12-0533 (MECH).,
P.O. BOX 1504
78495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 12-00000533
Property Address: 52620 DEL GATO DR
APN: 770 -290 -006 -
Application Aescription:
70-290-006-ApplicationAescription: MECHANICAL
Property Zoning: LOWDENSITY RESIDENTIAL
Application valuation: 22000
� T4ht 4 4& 4"'
.Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
HOPKINS JOHN W
52620 DSL GATO
LA QUINTA, CA
Contractor:
GENERAL AIR
31170 RESERV
THOUSAND PAL
( 760)343=7488
Lia. No.: 6863.10
VOICE. (760) 777-7012
FAX (760) 7774011
INSPECTIONS (760) 777-7153
Date' 5/14/12
—
-------————————-—————————————————— ———— — — — — —— --
UCENSED CONTR_ ACT_ OR's DECLARATION
—
WORKER'S COMPENSATION DECLARATION
I hereby.affirm pe _ Chapter 9. with
affirm under nelty of, perjury that am licensed under of
I,hereby.affirm under penalty, of perjury one;of the following declarations:
Section 700 0) of Division 3 of the Business and Professionals Code, and m cense is In,full force and effect.
= I.have arid,wiilvmamtein a, certificate of'oonsentto self -Insure for workers' compensation, as provided'
License Class) C20 License No.: fib 6310'
for by,Sectlon 3700 of the Labor Code, for the:performanoe of thework for, which thWpermftIs
ntractor:'
Issued.
I have and, maintain workers' compensation Insurance, as required by'Seetion 3700 of the Labor
Code, for the performance of the work for which this permit is Issued. My workers' compensation
OWNER-BUILDER:DECLARATION
insurance carrier.and policy number.are:
I herebyaffirm under penalty of perjury ;that 1 am exempt from the Contra_ctor's State License-Law'for the
Carrier ZENITH INS Policy Number
-COIn
following riason (Sec. 7031.5, Business and Professions Coder Any 'clty or8ounty that requires a permit to
-- I cettify7;jT the performance of the work for which this.perrn4 is issued, 1, shall not employ any
constnrct, alter, Improve,.damolish, or repair anystructure, prior to,iti Issuance, also requires the applloant;for'the
person'in any mennerso as to becomesubject to.the workers' compensation laws of,Callfomia,
permit to file assigned statement-thathe or she;ia licensed pursuent:to the provislons;of the Contractor's State
and agree that; if'I should'become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing;"' Section 7000) of Division 3, of the Business:and Professions Code) or
3700 of the Labor Cod�shall comply, with those provisions.
that he or she is exempt therefrom and the basis for thealleged exemption. Any violation of Section 7031.5 by
Q
any applicarit10 a permit subjects the applicant to &civil penalty oYnot morsthan five hundred dollars (8500).:
te: ! f Kant:
(_) 1, as owner of -the property; or my employees with wagss-as their sole compensation, will do the wok and
the structure Is not Intended or offered for sale (Sec. 7044, Business and, Professions Code: The
WARNING: FAILURE TO SE E WORKERS' COMPENSATION COVERAGE'iS UNLAWFUL, AND SHALL
Contractors' State License law does no,apply to an ownerof property who builds or improves thereon,
SUBJECT AN, EMPLOYER: TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED•THOUSAND
andwho does the work himself.or herself through, his or her own employees, provided that theDOLLARS'(11100,000)..
IN.ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
Improvements are not Intended or offered for sale: If,,however, the building' orimprovementis sold within
SECTION 3708 OF THE LABOR CODE, INTEREST, AND.ATTORNEY'S FEES..
otm 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.).
(_ ► I,:as owner of the.property; am exclusively contracting w1W licensed contractors to construct the, project (See.
7044„Busine4s 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 projec_ ts',with e,00mraetor(s).licsnsed
pursuant to the Contractors' State License Law.).
(_ ► 1 am exempt under Sec. , B.AP.C. for this reason
Date;
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there1i a,const_ruc_tion lending-agencyfor the performance of the
work 'for which this permit is issued (Sec. 3097, CW. C.).
Lender's.Name:
Lender's; Address:
LQPERMIT
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director ol`Building°and+Safety for a'permit subject to,the.
conditions and restrictions set forth or -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 permitissued w.a result of this application,
the owner, and the applicant, each agrees to, and shall defend. Indemnity,and' hold harmless the City
of La Qulnta, its officers, agents and employees for any act or oniission.related to the work being
performed under or following issuance ofthis:permit.
2. Any permit issued as,a result of this application becomes null and void H work isnot 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 reedthis application -and 'stateithatthe above Information lscorrect.; I:agree.to comply. with all
city.and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above=mentioned property for Inspecti pu cess.
Pd.1. 7�j' 'I-17, S(gnattye'(Applicam or All
u y
Application Number . . . . . 12-00000533
.Permit.MECHANICAL
Additional desc ..
Permit Fee . . . . 66:00 Plan Check Fee
16.50
Issue Date Valuation
- 0
Expiration Date 11/10/12
Qty Unit., Charge Per
Extension
BASE FEE
15..00
2-00 9.0000 EA MECH FURNACE <=100K,
18.00
2.00' 1.6..5000 EA, MECH B/C >3-15HP/>100K-50.0KBTU
33.00
---- ------
Special Notes and Comments
HVAC CHANGE -OUT: INSTALL (2) 3 TON .SPLIT
SYSTEMS, FURNACES, CONDENSERS, INDOOR
COILS',, 2010 CODES.
-----------------------------------------------------------------------------
other:Fees BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited-
---------- ---------- --- --- -- ---
Due
-----------------
Permit Fee.Total 66.00 :00 .00
66.00
Plan Check Total 16.50 .:00 .00
16.56
Other'Fee Total_ 1..00 .60 .00
1.00
Grand Total 83:50 .00 .00
83.50
LQPERMIT
CAICERTS CF -1R Registration
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Training Site Address: 52620 DEL GATO DRIVE (SYS 1)
La Quinta, CA 92253
CEC:Registrat(on: 212-40014014A-.00000000-0000
Pater Directory -- ..� ... ..� .,....._ ....... ..�.�..;...........::� .
Forms ..�.y..o ..t.o..e.i.,.
Membership -Benefice Do you knowyouriHERS'Rater7
If you do, you may. wantto<send this •CF-1R.to,them.
Events CalCERTS RaterID:
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Copyright,Z2010 CaICERTS;,Inc: All rights reserved. Revised: January 11, 20i0'
[Terms and Conditions) [Privacy Statement] [Class Cancellation Policy]
Ca10ERTS,,,Inc. 31 Natoma St:Sulte.120„Folsom, CA 95630
Office:"916-985-3400.TollFree.-.877-HERS-R8R,.(877-437-7787)
Fax:: 916`-985-3402 Contac Us
BBB
�rmnu�
https://www.calcerts.com/public.cflR.cfin?project.id=.187101 5/12/2012
Simplified Prescriptive Certificate; of Compliance: 2008 Residential HVACA/terations CF-lR-ALT-HVAC
Climate Zones 10 - 15
Site Address: '
Enforcement Agency:
Date:Permit
#
52620' DEL GATO DR'IVEJ, YS 1) La Quinta,. CA 92253
City �of'La Quinta
May 12, ,2012
Duct; insulation
Conditioned Floor
Equipment Type'1
List Minimum. Efficiency2
requirement
Area
Thermostat
❑ Package Unit
® Furnace
® Indoor Coil
® AFUE .7s%
®SEER
❑;COP0
❑ HSPF
R 6 (CZ,10 13)
❑ R 8
Served by system
1300 sf
®Setback.
If not already present, must be
® Condensing. Unit
[3 EER_
❑•Resi_stance
(CZ 14-15)
installed)
❑ Other
1. Equipment -Type: Choose the?equipment being lnstalled• if morie than,one system; use; another CF -IR -ALT -HVAC for each system.
2. Minimum Equipment Efflclenelerr 13;SEER, 78%AFUE, 7.7HSPFfor typicahresidentiatsystems:
HERS VERIFICATION SUMMARY Listed ,below are'FOUR HVAC alteration Options. The installer; decides what work is being done
and picks one of the appropriate Options. Each Option lists the HERS measures that "must be conducted. A copy of the forms shall
be left on site for final inspection •and a copy given to -the homeowner:. At°final, the inspector verifies that the work listed on this
form was in fa&the work completed by the installer.. The inspector also verifiws that each appropriate CF=6R and registered CF -4R
forms (no hand filled CF-4Rs allowed) are filled out and signed.Beglnning October 1, 1010i a registered copy of the CF -1R
and CF -6R shall also tw on site for final inspection.
®3. HVAC: Changeout
Required Forms:
• All HVAC Equipment
CF -.6R forms: MECH-04, MECH-21-HERS and (for split systems) MECW25 'HERS
replaced -
CF-411°forms; MECH-21 and (fo(split systems) MECH-25
• Condens;&'Coil and /or
.Indoor Coil and /or
CF -611 forms: MECH'-014 ,MECH-2.1-HERS and! (fors systems). MECH-25-HERS
• Furnace
CF -4R forms: MECH'-21.and (for`split systems) MECH-25
FouSplit Systems:i Duct leakages"k 15 percent; ttC, CCAS. 300 CFM/ton (Minimum Air Flow Requirement), TMAH
Pop Packgg all 2 Wilk
Exempted from duct leakage testi`:
k-
p 1 Duct system was; doc- me ed_to have :been previously sealed) and confirmed through HERS verification, or
0
❑ 2 Duct systems with less th ¢40 linear feet in unconditioned space; or
❑ 3 Existing duct systems are nstructed, insulated or sealed' with. asbestos
❑ 4. The iID not be Du (ie to . e e rge)
172. Ne e"Sy__.. m I Requl
.Cut i` ngeout wi RS it sy )MEC RS,td W new (all new
ducti all n
equip
For Split S, an e o PPP
For Packaged Units' Duct leakag - '
Nem fl? �)th/or.wltho"
Required Formas
Replacenr�rli3, , � "�
. Includes replacing, or installing 1 new
ducting and/or outdoor conden unit
CF -6R forms: MECH704, MECH-20-HERS, and (for split,systems) MECH-25-HERS
and/or indoor coil and/or `furna .:'.�No or some
CF -411 forms: MECH-20 and (for split systems) MECH-25
equipment changed'.
For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton, TMAH
For Packaged Units: Duct leakage < 6 percent
❑ 4. New Ducting over 40 feet
lRequired Forms:
• Includes adding or replacing ,more than. 40
CF -611 forms: MECH-.04, MECH-2I-HERS
linearfeet of duct in unconditione&space.
CF -4R forms: MECH-21
For split, system or packaged units: Duct leakage < 15 percent
❑ EXCEPTION: Existing ductsystems constructed, insulated or sealed .with asbestos.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
• I certify that,this Certificate of Compliance documentatiowis,accurate and complete.
• I am eligible underbivision3 of theZalifornia Business and'Tr.ofessions+Code+to accept responsibility for -the design identified on`this:Certificate of
Compliance.
• I,certify that the energy features and performance specifications for the design identified onthis Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations: -
• TheAesign features Identified on this. Certificate. of Compliance are consistent withathe rif -ftationdocumente&bn other applicable compliance.
forms, worksheets, calculations, plans. and specifications submitted to;the enforcement agency'f r.approval with the permit application.
Name: Danielle Garcia Signature: Cunielle 6ar!cia
Company: HARRISON ENTERPRISES INC Date: May 12, 2012
Address: 31-170 RESERVE DRIVE STE A_ Ucense:.686310
City/State/Zip: THOUSAND PALMS / CA / 92276Phone: (760)343-7488
'Reg: 212-A0024'078A-00000000-0000. Registration Date/Times 2012/05,/12.15:1,4:20 HERS Provider:: Ca10ERTS,: Inc.
2008 Residential Compliance Forms, July 2010
CaICERTS - CF -1R Registration
+�upk�n (1
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Your clz=iR-ALT-HVAC Registration Is comoletel
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52620 DEL GATO DRIVE (SYS.2)
Training Site Addreigadla njiWf-aI-A'47Wo914
---------
Rater tory Direc--- -
CF-111t-Aut-Hy��- CLICK -HERE TO DOWNLOAD
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Forms Amigne lm
. d�Cap :
- any 1HARRISON ENTERPRISES INC.
Membership Benefits Do YOU knomit your HERS Rater?
If you do, ;you may want to send this CF -111 to them:
CaICERTS Rater IM
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Industry Partners MV Rater'Quick Select i.- —,Select From List
Every Z.410EkTS,rateehake licens&,rit ber.
News If You need,to find the rater by name [Click HERE] ,to_ seamh our directory..
To4tgister'for
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,please click here.
COPYright C4 2010 CaICERTS, Inc. AM tights reserved. Revised' January 11, 2010
T.Term&an&Condltlonsl [Privacy Statement] [Class Cancelllatlon0611cy]
CaICERTS, Inc., 11 Nathma:st Suite 126, Folsom, CA 95630
Office: 916-.985-340.0Joll Free: 87,74(ERS-118111 (877-4,217-7787)
Fax: 916-985-3402 Contact Us
s
BBB:
httpsi//www.calcerts.com/publ,ic—cflR.cfiLn't-proje'ct.'ld=l 87102
5/121/20,12
U
Simplified Prescriptive Certificate of.Compliance 2008 .Residential HVAC Aiterations CF-lR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date;
Permit #:
52620 DEL GATO DRIVE (SYS 2) La Quinta, CA 92253
City of La Quinta
May 12, 2012
DuctInsulation
Conditioned Floor
Equipment Typei
List Minimum Eff,ciency2
requirement
Area
Thermostat.
❑:Package Unit
® Furnace
®AFUE '78%
❑ COP
❑ R 6 (CZ 10-13)
Served by system
® Setback
®Indoor Coil.
® SEER 13.0
[3HSPF
13R 8 (CZ 14-15)
sf
If not already present, must be
® Condensing Unit
[3EER
❑ Resistance
-LUIL
installed)
❑ Other
1. Equipment Type: Choose the, equipment,being Installed; if more than one system, use_another CF-lR-ALT-HVAC for each system.
2. Minimum Equipment Eff dIencles: 13 SEER, 78% AFUE, 7.714SPF for typical residential systems.
HERS VERIFICATION $UMMARY'Usted below are. FOUR HVAC alteration Options. The installer decides what work is being done
and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the -forms shall-
be left on site for final inspection and a copy given to the homeowner. Atfinal, the inspector verifies that the work listed on this
form was in fact the work completed by the installer. The inspector also verifies thateach appropriate CF-6R.and registered CF-4R.
forms (no hand filled CF-4Rs allowed) are filled out and signed:Beginning October 1,10W, a registered copy of the CF-1R
and CF-6R shall also be on site for final inspection.
® 1. HVAC Changeout
Required Forms:
• All HVAC Equipment
CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
replaced
CF-411 forms: MECH-21 and (forspiit systems) MECH=25'
. Condenser Coil and /or
. Indoor Coil and dor
CF-611 forms: MECH-04, MECH-2I-HERS and (forsplit.systems) MECH-25-HERS
. Furnace
CF-4R forms: MECH-21 and (forsplit systems) MECH-25.
For SplitSystems; Duct Ilea percent; percent; RC, CCA:5 -300'CFM/ton (Minimum Air Flow Requirement), TMAH
Exempted from duct leakage'testin if
❑ 1' system wa_s docum rated to have been previously sealed and. confirmed'through HERS verification, or
,Duct
❑ 2..Duct systems with less than 40 linear feet in, unconditioned space, or
❑ 3 ;Existinre
g°duct systems a: constructed,. insulated or sealed with asbestos.
p 4:Thi syst ill not be Du d (ie, udle" Split_ tem)- - - xemptff Ref Age Chat
drge)
❑ 2. Ne. AC m
Requite ,
=:
• Cufi i angeout wi
new € (all new
-
MEC ERS, Ida
_
6 MECH-04, `M ERS it syff,,E
ducti, all ra w
equip :)
2 r;� 1 1
ECHO, fors 't s s CH=2CH,25�:
For Split'S stems Duct°Iff 100 t ! FW AH S, an A _i e"SP, `o SP . I.
e
For Packaged itJnits Ductieaka"g' _;percen
17,3 NeW Ducts��virith/or without
Required Forms:
Repiaceinent° �„=
. Includes replacing or installing all new
ducting and/or outdoor 601 " 166'"unit,
CF-6R;;foems' MECH-04', iMECH-20-HERS,.and (for split systems) MECH-25-HERS
and/or Indoor coil and/or furnace.;No or some
CF-4R forms: MECH-20 and. (for split systems) MECH-25
equipment changed.
For Split Systems: Duct leakage < 6 percent; RC, CCA z 300 CFM/ton, TMAH'
For Packaged Units: Duct leakage < 6 percent
❑ 4. New Ducting, over 40 feet
Required Forms:
e Includes adding or replacing more than 40
CF-611 forms: MECH-04, MECH-2I-HERS
ICF-41116rrns:
linear feet of duct'in unconditioned space.
MECH-21
For split system or packaged units: Duct leakage < 15 percent
❑`EXCEPTION: Existing duct systems constructed, insulated orsealed with asbestos.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
e I certify that thise.Certificate of Compliance. documentation Isaccurateand complete.
•,,I am eligible. under Division 3.of"the California Business and Professions Code to accept: responsibility for the design-Identified on this Certificate of
Compliance:
• d certify that the energy features and performance specifications forthe 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 design features. identified on,this Certificate of Compliance aretonsistent',with the Information documented on other applicable compliance
forms, worksheets, calculations, plans and. specifications-submitted to the enforcement agency for approval with the permit application.
Name: Danielle Garcia Signature: bonielle 6urcl6
Company: HARRISON ENTERPRISES INC Date: May 12, 20.12
Address: 31-170 RESERVE DRIVE STE A License: 686310
Clty/State/Zip: THOUSAND PALMS/ CA/ 92276 Phone: (760) 343-7488
Reg: 212=A0024079A-00000000-0000 Registration Date/Time: 2012/05!12 15:15:106 9ERs,Provider: Ca10ERTS, Inc.
2008'Residential Compliance Forma Jiily 2010
Work Order
GENERAL AIR CONDITIONING
www.calltliegenend.com Job no: 132985.
31170 RESERVE DR
THOUSAND PALMS CA 92276
760-343-7488 FAX 760=343-7494
LIC# 686310
Service At:. Customer-# 107949 Bill To: Customer.# 107949 Rating:
HOPKINS, JOHN 760-771-4995 HOME HOPKINS, JOHN 760-771-4995 HOME
52620 DEL GATO'DR 52620'DEL GATO DR
LA QUINTA CA 92253 LA QUINTACA 92253
Type: RES Source:. Open Balance:
Zone: 3 LQ Map: 879-F1 Payment Method:
Subdivision: TRADITIONS Credit Limit:
Skill: Tax:,RIV Installation Customer
Directions
Instructions RODRIG - SOLD (2) XC21 3 TON SYS' (2) SL280UH070XV36, (2) LC -23/37 UPFLOW COILS, (2) ICOMFORT
STATS„MERV 16 HC16.16X25 -5, TOTAL,PRICE: $22000 (.CRANE NEEDED - EXT 90 FT REACH)
DEPOSIT COLLECTED: $10000
DUE UPON COMPLETION: $12000
LENNOX.REBATE: $2000
IID REBATE: $8.70;($435 PER UNIT)
*LEAVING' FOR DALLAS ON MONDAY BY LOAM*
-INST TO BE ON SITE BY 9AM TO MEET' CUSTOMER AND TAKE SYS OUT, CAN IN, TUESDAY
CLIENT COMES' BACK WEDNESDAY. WILL TELL FRANCISCO WHERE KEY IS.
Work Sugg
Work Done
Call Info Job Info
Call No:: 132985 Booked by: AMBER Job No.: 132985 Taken: 5/12/12 11:27 AM
Type: GASAC Booked Date: 5/14/12 Class: .REPLACEMENT Taken by: AMBER
Scheduled! 5/.14/12 &00AM, ,Sched.by: AMBER Type GASAC Cust PO:
Pri Level: 5 Ld Sic: TECHS SalesPerson: RODRIG
Eq.Age: LS Ref:
(Contact:
Equipment:
Assignments'
Employee
JORGEM
TaskCode Scheduled Time
8:00:00 AM
'Equipment
Warranties
Type'Sys
'Mfg
Model #
Serial,*
Age
Type
Parts Ends Labor Ends'
MINI
FUJ
AOU36RLX
T005164
1
1YR LAB
06/30/2012
Filters:
Loc:GARAGE
2 YR PARTS
06/30/2013
Size:.3
TON
5YR COMP
06/30/2017
MINI
FUJ
ABU36R5LX,
CXA002982
1.
1YR LAB
06/30/2012
Filters:
Loc:GARAGE
2 YRTARTS
06/30/2013
Size: 3
TON
5YR COMP
06/30%2017
FAU
LNX
80UHG4X-75A3
6300B2414
12
Filters:
Loc:
Size:
FAU
LNX
80UHG4X75A=3
630OB02416
112
Filters:
Loc:
Size:
City of, La Qulnta
—41 Ming S, Safely Dmion
Perinit ! P.O. Box 1504,'78=495 Cge Tampko
L?:Q1 ta, CA 92255 -:(760) 77740 11 .
C� Buiidtng.Pennit •Appiicadon and Tracking Sheet
PwJeec,damn: S2 k.o (Jet Caa1b r. 'Ownees.Name:. ' fl .
A P. Number: Addreav: FODDU CJS 1 CagfiO p.r
city. sT. zin: I.OQ Ch q 223
00flOval " fir QXOd *c ill , Tee�hm: -
:31n stye
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11. S S
Telapltane. ' �1�C�
State Lia #',
-230.n
�y Lla. #`
.
•
Axi,,
AMmm
rbc. ST. Zip:
Telephone.
Sate Lia #:
Can*ucdon Type• �p�,,
PwJect type (circle one): New Add'a Altar Repair Demo
Name.afContact Perm AMM Pam,
Sq.Ft.: Z�pO�
#;Siorlba:
NUnite:
Telephone,#,of Contact P . , �
Estimated Va[n of Project: 22 D 0 0 0 0
APPLICANT:
DO NOT WRITE BELOW THIS LINE
0 -
submittal
+a
' xcea
TRACKING
TRIUM, FIM.
PGts 8eie
Pled ChUb UbmltM
Item
Amount
ft.gefural"Cater.
Rcvlewe4 readP tor<eo "cdcee
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Trull Calot.
caw:Cm t d Peron
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I
THIS 24 Calci,
Ptaan picka4ap
construction
Flow oft plan
Plass rembaitied.* ,
Mecbsrikal
Grading plan.
°2'!lte+tew, rade ibrawrectlonr1=e
FJeeMeal
Sabcontaetor Llrt
Caped Coutaetperson
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8.11L1.
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Plain raabmit d
Grading
IN HO[13Sr ''' llevlevt ready �r eorreetlost/Iieue
PlanslogApproval• Coiled Contaet Patron
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Total Permit FUS