BRES2015-000578-495 CALLE TAMPICO
LA QUINTA, CALIFORNI 253
Al,
T,isy' °r' 4Qwxfw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
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 Professions Code,
and my License is in full force and effect.
License Class: B License No.: 648507 A
Date:.///10'—/),5—
ate:. Contra cto
0
OWNER -BUILDER DECLARATION
I hereby.affirm under penalty of perjury that I 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 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 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.).
(_J 1, 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 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. Q.
Lender's Name:
Lender's Address:
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 k for Bich this permit is issued.
ve 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.
Date: Applicant:
WARNI : FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SH LL 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 Building Official 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.
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 upon the above-
mentioned property for inspection purposes.
Date: Signature (Applicant or Agen
Date: 1/12/2015
Application Number: BRES2015-0005
Owner:
Property Address: 53120 AVENIDA CARRANZA
HOGAN, KAREN
APN: 774051005
53120 AVENIDA CARRANZA
Application Description: INSTALL DOORS W/EXT.. LIGHTS AND DRYWALL GARAGE
CA
Property Zoning:
_
Application Valuation: $3,200.00
Applicant:
Contractor:
o
PEAK CONSTRUCTION•& DESIGN INC
PEAK CONSTRUCTION & DESIGN I
71471 SAN GORGONIO ROAD
71471 SAN GORGONIO ROAD
S
RANCHO MIRAGE, CA 92270
RANCHO MIRAGE, CA 92270
O �u
Z
�+
(760)668-3991
v a
Llc. No.: 648507
---------------------------------------------------------------------------------------------
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 Professions Code,
and my License is in full force and effect.
License Class: B License No.: 648507 A
Date:.///10'—/),5—
ate:. Contra cto
0
OWNER -BUILDER DECLARATION
I hereby.affirm under penalty of perjury that I 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 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 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.).
(_J 1, 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 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. Q.
Lender's Name:
Lender's Address:
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 k for Bich this permit is issued.
ve 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.
Date: Applicant:
WARNI : FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SH LL 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 Building Official 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.
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 upon the above-
mentioned property for inspection purposes.
Date: Signature (Applicant or Agen
FINANCIAL INFORMATION
'DESCRIPTION
ACCOUNT QTY
AMOUNT PAID
PAID DATE.
BS3 $x:1473 FEE
PAID BY
101-0000-20306 0 $1.00 $0.00
METHOD RECEIPT # CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNTQTY
AMOUNT
PAID
PAID DATE.
DEVICES, FIRST 20 PC
101-0000=42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL: $48.34 $0.00
DESCRIPTION
ACCOUNTQTY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.50 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DOOR/WINDOW, NEW, FIRST 1
101-0000-42400
0
$60.91
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY .
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DOOR/WINDOW, NEW, FIRST 1 PC
101-0000-42600
0
$59.46
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DOOR/WINDOW, REPLACE FIRST 7
101-0000-42400
0
$60.91
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DOOR/WINDOW, REPLACE, FIRST 7 PC
101-0000-42600
0
$110.22
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forWINDOW/SLIDING GLASS DOOR/FENESTRATION: $291.50 $0.00
TOTALS:00
Description: INSTALL DOORS W/EXT. LIGHTS AND DRYWALL GARAGE
Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED
Applied: 1/12/2015 SKH
Approved: 1/12/2015 JJO
Parcel No: 774051005 Site Address: 53120 AVENIDA CARRANZA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 220 Lot: 20
Issued:
UNIT 21
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $3,200.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
CONTACTS
Details: CHANGE OUT EXISTING WINDOW TO NEW DOOR WITH EXT LIGHT. ADD MAN DOOR IN GARAGE WITH NEW HEADER AND EXT LIGHT.
ADD 1/2 INCH DRYWALL IN GARAGE SEE PLANS FOR WALLS. 2013 CALIFORNIA BUILDING CODES.
Applied to Approved
Printed: Monday, January 12, 2015 10:37:38 AM 1 of 3 CL1L.1 &srSTEMS
Cl IRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE ZIP PHONE FAX EMAIL
APPLICANT
PEAK CONSTRUCTION & DESIGN INC
71471 SAN GORGONIO
RANCHO
CA
92270
ROAD
MIRAGE
CONTRACTOR
PEAK CONSTRUCTION & DESIGN INC
71471 SAN GORGONIO
RANCHO
CA
92270
ROAD
MIRAGE
OWNER
HOGAN, KAREN ----7
53120 AVENIDA—]'
CA
CARRANZA
Printed: Monday, January 12, 2015 10:37:38 AM 1 of 3 CL1L.1 &srSTEMS
Printed: Monday, January 12, 2015 10:37:38 AM 2 of 3
srsnms
•'�
CBY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
-
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
Total Paid forELECTRICAL: $48.34 $0.00
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.50 $0.00
DOOR/WINDOW, NEW,
101-0000-42400
0
$60.91
$0.00
FIRST 1
DOOR/WINDOW, NEW,
101-0000-42600
0
$59.46
$0.00
FIRST 1 PC
DOOR/WINDOW,
101-0000-42400
0
$60.91
$0.00
REPLACE FIRST 7
DOOR/WINDOW,
101-0000-426000
$110.22
$0.00
REPLACE, FIRST 7 PC
Total Paid for WINDOW/SLIDING GLASS
$291.50 $0.00
DOOR/FENESTRATION:
TOTALS:•0
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
RESULT REMARKS NOTES
DATE DATE
FINAL`*
Printed: Monday, January 12, 2015 10:37:38 AM 2 of 3
srsnms
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aa!�E3
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR=ALT-01-E
Prescriptive Residential Altera i ns 0951 (Page 2 of' -4)
Project Name: Q./ Date Prepared:
lv
D. FENESTRATION/GLAZING AREAS ALLOWED (Section 150.2(b)1) -AK
01 02
04 '
03 ..
Alteration Type Orientation
Maximum Allowed ft2 Comments
05
lo,
07
0„8
`v M00 -
E. FENESTRATION/GLAZING PROPOSED AREAS AND EFFICIENCIES (Section 150.2(b)1) xo
01
02
03
04
05
06
07
0„8
L4 x
09
10'.
11
12
13
14
15
Combined
Orientation
Area
Area `�
it'
Maximum
x� t
V
Exterior
SHGC
Tag/
Fenestration
Frame
Dynamic
N, S, W, E, or ..
Removed
Added�-rea
dded
AILA '401
�
_
Shading
from
ID
Type
Type
Glazing
Roof —
ft2
ft2
ft2
tJrfactdr
U -factor
Source
SHGC
Source
Device.
CF1R-ENV-03
w
_#
la
K
49
a
Net Added West' -mac a Fenestratio
LA0,
b
Existing +Added�Zs -fa itis ng FenItratipA�rea
c
Maximum AAlI ed�'West-faciUlF�er striation Area
d
qj
f7j Is West—facing—Fenestration Area < aximum Allowed W st=facing Fenestratio.p
e f
t Net Added Fenestratlon Area (all o5�eh4tationg)
f
(�
d° Existin + AddedfFe a ration Area allok nta ons )
g d
9 f � "v.�..
g P
MaximumfAlld Fenestration Area (all orientations).
h
Is Exist tnga+,Added F nestration Area <fvlaximuni Allowed Fenestration Area (all
orientations)
C7_ C7
. �41
-i
Registration Number:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time:
HERS Provider:
June 2014
2013 Building Energy Efficiency Standards Page 228
TABLE 150.1-A COMPONENT PACKAGE -A Standard Building Design
SECTION 150.1- PERFORMANCE AND PRESCRIPTIVE COMPLIANCE APPROACHES FOR NEWLY CONSTRUCTED RESIDENTML BUILDINGS
Climate Zone
1
2
3
4
5
6
7
8
9
10
11
12
13
.
5
16
rrd
>0.025
Roofs /Ceilings
U 0.025
R38
U 0.031
R30
U 0.031
R30
U 0.031
R 30
U 0.031
R30
U 0.031
R30
U 0.031
R30
U 0.031-R
30
U 0.031
R30
U 0.031
R30
U 0.025
R38
U 0.025
U 0.025
R38
19..
I Cr I
R 38
U 0.
R
#
U 0.065
U 0.065
U 0.065
U 0.065
U 0.065
U 0.065
U 0.065
U 0.065
U 0.065
U 0.065
U 0.665
U-0.065
U 0.065
- :.d0 N
0.065
UE45
X v
R 15+4
R 15+4
R15+4
R 15+4
R 15+4
R 15+4
R 15+4
R 15+4
R 15+4
R 15+4
R 15+4
R 15+4
R 15+4
t ]t I �4
L.R 15+4
R 4
or
or
R 13+5
or
or
or
or
or
or
R 13+5
or
R 13+5
or
R 13+5
or
R 13+5
or
R 13+5
or
R 13+5
o
b_
or
L R 13+5
fi+
R5
R 13+5
R 13+5
R 13+5
R 13+5
R 13+5
R 13+5
®1
u
t
�
t7
.c
U 0.070
U D.070
U 0.070
U 0.070
. U 0.070
U 0.070
U 0.070
U 0.070
UO.070
00.070
UO.070
UO.070
UO.070
0.070
UO.070
U 0,.059
>
�3 a
R13
R13
R13
R13
R13
R13
Rt3
R13
R13
R13
R13
R13
R13 �
F713
R13
wk17
o
� �..�
1 t
Q
COcc'
F '
'v
U 0.125
U 0.125
U 0.125
U 0.125
U 0.125
U 0.125
U 0.125
U 0.125
U 0.125
U 0.125
U 0.125
U 0.125
U 0.125
U.0.125
' :U 0.070
-�
WAIIS
2 3 x
R 8.0
R 8.
