07-1724 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
07-00001724
Property Address:
54835 AVENIDA HERRERA
APN:
774-302-014-5 -000000-
Application description:
MECHANICAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
8000
Tay/ 4�
VOICE (7600
) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/14/07
Owner:
NANCY BRADBERRY
54-835 AVENIDA HERR ERA
LA QUINTA, CA 92253
Applicant: Architect or Engineer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: C20 License No.: 596456
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).:
(_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
1 _ 1 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:
LQPERA11T
Contractor: D y
J & J INCORPORATED
P.O. BOX 966 JUN f
PALM DESERT, CA 922 0 U 2007
(760)346-4477
Lic. No.: 596456 Crni.'.�FL.AQ11111Ir.
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 VIRGINIA Policy Number WVS0001918801
I certify that, in the performance of the work for which this permit is issued, I shall not employ.ahy
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 shall
lfforthwith comply with those provisions.
Date: �pplicant: (YX
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 above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building c nstruction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for spection p as.
Date: ature (Applicant or Agent):
Application Number . . . . . 07-00001724
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . . 45.00
Plan Check Fee
13'.50
Issue Date . . . .
Valuation . . . .
0
Expiration Date . . 12/11/07
Qty Unit Charge Per
Extension
BASE
FEE
15.00
.00 9.0000 EA MECH
FURNACE <=100K
.00
1.00 4.5000 EA MECH
VENT INST/ DUCT ALT
4.50
1.00 9.0000 EA MECH
APPL REP/ALT/ADD
9.00
1.00 16.5000 EA MECH
B/C >3-15HP/>100K-500KBTU
16.50
----------------------------------------------------------------------------
Special Notes and Comments
HVAC CHANGE OUT WITH DUCT ALTERATION.
14SEER/12ERR [2005 CALIFORNIA ENERGY
CODE] June 14, 2007 4:22:58 PM AORTEGA
Fee summary Charged
Paid Credited
----- - ---- ----------
Due
----------------- ---------- -----------
Permit Fee Total 45.00
.00 .00
45.00
Plan Check Total 13.50
.00 .00
13.50
Grand Total 58.50
.00 .00
58.50
LQPERAIIT
❑ Alternative Component PackageiMethod: (check one) C _ rI "i,D (Alternative)
Package C and Package:D ohoiees require HERS rater field veriftOation;:and/or diagnostic testing (see CF- I R page 3)
For Package D Alternative see -Appendix B 'Table 151-C Fo6tnotes.7-44,-F:
,
GENERAL, INFORMATION:
"
' ToaConditioned.A(CFA)ft gAvera a Ceiling Height::_
'
Maximum,Allowed West;Facing Fenestration Products Per Table 151-B or l51 -C »=,(S%o X CFA) ft2
M. ax ..
llowed.Tota1'Fenestration Products Per Table 151-13 or IM -C- (20%X CFA) —
utlding Type: (check.one'or'more) Single Family Multifamily Addition Alteration .
(I :adding fenestration, fillout WS -411, Fenestration Maximum Allowed Area -:Worksheet and see Section 8.3.2
for Additions and 8.3:3. Alterations.)
Number of Stories: ' Number of Dwelling Units:
Floor Construction Type: • Slab/Raised Floor (circle one or both)
Front Orientation: North % South / East / West / All Orientations (input"front'orientation in degrees from'True
North and circle one).
✓ O RADIAN' BARRIER (required in climate -zones 2,4,8-15).
OPAOUE SURFACES INCLUDING OPAQUE DOORS
Component '
'Type.(Wall,LFrame
Roof, Floor,
Slab, Edge,Insulation.
Doors
Assembly U-
factor (for
Cavity Continuous wood, metal
Insulation frame and mass.
R -Value R -Value assemblies)'
Joint
Appendix- .
IV,
Reference'::,,
Roof Radiant
'; Barrier Location/Comments
<•Installed (attic, garage,
'::. Yes or No ; - typical; etc.
• ' •.
_ list. • +
yq .,
f
C RT' ICA'I'E LA%N
�+ Ok`O1ti�P I CE.:;_REDNT=IA.age.1
Ry
of 4 CF=IR
_
.
Pro Title'
1 ect
V4ed b
`fDoeumentation:Author
Project Addres t
}
Building Permit 0
Tele. Itotto� :�. t
Plan Check (1Date' .,.
'
.Field Check/. Date
Compliance Method (Prescriptive) ,;
Clitne}te�Ae� Enforcement, Agency Use Only
❑ Alternative Component PackageiMethod: (check one) C _ rI "i,D (Alternative)
Package C and Package:D ohoiees require HERS rater field veriftOation;:and/or diagnostic testing (see CF- I R page 3)
For Package D Alternative see -Appendix B 'Table 151-C Fo6tnotes.7-44,-F:
,
GENERAL, INFORMATION:
"
' ToaConditioned.A(CFA)ft gAvera a Ceiling Height::_
'
Maximum,Allowed West;Facing Fenestration Products Per Table 151-B or l51 -C »=,(S%o X CFA) ft2
M. ax ..
llowed.Tota1'Fenestration Products Per Table 151-13 or IM -C- (20%X CFA) —
utlding Type: (check.one'or'more) Single Family Multifamily Addition Alteration .
(I :adding fenestration, fillout WS -411, Fenestration Maximum Allowed Area -:Worksheet and see Section 8.3.2
for Additions and 8.3:3. Alterations.)
Number of Stories: ' Number of Dwelling Units:
Floor Construction Type: • Slab/Raised Floor (circle one or both)
Front Orientation: North % South / East / West / All Orientations (input"front'orientation in degrees from'True
North and circle one).
✓ O RADIAN' BARRIER (required in climate -zones 2,4,8-15).
OPAOUE SURFACES INCLUDING OPAQUE DOORS
Component '
'Type.(Wall,LFrame
Roof, Floor,
Slab, Edge,Insulation.
Doors
Assembly U-
factor (for
Cavity Continuous wood, metal
Insulation frame and mass.
R -Value R -Value assemblies)'
Joint
Appendix- .
IV,
Reference'::,,
Roof Radiant
'; Barrier Location/Comments
<•Installed (attic, garage,
'::. Yes or No ; - typical; etc.
1)..See Joint Appendix.IV in Section .IV.2, IV.3 and I VA, which is the basis for the U -factor criterion. U -factors can not
ezceed`.orescriative'value to -show eauivalence to R -values.
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED:,,; :.
FOR ONSTRUCTI.ON
_ f
� {
,1 d
T• t �' "Yf
Page 2 of 4) CF -1R
CERTIFICATE OF .COMPLIANCE: RESIDENTIAL'_ (
A
;Proiect:Title , tal
Dati:
FENESTRATION PRODUCTS « >EJ -FACTOR AND SHGC ;; s
✓ ❑ FENESTRATION MA30MUM
ALLOWED AREA WORKSHEET` WS=4R-irtust included for New Construction,
Additions and Alterations.
Fenestration
Configuration
(split or package)
R -Value
(split or package)
.. `
/Type os.
' '
Exterior
(Front, Left,
Orien-Shading/Overhangs6'7
Rear, Right,
tation,'.
Area
YJ -factor
SHGC ✓ box if WS -3R is
S G ht
N; S E Wt '
U-factorz
Sourc63
:�HCi�` if
;'Sources included
13
❑
13
13
.
•i:
�.8, •.❑
J) Skylights are now included in West acing fenestration area if the skylights are tilted to the WOSt or tilted In any direction
when the pitch is less than -1;12. See §151(f)3C and in Section 3.2.3 of the Residentitil-'Mai ual
2) :Enter values in this column are either NFRC Rated value or from Standards default'T44--'416A.
3) , Indicate source either from NFRC oeTable 116A,
4), Ente%values: in this column' from NFRC or from Standards Default Table I I6B'-or oJjuSted SHGC from WS -311.
'S) Indicate source either from NFRC.or.Table 116B.:
6).Shading•Devices are d4ned in Table 3-3 in the Residential Manual and see WS=3I1 to `caloulate Exterior Shading devices.
7).'gee Section 3.2A in the Residential Manual. `r
• , MVAGSYSTEMS'
Heating. Equipment Minimum Distribution
Type and Capacity s .. Efficiency Type and Location Duct or Piping' .".Thermostat,
fumaceeatmboiler, ete. AFUE or HSPF R -Value
Configuration
(split or package)
R -Value
(split or package)
SEER or EER attic etc.
R -Value
(split or package)
ICooling Equipment Minimum
Type and Capacity '- Efficiency's Duct Location Duct Thermostat' ,-° :', Configuration `
A/C heat um eve . cool inj
%
Q'
.-0-
e er tcstin and certification �'fid HE
'Sealed Ducts all climatiz6fi6s)"(16 9' a
"f" 10
wk ffib erification fi46ired.)
a,
'TXVsj readily accessiblo,,(ft 2. and 8-15 only) 10
UJI-l"Nil '11
C XRTF-ATE
3_-,OF4C11,!
Manual. N 8"'Wate"f he'htihg' calculations are required, and the s stem c6 m0lie'khau6mi
at,
Refrigerant Charge (clim' 84,� only) (InsWI 14 0" " 9000
4�j OHERS Rater field
(kW or
NerificAtion requir d.).' �1
4.1 -
4 1 VZ�
V
�.sub'In ittal, 7
Number
Check box to verify that a time control is required for a recirculating system pump 1&.!ii'system.serving* multiple
Capacity.Standby,
'-,......,:SEALED %DT TCT.4&'. n zXV60 Alternative M&Suregll.p
ss
y, ' "A`signed•CF-4R Form must be ded.tbthe4uilding.de�pirtin'eiit—.-
1�ie/Fiiellype
required
in'System
-.;are
i; (N
4L
ji
Q'
.-0-
e er tcstin and certification �'fid HE
'Sealed Ducts all climatiz6fi6s)"(16 9' a
"f" 10
wk ffib erification fi46ired.)
a,
'TXVsj readily accessiblo,,(ft 2. and 8-15 only) 10
UJI-l"Nil '11
C F4.
(In§talle' ceitifi6WOM HE
r testing and RS'Rat rfieldvonfitatibA.4 Ul
Manual. N 8"'Wate"f he'htihg' calculations are required, and the s stem c6 m0lie'khau6mi
at,
Refrigerant Charge (clim' 84,� only) (InsWI 14 0" " 9000
4�j OHERS Rater field
(kW or
NerificAtion requir d.).' �1
4.1 -
4 1 VZ�
V
-.;are
i; (N
4L
ji
matiVi1dSealed-
Zone,,
esi on ia CM Manualand duct-sys
,
'§hil '.4heet thd.:rd4Vj r�dihtntsIb
s!"
f
RIMATINWSYSTEM!
R
,ant Charge /TXVs. (Sei P 7c
lix . I§.Tabl6A5_I-Cj Footnote, to,
LL
[1140at 66,not documented . 1
.ition'acid diagngsfic testing
:mslwltfi,more tiiAl"n. .46, iifiea
action 150(m) and duct insul
ge Foatur;e'ifor
$fires in! e,
Q'
.-0-
e er tcstin and certification �'fid HE
'Sealed Ducts all climatiz6fi6s)"(16 9' a
"f" 10
wk ffib erification fi46ired.)
I Ahe*ater.he4t is a storage type, 50 gallons is the ffiwmuffl� r 'i cul-iont system is. :
'TXVsj readily accessiblo,,(ft 2. and 8-15 only) 10
UJI-l"Nil '11
Input'
(In§talle' ceitifi6WOM HE
r testing and RS'Rat rfieldvonfitatibA.4 Ul
Manual. N 8"'Wate"f he'htihg' calculations are required, and the s stem c6 m0lie'khau6mi
at,
Refrigerant Charge (clim' 84,� only) (InsWI 14 0" " 9000
4�j OHERS Rater field
(kW or
NerificAtion requir d.).' �1
4.1 -
JI
M
matiVi1dSealed-
Zone,,
esi on ia CM Manualand duct-sys
,
'§hil '.4heet thd.:rd4Vj r�dihtntsIb
s!"
f
RIMATINWSYSTEM!
R
,ant Charge /TXVs. (Sei P 7c
lix . I§.Tabl6A5_I-Cj Footnote, to,
LL
[1140at 66,not documented . 1
.ition'acid diagngsfic testing
:mslwltfi,more tiiAl"n. .46, iifiea
action 150(m) and duct insul
ge Foatur;e'ifor
$fires in! e,
-sin &Awe linj units
Syste&�,serAng:
IT V,
..;heck-box.if systemmeets criteria -of a "Standard" system., Standardsysiter414.4 fl,-"- 'ter h e . r. . per
I Ahe*ater.he4t is a storage type, 50 gallons is the ffiwmuffl� r 'i cul-iont system is. :
A:
As, L
v
Input'
. Check -box when using -Preappi,6ved'Altemative Water Heating tablejable'.54"in MpteF5-in the Residential
Manual. N 8"'Wate"f he'htihg' calculations are required, and the s stem c6 m0lie'khau6mi
Tank
;-'Chock. box' if system does- not meet criteria of "Standard" system,an Oe d does si R cowith the Preapproved
(kW or
-:-,kUei4ikivP -Wateir'Heiai ting table'.- In this case, the Performance Method 'Ift"U. iii�is must be included in the
d
-,.,Wat6r: Heater
�.sub'In ittal, 7
Number
Check box to verify that a time control is required for a recirculating system pump 1&.!ii'system.serving* multiple
Capacity.Standby,
units'.�
-sin &Awe linj units
Syste&�,serAng:
.,....'',:.Systet4..,s6rvinkmulti ole..d ellinguniti
- F.c f -R. , ;,j . I
Rated
Ener
f
.Tank
Input'
Tank:` -3, .,r
Input
Tank
Fictoi or.
(kW or
External
-,.,Wat6r: Heater
Distribution
Number
(M or
Capacity.Standby,
(gallons)-.". l6n
ss
Insulation
1�ie/Fiiellype
1��pe
in'System
Btu/hr)
(gall
w6i6ndy'.;
:1 Loss (0/0:.-
R"Value
z
.,....'',:.Systet4..,s6rvinkmulti ole..d ellinguniti
- F.c f -R. , ;,j . I
1.;.-:>: For§m'Alt'ga's':stora'ge, w or ati litaters.(rated inputs of less than or equal tO_75:".,OOO*B`,
bledih
',,,I6t- Energy, Factor, For lar '
n,, .go gas storage'water, heaters (rati�ut
-yn- ii4,f Efficiency, Thermal'O
�ccovery E#icie riciencrand tian y.- ns
np
ca ers-i- d ThermoLtfficiencies.
t
ig.,a , A
Z Al:hot'
u Ind ons YOU06., t91_>!3/4`-j6ch '.);A ',Water Pipes ft6m
insulated at -specifidd -by Sddfi
IN I be itherin ly.
I` �daiis
A
REsi-difi'tihllCbftipiiance,;rorins
2
4
k.
i
heat
or
;TankRated
f
Input'
Tank:` -3, .,r
tkiema
"Wal'ter.Heater' b
Distribution
Number
(kW or
Cap K`
S dby� -
Insulation
Type
n System
Btu/hr)
(gallons)-.". l6n
ss
RNalue
7 7
z
1.;.-:>: For§m'Alt'ga's':stora'ge, w or ati litaters.(rated inputs of less than or equal tO_75:".,OOO*B`,
bledih
',,,I6t- Energy, Factor, For lar '
n,, .go gas storage'water, heaters (rati�ut
-yn- ii4,f Efficiency, Thermal'O
�ccovery E#icie riciencrand tian y.- ns
np
ca ers-i- d ThermoLtfficiencies.
t
ig.,a , A
Z Al:hot'
u Ind ons YOU06., t91_>!3/4`-j6ch '.);A ',Water Pipes ft6m
insulated at -specifidd -by Sddfi
IN I be itherin ly.
I` �daiis
A
REsi-difi'tihllCbftipiiance,;rorins
2
4
k.
i
heat
or
-CE1
:!O'rescri•tive'riiethod.",*':'
`Z
0
AN:
14 sheie If necessary)
kfeatilres*.rc eYant to the
AS
L FEATVIMREQUIRING.HERS RATERNEMVIC',kti
4 IMicite to the HERS Rater which mid
(idd',ektrAshe&s-'1f Te6C�sii* iw4re: 'irt of this PjAict"And nted
N.,
V.11"i eatufe-
F
-Feature
At ulred Forms If applicabli
c .-Sea.
t. ling-'
01:
.Metal.Framed Walls' -
[3,.,.I'tRdfri,g,e-iiht-Char'g'e
CF -6R part 5 of 12
❑7.
Radiant.Barriers
CF�4 R
A, ir
N _4
Exterior Shades ;A
-,WS.-r,4R
0A.
-k "..N/A;Attach.
Cool Rooftoy
CRRG Libel to
R
Porins. - -
.Dedicated Hydronic Heating 4
�gejbhnance Calculation
4uired; rm
4C Attii�h ]Run to -Po
'Performance Calculation'"
>`
f.
Re uire d; Attach Run to Forms.
M
iG "Cooling
-Peffo r6iihee''Calculatio'n'
to
H �ft, e.
A�Jui&d.
Cl
4abried,.Ducts
N/A; Indicate on'building lens. -
pl
41&;
0
,
Kitchen Pi mInsuliffio
-See Section 5.6.2 Distribution
N
115
„s stems in Residential Manual.
-
tip iWater f('606ATer
_JA
Seel
able 5-13 or use
-'-Terf6ii nance C *a Ictilitionand
—4—
nit
f*:
ttaC
.8 hRun to Forms.
•
6httal,Qter siem
H�gwg
'N
P66brinance Calculation and
in t w Rigs
P e
-.attach Run to Forms:
d '
'NAECA,Larg6, Water,,i_.
jReefer
See'Table. 5-13 or use
i Heater
:.-!?6ifbrrnance Calculation and
;TiOttach- Run to Forms
V-
;Vil ".j7I w•
;See Table 5-13 or use
'-Instantan r•Bd r'-
iTerformance Calculation and
Vi.
ittachRun to Forms
See Table 5-13 or use
0
-'.!Sblar Water Heating Syste"rh
Calculation and
4�4
..Performance
-.Attach Run W Forms
�'f f
:Wood❑ Stove 136ilor
Ntfoiftnance Calculation and
"attach
.
Run to Forms
AS
L FEATVIMREQUIRING.HERS RATERNEMVIC',kti
4 IMicite to the HERS Rater which mid
(idd',ektrAshe&s-'1f Te6C�sii* iw4re: 'irt of this PjAict"And nted
N.,
V.11"i eatufe-
F
Riquired Forms if applicablej
D' icrlpkl4n,'
c .-Sea.
t. ling-'
CF -611 part 4 of 12:
[3,.,.I'tRdfri,g,e-iiht-Char'g'e
CF -6R part 5 of 12
11 .'..I,,Therrnostatic;Ekpansion'Valve
CF -6R part 6 of 12
Bin #
City of La Quints
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: �-/ A U Q u vd\{,2
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip: .
Contractor:2ATTA/L'.Telephone:
Address: �� i�j Z
Project Description:
City, ST, Zip:
Telephone: t? —
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of.Contact Person:
Sq. FL:
# Stories: l
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Ree'd
TRACKING .
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan' Check Balance
Energy Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading. plan
2'' Review, ready for correctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted 1
Grading
IN HOUSE:-
''' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees