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10-0239 (SOL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 10-00000239 Owner: Property Address: 77570 CALLE NOGALES KAY FAMILY TRUST APN: 773-292-011- - - 77570 CALLE NOGALES Application description: SOLAR LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL Application valuation: 3207 . —..-Contractor:, Applicant: Architect or Engineer: PERFORMANCE SOLAR INC 240,1 MELRY LANE ESCONDIDO, CA 92026 (800)274-5836 Lic. No.: 789106 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 lass: C46 License No.: 789106 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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1—) 1, 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, 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 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: \ Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 /06/10 U ,APR 4 2010 CITY OF 5A+: UH4TA 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 STATE FUND Policy Number 238-0007457 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to.the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section /� //__ ''337^70000 of the Labo111 Code, 1 hall forthwith lcomply with those provisions. DateQ �P V `Applicantd•-��� rn t 1, WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CO ERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). 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 Quima, its -officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null. and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county Itoenter upon the above-mentioned property for inspection purposes ^ ,P Dater}\ Cp\ �pJ Signature (Applicant or Agent): TQC` ^ �^ Application Number . . . 10-00000239 Permit . . . SOLAR PERMIT Additional desc . Permit Fee . . 19.50 Plan Check Fee 5.63 Issue Date . . . . Valuation. . . . . 3207 Expiration Date 10/03/10 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA -SOLAR COLLECTOR < 1000 4.50 .00 3.0000 EA SOLAR EQUIP MISCELLANEOUS .00 --------------------------------------------------------------- Special Notes and Comments ------------- (4) `-UNIT 160SF SOLAR POOL -WATER- HEATING SYSTEM. THIS PERMIT DOES NOT INCLUDE A SEPARATE PUMPING SYSTEM FOR COLLECTOR OPERATION. 2007 CALIFORNIA BUILDING CODES. April.l, 2010 3:53:37 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited ------------------------------------------------------- Due Permit Fee Total 19.50 .00 .00 19•.50 Plan Check Total 5.63 .00 .00 5.63 Other Fee Total 1.00 .00 .00 1.00 Grand Total 26.13. .00 .00 26.13 LQPERMIT Apr 06 10 03 Cornejo 17607352814 p.1 PIERI;OR.NIANCE SOI AR - Quality Solar Pbol Hcating -7 W 177 12_ . = �n ba �-- Ib 3� -� �'he soler h-ea�i� 1nsfi�Clla�r�i Pam a, -I- -7757o Calf No�a/es v O-Crf*701a17 6e- so rte,- /,O� C, 3-800-374.5836 480 Corporaie Drive, Escondido, CA 92029 F.,x 1-8.00-859-1976 7825 E. Evans Road x!#100, Scottsdale, AZ 85260 • 3955 W. Sunset Road ##103. Las Vegas, NV 89118 wwv.: perforntanccsolar.com CA LIU 18510E AZ LIC# 165293 MJ UC• PNE7573 Mar 19 10 04:02p ; Amy Cornejo 17607352814 p.7 Mar 19 10 12:23p PERFORMANCE .SOLAR 8008591978 p2 03/16/2010 22:20 FAX 6565190497 DELIA R. lX"jj yr, . WJUW4aii, vvw Engm,eermg Report - Performance Solar (7 6o) 7 77 �, 7 NAiV�: 1 •�.-� a i ADDRESS: 7-7,S70 C -a �� �0�0.�S Cl 3 CITY:.- HOME PHONE: k_� G j k+ qkILL PHONE: WORK PHONE: Circle Panel Type: Performace 1 _ Phis List'all navel sizes here: Q. � 14'K (� 1 Harness required: / nPool Site: lC Ex e' Cover y / n size: Roof Type; Roof Cvadition: Open Beaty: y/n Roof gei ht V 2 S Roof Racks: '/n Ground Racks: / a Copper Esmipment: n Trenching i}; ' Contral: auto / manual Current Pga Size: Cement Cut R: Control Tie In: / n PuqN Condition: Sidewalk Tunael R: Control Tie In T e: Guess black: Guess i e.white: Install Nkw cquipmcnt: Lipt equipment and size: Special,instructionsfi: installation crew: IndiCste direction CITY OF L� QUINTA k�r'`�• -� BUILDING & S FETY DEPT, FOR CC NS RUCTION 3� - DATE �1 1 BY n - 007. .1 - New Peal ConstracdonY Y N $S TBE POOL HAVE WATER 14OW7 Y N Re4ucstcd Installation Date: Deni n EMneer _ Customer SisnuAwe: Date: FAX 800-859- t O too SIM r 3�Nrp PLOWFIELD ANCHORING OF THE. g y�40 FAFCO.` COLLECTORS ` g6 .ri • n PER 7004 FLORIDA TILOIT CODE AND A90E 1.0] • �M �� ASSDCIATES L D gee miy O C z O r mlp 0 r � m s• r g i , A �.� NZ •• - . A T QhhQ g -, $ p • Upmm D AO � 6 �rmlr (Dl�p�� mN N y��,. fll pz O — — I"rI O II • _ pR=�iN ONDW C • � I �' r I ' SR k m i 32 Xz -ii3 m ' O • 4 F NZ Rn •-CITY OF LA QIJINTA, n 3 `. BUILDING & SAFE Y DEPT. ul A r'ii , S N" X, 2011y 33rO WN4� 22ODp HEmmN0 E= HIM mmmAXT z m APPROVED OOQO. 3 M. r FOR CONSTRU TION .ryN A m ' N E E Lz , .gDz W� 'u gAo ���g gym mA'� . • DAT4 BY - O mm rN IT, mfD1 uN+ O IT, IT, �., p iC" pi •; .. �im RRA T a pD9rn- 1 .. S ... .. ((n11 1p O mp' MIN - r— mm �mim •m pO mom O3xZ1 AAIDRa �. .m. IT J. " �i •ii�D Cm3 �i�rt� 'ZpmA Om '. .. .. 3`�{ r�rr m"m, AOOW IT D pa'Zm Or m -n0, Dr�� mp�p. .. D x Nmmy •U00 r A� ~2N X y� iDsO ZAC a A F11 33 / *XZ . Nm KUT , NAm mm m mDO . r.,V —{ F- 3AN z(p?"' �j (lg� aD0 Nz0 LD1 zm.. i ��FLpnr ' Ill �'9 yrlliP im "Qmmm �m DAn my C. N(p^1 EZWO��jmg �� A�'-r g - "z �Li to WIT Amb yO �=D sAE �—Z Ftl D ` fp iy Epp-�7cyg� Dr ti• . A � � 3 'O f�ia A � O mOD - ,. O' m33 $ Dp1z. '20 �� N ';o mI0 � m f • • �Zm u,' ' •, -'otiW zOmr AN MIT, m m FL•~•• m �r''�Ni A�.. km2 mN p NO Orr N _ N �1 N rWrl �N - , ' N IT, N r^ mnN Azo m pa - -n Oim O J X 1> �D m IT: A �. ll X O m W3 A u' y pO Nm p<O�"r E m = E i"5AA11t iNiDO SNORT DIMENSION m30 rinAS rIT a. -E mym OOr •m0 I Z pOpm= p Ez W��O �F�ippg mm N .. 8000 r�i0� Ar IT(1 AA�p000 A3 • r • 1 r (Jl r ..;oIT eee -'7r _ pp@1W �,� r p F60� m •.Y. �uI �Z r mA 3 O D A m A `, m 3�Nrp PLOWFIELD ANCHORING OF THE. g y�40 FAFCO.` COLLECTORS ` g6 .ri • n PER 7004 FLORIDA TILOIT CODE AND A90E 1.0] • �M �� ASSDCIATES Mar 19 10 04:01 p Amy Cornejo i DESCRIPTION: DIMENSIONS ROOF MOUNTING SPACE RACK SPACE: FLOW: PANELS PEKBANK: (maximum) PRESSURE: 8UF (27-C)I 212`F (100;C) i 70-F (21-C) I TEMPERATURE: I CHEMICAL RESISTANCE: CORROSION: FREEZING: WEATHERABILITY: i 17607352814 p.5 PERFORMANCE .ST SOLAR HEAT EXCHANGER The Performance ST'm Collector is manufactured in Chico, California, USA. The collector is a specially developed, highly stabilized polyolefin and is of parallel, circular channel design with separated lubes. It is unglazed, uninsulated, and designed for low temperature applications such as swimming pool heating, heat pumps, aquaculture, and hydroponics. Header Length = 50.875 in. (1.29 m) Width.(Panel body) = 47.5 in. (1.21 m) Overall Dimensions: 4 ft. X 8 ft. (1.22 X 2.44 m) 4 ft. X 10 ft. (1.22.X 3,05 m) 4 ft. X 12 ft. (1.22 X 3.66 m) Effective Area 30.8 ft2 (2.86 m') 38.8 f12 (3.60 m') 46.6 1`112 (4.33 m') Width = [Number of panels X 50.875 in. (129 cm)] + 24 in. (61 cm) Length = Panel length + 24 in. (61 cm) Width = [Number of panels X 50.875 in. (129 cm)]+ 2 in. (5'cm) Length = Panel length + 6 in. (15 cm) I Maximum recommended flow = 8 gpm per panel 3.47 psi head loss (1,817 I/hr, 0.244 kglcml) Minimum recommended flow = 3 gpm per panel 0.48 psi head loss (681 I/hr, 0.034 kgicm2) Recommended flow = 4 gpm per panel 0.87 psi head loss (908 I/hr, 0.061 kgicrr?) 12 panels single end feed 17 panels diagonal feed NORMAL OPERATING PRESSURE 0 to 30 psi (0 - 2.2 kg/cm') 0to5psi (0 - 0.35 kg/cm') MAXIMUM INTERMITTENT PRESSURE 45 psi (3.21 kg/cm') S. psi (0.35 kg!cm') Measured burst pressure of panel body = Over 300 psi (21.0 kg /cm') Normal operating temperature = 60*F to 90'F (16'C to 32°C) Maximum continuous operating temperature = 212'F (100'C) Maximum intermittent temperature (unpressured) 250`F (121`C) Melt temperature = 338°F (170"C) Compatible with common collector fluids Non -corrosive The system should be drained before freezing conditions occur. Weatherometer, accelerated outdoor exposure, and other extensive laboratory testing demonstrates long-term weatherability of SoloTubeT14 collectors (see warranty). Additionally, FAFCO's experience of nearly 30 years and over 1,000,000 collectors installed confirms that the proprietary stabilization and high mechanical strength results in negligible warranty over the twelve-ye?r warranty period. Mar 19 10 04:01 p Amy Cornejo WEIGHT: ABSORPTIVITY: ENUSSNITY: TIME CONSTANT: TESTED OUTPUT: PERFORMANCE CURVES: 17607352814 p.4 Without Water 13.5 lbs (5.04 kg) or 0.42 Ibs/ft2 (2.05 kg/m2) 4 -ft -X- 8 ft. 4 ft. X 10 ft. 15.9 ibs (5.93 kg) or 0,401bStV (1.95 kg/m2) 18.3 lbs (6.83 kg) or 0.38 Ibs/ft2 (1.86 kg/m.) 4 ft_ X 12 ft_ With Water 4.1t. X 8 ft. 51.1 lbs (19.1 kg) or 1.60 Ibsfft2 (7.81 kglm�) 4 ft. X 10 fl. 59.8 lbs (22:3 kg) or 1.50 Ibs/112 (7.32 k9/m2) 68.5 lbs (25-6 kg) or 1.43 lbs/ft2 (6.98 kg/m2) 4 ft. X 12 ft. 0.96 ITY OF LA QUINTA 0.90 UILDING &SAFETY DEPT. FAPROVED 64secor,ds iF'" 1,014 BTU/ft2 (Florida Solar Energy Center) 04ARACTERISTICS 1.05 LL) J Z W 0.95 U OX5 0.8 0 0.2 0.4 04 (11(CDS INCNJ3)) PRESSURE vs. FLOW 2 3 4 5 6 7 a FLOW RATE(gpm Per Panel) Additional test data available on request FOR CONSTRUCTION DATE ov MASURED EFFICIENCY Average flow rate 4.9 gpin (1113 MY) Aueragevrirld ve)odty 24 rrph (3.9 krNl1r) 70 Z w 50 LL a` d0 w 301 201 10 0; 0 0.05 O1 015 0.2 0.25 0.3 (Ti Tzla IF syt MBTU) EFFICIENCY vs. FLOW (for typ. oondillons) w 0.60 o.ss L 0 2 3 4 FLOW RATE (9PM) P/N 06359D 2/01 SETBACK h" SETBACK -V NOW WOOD 00 6'•O' MIOM OOD WFENCE A P•-1 ��.;•p• •� GRAVIL '`�o`HIGN POINT 1 � IlV/y1�xVln"U■jl ! i s�a�o�k ate, a �--,.,... �• gn r>< 01 CAC 6Et +r•s�• — �i��_L C 4�XtDGQ•1 PAD T, GF PAD to W A a 1 � H L ' 1 Ito Ln i I ..�. a.• C3• �' 6 yep x UALL. ,!PC 6 ( tY �yo\SC �5ii�" ILLVIMOT Plk .. - ate• ---, ? ' � VN.IICL� civ TME 6T1 ET { �1 9 • I W411 I N w a %,.•�r: L--- ------ ? — --•-- ..._.•so � I • � A � • _ i:T , i BLn.:1�D �. . 14 3'•x!7• W10W ____• _. _. _ _ 4 ___ EL=WALLI e�! •• �' ' f�,f• GRAVEL a1 y • � � f •IdAO CvAL CAROMAmmomme S.G. F • • sm _._ . .. • COMMEND • 6EPERATE PEWIT PMl" Gtr OF LA Waw OEPARTML _ CURB cu:.• ecX AND GUTTER GRAVEL m ! cOL1E PA:.^ , 3 GRAVEL I A (1) 2A, (BLUE " 4'-0" 20'-0" _10'-0" 10'-0" ?r 7r SETBACK FONT PRCPIO6ED MQkc r;:•,.:;- . B PAD ELEVATtCh Nis w AIW6MED 1LOOR TO MOVE VAttN fti0,Y H, i, CURB AT CEMTEFQL!o, SITE PLAN .. �. :. SHEET INDEX POWER FINANCE YOUR LOCAL. HOME LENDER THOMAS BOFFIN PRESIDENT lBROKER POWER FINANCE & POWER BROKER INC. 51370 AVENIDA BERMUDAS STE.1 P.O. Boot 134 La Quints, CA 92253 Oft: Vq 564.8470 Fm (W) 564.8472 1 SITE PLAN GN GENERAL NOTES 2 FOUNDATION PLAN 3 FLOOR PLAN ELEVATIONS 5 sEcrioNs �o ROOF PLAN '( ROOD FRAMING PLAN .S TITLE -24 REQUIREMENTS ELECTRICAL PLAN 10 MECHANICAL PLAN POWER FINANCE YOUR LOCAL. HOME LENDER THOMAS BOFFIN PRESIDENT lBROKER POWER FINANCE & POWER BROKER INC. 51370 AVENIDA BERMUDAS STE.1 P.O. Boot 134 La Quints, CA 92253 Oft: Vq 564.8470 Fm (W) 564.8472 Mar 19 10 04:00p Amy Cornejo 17607352814 p.3 PERFORMANCE ST FULL TWELVE-YEAR WARRANTY WITH LIMITED LIFETIME COVERAGE FOR THE Performance STTM' SOLAR POOL COLLECTOR by FAFCO INCORPORATED (FAFCO) 435 Otterson Drive Chico, California 95928 Phone (530) 332-2100 1. SCOPE OF COVERAGE This warranty applies only to new swimming pool solar collectors manufactured by FAFCO and installed on premises owned by the original consumer buyer. The warranty is extended to the original consumer buyer and premises on which the collectors were initially installed. FULL TWELVE-YEAR WARRANTY: The Performance ST"" solar collectors are warranted to be free from detects In materials and workmanship under normal use and service for the heating of a swimming pool for twelve (12) years from the completion of initial instaltatiim, subject to the terms, conditions, and limitations described below. The collectors are warranted against freeze when installed in strict accordance with FAFCO's installation instructions. If a defect in material or workmanship becomes evident during the warranty period, FAFCO wig repair or, at its option, replace the malfunctioning solar collector with a new solar collector of at least the same quality, within a reasonable time. Labor for repair or replacement of parts is included at FAFCO's established rate. LIFETIME LIMITED WARRANTY: In addition to the above warranty, FAFCO offers an additional limited lifetime warranty on the collector. FAFCO will replace or, at its option, repair a collector found to be defective in material or workmanship, provided the purchaser pays 50% of the published list price of the collector at the time the replacement is required- Labor costs for removal or reinstallation and all shipping costs will be.the responsibility of the purchaser. The limited warranty is only extended to the original retail buyer and premises on which the collectors were initially installed. SOME THINGS BUYER MUST DO A. PROPER INSTALLATION: INSTALLATION MUST BE PERFORMED IN STRICT ACCORDANCE WfTH FAFCOS INSTALLATION INSTRUCTIONS. ALTHOUGH IT 1S NOT NECESSARYIN ORDER TO VALIDATE YOUR WARRANTY, ITIS RECOMMENDED THAT THE CONSUMER WARRANTY CARD BE SUBM/TTED TO FAFCO. B. ROUTINE MAINTENANCE: Provide reasonable and necessary maintenance in accordance with FAFCO's operating and maintenance instructions. C. KEEPING FAFCO INFORMED: If it appears to you that any warranted component or part is not functioning properly, promptly notify FAFCO or FAFCO's authorized dealer or distributor in your area. Early attention to a minor problem may help avoid serious problems later. WHAT FAFCO WILL DO A. WHO WILL PROVIDE WARRANTY SERVICE: Service will be provided by FAFCO's authorized dealer or distributor in your area. This will ordinarily be the dealer or distributor from whom you purchased your solar collector. If there is no authorized dealer or distributor in your area, then write, or call COLLECT, FAFCO directly at 435 Otterson Drive, Chico, California 95928, Telephone: (530) 332-2100, giving the identification of the solar collector, the date of purchase, the date of installation and the nature of the defect or problem. To verify that your warranty is still in effect, you should be prepared to fumish evidence of purchase and the date of installation and evidence that the installation was performed in strict accordance with FAFCO's.installation instructions. B. IF REPLACEMENT IS REQUIRED: If possible, the repair or replacement will be made by FAFCO's authorized dealer or distributor in your area. Otherwise, the collector should be returned for warranty service to FAFCO at its plant, 435 Otterson Drive, Chico, California 95928. FAFCO will promptly repair or replace the defective solar collector and return it to you. NO OTHER EXPRESS WARRANTIES -THESE REMEDIES ARE EXCLUSIVE Unless otherwise explicitly agreed to in writing, It is understood that this is the only written warranty given by FAFCO and FAFCO neither assumes nor authorizes anyone to assume for it any other obligations or liability in connection with its products. IN NO EVENT SHALL FAFCO BE LIABLE FOR DAMAGE TO PROPERTY, LOST PROFITS, INJURY TO GOODWILL OR ANY OTHER SPECIAL, INCIDENTAL OR CONSEQUENTIAL DAMAGES RESULTING FROM ANY DEFECTIVE SOLAR COLLECTOR OR ANY BREACH OF THE ABOVE EXPRESS WARRANTY, FOR NEGLIGENCE OR OTHERWISE. Some states do not allow the exclusion or limitation of incidental or consequential damages, so this exclusion or limitation may not apply to you. The above warranty gives you specific legal rights, and you may also have other rights which vary from state to state. 