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10-0723 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00000723 Property Address: 51565 AVENIDA BERMUDAS APN: 773-145-017-5 -000000- Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 500 Tiht 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: ------------------ 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 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 pplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$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 _ 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.). 1 _ 1 I am exempt under Sec. , B.&P.C. for this reason 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/04/10 Owner: KATRINA CHEVALIER PO BOX 265 LA QUINTA, CA92253r ------------- nn- ------- U' 1 Contractor: j Q i Owner carrQU rCPT ----------------------------------------------- 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 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 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 wor Z. compensation laws of California, and agree that, if I should beco subject to the worke ompensation provisions of Section 3700 of the Lab Code If rthwith comp) i ose visions. N D cant: c WARNING: F URE 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. 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 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 I ation is correct. ree to comply with all city and county ordinances and state laws relating to buildin ruction, and h b thor' epresentatives of this cou y to enter upon the ab ve-mentioned property ms tioR.Purp es. D Si ure (Applicant or Agent): Application Number . . . . Permit . . . PLUMBING Additional desc . Permit Fee 22.50 Issue Date . . . . Expiration Date . 1/31/11 10-00000723 Plan Check Fee . . 5.63 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 ---------------------------------------------------------------------------- Special Notes and Comments INSTALL NEW 40 GALLON GAS WATER HEATER. 2007 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Permit Fee Total 22.50 Plan Check Total 5.63 Other Fee Total 1..00 Grand Total 29.13 LQPERMIT Paid Credited Due .00 .00 22.50 .00 .00 5.63 .00 .00 1.00 .00 .00 29.13 Opaque Surface Details For the furred rtioned of Mass Walls see Furring Strips Construction Table below. A B C D E F C I H I[ J Proposed bft 0" Standard Values From JA4 Table Added Interior or Exterior Insulation Framing Thickness, Framed Continuous JA4 Proposed Tagg/ Assembly Name Material Spacing, U- JA4 Table Cavity Insulation ID or T and SizeZ or Other' factor° Numbers R-valueb R -Value I Assembly Assembl Cell Value° 1 -1 -factor C.) V Assembly`o_ Note: Forf trred assemblies, accounting for Continuous insulation R -value, see Page JA4-3 and Equation 4.1. For calculating ftnred watts use the Mass and Furring Construction table below. 1. For Tag//D indicate the identification name that matches the building plans. 2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc... Indicate the Frame type and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies. 3. Enter the thickness for mass in inches or Spacing between framing members enter; 16 "or 24 "OC; 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 15 1-B, C or D for each different assembly Name or type. S. 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 Only A B C D E F 7-77 I J I 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 h b ¢ N a V id C.) V Assembly`o_ O n A c 2 o ,o >_ ; Final Mass Name or JA4 Table 2 — 7 A Assembly 'Thickness' Type' Number'g > Comment Registration Number: Registration DateTlme: 2008 Residential Compliance Forms HERS Provider: August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 4 of 5 Project Name: L%� Climate Zone # # of Stories 1s 1 1 HVAC SYSTEMS - HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be gas or propane fired, and may not exceed 50 gallons. Hot water 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 External Tank Water Heater Type/Fuel Distribution Type 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 -1 R -ALT Form for additional requirements and check applicable boxes. 4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc.) HVAC SYSTEMS : COOLING S stem Minimum Thermal Efficiency R-Value3 Efficiency Duct or Piping Configuration Cooling Equipment (SEERIEER or Distribution Insulation Thermostat (Central, Split, Type and Capacity 1.2 COP) Type and Location R -Value Type Space, Package or H dronic 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 1. Indicate Cooling Type (A1C, Heat pump, Evap. Cooling, etc) 2. Refer to the HERS Verification section on Page 4 of the CF -1 R -ALT Form for additional requirements and check applicable baxes. 3. Indicate Type or Location Ducts, H dronic in Floor, Radiators, etc. WATER HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be gas or propane fired, and may not exceed 50 gallons. Hot water pipe insulation from the DHW heater to the kitchen(s) and on all underground hot water pipes is required in all omponent packages in all climate zones. External Tank Water Heater Type/Fuel Distribution Type Number In Tank Energy Factor or Insulation Type' (Standard, Recirculatin 2 S stem 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 heating tank and pipes shall be insulated to meet the requirements of §1506). SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These items may require written 'usti scation and documentation and special verification. NEW ROOF ASSEMBLY - Radiant Barrier The radiant barrier requirement of § 15 1 2 does not apply to roof alterations. Slab Edge (Perimeter) Insulation O YES O NO YES: In Climate Zone 16 in Component Packages D. R-7 insulation is required. Heated Slab Insulation O YES 0 NO YES: Slab edRe insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation 0 YES 0 NO YES: In Climate Zones I, 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: 2008 Residential Compliance Forms Registration Date/Time: HERS Provider: August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 5 of 5 Project Name: Climate Zone # # of Stories HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before final inspection. Duct Sealing & Testing HERS verification is required for this measure. ❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned space, the ducts are to be sealed per §I52(b)1Dii and the newly installed ducts are to be insulated per §15l(f)10. ❑ EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos. ❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the ducts are to be sealed per § 152(b) I Di. ❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be sealed per § 152(b)1 E. ❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. 13 EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. ❑ EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos. Refrigerant Charge -Split System HERS verification is required for this measure. ❑ YES ❑ NO YES: In Climate Zones 2 and 8-15, when the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system A/C or heat pump, cooling or heating coil, or the furnace heat exchanger) a refrigerant charge measurement shall be verified per § 152(b)IF. Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw The ventilation requirements of $150 o do not apply to existing residential homes. Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure. ❑ YES ❑ NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is replaced, the airflow and fan watt draw shall be verified per 152(b)ICi to meet the requirements of § 15l(f)7B. Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate and complete. Name: Signature: Company: Date: Address: If Applicable ❑ CEA or ❑ CEPE (Certification #): City/State/Zip: Phone: Responsible Building Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance are consistent with the information provided to document this build' desi n the other applicable o pliance forms, worksheets, calculations, plans and specifications submitted to the enforcement a en for oval with this bui n e a lication. Name: Signature: Co piny: Date: ry�� Address: / License: City/State/Ziho p: P� a_ For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms August 2009 P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY OVMER' S PACKAGE (760) 777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits, WiR.KT'.�11"l. t NOTICE TO MPERW OWNER Dear Property Owner. An. application .for a building permit has been submitted in your name listing yourself as the buildeF of the property improvements specified at We are.prvviding you with an Owner -Builder Acknowledgment and InformationVeri€cation Form to make you aware of your responsibilities and possible risk -you may incur by having this permit•issued in your name as the' Owner -Builder. We will not issue a building permit until yeu-have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this --notice unless you, the property owner, obtain the prior approval of the permitting authority. OAR'S ACKNOWL" EDGMNT AND ')ERMCA'MN 0F MFORKI N DIRECTIONS: Read and initial each-statement-betvwtd signify you w derstand`or verify this information. 1. 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his. or her own labor and material personally. I, as . an Owner -Builder, may be held liable and subject to serious financial -'risk for any injuries sustained by an unlicensed person and his or her employees while wonting on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property- X2_ roperty X2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility.. T� 11 understand as an "Owner -Builder" I am theresponsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. �,_4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. 5. I understand if I employ or otherwise engage any persons, other than California licensed. Contractors, and the total value of my construction is at least five hundred dollars' ($500), including labor and materials, I may be considered an "employer" under state and federal law. 6. 1 understand if I am considered an "employer" under state and federal taw, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and. contribute to unemployment . compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk- 7. isk7.. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot .legally build them with the .intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. VK 8. I understand as an Owner -Builder if I sell the property for which this pertiiit is issued, I may be held liable for any financial or personal. injuries sustained- by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. L9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal It-ekenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CS'I.B) at 1- 800-321-CSLB (2752) or www.cstb.ca.gov for more information about licensed contractors. 10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and fin an tally MWUsible for. proposed construction activity at the following address: 11. I agree that, as the party. legally and financially responsible for this proposed construction activity, .I will abide by all applicable laws and requirements that govern Owner -:Builders as well as employers. A12. 1 agree to notify the issuer of this form immediately of any additions; deletionto s, or changes -Any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license,. the Contractors' State License Board may be linable to asst you with any finaneial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be m'eivil court: It isl also important for you to understand that if an unlicensed Contractor or employee of that individual or flim is injured while working on your property, you may be held Hal le for damages. If you obtain a permit asOwner-Builder and wish to hire Contractors, you will be responsible for verifying whether, or not those Contractors are properly licensed and the status of their woticers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for is suing; the.permit. Note: A copy of tk-- property owner's diriver'sRcenaej form notadzadvn� or other verification acceptable to the dg is required to b presented when the per licit is issued to verify the property owner's signature. ' Signature ofproperty owner Date: Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding.the Notice to Property Owner, the execution of which: I understand is my personal responsibility, I hereby authorize the following persons), to act as my agents) to apply for, sign, and file the documents necessary. to obtain aii Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: __S7 _4 E_ %� 0 ✓t�� Name of Authorized Agent: dee. �� Tel No 2/70 ""S 33 Address of Authorized Agent:6,= 4-- I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the Xneper7nit 's driver's license, form notarization, or other verification acceptable to the agency is required . be ' ented ►wheis issued to verify' th�e/property owner's signature.. Property Owner's Signature: Date: 8. 1 understand as an Owner. -Builder if I sell the property for which this permit is issued, I may be held liable €or any financial or personal. irgj.uries suntannedby any subsequent owners) that result from any latent construction defects in the workmanship or materials. L9. I understand I may obtain more information regarding my obligations as an -employee' from the Internal revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CS -Ls) at 1- 800-321-CSLB (2752) or www.cs[b.ca.gov for more information about licensed contractors. 10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and Snail -allible for proposed construction activity at the following address: 11. I agree that, as the party legally and financially responsible for this proposed coustruction activity, I will abide by all applicable 1'iws and requirements that govern Owner -Builders as well at employers. 12. 1 agree to notify the issuer of this form immediately of any additions; detetigns, of changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with ,someone who does not have a license,. the Contractors' State License Board may be unable to. assn. t you with any 6naneial loss you may sustain as a result of a complaint Your only remedy against unlicensed Contractors may be in'civi! coutt It is also .important for you to: understand that -if ant na ice-nsed Contractor or employee of that individual or &M is injured white wonting on your property; you may be holot H" for. damages. If you obtain a permit as Owner -Builder and wish to hire Conti;actors, you will be xesponsiMe for verifying, whether or not those Contractors are property licensed and the status ot their watkers' compensation insurance coverage. Before a building permit can. be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuft the -permit Note: A copy of sire property owner's Mv�er'sl es form nO t4 or other versTmadon acceptable to fht is required to b presented when. the po' & is issued to verify the psvperq, owner's signature. ' Signature of property owner Date: Note: The following Authorization Form is "required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding.the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hemby authorize the following persons) to act as my agent(s) to apply for, sign, and file the documents necessary_ to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work) - Project Location or Address:AV r_ Name of Authorized Agent. �� Tel No _% Address of Authorized Agent: I declare un—dew-penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information -and certify its accuracy. Note: A copy of the own . 's driver's license, form notarization, or other verift"ion acceptable: to the agency is required o be ' ented when a permit is issued to verify the property owner's signature.. Property Owner's Signature: Date:ZZ / v Bin # City of La Quetta Building 8z Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ^� Project Address: / S—fo S` 7, Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip - Contractor: Address: —telephone:.A 4 Project Description: City, ST, Zip: IV Telephone: ' State Lie. # : City Lie. #; Arch., Engr., Designer-, Address: City., ST, Zip: Telephone: State Lie. #: 114,' .J.ln J Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: C9 APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Pians resubmitted Mechanical Grading plan 2i0 Review, ready for correctionVissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees