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09102 (SFD)Building Address Address City Contractor State Lic. & Classif. Arch., Engr., Designer Address 54-075 Juarez 4 P.O. BOX 1504 N o . 09102 78.105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC: GRP. 73-625 Owy 111 SuitA-- G A.P. Number Zip Tel. _-qFAt 1. 92260 773-3225 Legal Description Lot 4 Block 257 Unit 24 Project Description' Aaaevood nrive Zip Tel.' esart 92260 340-6807 City 81 48012:1 Lic. # 1526 Sq. Ft. 145,E No. 1 No. Dw. Size Stories Units Pinson Brothers New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Tel. City Zip State lv%A 4 a Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of. Chapter 9 (commencing with Section 70 00) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he 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 (3500). ❑ 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such 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 did not build or improve for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or,improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date J,.. Z owner e "' WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. . CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (8100) valuation or less.) I certify that in the performance of thg 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. Date Owner ' NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. '- CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 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 the above-. mentioned property for Inspection purposes. Signature of applicant Date Mailing Address City, State, Zip Estimated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. - Grading Driveway Enc. Infrastructure TOTAL REMARKS AMOUNT 3 549.50 62. CIA 127-45% MAO 2n_no 2fl , a0 1355.59 ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO, FT. ® CAR P. SO. FT. WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation SLAB GRADEROUGH FLOOR DRAIN MECHANICAL FEES I I WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER ROUGH WIRING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED DUCTWORK LAUNDRY TRAY AIR HANDLING UNIT CFM GAS (ROUGH) KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB WATER HEATER SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL BOND BEAM SO.FT.GAR ® 3/ic HOUSE SEWER $ GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR GOND. SOLAR SETBACK/ GROUND PLUMBIN� �9 9 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADEROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER i+ ROUGH WIRING DUCTWORK ROCKSTORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL �� GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cu. yd. plus x$ _$ LUMBER GR. FINAL INSP. AZAI FRAMING �/ �+ — [ FINAL INSP. ROOFING —�7 .-,Ip/ /l/%G1Gi/G/%`;�/„'• ��r ���j REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL /�, LATHING � rov -P7 MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Building Address 5-4/-0 % S L. A� Abd K !A e M iling / A" A�dress ��_ asp C' Zip no 4 -1/1- T -,&t 4 4 " P.O. BOX 1504. APPLICATION ONLY 7&105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC. GRP. / C7 A.P. Number Tel. 3 - ? / as Legal Description 46-7—y ��� % Un i'T 4 Project Description S . �i111l]" State Lic. I City & Classif. Lic. # Arch., Engr. Designer n S o A-& Address �_ y, V 2rL Tel. e j .- -;ISD Z7• / Z 1 1 (1 i Sq. Ft. Size New V No. No. DIN. Stories % Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ Cit Zip State Ci Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7M) t.of Division 3 of the Business and Professions Code, and my license is in full force and effec SIGNATURE DATE OWNER -BUILDER DECLARATION Estimated Valuatb I hereby affirm that I am exempt from the Contractor's License law for the following reason: (Sec. 7031.5,Susiness and Professions Code: Any city or county which requires a 1 permt to construct, cher. Improve, demolish, or repair any structure, prior to Its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he 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 (8500). ❑ 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, Buisness and Professions Code: The. Contractor's License Law does not apply to an owner of property who builds or improvesthereon and who does such work himself or through his own employees, provided that such 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 did not build or improve for the purpose of sale.) PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing 0 I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law S.M,I, does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. B. ti P.C. for this reason Grading Driveway Enc. Date Owner frastructur WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company 0 Copy is filed with the city. 0 Certified copy is hereby furnished. X, O TOTAL r - CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg work for which this permit is issued, I shall not employ any parson in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, alter making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. ZONE: BY: Minimum Setback Distances. + Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil code.) • Lender's Name FINAL DATE Side Street Setback from Center Line - Side Setback from Property Line INSPECTOR Lender's Address This is a building permit when properly tilled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 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 the above- mentioned property for inspection purposes. Issued by: Validated by: Date Permit Signature of applicant Date .Mailing Address Validation: City, State, Zip FINANCE COUNTY,,OF .RIVERSIDE DEPARTMENT OF HEALTH A""'01 ParON NM ENVIRONMENTAL SERVICES DIVISION FPERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant: Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to County speculations as Indicated on the attached check list A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval. Q VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG # Z AW;_'�tt, Contractor, Contact Person Phone Address & Firm W O_wner / Phone Mailing Address / U) kt • wG c� [ 4�� Jf c 'pyK' S �t.I f�/ r4 CT- Y7 Cvaa SG�vI City State Zip Job Property Address Legal Description Prop. (PM, Tract, Lot) !Ya -+ 5�✓ �L- 'q2' uo CiGt/��ivG(G 0"X, _ f,�f d�ioc r2 :> - Lot Size to Agenc1y/)�"(�'h Use of Permit P/P, CU, etc. �jt y F / th r J ��.A IG r' U/A Dwelling, H Site Prep, etc. ✓N t)L At j U Z O b rnf CATEGORY: •- Data "O' SUBSURFACE DISPOSAL m ❑ MULTIPLE PARCELS WITHIN SAME 1238 $ 57.00 LAND DIVISION Z O 7349 a. fall 4 Parcels (Each) 5b. �# Each Parcel after 4 W ❑ Rereview (2nd review same parcel) U) ❑ Site Evaluation in Conjunction with SEWE 1�OPTf- VERIFICATION 7348 Critical Area 1238 ❑ She Evaluation Lot Less than A L an 1 year) Other , 10,000 Sq. Ft. U Z O b rnf ° Data Holding Tank Agreements Completed REV CODE FEE 0 No /ii>MJ R ' CATEGORY: REV CODE FEE 1238 $ 57.00 WQCBCIearsnoe required. (Attach Form ❑ SITE EVALUATION UPON REQUEST 7349 $ 43.00 DOH SAN 007, Santa Ana Region Only) �# (NO-P_L10T PLAN) 4 Solis Percolation Report Required. ❑ Yes oy No Special Feasibility Boring Report Required. SEWE 1�OPTf- VERIFICATION 7348 &�7x�l 1238 $ 57.00 No A L an 1 year) Other , ❑ Yes 7344 $ 24.00 Staff Specialist Lot Inspection Requiredf ❑ PRELIMINARY ELECTIVE 7352 $ 23.00 7344 $ 24.00 j lot I Date EVALUATION (Attach DOH SAN 53) Solis boring report by 'f �f' / - ❑ HOLDING TANK 7351 $ 47.00 7348 $111.00 / Dam ❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00 No. �ng Units (1) Septic Tank Soil Rate SYSTEM ❑ New �Repbcerner t 7347 $ 87.00 Grease Inn cp (2) Leech Line Sq. FL Bottom trench area Leschlines/bed special design for Applicable N/A Overburden _ No. 2. System REMARKS: Sidewall alk>wance�` ft. rock/ sq. ft per running ft ❑ NA (3) Pit Diameter ❑ 5 ❑ 6 Install Line(s) It long n wide with I Lesch Bed sq. tL min. inches rock below drainlines or of bottom area No. Pita I Pit BebM Inlet (BI) Seepage Pit Total Depth I Other. 'Max. Allows is Depth ���,,fi 0 This application is PPROVED ENIED for the category chgtAted in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompan plot n, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the Z above -designed system. No constriction is permitted in the required reserved 100% expansion area. O:' (1.) Septic tank and sewer lines must be 50' minimum from any wells (2) , Leach lines must be 100' minimum from any wells, including expansion area CO ' , (3) Seepage pits must be 150' minimum from any wells, including expansion area ^} Health Official ///fir /7 --Date- 9� issued BY :.2. Date 4erside, [B` to . ❑ . Hemet 13 Perris ❑ .Rancho Calif. ❑ Blythe i . DISTRIBUTION: wHrrE - 011ioe lib YELLOW Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records s - INITIAL DATE Holding Tank Agreements Completed ❑ Yes 0 No /ii>MJ R / q Certification of Existing S.D. System Required "` ;" ❑ Yes No WQCBCIearsnoe required. (Attach Form ❑ Yes + No DOH SAN 007, Santa Ana Region Only) 4 Solis Percolation Report Required. ❑ Yes oy No Special Feasibility Boring Report Required. ❑ Yes fJ No Detailed Contour Plot Plans Required (1 to 5 R interval) ❑ Yesliii No Other , ❑ Yes + No Staff Specialist Lot Inspection Requiredf ❑Yea No j lot I Date Solis boring report by 'f �f' / - Project t Data Soils Map Page Sol Type Approved by / Dam No. of Systems Type of Sy�ism(s) ❑ Holding Ten ❑ Existing No. �ng Units (1) Septic Tank Soil Rate Greaee/Sand ❑ New �Repbcerner t B drooms, Fixture ` Units Grease Inn cp (2) Leech Line Sq. FL Bottom trench area Leschlines/bed special design for Applicable N/A Overburden _ No. 2. System REMARKS: Sidewall alk>wance�` ft. rock/ sq. ft per running ft ❑ NA (3) Pit Diameter ❑ 5 ❑ 6 Install Line(s) It long n wide with I Lesch Bed sq. tL min. inches rock below drainlines or of bottom area No. Pita I Pit BebM Inlet (BI) Seepage Pit Total Depth I Other. 