6. WHAT IS NOT COVERED The above warranty does not apply: 1. To conditions resulting from a defect in a component or part which is not part of the Performance STTM collector. 2. To conditions resulting from a departure from FAFCO's installation instructions. 3. To conditions resulting from failure to provide reasonable and necessary maintenance in accordance with FAFCO's operating and maintenance instructions. 4. To conditions resulting from any misuse, abuse, neglect, accident or alterations. 5. To normal fading and minor deterioration of exterior surfaces resulting from exposure to the elements, except conditions that do or will affect performance. 6. To installation, hardw6re, accessories, or any component or part that is not part of the solar collector. 7. FAFCO makes no warranty as to the performance of its solar collectors, fuel savings, or any particular temperature or level to which the water witl be Heated. 8. The above warranty shall not be considered to be violated or its coverage In any way reduced by conditions that may occur in the normal operation of the system. 2101 PIN 06917C Mar 19 10 04:03p Amy Cornejo 17607352814 p.8. # City of La Quinta Building aC Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinti, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # I Project Ad&=: 7 7 0 NkalaS Owner's Name: JjM � A - P. Number. I Address: 7 7 Cy-ItC Legal Description: City, ST, Zip: Lie `01 I147-� • ZZ5 3 Contractor: Rerry C -e- O I.a..,- I M C-, Telephone: 7 G -7 ( -7-7 �°`; ti r� µr• ., (0 54� � 1` Address: L1Op U Cts % 0/G-.0 it f7Vf---2 Prqject Description: City, ST, Zip: asror,t� CA- 92oz 9 In 's 471 1a. -h •0-F sole►' ' cam( Telephone:. iDb y 32- O 50.57 IBM °' W aw' - 11E'G(. i.h S i S F�1'ri C• �{ G State Lia # : City Lic_ #'-FP- Arch., Engr., Designer: i 6,,-t Z'I z. '1'Q Ch-�c ���. SG•l�{,r Address: ,ls .► City, ST, zip: ; --NA - o Telephone: NYt :. 011,11 State Lic. #: ser Construction Type- S / o ! cL r occupancy"GY 'Project circle one . New Add'tt Alter Repair Demo Name of Contact Person:�% Sq. Ft : # (ro # Stories: # Units: A �w Telephone # of Contact Person: -7 -7 35 2630 Estimated Value of Project it 37-0 7 APPLICANT: DO NOT WRITE BELOW TINS LINE # Submittal I Req'd Reed TRACIMG PERkffT FM Plan Sets Plan Check submitted It— Amount Structural Cases. I Reviewed, ready for correc ions Plan Chock Dcpowt Mruss Cala. i Called Contact Person Plan Check Balance Title 24 Calcs. I Plain picked up r Construction Flood plain plan Plans resubmitted '– Mechanical i Grading plan I 2"! Review, ready for correctionsftmc Electrical Subeontsctor List ( Called Contact Person Plumbing GrantDecd I Plans picked up I Sly,], N.O.A. Approval I Plans resubmitted C,radlug IN HOUSE: I '"' Review, ready for correctionsr y Developer Impact Pee ' I Planning Approval Callcd Contact Person 41 1wwa W -P -?- Pub. Wks. Appr I Date of permit issue Sehodl Fees Total Permit Fees 411 luto * I*'