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14-0366 (MECH)P.O. BOX 1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000366 Property Address: 77511 CALLEARROBA APN: 774-155-022-2 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 5975 T4ht 4 4 Q" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under pen ty of perjury t am licensed under provisions o @cer 9 (commencing with Secti177qP0) of Div'sion 3 of the Busi ss a d of ssionals Code, and y Lic Rse is in full force and effect. Licens: C2 _ License No.: 046 Date: Co tractor. OWNER-81DEC LARATIO 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).: (_ 1 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.). (_ 1 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.). I—) I am exempt under Sec. BAP.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: _ Lender's Address: LQPERMIT Owner: RICHARD SHIRK 77511 CALLE ARROBA LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/03/14 t � HTG R,0 42011,. CI Of LA QWNva ----------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure for workers' compensation, as provided G�/' or by Section 3700 of the Labor Code, for the performance of the work for which this permit is I ,' ued . ave 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 CASTLEPOINT NTL Policy Number WSLTHPE90140304 I certify that, in the perform of the work for which this permit ed, I shall not employ any" person in ny manner as t become ubject to a workers' c p nsation laws of California, and g e hat, if I sh • uld b o esu ct to th rkers' compe tion provisions of Section Date70 f e Labor C de, I shal ort th ply 'th those pro i ons. App cant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES P O ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSA , 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 ays from date of issuance of such permit, or cessation of or 8 s will subject permit to ca cellation. I certify that I have read is application and state t t the 4infon is c re I ree to mply with all cityand ounty ord n and state laws relating o buildinand ereby uthori epresentatives of th c unt oe p n the above-mentioned roperty furp ses. Date: Signature (Applicant or Agen • . D Contractor: ESSER AIR CONDITIONING & P.O. BOX 1636 CATHEDRAL CITY, CA 922351 (760)324-0550 Lic. No.: 489046 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/03/14 t � HTG R,0 42011,. CI Of LA QWNva ----------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure for workers' compensation, as provided G�/' or by Section 3700 of the Labor Code, for the performance of the work for which this permit is I ,' ued . ave 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 CASTLEPOINT NTL Policy Number WSLTHPE90140304 I certify that, in the perform of the work for which this permit ed, I shall not employ any" person in ny manner as t become ubject to a workers' c p nsation laws of California, and g e hat, if I sh • uld b o esu ct to th rkers' compe tion provisions of Section Date70 f e Labor C de, I shal ort th ply 'th those pro i ons. App cant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES P O ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSA , 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 ays from date of issuance of such permit, or cessation of or 8 s will subject permit to ca cellation. I certify that I have read is application and state t t the 4infon is c re I ree to mply with all cityand ounty ord n and state laws relating o buildinand ereby uthori epresentatives of th c unt oe p n the above-mentioned roperty furp ses. Date: Signature (Applicant or Agen • . Application Number . . . . . 14-00000366 Permit . . . MECHANICAL 2013 Additional desc . Permit Fee . . . . 71.50 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/30/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 35.7500 EA MECH CONDENSER/COMP 35.75 ---------------------------------------------------------=------------------ Special Notes and Comments HVAC CHANGE OUT - 13SEER, 2 TON SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. ---------------------------------------------------------------------------- Other Fees .. . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 47.66 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 71.50 .00 .00 71.50 Plan Check Total .00 .00 .00 .00 Other Fee Total 139.23 .00 .00 139.23 Grand Total 210.73 .00 .00 210.73 LQPERMIT Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page I of 5 Project Name: Climate Zone # # of Stories Richard Shirk 115 1 General Information Site Address: 77511 -Calle Arroba- La Quinta CA 92235 - Enforcement Agency:_La-Quinta;-City of- -Date: 4/3/2014 - Building Type El Single Family ❑ Multi Family Circle the Front Orientation: (E), E, S, W, or degrees Conditioned Floor Area (CFA): 700 Project Type: E] Alterations [I Envelope El Fenestration ❑Roof ❑HVAC Replacement or Change Out ❑ Duct Replacement ❑ Water Heater NOTE: This form is not to be used for Newly Constructed Buildings or Additions Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below) Assembly Alteration ❑ Opening of framed cavity alone—Alterations that involve the opening of the framed cavity ofa wall, ceiling, or floor must install the mandatory minimum insulation value per §150 for the altered assembly. Fill in Columns A —C and enter mandatory insulation value in Column H. ❑ Replacement of entire assembly— Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component Paa e- D insulation values in Table 151-C. Fill in Columns A —J. Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. A B I C D E F G I H I I J Proposed a No" Standard Values From JA4 Table Framing e Thickness y r Framed Continuous Ta Assemb' I - e ate a aftC y J fh -do y �d'.S JA4 Proposed Assembl AssemblID's or T e ct"ori Num �t"- ale 'i" Cell ValueB U -factory Walls From Reference jl +ad► 9 tLt L i n 1. Joint Appendix Table 4.3.5, 4.3.6, 4.3.7 Joint Appendix Table 4.3.13 Note: For furred assemblies, accounting for Continuous 7nsulauon R _value, see Page JA4-3 EM 'U r& calculating furred walls use the Mass and Furring Constriction table below. 1. For Tag/ID indicate the identiftcationna�� a that=matches the building plans'. 2. Indicate the Assembly Name or type: Rodf/Ceiling;.WAhs Floors, Slabs, .0rawl S oors tcK:Indicate the Frame type and Size: For Wood, Metal, Metal Buildings, Mass, enkr 2;4,,2x6, or etc ._ see JA4 for other ssembhes _ f 3. Enter the thickness for mass in inches or Spacing between framing members enter; 'fir fiC; or Other for all, other assembly description such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc.... 4. Based on the Climate Zone; enter the Standard U factor from Table 151-B, C or D for each di erentassembly. Name-or_type. 5. Enter the Table number that closely resembles the proposed assembly. 6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise, enter "0 ". 7. Enter the Continuous Insulation R -value for the proposed assembly; otherwise, enter "0 ". 8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U factor in Column J 9. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comply. Furring Strips Construction Table for Mass Walls Onl A I B I C 7DT E F I G I H 1 J 1 K L M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Walls From Reference in Furring Space from Reference Joint Appendix Table 4.3.5, 4.3.6, 4.3.7 Joint Appendix Table 4.3.13 c c .itl �' a y N Assembly y c `o_ ° Von > a Final Mass Name or JA4 Table Ei 2 E o 3 a Assembly Thickness' Type' Number' > U-factorb' Comment ELLL Registration Number: 314-AO019834A-000000000-0000 Registration Date/Time: 04/03/2014 10:35:54 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential ' CF -IR -ALT Residential Alterations age 2 of 5 Project Name: Climate Zone # # of Stories Richard Shirk 15 1 ass and Furring Strips Construction(footnotes) Indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can un fod Reference Joint Appendix.144. This is the U -Factor based on the thickness of the assembly in inches. The R -value of the insulation to be added on the interior or exterior of the assembly. The Calculated R- Value is the R -value of the f rrred out section of the assembly. •6. The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Column added to Column L Column K is the inverse from column J. Insert the calculated U -factor value on to the Ovaoue Surface Details in Column J FENESTRATION PROPOSED AREAS ❑ Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-C. The Total Fenestration and West facing Area requirements are not applicable. ❑ Adding 50ft2 or less of window area — Newly installed windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-C. ❑ Adding more than 50fe of window area — Newly installed windows shall meet the U -Factor and SHGC Value and the Fenestration Area requirements of Component Package D in Table 151-C Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF -IR -ALT �# O 'en ti � , Fenestratto t ante 1 �� }l s r �,��1 ► u1n �i i m NFRC or Default (Window, GlassDocror Skylight) ,i },South, Wet * .ft2 p+ „U-Taacctoorr2, 3 SHGC.' �° Values Al, r r. V A,- `- .1 Y 1. Fenestration area is the area of total glazed proddc—r(r a glass plus frame). Exception J- Whena"door s less than 50%glass, the fenestration area may be the glass area plus a "2 inch fra idd ,around the glass (_��_y��'zc, 2. Enter value from Component Package D Requirements m Table 151C. 3. Actual fenestration products installed and as indicated in CF -EN., Form shall be equivalent to or have a lower U factor and/or a lower SHGC value than that specified on the CF -IR ALT Form. L 4. Submit a completed WS -31? Form if a reduced SHGC is calculated with exterior shading. 5.1fopplicable at this stage enter "NFRC" or NFRC Certified windows or are CEC "Default" values ound in Table 116-A or B. ALTERED FENESTRATION ALLOWED AREAS (Complete if more than 50frz of fenestration is added) A B C D E F G Allowed Existing Fenestration Total Area CFA of Entire % of Fenestration Area Fenestration Allowed Proposed Areal Dwelling CFA Area Removed Area Added A x B -D + C Total Fenestration Area 20 West Fenestration Area (Required In .05 >_ CZ's 2,4&7-15) 1. West Fenestration Area includes west -sloping skylights and any skylights with a pitch less than 1:12. 2. West facing glazing area removed cannot be "counted" twice. " In order to distribute the west glazing area removed to the other orientations, input the west glazing area removed in the Total Fenestration Area row, column D. 3. Include the Proposed Area of the West facing fenestration in both Area columns below. 4. To meet compliance, the ProposedArea must be less than orequal to the Total Allowed Area or BOTH the Total and West Fenestration Areas. Registration Number: 314-AO019834A-000000000-0000 Registration Date/Time: 04/03/2014 10:35:54 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 3 of 5 Project Name: TlC5imate Zone # # of Stories Richard Shirk 1 ROOFING PRODUCTS (COOL ROOFS) §1511912 When the area of exterior roof surface lobe replaced exceeds more than 50% of the existing roof area, or more than 1, 000 ft , whichever is less, the new roofing area must meet the roofing product "Cool Roof' requirements of§152(b)IH4 152(b)IHii, or 152(b)IHiiL Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof' requirements. Note: If any one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §l 18(i) are not applicable. Do not fill table below. ❑ Cool Roofs Not Required in Climate Zones 1-12,14, and 16 with a Low Sloped. Less or 2:12 pitch. Wool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less than Slb/ft2. Alternatives to §152(b)1Hi and §152(b)Hii, Steep -slope roof(pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0.85 hrft2-*FBtu or at least a 3/4 inch air -space is added to the roof deck over an attic; or ❑ Existing ducts in the attic are insulated and sealed according to § 151(f)l0; or ❑ In climate zones 10, 12 and 13, with 1 ftp of free ventilation area of attic ventilation for every 150 ft 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 b er the attic mall eeting a quire en Sf §151(f)2; ❑ Building has noAiwo°e��mtuwin t �� ❑ In climate zones 10 11„13 and 14 R-3 orgreaterdeck insulation above vented atticractors. p xe- +ri :r s.us� .y� Exception to §152(b)lHrii, Lo�wS-'slope roof (pdch tion % I Associa ¢ +!Y Hf,'�9b0- -, g.,� v17 ` ❑ Building has no -ducts to the attic E Other Exceptions ft r r, � 11,114 ❑ Roofing area co Yered by building integrated, photovolttato panels an solaY thermal panels a er 5, 6mpt from the below Cool Roof criteria. ❑ Roof constructions that have th6irtal-mass over the roof membrane with atleast 2511b/ftp is exem t'fmm_the below -Cool Roof criteria. Note: If no CRRC-1 label is available'this Eoinpliance method cannot be used; use the Performance Approach, to sh6w compliance, otherwise, . Check th e app licable box -Below rf Exem t from the Roofiri Products "Cool RoofR4e, uirement:r'-...��.� � ......,. Roof Slope Produici Weight u fAged Solar Thermal CRRC Product ID Number ' } g 2' e ctlZi 3'4<+22'>12 SRIS 4.1 ❑ ❑ ❑ ❑ ❑a ❑ ❑ ❑ ❑ ❑a ❑ ❑ ❑ ❑ ❑a 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofs. ore/products/searclin 2. Indicate the type of product is being used for the rooftop, i.e. single ply roof, asphalt roof, metal roof, etc. 3. Ifthe Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (0.2+0.7(Piniria1 — 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5. Calculate the SRI value by using the SRI- Worksheet at http://www.enerey.ca.zovltitle24/and enter the resulting value in the SRI Column above and attach acopy of the SRI- Worksheet to the CF- IR. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage 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 Registration Number: 314-AO019834A-000000000-0000 Registration Date/Time: 04/03/2014 10:35:54 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations (Page 4 of 5 Project Name: Climate Zone # # of Stories Richard Shirk 115 1 -RVAC-SYSTEMS—HEATING List water heaters and boilers for both domestic,"hot water (DHW) heaters and hydroiii ace heating. Individual dwelling DHW heaters must be gas or propane fired, and may not exceed 50 gallons. Hot'ivater pipe insulation from the DHW heater to the kitchen(s) and on all underground Minimum Duct or Piping Configuration Heating Equipment Efficiency Distribution Insulation Thermostat (Central, Split, Type and Capacity 1,2,3 AFUE or HSPF Type and Location R -Value Type Space, Package or H dronic Furnace, AFUE Ducted, SetBack Split Type' (Standard, Recirculating)2 System 1. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc.) 2. Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental (i.e., if total capacity < 2 KW or 7,000 Btu/hr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §151(6)3 exception. 3. Refer to the HERS verification section on Page 4 of the CF -IR -ALT Form for additional requirements and check applicable boxes. 4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc.) HVAC SYSTEMS - COOLING Minimum Efficiency Duct or Piping Configuration Cooling Equipment (SEER/EER or Distribution Insulation Thermostat (Central, Split, Type and Capacity' 2 COP) Type and Location R -Value Type Space, Package or Hydronic AirConditioner,, SEEM, Dyet ,,, SetBack Split 1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc.) 1. Indicate Cooling Type(A/CyHeatpump, oling, tc�,�, • 2. Refer to the HERS:Verifca ionsec�°tion on rthe ;'1R T rm itt l r_a"giuretr nts~an cheekfiapp�lt le foxes. T--,. �, a ,� Onfiflo!"r, 3. Indicate T or Location Ducts;:H droniRadiators, etc. WATER HEATING List water heaters and boilers for both domestic,"hot water (DHW) heaters and hydroiii ace heating. Individual dwelling DHW heaters must be gas or propane fired, and may not exceed 50 gallons. Hot'ivater pipe insulation from the DHW heater to the kitchen(s) and on all underground hot water pipes is required in all packages, in all climate zones. _mponent �. External Tank Water Heater Type/Fuel Distribution Type Number In ank Energy Factor or Insulation Type' (Standard, Recirculating)2 System Capacity (gal) Thermal Efficiency R-Value3 1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc.) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do not allow the installation of a recirculating water heating system for single dwelling units. 3. The external water healing tank and pipes shall be insulated to meet the requirements o 150 ' . SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These items may require written 'usti kation and documentation and special verification. NEW ROOF ASSEMBLY - Radiant Barrier The radiant barrier requirement of §151(f)2 does not apply to roof alterations. Slab Edge (Perimeter) Insulation (3 YES 0 NO YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required. Heated Slab Insulation 0 YES ONO YES: Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation 0 YES E) NO YES: In Climate Zones 1, 2, 11, 13, 14 & 16, R-8 insulation is required; in Climate Zones 12 & 15, R-4 is required under component Package D. Thermal Mass To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach. Registration Number: 314-A0019834A-000000000-0000 Registration Date/7ime: 04/03/2014 10:35:54 HERS Provider.• CBPCA 2008 Residential Compliance Forms August 2009 Bin. # City of La Quin:ta Building a Safeiy Division P.O. Box 1504,79-495 Calle Tampico CA 92253 -:(760) 777-7012 La Permit Building Permit -Application'and Tracking Sheet Pe it Project Address: C_,, 'Owner's Name:. Vick,11-d I Ccd'�_ A auD '. I A. P. Number Address: -7 NJ e- Ay-rD)o 0,-, Legal Description: City, ST, Zip: L& Conftwtor. 7s�� Ay r telephone: Address: 'ec) rRs Project Description: City, $T, Zip: C &+f (1,4 - Telephone: __? (QCT S24 OS -7111 I State Lie. # 4% 6t C—i—I City Lic. #, Arch., Engr, Designer. Address: City, ST, Zip: Telephone: Construction Type: 77A L Occupancy: Project type (circle one): New Add'n- Alter Repair Demo State Lic. #: Name of Contact Person: Sq. Ft.; # Stories Unit;;: Telephone# of Contact Person: Estimated Value of Project: 59 -7 APPLICANT: DO NOT WRITE BELOW THIS LINE Submittal Reqld Rccld TRACMG PERMIT FEES - Plan Sets Plan Check submitted item Amount' Structural CaIcs. Reviewed, ready for corrections Plan Check Deposit. Truss C21cs. Called Contact PersonPlan Check Balan Ch Balance Mile 24 Calcs. Plans picked up - Construction Flood plain plan Plans resubmitted. Mechanical Grading plan 2'j Review, ready for correctioWissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up Sr#LL H.O.A. Approval Plans resubmitted Gradlug IN HOUSE:- Review; ready for correctionallissue Developer Impact Fee Planning Approval. Called Contact Person Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees