such projects with contractors) licensed pursuant to the Contractor's License Law.)-
•O 1 am exempt under Sec. B. 8 P.C.-for this reason '
Grading
,
Driveway Enc.
Dale _ •___,_;Owner
Infrastructure
6-000, 0 3. 000', _0
' WORKERS' COMPENSATION DECLARATION
hereby affirm that I have a certificate of consent to self -insure, ora certificate of ,
Worker's Compensation Insurance,'or a certified copy thereof. (Sec. 3800, Labor Code.)
A#
k.
•
Policy No. .Company
-
O Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
,c -.37
CERTIFICATE OF EXEMPTION FROM
• WORKERS' COMPENSATION INSURANCE -
REMARKS.
fi
-
_ss n1�
'+ ( ,�•„ > ,; k"9,0, 14
r >ti..
(This section need not be completed if the permit is for one hundred dollars ($100) valuation -
or less.) . ..
• I certify that in the performance of the -work for which this permit is issued, I shall not
employ any person in any manner so as tobecomesubject to the Workers' Compensation
Laws of California.
-.
CW'.aY1w'1fl A d .. M4'J :t u -t s.�+,a •asz
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the :Labor Code, you must -forthwith
comply with such provisions or this permit shall be deemed revoked. -
ZONE: - • BY: `
,Minimum Setback Distances:: -
- - -
-Front
Setback from Center Line
„
Rear Setback•from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance of. the
whic
work for h this permit is issued. (Sec. 309 Z, Civil Code.) ., _ .'Sider
Side Stfeet Setback from Center Line '
Setback from Property Line
Lender's Name
FINAL DATE
INSPECTOR
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject,to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and'state that the above information is correct.
agree to comply with all city and county ordinances and state laws relating to building
construction,
construction, and hereby authorize representatives '.of this city to enter the above.
mentioned property for inspection purposes.
ISSUed by:
Validated by:
Date "- Permit
'
Signature of applicant Dale
>
Mailing Address
Validation:
-01/
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City State ZIp
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CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SD. FT.
WALL SO. FT. ®
SO FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
ZGAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP./EOUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
FINAL INS 01
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
VENTILATION
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
Re ROUND PLU
UNDERGROUND
A.C. UNIT
COLL. AREA
hFA SLAB GRADE /Q_/. fo
PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
,,jjROUGH
(�-6EWER OR SEP aft
!!!
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
ZGAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INS 01
FRAMING �� V
FINAL INSP.
ROOFING
„n �✓t�
1�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
/ LATHING 1 -ti -011
MESH
71 V n
1INSULATION/SOUND41 2L
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL