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BLCK (07332)
P.O. BOX 1504 Building 78-105 C LA QUINTACAL CALIFORNIA 92253 Address 49-470 �+pn=$r� Ruth Haman Mailing Address Same City Zip Tel. Contractor Larry d Kii'1! l)ei3l30It. 7-172 Hisci©n Dr. City IZip ITel. State Lic. City & Classif. 540664 1 Lic. # BY Arch., Engr., Designer Address Tel. City IZip IState I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby 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 effect. SIGNATUgE _ DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec, i037.3,8ugirress and PrWesskas Code- Any city or county whkh regWres a permit to Gonslaxt. alfer CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES $ UNITS COLL. AREA 1ST FL. SQ FT @ ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SO. FT. IMOBILEHOME SVC. SLAB GRADE BAR SINK FOR. SQ. FT. POWER OUTLET ROOF DRAINS GAR. SQ. FT. DRAINAGE PIPING CAR P. SQ. FT. DUCT WORK DRINKING FOUNTAIN WALL SQ. FT. URINAL SQ. FT. FOUND. REINF. GAS (ROUGH) METER LOOP WATER PIPING ESTIMATED CONSTRUCTION VALUATION $ OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE FLOOR DRAIN NOTE: Not to be used as property tax valuation �/ WATER SOFTENER MECHANICAL FEES WATER HEATER SERVICE SIGN WASHER(AUTO)(DISH) VENT SYSTEM FAN EVAP.000L HOOD WATER SYSTEM GRADING LUMBER GR. GARBAGE DISPOSAL APPLIANCE DRYER FINAL INSP. cu. yd FRAMING LAUNDRY TRAY FURNACE UNIT WALL FLOOR SUSPENDED $ -plus-x$-=S KITCHEN SINK AIR HANDLING UNIT CFM REMARKS: ROOFING TEMP USE PERMIT SVC WATER CLOSET ABSORPTION SYSTEM B.T.U. VENTILATION POLE,TEMIPERM LAVATORY COMPRESSOR HP FIRE ZONE ROOFING HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER FIREPLACE SQ. FT. ® c A BATH TUB BOILER B.T.U. SQ FT ® c WATER HEATER SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL MAX HEATER OUTPUT, B.T.U. SQ.FT.GAR ® 3/,c HOUSE SEWER LATHING GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE MESH TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE DBL INSULATIONISOUND STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK SLAB GRADE SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FORMS FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE �/ GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM ��-� C WATER SYSTEM GRADING LUMBER GR. FINAL INSP. cu. yd FRAMING FINAL INSP. $ -plus-x$-=S REMARKS: ROOFING VENTILATION FIRE ZONE ROOFING FIREPLACE A SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC_ FENCE FINAL r INSPECTOR'S SIG14ATURESIINITIALS GARDEN WALL FINAL rdLX cWALL ApUIT/413 139 .io�EiJ �tJ6r1J�e%tJC� yq y7o AMOIDA 110NIU0 - -- -- - -- -- -- --- ----� - — - 1/90 for g[,o�K 6�AlL p�sr�r� F ,u� I.2 x I.� x .15 x i.o x 17 PsF �- 21.4 psF USC za a �G soue GPAIt 1.0 x /•0 X.3 XB4PcF = 25.2 P.SP U132 2312 G e�1ty S*f4 /.ax A Futivo r l0 (21 �f'� _ 21 4r' Go,/95Xus MOMC-u-T C,>— Uf PER WALL T of WhLL glmoc) 3.75" � / .o x 2.671 _ . 19 i Z/K = G.99 Psl L 2Z$psl (3:15�z I.33 i M6Vl6O't Co) 9A�6 6F WALL MsHs = 1°17.y"R io.5�� A3fr41P 2 M,�,uo = zl. �Ib1z 10�� rl - /i/i a . I. q b 8' �ecK n = 40 0153.' q =1.46 /010 _ . 10 ruZ x 1.33 = .1�111,1Z . Z ,1JZ 1111" @ 1A logo �a.33] �.3 ooz/ . zl,K = �.�1� rAQLE c -z AM Ri{a<1►J k�F. _ 16-70 6 `1�� = 185 Psi 22•s psi 5ouo C+2w-r � 2 f v — 21y n>'- 19/S.3 (IZ� = 3•4P51 ,_ t. c;u��1�, Exp. 3-31-91 cAII� rti ,- CALK•`.;: "I 6►J EAG106,*1 BcecK.0A1c. RPpl�nv JOV 4�i- 47o quQrrgq MoNtCeo la} QWN>q C/} lo I3L X< WALL, DE.s/"1 OfK:Yo OF -<Afie---rY WT of (OAt..1_ 3.5(8gl t -7(5q) 0Z* VJ1 of FTG 3 (I co) p5 = 4754 gay -7* 5'rAgnxfY MWOOT 67Z(1.5) +675(1.5 zb2o 14f- FS zozo" ►070"` e = 3 2020 —/070 7," .`i CODE 3, (I 33 — aZ PsF� lDoopsF Auoai sublux _ .y (1341.) 53q" > 2l# keQ Sr Z. S PROVIDE 6"Coik. SUeld WALL W% ##5 @ 3? -YC CC&-W*c of unties) Fde Up/EA -7 r of WALL; G,pw-t -rkog UU-s w1YA+ AaNr4eG1,Lt LowEp- 3.5' oG WA4-L *ys 0 /0c, ewaq ry-e-; SX14 a4w-r PROVIDE S --O" x 1 e7" Ilkk Cou7 MOS 1100-606 WN WA4-1144L PW6,1 S W S EA AGOOF. AVD 3 -4�f S C&J?IIU oUS r1 � = 2000rtl �rY = Flo wj�cl Exp. 3-31-91 CIVIL ,;•,. J 2 ",Pr W YM of L)A-u- >E A,& A.C. HoejfruT/1L ' v4ckrS ® 3 2 "Ve. � U)ALL.; GRo�7 d��Y Chu S w/ RswF*AUJ(. fop -Ylo1F aiALL j Soc.lp c.&✓rr i -v62. 3.5' aF AAl!-; X u 6 it&J L U3W&7A00 06ft6;0 E � � s IW" Au AWN& .D cr1L;,—?- I' C" A 3I oa r t +::.�. CC4i210 Exp. 3-31-91 oCC