'Max. Allows is Depth ���,,fi 0 This application is PPROVED ENIED for the category chgtAted in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompan plot n, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the Z above -designed system. No constriction is permitted in the required reserved 100% expansion area. O:' (1.) Septic tank and sewer lines must be 50' minimum from any wells (2) , Leach lines must be 100' minimum from any wells, including expansion area CO ' , (3) Seepage pits must be 150' minimum from any wells, including expansion area ^} Health Official ///fir /7 --Date- 9� issued BY :.2. Date 4erside, [B` to . ❑ . Hemet 13 Perris ❑ .Rancho Calif. ❑ Blythe i . DISTRIBUTION: wHrrE - 011ioe lib YELLOW Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records s - OR OFFICE OF lr _ AGRICULTURAL COMMISSIONER e •;' � AND WEIGHTS & MEASURES CALVIN C. KAMINSKAS ,LAMES O. WALLACE 4080 LEMON STREET, ROOM 19 Asshlanl Commisslonor Agricultural Commissioner RIVERSIDE, CALIFORNIA 92501 CLEMENT BENVENISiE Director of Weights h Measures (714) 787-2561 Sealer 49613 Highway 86, Suite B12 Coachella, Ca. 92236 (619) 342-8291 DATE /� �� �u, CASE NO. ?C- -j S 12 \ Z j a DEVELOPER'S NAME: �Q ,�fspace K: o r� f•cf - :w, �c.Gcs: ADDRESS : f �C • f TELEPHONE: (6(q 773--3 5- L04 - LO -1 y 19/0 C --/C /6 0.1 � /.,y L` /3/--/c ?S-7 Dear Developer: After reviewing your landscaping plans; all plant material listed is not in violation of quarantine laws.governing the Coachella Valley. If substitutions do occur and.they differ from plant material listed, this office must be notified immediately. Thank you for protecting and preserving the Coachella Valley's pest -free environment. Agr' t Ialt C ssione s Of ice cc: Indio and Riverside Office I Building Address Owner 44 P.O. BOX 1504 No. 09331 78-105 CALLE ESTADO kRF? LA QUINTA, CALIFORNIA 92253 CityZip Tel. PALM DESURT 92260? 773-3126 Contractor Address City lZip Tel.: State Lic. City & Classif. 606486 Lic. # 1833 Arch., Engr., Y Designer j Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)0f Division 3 of the Business and Professions Code, and my license is in full force and Af effect y -0- b` �+- /1 .r 4 SIGNATURF"�•-­_­11'- ='t1` w" _. _�,r �-�' DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. .703 1. 5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the, provisions of the Contractor's License Law, Chapter 9 (commencing with Section. 7000) of, Division Sof the Business and Professions Code, or that. he 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, Buisness and .Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such 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 did not build or improve for the purpose of sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. B. & P.C. for this reason Date, Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy, thereof. (Sec. 3800, Labor Code.) Policy No. .Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. :i CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg 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. �� f� Date / • s�. Owner - !:.J 4�-ii� " � NOTICE TO' -APPLICANT: O;_eNe`r`inakln'9""thisCafet '•tion fd`"bec'bine r' 9 P you-sAvu subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. - i CONSTRUCTION LENDING AGENCY 4 I hereby affirm that there is a construction lending agency for the performance of the work for,which this permit is issued. (Sec. 3097, Civil Code.) , Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 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 the above- mentioned property for Inspection purposes. Signature of applicant " Date - Mailing Address City, State, Zip BUILDING: TYPE CONST. ..40M OCC: GRP. A.P. Number Legal Description Project Description Sq. Ft. i�5� No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ n ;'NOTE.-' How .i contractor Minimum Setback Distances: Front Setback from Center Line Estimated Valuation $79,728.00 PERMIT AMOUNT Plan Chk. Dep. Side Setback from Property Line Plan Chk. Bal FINAL DATE Const. Issued by: Mech. Validated by: Electrical Plumbing S.M.I. - Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SO, FT. ® CAR P. SQ. FT. WALL SQ. FT. ® SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS j DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WAIER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP./EQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ®c BATH TUB SO. FT. ®c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/e c SEWAGE DISPOSAL SQ.FT.GAR ® V4c HOUSE SEWER REMARKS: GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCKSTORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL