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08-0745 (BLCK)P.O. BOX 1504r 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00000745 Property Address: 52230 EISENHOWER DR APN: 773-271-002-21 -000000- Application description: WALL/FENCE Property Zoning: COVE RESIDENTIAL Application valuation: 3175 Applicant: eb^),� Architect or Engineer: f. BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------7------------------------ 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: License No.: 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 a1�nvC�R�,p..p�licant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 7 �, 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 safe (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 1 I am exempt under Sec. , B.&P.C. for this reason ef1 on n ,n iDate: Owner: CONSTRUCTION LENDING AGENCY 1 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: LQPERnIIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 D Date: 5/19/08 Owner: ARCHULETA EDWARD 4 52-230 EISENHOWER LA QUINTA, CA 922 3 ( 44? cam, 9?� Contractor: Owner SNC OQ��Nt ----------------------------------------------- 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 - - - - - - - - - - - - - - - - - - - - - -- Policy Number 1 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 su j t to the wo' c pe sari rovisions of Section 700 of the Labor Coe hall fort i comply ith r isio s Date: —Applicant: WARNING: AILURE 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. 1 certify that I have read this application and state that the above information is correc a omp ith all city and county ordinances and state laws relating to building c strucI d her y a pr atives of this coun y to ter upon the above-mentioned prop f ' spectio pu ose . i r _ Date: lam[ Signature (Applicant or Agent). Application Number . . . . . 08-00000745 .Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee 63.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 3175 - Expiration Date 11/15/08 Qty Unit Charge Per Extension BASE FEE 45.00 2:00 9.0000 THOU BLDG 2,001-25,000 18.00 ---------------------------------------------------------------------------- Special Notes and Comments 127 LN FT X 6 FT HT GARDEN WALL PER CITY STANDARDS & APPROVED PLANS Fee summary Charged --------------------------- Paid Credited Due ---------- • Permit Fee Total 63.00 ---------- .00 ---------- .00 63.00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 .00 .00 63.00 I,QPERA1IT TELEPHONE (760) 777-7012 FAX (760) 777-7011 OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. .0F BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (760) 777-7011 �1 OWNER'S SIGNATURG!7DATE f'2--2-36 IE iSe n L a0e PROPERTY ADDRESS PERMIT NUMBER(S) I ' f d0 to -)o 1q. lop CIL I ' f d0 to -)o 1q. lop Vj 00 /9 � �',. 'i Y ` 'ea�^xts't.-�mn�arc.:oc.�sas �• e-� ' k 7 'F - '-c+rreaaw C ; .: T F LA QUIN G &SAFETY D PROVEDONSTRUCTIO R F STRUCTURAL CONSULTANTS, INC. 41-865 BOARDWALK, STE. 208, PALM DESERT, CA 92211 PHONE (760)836-1000 FAX (760) 836-0856 April 23, 2008 Edward Archelletta 52-230 Eisenhower "AN ADEQUATELY SIZED DEBRIS CONTAINER La Quinta, Ca. 92253 IS REQUIRED ON THE JOB SITE DURING ALL Phone: (760) 535-8629 PHASES OF CONSTRUCTION AND MUST BE ''_MPTIED AS NECESSARY. FAILURE TO DO SO Re.: The Archelleta Residence CAUSE THE CITY TO HAVE THE CONTAINER 52-230 Eisenhower ; �- TED AT THE EXPENSE OF THE OWNER/ La Quinta, Ca. 92253 -TP Job Job no.: 4811 Subject: Fence wall extension Dear Edward Construction is NOT PERMMFO on the following Code Holidays: New Year's Day Dr. Martin Luther Icing Jr. Day President's Day Memorial Day Independence Day Labor Day Veteran's Day Thanksgiving Day Christmas Day In regard of the above mentioned project, and as per our conversation at the job site on March 22, 2008, we submit the following: At the rear and left of the property, follow the attached details "A" and "B". for the maximum twenty four inch extension of the existing block wall, for a maximum height of six foot. Verify the block and footings sizes, and the reinforcement size and spacing prior to construction. If the footing size is less than specified in details "A" and "B" follow the attached details "C" and "D". Verify the above information with the building department prior to construction. We appreciate the opportunity to provide our professional servi 1 "Hou SOURS contact our office if you have any questions. - October 1st - April 30 Zeyad Faqih P.E. ` OQROFESS/pN PpM.F 41F c� A qp�y G2 No.57958 ,k Exp. 06-30-04r VIL CF/CALIFO��\P Attachments ( 8) A RE -INSPECTION FEE OF $30 WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD.ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS! Monday - Friday: 7:00 a.m. to 5:30 p.m. Saturday: 8:00 a.m. to 5:00 p.m. Sunday: None Government Code Holidays: None May 1st - September 30th Monday - Friday: 6:00 a.m. to 7:00 p.m. Saturday: 8:00 a.m. to 5:00 p.m. Stinday: None Gen- rnrient Code Holidays: None CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION 5�I ev__�L—.— 6" CMU GROUT #4 VERTICAL BARS ® 32' O/( CENTERED MIN. 24" INTO B" W/ SIMPSON "SET" EPDXY W/ SPECIAL INSPECTION HORIZONT, • EXISTING 6' CMU GROUT REINFORCED CELLS 8" C.M.U. SOLID GROUTED EXISTING #4 VERTICAL BARS ® 32" I - #4 DOWELS- I _ I Ir X32 C - =llI=J L. MVERIFY EXISTIP INTO NG. k II 1-11 i Jill'�I '_ WATER PROOF I N I ( 51/4' I DRAINAGE #4 BARS ®16" O/C. TOP & BOTTOM 01 F I en _111------ N CITY F LA QUINTA a. BuiLDAN & SAFETY DEPT. AN ROVED DATF BY RETAINING WALL A/ 23/ 2008 5;02:51 PM RETAINING WALL 4/ 24/ 2006 1:45:26 AM 4/ 23/ 2003 5:05:19 PM 4/ 2512005 5;03;05 FM To specify your title block on Title : these five lines, use the SETTINGS Dsgnr: main menu selection, choose the Description Printing & Title Block tab, and ent Scope : vour title block information. Job # Date: 4:35PM, 23 APR 08 User.KW-0604868,Ver 5.5.0,25 -Sep -2001 Cantilevered Retaining Wall Design Page 1 f (0)1983-2001 ENERCALC Engineering Software Description FENCE WALL EXTENTION SIX FT. TOTAL HEIGHT Criteria = 1,500.0 psf Retained Height = 0.50 ft Wall height above soil = 6.00 ft Slope Behind Wall = 0.00: 1 Height of Soil over Toe = 6.00 in Soil Density = 110.00 pcf Soil Data Allow Soil Bearing = 1,500.0 psf Equivalent Fluid Pressure Method Heel Active Pressure = 35.0 Toe Active Pressure = 0.0 Passive Pressure = 250.0 Water height over heel = 0.0 It FootingllSoil Friction = 0.300 Wind on Stem = 15.0 psf Soil height to Ignore for passive pressure = 0.00 in Design Summary Total Bearing Load = 699 lbs ...resultant ecc. = 7.10 in Soil Pressure @ Toe = 1,142 psf OK Soil Pressure @ Heel = 0 psf OK Allowable = 1,500 psf Soil Pressure Less Than Allowable ACI Factored @ Toe = 1,573 psf ACI Factored @ Heel = 0 psf Footing Shear @ Toe = 5.9 psi OK Footing Shear @ Heel = 2.3 psi OK Allowable = 85.0 psi Wall Stability Ratios = Overturning = 1.67 OK Sliding = 3.79 OK Sliding Cates (Vertical Component Used) Lateral Sliding Force 129.4 lbs less 100% Passive Force= - 281.3 lbs less 100% Friction Force= - 209.7 lbs Stem Construction 0.0 Ibis OK = 0.0 lbs OK Top Stem r =4 in = Stem OK Design height ft= 4.50 Wall Material Above "Ht" = Masonry Thickness = 6.00 Rebar Size = # 4 Rebar Spacing = 32.00 Rebar Placed at = Center Design Data Toe Reinforcing = None Spec'd fb/FB + fa/Fa = 0.092 Total Force @ Section lbs = 30.0 Moment.... Actual ft-#= 30.0 Moment..... Allowable ft-#= 324.8 Shear..... Actual psi = 1.3 Shear..... Allowable psi = 25.8 Added Force Req'd ....for 1.5: 1 Stability 0.0 Ibis OK = 0.0 lbs OK Footing Design Results Rebar Depth 'd' in = Toe Heel Factored Pressure = 1,573 0 psf Mu': Upward = 459 0 ft-# Mu': Downward = 110 124 ft-# Mu: Design = 349 124 ftp' Actual 1 -Way Shear = 5.92 2.29 psi Allow 1 -Way Shear = 85.00 85.00 psi Toe Reinforcing = None Spec'd Equiv. Solid Thick. Heel Reinforcing = None Spec'd Masonry Block Type = Normal Weight Key Reinforcing = None Spec'd Bar Develop ABOVE Ht. in = 20.00 Bar Lap/Hook BELOW Ht. in = 20.00 Wall Weight psf = 47.0 Rebar Depth 'd' in = 2.75 Masonry Data = 12.00 in Key Width = fm psi= 1,500 Fs psi = 20,000 Solid Grouting = No Special Inspection = No Modular Ratio'n' = 25.78 Short Term Factor = 1.330 Equiv. Solid Thick. in = 3.90 Masonry Block Type = Normal Weight Concrete Data fc psi = Fy psi = Other Acceptable Sizes & Spacings Toe: Not req'd, Mu < S,* Fr Heel: Not req'd, Mu < S " Fr Key: No key defined Footing Strengths & Dimensions fc = 2,500 psi Fy = 40,000 psi Min. As % = 0.0014 Toe Width = 0.75 ft Heel Width = 1.25 Total Footing Width =-2'0lT' Footing Thickness = 12.00 in Key Width = 0.00 in Key Depth = 0.00 in Key Distance from Toe = 0.00 ft Cover @ Top = 3.00 in @ Btm.= 3.00 in 2nd Stem OK 0.00 Masonry 6.00 # 4 32.00 Edge 0.972 94.4 315.7 324.8 4.2 25.8 20.00 6.00 47.0 2.75 1,500 20,000 No No 25.78 1.330 3.90 To specify your title block on Title : Job # these five lines, use the SETTINGS Dsgnr: Date: 4:35PM, 23 APR 08 • main menu selection, choose the Description Printing & Title Block tab, and ent Scope your title block information. Rev: 550100 User: KW-0604868, Ver 5.5.0, 25-Sep-2001 Cantilevered Retaining Wall Design Page 2 (c)1983-2001 ENERCALC Engineering Software Description FENCE WALL EXTENTION SIX FT. TOTAL HEIGHT Summary of Overturning & Resisting Forces & Moments .....OVERTURNING..... ..... RESISTING ..... Force Distance Moment Force Distance Moment Item lbs ft ft-# lbs ft ft-# Heel Active Pressure = 39.4 0.50 19.7 Soil Over Heel = 41.3 1.63 67.0 Toe Active Pressure = Sloped Soil Over Heel = Surcharge Over Toe = Surcharge Over Heel = Adjacent Footing Load = Adjacent Footing Load = Added Lateral Load _ Axial Dead Load on Stem = 0.00 Load @ Stem Above Soil = 90.0 4.50 .405.0 Soil Over Toe = 41.3 0.38 15.5 SeismicLoad = oe Surcharge Over Toe'- Stem Weight(s) _. Stem 305.5 1.00 305.5 Total = 129.4 O.T.M. = 424.7 Earth @ Stem Transitions= Resisting/Overturning Ratio = 1.67 Footing Weight = 300.0 1.00 300.0 Vertical Loads used for Soil Pressure = 699.0 lbs Key Weight = Vert. Component = 11.0 2.00 21.9 Vertical component of active pressure used for soil pressure Total = 699.0 lbs R.M.= 709.9 To specify your title block on Title: Job # these five lines, use the SETTINGS Dsgnr: Date: 4:32PM, 23 APR 08 main menu selection, choose the Description: .Printing & Title Block tab, and ent Scope your tide block information. Rev:550100 User: KW -0604868, Ver 5.5.0, 25 -Sep -2001 Cantilevered RetainingWall Design Page 1 (c)1983-2001 ENERCALC Engineering Software g Description RETAINING / FENCE WALL EXTENTION EIGHT FT TOTAL HEIGHT Criteria = 1,500.0 psf Retained Height = 2.50 ft Wall height above soil = 6.00 ft Slope Behind Wall = 0.00: 1 Height of Soil over Toe = 6.00 in Soil Density = 110.00 pcf Soil Data Allow Soil Bearing = 1,500.0 psf Equivalent Fluid Pressure Method Heel Active Pressure = 35.0 Toe Active Pressure = 0.0 Passive Pressure = 250:0 Water height over heel = 0.0 ft FootingIlSoil Friction = 0.300 Wind on Stem = 15.0 psf Soil height to ignore for passive pressure = 0.00 in Design Summary Total Bearing Load = 1,156 lbs ...resultant ecc. = 5.29 in Soil Pressure @ Toe = 952 psf OK Soil Pressure @ Heel = 0 psf OK Allowable = 1,500 psf Soil Pressure Less Than Allowable ACI Factored @ Toe = 1,264 psf ACI Factored @ Heel = 0 psf Footing Shear @ Toe = 8.0 psi OK Footing Shear @ Heel = 4.4 psi OK Allowable = 85.0 psi Wall Stability Ratios Thickness Overturning = 2.12 OK Sliding = 2.06 OK Sliding Calcs (Vertical Component Used) Lateral Sliding Force = 304.4 lbs less 100% Passive Force= - 281.3 lbs less 100% Friction Force= - 346.8 lbs Added Force Req'd = 0.0 lbs OK ....for 1.5 : 1 Stability = 0.0 lbs OK Footing Design Results Rebar Placed at Toe Heel Factored Pressure = 1,264 0 psf Mu': Upward = 1,022 0 ft_# Mu': Downward = 288 227 ft-# Mu: Design = 734 227 ft-# Actual 1 -Way Shear = 7.98 4.40 psi Allow 1 -Way Shear = 85.00 85.00 psi Toe Reinforcing = None Spec'd Heel Reinforcing = None Spedd Key Reinforcing = None Spec'd Footing Strengths & Dimensions fc = 2,500 psi Fy = 40,000 psi Min. As % = 0.0014 Toe Width = 1.25 ft Heel Width = 1.25 Total Footing Width =5ij Footing Thickness - 12.00 in Key Width = 0.00 in Key Depth = 0.00 in Key Distance from Toe = 0.00 ft Cover @ Top = 3.00 in @ Btm.= 3.00 in Stem Construction Top Stem 2nd 3rd Stem OK Stem OK Stem OK Design height ft= 6.50 2.50 0.00 Wall Material Above "Ht" = Masonry Masonry Masonry Thickness = 6.00 6.00 8.00 Rebar Size = # 4 # 4 # 4 Rebar Spacing = 32.00 32.00 32.00 Rebar Placed at = Center Edge Edge Design Data fb/FB + fa/Fa = 0.123 0.831 0.983 Total Force @ Section lbs = 30.0 90.0 199.4 Moment.... Actual ft-#= 30.0 270.0 586.1 Moment..... Allowable ft-# = 244.2 324.8 608.4 Shear..... Actual psi = 1.3 4.0 3.4 Shear..... Allowable psi = 19.4 25.8 19.4 Bar Develop ABOVE Ht. in = 20.00 20.00 20.00 Bar Lap/Hook BELOW Ht. in = 20.00 20.00 6.00 Wall Weight psf = 47.0 47.0 84.0 Rebar Depth 'd' in = 2.75 2.75 5.25 Masonry Data I'm psi= 1,500 1,500 1,500 Fs psi = 20,000 20,000 20,000 Solid Grouting = No No Yes Special Inspection = No No No Modular Ratio 'n' = 25.78 25.78 25.78 Short Term Factor = 1.000 1.330 1.000 Equiv. Solid Thick. in = 3.90 3.90 7.60 Masonry Block Type = Normal Weight Concrete Data fc psi = Fy psi = Other Acceptable Sizes & Spacings Toe: Not req'd, Mu < S • Fr Heel: Not req'd, Mu < S' Fr Key: No key defined • To specify your title block on Title : Job # these five lines, use the SETTINGS Dsgnr: Date: 4:32PM, 23 APR 08 • main menu selection, choose the Description Printing & Title Block tab, and ent Scope your title block information. Rev: 550100 User: KW -0604868, Ver 5.5.0, 25 -Sep -2001 Cantilevered Retaining Wall Design Page 2 (c)1983-2001 ENERCALC Engineering Software Description RETAINING / FENCE WALL EXTENTION EIGHT FT TOTAL HEIGHT Summary of Overturning & Resisting Forces & Moments .....OVERTURNING..... .....RESISTING..... Force Distance Moment Force Distance Moment Item lbs ft ft-# lbs ft ft-# Heel Active Pressure = 214.4 1.17 250.1 Soil Over Heel = 160.4 2.21 354.3 Toe Active Pressure = Sloped Soil Over Heel = Surcharge Over Toe = Surcharge Over Heel - Adjacent Footing Load = Adjacent Footing Load = Added Lateral Load = Axial Dead Load on Stem = 0.00 Load @ Stem Above Soil = 90.0 6.50 585.0 Soil Over Toe = 68.8 0.63 43.0 SeismicLoad = Surcharge Over Toe - Stem Weight(s) = 492.0 1.54 755.5 Total = 304.4 O.T.M. = 835.1 Earth @ Stem Transitions= Resisting/Overturning Ratio = 2.12 Footing Weight = 375.0 1.25 468.7 Vertical Loads used for Soil Pressure = 11155.9 lbs Key Weight = Vert. Component = 59.7 2.50 149.4 Vertical component of active pressure used for soil pressure Total = 1,155.9 lbs R.M.= 1,770.8 Bin # City of La. Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico U Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 8`6 Project Address: Z ' Z �tJ �� S �� �a� e v Owner's Name:�.,,�j�r CC -A. P. Number: Address: Z-- Legal Description: City, ST, Zip: Contractor: 77 Ul - Telephoner Address: Project Description: City, ST, Zip: Telephone: S e - , tU o •, f4— State Lic. # : `City Lic. #:. 1 C-Af- Arch., Engr., Designer: fi( '�" onS� 12 o Address: 7 City; ST, Zip: s f C celI; f ZLI Telephone: (76 (2) T — 0.0'. 9Ri State Lic. #:Project Name of Contact Person: ��w�r� �� w t'� L - Construction Type: f0G_So �,-v Occupancy: type (circle one): a Add'n Alter Repair Demo Sq. Ft : #Sones: # Units: ,_.. • : , Telephone # of Contact Person: . Estimated Value.of Project: (teAPPL0ANT3f0 MOT WRITE BELOW THIS LINE . # Submittal Req'd Recd TRACKING. PERMTT FEES Plan Sets Z� Plan Check submitted 5.v. Item Amount Structural Cafes. Reviewed; ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Pian Check Balance Energy Cafes. Plans picked up Construction Flood plain plan, Plans resubmitted Mechanical Grading.plan 2•" Review, ready for corse oris/�ssue Electrical Subcontactor List Called'Contact Person Plumbing Grant*Deed Plans. picked up S.M.I. H.O.A. Approval Plans resubmitted 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 pei-mit issue School Fees -- -- — - ---- - -- --- ------ - --- --- - -- - ---- Total Permit Fees - - — 5P log