R 8.0
R 8.0
R 8.0
R 8.0
R 8.0
R 8.0
R 8.0
R 8.0
R 8.0
R 8.0
R 8.0
R 8.0
R
13
7
C
oA
U 0.070
U 0.070
U 0.070
U 0.070
U 0.070
U 0.070
U 0.070
U 0.070
U 0.070
U 0.070
U 0.070
U 0.070
U 0.070
U 0.070
U 0.070
U 0.066
mtj
R13
R13
R13
R13
R13
R13
R13
R13
R13
R13
R13
R13
R13
R13
R13
R15
t7
Q
o
�
o
U-0.200
U 0.200
U 0.200
U 0.200
. U 0.200
U 0.200
U 0.200
U 0.200
U 0.200
U 0.200
U 0.200
U 0.200
U 0.200
U 0.100
U 0.100
U 0.053
b
e
L
m
w
Do
t
ro
U t
m l
R 5.0
R 5.0
R 5.0
R 5.0
R 5.0
R 5.0
R 5.0
R 5.0
R 5.0
R 5.0
R 5.0
R 5.0
R 5.0
R 10
RIO
R 19
Slab
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
U
Perimeter
7.0
R 7.0
U 0.037
U 0.037
U 0.037
U 0.037
U 0.037
U 0.037
U 0.037
U 0.037
U 0.037
U 0.037
U 0.037
U 0.037
U 0.037
U 0.037
U 0.037
U 0.037
Floors
Raised
R19
R19
R19
R19
R19
R19
R19
R19
R19
R19
R19
R19
R19
R19
R19
R19
U 0.092
U 0.092
U 0.269
U 0.269
UO.269
U 0.269
U 0.269
U 0.269
U 0.269
U 0.269
U 0.092
U 0.138
U 0.092
U 0.092
U 0.138
U 0.092
Concrete Raised
R 8.0
R 8.0
R 0
R 0
R 0
R 0
R 0
R 0
R 0
R 0
R 8.0
- 4.0
R 8.0
R 8.0
R 4.0
R 8.0
Radiant Barrier
NR
REQ
REQ
REQ
REQ
REQ
REQ
REQ
REQ
REQ
REQ
REQ
REQ
REQ
REQ
NR
Aged Solar
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
0.6
NR
0.6
NR
Reflectance
Low -sloped
Thermal
c
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
0.63
NR
0.63
NR
a
Emittance
Aged Solar
NR
NR
NR
NR
NR
NR
NR
NR
NR
0.20
0.20
0.20
0.20
0.20
0.20
NR
o
Steep Sloped
Reflectance
Thermal
NR
NR
NR
NR
NR
NR
NR
NR
NR
0.75
0.75
0.75
0.75
0.75
0.75
NR
u'
Emittance
G
Maximum U -factor
0.32
0.32
0.32
0.32
0.32
0.32
0.32
0.32
0.32
0.32
0.32
0.32
0.32
0.32
0.32
0.32
O
m
v
Maximum SHGCs
NR
0.25
NR
0.25
NR
0.25
0.25
0.25
0.25
0:25
0.25
0.25
0.25
0.25
0 25
0.25
e
Maximum Total Area
20%
20%
20%
20%
20%
20%
20%
20%
20%
20%
20%
20%
20%
20%
20%
20%
d
Maximum West Facing Area
NR
5%
NR
5%
NR
5% 1
5%
5%
5%
5%
5%
5%
5%
F 5%
5%
5%
SECTION 150.1- PERFORMANCE AND PRESCRIPTIVE COMPLIANCE APPROACHES FOR NEWLY CONSTRUCTED RESIDENTML BUILDINGS
Bin #
Permit # �' �'" '*
�5'�5° coos
Project Address:/ �YJ
A. P. Number:
City Of La Quinta.
Building 81: Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Owner's Name:
Address:
Legal Descripti :
City, ST, Zip:
p(
Contractor:
Address: *_
City, ST, Zip:
67 Tele hone:<r�F:��`>;':<�`>`>'z`:.`:•;::::::�:
c roject Description:
Telephone:
State Lic. # :
Ci Lie. #: /%•U _ D�h.
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Arch., Engr., Designer:
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Address:
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City., ST, Zip:
Telephone:
State Lic: #:Project
Name of Contact Person:
Construction Ty e: Occupancy:
type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:
9T Estimated Value of Prc jcct: a
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACMIC
PERMIT FEES
Plan Sets
Plan Check submitted
j L
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontaclor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
I-I.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'rd Rcyiew, ready for correctionsrissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
2
School Fees
Total Permit Fccs
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am
0/5