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ELEC (04-7608)a�. Q• ° o BUILDING & SAFETY DEPARTMENT c�`4 1t Box 1504(760):777-7012 i 5 CALLE TAMPICO FAX (760) 777-7011 UINTX,_CALIFORNiA 92253 INSPECTION.;REQUESTS (760) 777-.715.3 'r 0 Al ���� " BUILDING PERMIT' Aication Number 04-0000.7608 Date 12/06/04 Property Address . . 77435—CALLE MONTEREY, APN: 774-074-026-24 000000 - Application description ELECTRICAL Property Zoning COVE RESIDENTIAL -Application valuation`: .600 Owner Contractor CALVILLQ RAY'R OWNER 77.435 CALLE ,MONTEREY LA QUINTA CA192253 Permit' .ELEC-SERVICE CHANGE Additional desc Permit Fee 33.50 Plan.Check.Fee .00 Issue Date Valuation 0 Qty. Unit Charge Per Extension. BASE. FEE -` 1'5.00 1.00 18.5000 EA ELEC SVC <=600V/<=200A 18.50 ------------------------------------------------------------------------ Special Notes and Comments UNDERGROUND INSTALL TO NEW.200 AMP ELECTRICAL SERVICE Fee"summary Charged' Paid Credited Due Permit .Fee Total- ,33`.50 . 00 00 33 50 Plan Check'Total .00 00" :00 .00 'Grand -Total 33.50 00 .00 33.50;: P.O. BOX 1504 C&f 4 4 " 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: `f — / 6 9 �f Applicant: n Applicant's Mailing Address: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: /2 Architect or Engineer: Architect or Engineer's Address: Lic. No.. BUILDINU PERMIT DECLARATIONS 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 License No. Date Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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 or 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.). U I, 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.). U I am exempt under Sec. BA P.C. for this reason 19 ..r — 17 0 WORKERS' 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 Policy Number 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. =A:pPI,can /C/�-1-1� 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. 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 Lenders Address 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 Ouinta, 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 this county toe ter upon the above -menti ned property for inspection purposes. �G ��� i`—Da S atjfre A ant or Agent): OWNERBUILDER INFORMATION Dear Property Owner: An application for a building permit has-been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law- to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they, apply If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, 'and the work (including materials and other costs) is $200.00 or more for the entire project, and'such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include' State and Federal income tax withholding, federal social, security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks areespecially seriou's with - respect to worker's compensation insurance. For more specific. information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish,, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, .property owners who, are not licensed contracts are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be. contractors; is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are_ performing' their own work personally. Information about licensed contractors may be obtained by contacting .the Contractors' State License Board in your community or at 1020 N; Street, -Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA. QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 ' (760)•777-7012 F : (760) 777-7011 c,v2� OWNER'S GNATURE/DATE PR0PJtRTY ADDRESS -- 76R PERMIT NUMBER(S) - TAO :? P.O. BOX 1504 NO,$ Building 78-495 CALLE TAMPICO Address f 7�41�.: "Calle Monterey:. LA.,QUINTA; CALIFORNIA 92253. Owner. ay BUILDING: TYPE CONST: OCC: GRP.- •- Maihing Address - ' S2.' e A:P.',Num_ber CityZip Tel. L 12]:is3.y ..+�: �y�5i ..... Legal Description Contractor Project Description fide .CJi nen Address. 0... '. City :.:'-... Zip.......... Tel, State Lic City & Classlf Lic: # - - Sq. Ft. No -No. Dw. Size s :Stones - Units - x - Designer . New ❑ Add ❑ ?Alter ❑ c. Repair ❑ ., • Demolition :p Address Tel.. " City Zip _ State` Lic. # ... LICENSED CONTRACTOR'S DECLARATION "1 hereby affirm that l am licensed under provisions of Chapter9(commencing with Section ' 7b00) of Division 3:of the Business Professions Code, and and my license is in full force.and �-SIGNATURE DATE " OWNER -BUILDER DECLARATION I hereby.affirm that from Contractor's License for followin Estimated Valuation /��g A m -.liJVV'�:V' I am exempt the Law the ..-reason:.. (Sec. 7031.5,Bustness and.,. �fessions Code: ,An cit, or coup g Any . y , county.: which requires, a. - •permit to. construct, alter, improve, demolish; or repair any structure, prior to its issuance°also _- requires the applicant for such. permit to.file -a signed,statement'that he is. licensed pursuant to 1 - `. PERMIT AMOUNT the provislons • of the Contractor's License Law, Chapter. '(commencing with Section 7000) of ' Div4sioe_3 0l the. Business and Professions Code, oi- that. he is exempt- therefrom, and the basis ; _. :. � - �. '_ !. t - _ __... s for, the alleged.:exemptiar. Any vlolatbn o/ -Section 7031.5.. by 'any applicant 'a- permit for .. .. Plan Chk;. Dep ,�su��b•ects the applicant to a civil penalty of not more-thari five hundred dollars.($500).. -. .•' `^O ' Plan.Chk. Bal. I, as owner of the.property, or, y:employees with wages as. their sole compensation, will.. . '. °ado the work,'and the structure issnotintended of offered for sale: (Sec.' 7044; Buisness and - COnSt. Professions Code: The, Contractor's License Law does not, apply to an, owner ofproperty 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_. „ Mech. .`� - . or Improvement: is sold within one year of'completion,-the. owner -builder. will have the burden..-, _ Electrical., •.; . '. • �-t,' - " ' ` of proving that:he did not build or improve for. the purpose of sale:) . - , `-t 'O'l, as owner of theproperty,.am exclusively contracting. with licensed contractors to con- Plumbing 3 � ' struct the project. (Sec. 7044,' Business• and .Professions •Code: ,The• Contractor's License Law _ .. - •i., does not apply.to,an• bwner,of property who builds or improves thereon,. and.who contracts for S-M.I. .. - -. - ' -such projects•with' a'contractor(s)Vicensed.pursuant to the Contractor's License Law.) - Gradin g ❑ -I am exempt under Sec B. S P.0 for this reason - ° Driveway Eno. .', . .� C • ater'e ✓� here-�44,, " "� Infrastructure WORKERS' COMPENSATION DECLARATION ' ' I hereby affirm that I have 66ertificate'of consent'to self -insure, or a'certificate''of. ' Worker's Compensation Insurance, ora certified copy thereof:,(Sec. 3800, Labor.Code:) - - - - - •',+ Policy No. Company ❑ Copy"is filed with the city,:. ❑ Certified copy is hereby furnished. TOTAL-.Qy'0.. CERTIFICATE OF EXEMPTION. FROM. REMARKS -• WORKERS' COMPENSATION INSURANCE,' "• (This need not be completed ff the permit is for•one hundred dollars, - orless)section -. ... ,..,._. ..` - ,. ,.. I certify that in the performance of thVjwork for,,wgich'this permit. is issued -I shall not .. .. - -'employ ani person infady'manner saas'.to bedome,sutSject to the Workers" Com pensation Laws of;California /f ` J��rt�ic7 NOTIQE �Of'APPUCANT.ff -after malung this:, Centric -of Exemption you- should become -.ZONE' : ubject .I the Workers Compensadon provisions o/ the Labor Code you•; must forthwith --^^ r r 1 - `pMinimum •Setback comply with such provisions or.this permit shaft be deemed revoked. Dlstllnces - . FroritlSetback from Center Line u % Rear �Setback from.Rear Prop Line •WARN/NG:FAILURECT JOSECURE WORKERS"COMPENSATION COVERAGEIS.UNLAWF,UL,:AND", 1.41«:•-'ISid�eJSt�eetSetback.frorriCenterLine L PENALTIES'AND CIVIL FINES UP TO ONE ` EMPLOYER TO .000)'' H �T HUNDREDSHALL THOUSAND DOLLARS ($100NAADDITION O THE OST OF COMPENSAT ON, _ ' ' Iry . - Side`efback from Property. Line DAMAGES AS'PROVIDED FOR IN SECTION. 3706 OF. THE LABOR CODE; INTEREST,: AND ATTORNEY'S FEES. FINALjDATE '' - INSPECTOR T his is a buiidin g permit when properly -filled out, signed and validated; and subject to' expiration it work thereunder is suspended for 180 days.: �— K .I.Certify that I'have.read this. application and state.that the. -above information id correct: •. ISSued'by: Date- - Permit l 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. f." :Vdlldated by: a. Signature of applicant Date.,— • Mailing .. .. , ,Mailing Address - - � - ..City, Validation: State, Zip - CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING. FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. S0. FT. BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS - CAR P. SO. FT. I GAS (ROUGH) DRAINAGE PIPING WALL SD. FT. OTHER APPJEOUIP. DRINKING FOUNTAIN. SO. FT. ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM i WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FRAMING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED ' LAUNDRY TRAY AIR HANDLING UNIT CFM REMARKS: KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® VAc HOUSE SEWER MESH 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 SEW OR q ofy ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. I GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM i GRADING cu. yd. $ plus x$ _$ LUMBER GR. /& �9 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 s i t • t k ; - � tr r i - r, .. i.. _w`•. v-�._.+a.�+.- _ '.- l�•m'[+�397'R>.'+: }�`6 ,.!.d?'tOG7�e�'.`.rn>,w-�.*�..:nv4wcY�,.�o-.:•xrt7!... _ ! Y . • -y _.i•o.a?a ,,.orf.:, �r� �.-v.... ys-t+r. r.: Y• .. '+::a>•.«a.x. - " '�� .p COACHELLA VALLEY WATER DISTRICT ' • • ■■ • " ; �'- CASH RECEIPT DETAIL Date' • -' . f Received From: .:J- Li _ C.-.. . - - Address: I Lots) Account No. DA. Code _ + Service Address 4C- _ t f O Meter(s) + 0 Services) ' ❑ Backflovdsl •, • t (3House Lateral(s) ❑ Detector Checks)- ' ❑ Meter Surcharge- ' %- Sanitetion Capacity Charge .. ❑ W.S.B.F.C. "- - O Temporary Construction Meter .. 0 Turn on Charge- • + 0 Uncollected Account - Name ; ❑ tnspeotion Fee - Tract - Fee . ' •1 ❑ Pian Check Fees Water I Sewer - _ _ ~ r • " , " Tract- ., . O Bond fayment - A.D. -_Bond . ❑ Customer Deposit ❑ Other $ TOTAL C •' • Remarks: , I - OCo ')t to: py t Water Service Cashier ~ , • , r i r v 4-4 SANCO--- PUMPING 'SERVICE ( , -p 2502 Morongo Trail Palm Springs, CA 92264 (619)327=8859 - N2 .17421 SO)a TO SHIPPED TO §TREE NO. STATE. STREET NO. CITY STATE Zpb CITY STA TE' z If . ,fir• City City" Lic. # • - - •< Sq. Ft:. Building Address 77-435 Mont Owner Stories Units Arch:, Engr.; -.. _ ..:Designer _ New E Add E Alter E. Repair O Demolition E' Mailing Tel. Address same City Zip State Zip Lic. Vy Contractor hereby affirm that I am licensed under provisions of Chapter (commencing with Sections 7000) of Division 3 of the Business and Professions Code; and my license is in'fulf force and effect.. ' / / Grp SIGNATURE- i > "' '" DATE Address .. 78-550 Darb City PERMIT - - AMOUNT ' the provisfonsof 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 therafrom, 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): .. - 0 I, as owner of the property; or my employees with wages as their sole compensation„will 4 P.O. BOX 1504 No... 003853 78-105 CALLE ESTADO r LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST: OCC: GRP. A..P. Number 774-074-001 el. Legal Description 2;73 Project Description Re -roof C1Ltest house tz f'c� Road Tel... State Lic. & Classif.. City City" Lic. # • - - •< Sq. Ft:. No. No. Dw. Size Stories Units Arch:, Engr.; -.. _ ..:Designer _ New E Add E Alter E. Repair O Demolition E' Address Tel. City Zip State Lic. Vy LICENSED CONTRACTOR'S DECLARATION hereby affirm that I am licensed under provisions of Chapter (commencing with Sections 7000) of Division 3 of the Business and Professions Code; and my license is in'fulf force and effect.. ' / / Grp SIGNATURE- i > "' '" DATE ' OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Seca 7031. 5,Business and Professions Code: Any. city or county which requires -a permit to construct, atter, improve, demolish, or repair any structure, prior to its issuance also,- - requires the applicant for such permit to file a signedstatement that he is licensed. pursuant to Estimated Valuation, ®g Fa $8 00 PERMIT - - AMOUNT ' the provisfonsof 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 therafrom, 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): .. - 0 I, as owner of the property; or my employees with wages as their sole compensation„will - Plan Chk.. Dep.. ' Plan. Chk. Bala - pp ��qq S20 e,i 0 . do the work, and the structure is not intended or•offered for. sale: (Sec. 7044, Buisness and.�qq.y�y .. Professions Code: The Contractor's License Law does not apply to, an •owner of property who Mech..- 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. Electrical - 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.) ' , _ * . . 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 • such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - ❑ I am exempt under Sec.- B. t. P.C. for this reason - S. M. 1. - Grading Driveway Enc. Date owner Infrastructure WORKERS' COMPENSATION DECLARATION ' 'I hereby affirm that-[ have a certificate of consent' to'self-insure,'or a certificate of . Worker's Compensation Insurance, or a certified copy thereof.(Sec..3800, LaborCode.) Policy No. '-I s stFw Company�°ir 3'•� '..4e _/. +Copy s,filed with the city. .O Certifiedreopy is hereby furnished. TOTAL �7+ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION. INSURANCE REMARKS 4lft,',�`�" ”' W' �'8— firs' ` T a �. (This section need not be completed if the permit is for one hundred dollars (3100) valuation or less.) ... .. _ - .. .. 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. - ' Dale ' Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you. should become • 'subject to the Workers" Compensation provisions or 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 work for which this permit is issued. (Sec. 3097, Civil Code.) : Side Street Setback from Center Line - Side Setback from Property Line Lender's Name -. Lender's Address This is'a building permit when properly filled out, signed and validated, and is subject to FINAL.DATE INSPECTOR expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree'to comply with all-bity'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. 7Validated Issued by: y by: Date ! F� �f1F Permit Signature of applicant Date .Mailing Address Validation: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SQ. FT. ® CARP. SQ. FT. (i;1 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 BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL, FLOOR SUSPENDED OTHER APP./EQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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. SO. FT. ®c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER REMARKS: 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./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER Ga. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATICN FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH I NSU LATI ONISOU N D FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL 1 VM'J WUNAI UKLWIN1I IALS, GARDEN WALL FINAL