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10-0228 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253 Application Number: 10-00000228 Property Address: 45585 STONEBROOK CT APN: 604-404-023-10 -23995 Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 9299 T,iht 4 .fwQ�rw Applicant: Architect or Engineer BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that.) 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. Lic a Class: C20 License No.: 489046 ate: 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 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that'the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). - ( ) I 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.I. Lender's Name: _ Lender's Address: LQPERNIIT Owner: WRIGHT JOHN R' *NOT ON FILE UNKNOWN, CA 99999 Contractor: ESSER AIR CONDITIONING & P.O. BOX 1636 CATHEDRAL CITY, CA 92235 (760)324-0550 Lic. No.: 489046 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/19/10 WORKER'S COMPENSATION DECLARATION I hereby irm 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 1891568-2009 _- 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 ` 3700 of the Labor Code, I,sh)all forthw' h co ply with those provisions. ,Date' ✓ /O Applicant,' WARNING: FAILURE 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 aboveinformation is correct. Ia o comply with all city and county ordinances and state laws relating to buil ion, an here onze representatives oft is co my o enter upon the above-mentioned propgfty for inspe on ate I (� Signature (Applicant or Agent): il LQPERMIT Application Number 1. 10-00000228 ^ Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date* . . . - Valuation 0 • Expiration Date 9/15/10 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH.FURNACE <=100K 9.00 1.00 9.0000 EA MECH BIC <=3HP/100K BTU 9.00 ---------------------------------------------------------------------------- Special Notes and Comments -= - ---- --- — -- — - - ---- HVAC SYSTEM 'CHANGEOUT -TO NEW "5- TON' -TRANS - -- - XL16 (14 SEER) SPLIT SYSTEM. -- - - - - - - - - - - - - - -- - - - - - - - -- - - - - - - -- - Other Fees . . . . .. BLDG STDS ADMIN (SB147.3) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 33.00 ..00 .00 33.00 Plan Check Total 8.25 00 .00 8.25 Other Fee Total 1.00 .00 -.00 1.00 Grand Total 42.25 .00 .00 42.25 il LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVA C Alterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Address: ? S� s 5_r Enforcement Agency: Date: + /o ermit #: f© t -0 Condit oned Floor Equipment T e� List Minimum Efficient 2 Duct insulation requirement Area Thermostat ❑ Packaged Unit 1( Furnace ® AFUE �'• 11 COP Over 40 ft of ducts added or ACSetback .-ff Indoor Coil lffSEER_ZH ❑ HSPF replaced in unconditioned space Served by system (If not already a Condensing Unit 0 EER. JL ❑ Resistance ❑ R 6 (CZ 10-13) l r6y— sf present, must be ❑ Other I I ❑ R 8 (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-IR-ALT-HVACfor each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfor typical residential systems. 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 fact the work completed by the installer. The inspector also verifies that each appropriate CF -6R and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and signed. Beginning October 1, 2010, a registered copy of the CF -1R and CF -6R shall also be on site for final inspection. ;K1. HVAC Changeout Required Forms: • All HVAC Equipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS _ CF -4R forms: MECH- 21 and fors lits stems MECH-25 • Condenser Coil and/or •Indoor Coil and/or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH- 21 and (for split systems) MECH-25. • Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA >_ 300 CFM/ton(Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent Exempted from duct leakage testing if: ❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing ducts stems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: • Cut in or Changeout with new ducts: (all new ducting and all CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS '25 new equipment) CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with Replacement Required Forms: • Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF -4R forms: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all 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 Required Forms: • Includes adding or replacing more than 40 linear feet of duct in unconditioned space. CF -611 forms: MECH-04, MECH-2I-HERS CF -4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • 1 certify that this Certificate of Compliance documentation is accurate and complete. • 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. • 1 certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts I and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, tans a d specifications submitted to the enforcement agency folr approval with thqjmwm4 apezption. Name: Av u Signature: Company: C ��,� S �� Date: C71I I Address:1-,;) - J *3q I /�C, (/ [ O License: p y' 4 City/State/Zip: �E l�tr� T Ci4 - Phone: 0-32,Y_.-5-5-0 2008 Building Energy Efficiency Standards Residential HVAC Alterations La Quinta, CA (Climate Zone 15) BUSINESS AND PROFESSIONS CODE, SECTION 7110 - Willful or deliberate disregard and violation of the building laws, including the California Building Code, and local permit requirements constitutes a cause for disciplinary action from the Contractors State License Board working in conjunction with the local building department. This action may consist of fines up to $5,000 per violation or suspension/revocation of a contractor's license. WHEN IS A PERMIT REQUIRED? A written construction permit shall be obtained from the enforcement agency prior to the erection, construction, reconstruction, installation, relocation, or alteration of any mechanical system, except as permitted in Appendix Chapter 1, Section 112.2 of the 2007 California Mechanical Code. Projects requiring permits include, but are not limited to: • New HVAC installation • Relocation of an existing HVAC unit • HVAC Changeout • Adding or replacing more than 40ft ducting • Replacement of furnace, coil, FAU, or condenser 2008 BUILDING ENERGY EFFICIENCY STANDARDS (Title 24, Part 6) REOUIREMENTS INCLUDE: 1. Heating equipment must have a minimum 78% AFUE (Exception: Wall & floor furnaces; room heaters). 2. Central air conditioners & heat pumps less than 65,000 Btu/hr must have a minimum 13 SEER. 3. Newly installed or replaced ducts must have a minimum insulation value of R-4.2. When more than 40 ft of ducting will be installed or replaced, the duct insulation value must be R-6 (CZ 10-13), or R-8 (CZ 14 and 15). 4. A setback type thermostat (24 hr clock with four set points) is required for all alterations. 5. New or replacement ducts must meet the mandatory requirements of Section 150(m): • All joints and openings in the in the HVAC system must be sealed. • Only UL 181, UL 181A, or UL 181B approved tapes or mastic shall be used to seal duct openings. • Connections of metals ducts and the inner core of flex ducts shall be mechanically fastened. Flex ducts must be connected using a metal sleeve/coupling. • Flex ducts that are suspended must be supported every 4ft. max for horizontal runs with no more than 2" of sag between supports and 6 ft. max for vertical runs. WHEN IS HERS VERIFICATION REQUIRED AND WHAT FORMS ARE REQUIRED? HERS verification is required for all HVAC alterations in Climate Zone 10-15. A HERS rater is a special inspector for the building department. The building inspector may also request to be on site to witness testing by the contractor and/or HERS rater. The installer picks one of the four options on the CF -IR -ALT -HVAC Form that describe the work being conducted. Each option lists the forms required to be at the job site for final inspection. • CF -6R Forms shall be completed and submitted by the installing contractor for final inspection.• • CF -4R Forms shall be completed, registered with an approved HERS Provider (cannot be completed by hand), and submitted by the HERS Rater for final inspection effective January 1, 2010. DESCRIPTION OF HERS TESTS BELOW (Full descriptions found in Residential Appendix RA3 and Residential Manual) Duct sealing — The installer is to insure leakage of the HVAC system is less than 6% for new air conditioning system (new equipment and all new ducts) or 15%, 60% reduction, seal all accessible leaks, etc. for alterations to existing HVAC systems. When the contractor uses the option to seal all accessible leaks, all easily movable objects must be moved to seal existing ducting. New ducting installed by the contractor is not allowed to have any leaks even if it is no longer accessible. In example 3 of the CF -IR "all new ducts" means that all the ducting was changed. The original boots, plenums, etc. do not need to be changed. Cooling Coil Airflow (CCA) — There are two different minimum air flow requirements that must be met. These are 300 CFM and 350 CFM. The minimum 300 CFM per ton of cooling is required in order to conduct a refrigerant charge test. For new HVAC systems (new equipment and new ducts) the HVAC system must move a minimum 350 CFM of air for each ton of cooling. Refrigerant Charge (RC) — The installer is required to verify the charge is correct. If the outside temperature is below 55 degrees then the weigh in method must be used by the installer. When the weigh in method is used the HERS rater must retest when the temperature is 55 and above. A charge indicator display (CID) can be used in place of conducting an RC; manufacturers are currently developing this device. Temperature Measurement Access Holes (TMAH) — Installer must drill and mark holes to measure temperature split. Hole for the placement of a Static Pressure Probe (HSPP) or Permanently installed Static Pressure Probe (PSPP) — Either the installer must drill and mark holes to measure static pressure or a permanently installed pressure probe must be installed and marked. Saturation Temperature Measurement Sensors (STMS) — Permanently installed type K thermocouple are installed on the indoor and outdoor coil so that the HERS rater can verify charge without attaching gauges. Instructions are found in Ch 4 of the Res. Manual. Fan Watt Draw (FWD) — Installer verifies that the furnace fan watt draw is less than 0.58 Watts/CFM. NOTE: The CF-6R-MECH-04 is required for all HVAC alterations. * For Final inspection ALL compliance forms (CF-1Rs, CF -611s, and CF-4Rs) shall be registered with an approved HERS Provider for building permit applications submitted on or after October 1, 2010. CERTIFICATE OF COMPLIANCE: RESIDENTIAL . (Page l of 5) CF -1R ,Project Title Date $uild IffinK �' Project Addres S AE ••' � 'I ate � �� � `Documentation Au or Telephone•.. fF►"� :Com liance Method Prescri IBM tive p . (. P ) Climate Zone y .�� T. 15� _ ... _ . ' .���• �.��. Priv., ^f � a��; _,Alternative Component Package Method: (check one ! "; _"; C .� _ .`D - =D . - Package C and -Package D choices require HERS rater field verification and/or diagnostic testing (see.CF, 1R page 3) For Package.D Alternative see Appendix B Table 151-0 Footnotes 8-14 in the Residential' Compliance Manual (RCM) , - —GENERAL INFORMATION ' t -Totat Conditioned Floor Area (CFA).._ _ i . "�°''"°•"�Average Ceilings Heigh`4F.3�+r..�ft `�.�+?r'�+i�Va+�--s; �`?�:3X:7t"�+�ar..r�a #.fan'.Y'r-awt,�+iu:»+r.;,±�w-rr�.,..w•°�eh;�c-+�,"�gw...9F;�`iC"K�' _. M r "rasa. _ S 4 Qieak AppGcablo Boices t '1"Y: z , t i S •.71 �.. 4..: r: "( v ° _ , • r: r� i , Building T check one or °- ' ' g Yl� ( Single Family ` Mu Addition Alteration (If adding fenestration fill -out WS-,LT�- Fenestration Maximum Allowed:Area Worksheet and'see Section 8.3:2 for Additionsand 8.3.3'' for'Alteratiori in the RCM.) j'�` ;�.;;,1 a :rt ...;•f".,f L:a- .. • Maximum, Allowed Total' Fenestration'Area fe (from WS -4R) - Maximum Allowed- West'Facing Fenestration Area r-- . - . f12. (from WS -4R) , . ,;, • i +. . • Number of Stories: Number of Dwelling _ Fdooi Construction Type: (Slab./Ra"ed Floor (eicle one`or both) r 1, `* • Front Orientation: North / South / East / West: All Orientations.(input front orientation. in degrees . from True North and circle one). ❑ RADIANT BARRIER (check box if required in climate canes 2 4 8-15) , OPAQUE SORFACES tNCLUDING' OPAQUE DOORS r,, Component Type (Wall, Frame Roof, Floor, Type `, Slab Edge; (Wood or —moors-lvietal— .` Cavity Insulation —R=Value i Continuous, Insulation -R"alue , :. Assembly 10 _ factor(fornwoofd; .metal frame and r mass assem -lies _ �x , •Joint 5 : wooftn, :Location ' ;,Appendix , ° ,. —Cominents (attic, garage, deference es o ,; o0=,etc. —` - ,V t 1) See Joint.Appendix IV in Section IV.2, IV.3, and IVA, which is the basis for the U -factor criterion. U -factors can not exceed prescriptive value to show equivalence to R -values. 2) This column is for the Inspector to verify installation of roof radiant barrier. ~ Residential Compliance Forms December 2005 SEALED DUCTS and TXVs (or Alternative Measures) A'-sign:ed CF4R Form must be provided to the building department for each home for which the following are required ■ Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required WATER HEATING SYSTEMS ing units See RM Table 54-, Alternative Water ❑ TXVs, readily accessible (climate zones 2 and 8-15 only) Installer.testin . and certification and HERS Rater field verification r wired. ❑ Refrigerant Charge (climate zones 2 and 8-15. only) (Installer testing and certification and HERS Rater field verification required.) OR Manual. No wafer heatin .calculations are required, and the system con lies automatically. ❑ Altemative to Sealed Ducts and Refrigerant Charge /TXVs (See Pack.age b Alternative Package Features 'for •Pro'ectClimate Zone in th6RM.Appendix B Table 151-C, Footnotes 7-14. OR ."Siandard" Alternative'Water Heating table. In this case; the -Pe rformance Method must be.used acid must be included in the ❑ . No ducts installed. 0 New ducts from existing space conditioning equipment, not exceeding. 40ft. in length. 0 For additions and alterations, duct -systems that are not documented to have been previously sealed as confirmed through field verification and diagnostic testing in accordance with procedures.inthe ResidentialACM-Manual. Duct systems with more than 40 linear.feet in unconditioned spaces shall meet the. requirements of Section- 150(m) and duct insulation requkements of Package D. WATER HEATING SYSTEMS Systems serving single awel ing units See RM Table 54-, Alternative Water Check box if system meets criteria of a `_`Standard" system. Standard.system is one gas-fired water heater per dwelling Water Heater T . T unit: If the water heater is a storage ty I pe, 50.gallons is the maximum capacity and recirculation system isnot allowed. ❑Check box when using Preapproyed Alternative Water' Heating table, Table 5-4 in Chapter 5 in the Residential -' Manual. No wafer heatin .calculations are required, and the system con lies automatically. Number Check box if system does not meet criteria. of system, and does not comply with the Preapproved - ❑ ."Siandard" Alternative'Water Heating table. In this case; the -Pe rformance Method must be.used acid must be included in the in S stem submittal. ❑ Check box to verify that a time control isrequired for a recirculating system pump for..a ' stem servinmulti le units Systems serving single awel ing units See RM Table 54-, Alternative Water Heating Systems for rectrauanon requirements) Water Heater T . T Distribution T Number iS Rated input' (kr _13W/hr) Energy Tank Tank Factor!. or. External . Capacity Thermal Standby Insulation Efficiency RValueelFuel Distribution Number (kwUor Capacity Thermal StandbyulationT - T e ' in S stem Btu/hr` tons Efficient Loss.. 1/ Value System serving multiple dw Aing units'(See Residential Manual Section 5.3.3) 1) For small gas storage water heaters (rated inputs of less than or equal to 75,000 Buo r), electric resistance, and heat pump water heaters, list Energy Factor. 'For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, .Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies. Pipe' Insulation (kitchen lines >_ 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are % inches or greater in diameter shall be thermally insulated as specified by Section 150 (i) 2 A or 150 (j) 2 B. Residential Compliance Forms December 2005 Rated —Energy ank - Tank Factor' or ternalWater r Heater Distribution Number (kwUor Capacity Thermal StandbyulationT - T e ' in S stem Btu/hr` tons Efficient Loss.. 1/ Value 1) For small gas storage water heaters (rated inputs of less than or equal to 75,000 Buo r), electric resistance, and heat pump water heaters, list Energy Factor. 'For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, .Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies. Pipe' Insulation (kitchen lines >_ 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are % inches or greater in diameter shall be thermally insulated as specified by Section 150 (i) 2 A or 150 (j) 2 B. Residential Compliance Forms December 2005 COMPLIANCE STATEMENT. - b Parts -1', iiiid 6 of the California Code of Regulations, and the administrative regulations fo implement t o 24, This certificate of complianceistts to building- features^ and specifications needed t comply Title hem. This ; . - certificate has been signed by the individual with overall design responsibility. The undersigned recogriizes that compliance using duct design., duct sealing, verification of refrigerant charge and TXVs,' insulation installation ' quality, and building envelope sealing require• installer testing and certification.and field verification by an approved I MRS rater.'= ' - - R - -r - - - i Desi er: or Owner (per Business.and. Professions Code)... Documentation Author Name':, '. Name: ,- Title/Firm: Titlel gm:. : SS SERVICES TNC :Address: 'Address' ; -3.66.65..BANRSIDE .DR SUITE CATHEDRAL -'CITY, 'CA,. r Telephone: Te ' Telephone:-1kn -124 '0550 , License #: +License #: (if applicable) ;,. 4 8 9 0 4 6 .' y a _71I�: /V (signature) „ _ ._ ,... _ ., (date) ,y, (sign _ _ date) , Enforcement enc • . ^ � ��, � L�.:F "tet :� +.a - ��.ib�� Agec :::_� M, - _. Bin # City of La Quinta Building 8r Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: S ��?�-�"�j� Owner's Name:L7 0 M,j e, ti A. -P. Number: Address: Legal Description: City, ST, Zip: Total Permit Fees I 11 Contractor: ESSER SERVICES INC. Telephone: f, wry. Address:36665 13ANKSIDE DR STE C Project Description: /���1 �1 1 )q 5-r, City, ST, Zip: CATHEDRAL CITY CA .92235 �1 I -q vmw C d)C- -5j V-6 v1 Telephone: 760 324 0550 s -WI-rif G State Lie. # : 489046 City Lic. #.: 2641 <Z0 0 -ow, Sts -'cm W / -jet Arch., Engr., Designer:. �p j ,A) Address: City., ST, Zip: Telephone: Construction Type: O Y ccu aneY� P State Li # S . c Project type (circle one)•New Add'n AlterRepair Demo Name of Contact Person: . Sq. FL: # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: Cr 2— APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACKING PERMIT FEES -Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Pian Check Deposit Truss Calcs. Called Contact Person Plan Check Balance , Title 24 Calcs. Plans picked up Construction Flood plain plan, Plans resubmitted Mechanical Grading plan 2" Review, ready for c 'rrectionstissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up., S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: Reyiew,.ready for correctionsfissue .Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees I 11