06-2521 (SOL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00002521)
Property Address: 78865 LIMA
APN: 772 -102 -004 -
Application description: SOLAR
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 51185
Applicant:
Ti -ht 4 4.Qum&
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
pIA
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: C10 License No.: 829374
ate:: ontractor: �.�
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, 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. , BAP.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
i
LQPERMIT
Owner:
EARL GANTZ
78865 LIMA
LA QUINTA, CA 92253
Contractor:
GENSELF CORPORATION
15231 ALTON PARKWAY SUITE
IRVINE, CA 92618
(949)417-0750
Lic. No.: 829374
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/10/06
°D
JUL 112006
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 INS Policy Number 1845134
_ 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
�J 33700 of the Labor
(Code,
�I shall ffort�w,ith_c_omply with those provisions.
ate: % I v� cant:
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 court -ordinances and state laws relating to building construction, and hereby authorize representatives
of this c ty to enter upo the above-mentioned pro ert for inspect; purposes.
t ;_ rgnature (Applicant or Agentl:
Application Number . . . 06-00002521
Permit . . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee 21.00 Plan Check
Fee
5.25
Issue Date . . . . Valuation
. . .
. 0
Expiration Date 1/06/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
2.00 3.0000 EA ELEC PWR APP <=1
----------------------------------------------------------------------------
6.00
Permit . . . SOLAR PERMIT
Additional desc . .
Permit Fee . . . . 19.50 Plan Check
Fee
4.88
Issue Date . . . . Valuation
. . .
. 51185
Expiration Date 1/06/07
Qty. Unit Charge Per
Extension
BASE FEE
15.00
1.00 4.5000 EA SOLAR COLLECTOR < 1000
4.50
---------------'-------------------------------------------------------------
Special Notes and Comments
PHOTOVOLTAIC SOLAR PANEL SYSTEM PER
APPROVED PLAN.
Fee summary Charged Paid Credited
Due
Permit Fee Total 40.50 .00
.00
40.50
Plan Check.Total 10.13 . .00
.00
10.13
Grand Total• 50.63 .00
.00
50.63
LQPERMIT
CSN 0p�'DEA
BUILDING& SPT
APPROVEID
FOR CO
w, e 'I /1010! BY I
SOLAR ELECTRIC ARRAY
51SUNPOWER 220 -WATT SOLAR MODULES
1 1. 2 KW -DC RATING (9.9 KW -AC RATING)
ROOF IS 1 -STORY FLAT CAPSHEET ROOF
ROOF MOUNTING RACKS FOR SOLAR MODULES
ARE PROFESSIONAL SOLAR PRODUCTS "ROOF-TRAC" RACKS
MOUNTED FLUSH WITH ROOF
SEE ATTACHED SHEETS FOR MOUNTING RACK ENGINEERING DETAILS
FIELD LOCATE NEW INVERTERS, EXPOSED
WIRINGON WALLS IN EMT. AND
LIQUID_ TIGHT FLEX CONDUIT
NEW UTILITY LOCKABLE AC DISCONNECT—
ADJACENT TO MAIN ELECTRICAL PANEL
EXISTING MAIN ELECTRICAL PANEL
Dul
�_ --
Il JUN 2. 6 2006
O O
COVERED PATIO
CHIMNEY
O
O
O
O CHIMN�o EY FM
FM; F
SOLAR TUBE STYLE O
SKYLIGHTS TYPICAL
O
0'
20'
40'
N
n O O O
2- I O
O
e,
11,220 WATT DC (9,949 WATT AC)
SOLAR ELECTRIC ARRAY
51 SUNPOWER 220—WATT MODULES
MODEL NO. SPR -220
INDIVIDUAL MODULE RATING:
Voc=47.8 VDC
Isc=5.9 AMPS
A
ROOF JUNCTION BOX
11111111111 L - - - - - J
3 STRINGS OF 8 OR 9 MODULES PER INVERTER
UTILITY
BIDIRECTIONAL
METERS
UTILITY GRID
120/240 INPUT
A
DC BREAKERS (6 EA, ONLY 3 SHOWN)
- ;OA DC -
I I
IOA DC
I I
II IOA DC II
L -----J
NOTES:
�EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH NEC 690.
Z PROVIDE WARNING SIGN PER NEC 690-17 READING "WARNING—ELECTRIC SHOCK HAZARD—
DO NOT TOUCH TERMINALS—TERMINALS ON BOTH THE LINE AND THE LOAD SIDES MAY BE
ENERGIZED IN THE OFF POSITION".
® LABEL BREAKER "SOLAR ELECTRIC POWER SOURCE" PER NEC 705-10, AND "BREAKERS
ARE BACKFED•' PER NEC690-64(b)5.
SUNPOWER SPR-5200'L\AC
GRID—TIE INVERTER (2 EA)
INPUT: 240 TO 450 VDC
OUTPUT: 5200 WATTS MAX
240 VAC, 23 AMPS MAX
EXISTING
NEW SOLAR INTEGRATED GFCI
MAIN
SUBPANEL
LOAD
I
— —
240/120
OA MAIN,
(LCENTER
I
�
BREAKER
I
I
I
I
30A 2 -POLE
I
I
30A^POLO E I ��-- 1 ADDITIONAL MODULE/INVERTER CIRCUIT
i IDENTICAL TO THE CIRCUIT SHOWN ABOVE
I
a I
A
I
60 AMP, 250 VAC
° I
UTILITY LOCKABLE
I
I
FUSED DISCONNECT
(1 EA)
I
60A^POLE I
GENSELF
CORPORATION
SOLAR ELECTRIC INSTALLATION
NOTES:
�EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH NEC 690.
Z PROVIDE WARNING SIGN PER NEC 690-17 READING "WARNING—ELECTRIC SHOCK HAZARD—
DO NOT TOUCH TERMINALS—TERMINALS ON BOTH THE LINE AND THE LOAD SIDES MAY BE
ENERGIZED IN THE OFF POSITION".
® LABEL BREAKER "SOLAR ELECTRIC POWER SOURCE" PER NEC 705-10, AND "BREAKERS
ARE BACKFED•' PER NEC690-64(b)5.
11,220 WATT DC (9,949 WATT AC)
SOLAR ELECTRIC ARRAY
51 SUNPOWER 220—WATT MODULES
MODEL NO. SPR -220
INDIVIDUAL MODULE RATING:
Voc=47.8 VDC
Isc=5.9 AMPS
Z2
ROOF JUNCTION BOX
3 STRINGS OF 8 OR 9 MODULES PER INVERTER
A
DC BREAKERS (6 EA, ONLY 3 SHOWN)
- 10 -ADC -
�I I
t0A DC
^
I I
IOA DC
L ------I
SUNPOWER SPR 520'
GRID-TIE INVERTER (2 EA)
INPUT: 240 TO 450 VDC
OUTPUT: 5200 WATTS MAX
240 VAC, 23 AMPS MAXL\AC
EXISTING NEW SOLAR INTEGRATED GFCI
MAIN SUBPANEL
LOAD — —
CENTER i 240/120 I'
r
1400A MAIN
BREAKER I I A I
UTILITY A I I '30A 2—POLE I
BIDIRECTIONAL ^
METER\ I I i 30A^POLO E I ��-- 1 ADDITIONAL MODULE/INVERTER CIRCUIT
I I L - - - - - i IDENTICAL TO THE CIRCUIT SHOWN ABOVE
I I 0
I 60 AMP, 250 VAC
UTILITY LOCKABLE
UTILITY GRID I I FUSED DISCONNECT
240 INPUT (1 EA)
120
/ I 60A�2\--POLE I GENSELF
— — — CORPORATION SOLAR ELECTRIC INSTALLATION
60A APPROVALS DATE
NOTES: DRAWN G.BLOOM 12-22-05 ONE LINE DIAGRAM
EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH NEC 690. CHECKED B.WILLIAMS 12-22-05 EARL GANTZ RESIDENCE
PROVIDE WARNING SIGN PER NEC 690-17 READING "WARNING -ELECTRIC SHOCK HAZARD- 78865 LIMA
DO NOT TOUCH TERMINALS -TERMINALS ON BOTH THE LINE AND THE LOAD SIDES MAY BE LA OUINTA, CA 92240
ENERGIZED IN THE OFF POSITION". REV. SIZE DRAWING N0.
® LABEL BREAKER "SOLAR ELECTRIC POWER SOURCE" PER NEC 705-1.0, AND "BREAKERS A 05-116-02
ARE BACKFED'• PER NEC690-64(b)5. DO NOT SCALE DRAWING SCALE NA REV. B sNEET 1 DE 1
TriTek Engineering, Inc.
CIVIL & STRUCTURAL ENGINEERING DESIGN
71221/2 Topanga Canyon Blvd., Suite A, Canoga Park, California 91303 Q�pfESS1041
BAS�4Zg
Professional Solar Products y Q l9 v�-yr m
Attn: Stan Ullman No. p80 M
1551 S. Rose Ave. C
Oxnard, CA 93033 d Exp -
Date of observation test: October 6, 2005���
SOFCAVk'F
Subject: 50 Ib. #/sq. ft. Test of SunPower 31.42" x 61.39" Solar modules mounted on Roof Trac flat mounting system.
TEST SETUP (FLAT MOUNT): Four SunPower 42" x 61.39" modules were bolted to 1.5"x 1.5"x 136" Roof Trac support rails using a
combination of 10 Ea. 5/16" stainless steel bolts, lock washers and specially extruded inserts. The mounting channel was attached to the Tile
Trac device with a 3/8' nut and washer at six attachment points. The setup was then attached to 2' x 4' rafters using a 5/16' x 3' lag bolt.
The spans tested consisted of a front to rear of 48" with attachments spaced at 48".The entire test set up rested on the concrete floor. The
Tile Trac mount will support SunPower photovoltaic modules.
TEST PROCEDURE: The test set up was then loaded using sandbags that produced.an equivalent 50 Ib. #/sq. ft. loading. Upon completion
of the placement of the sandbags the maximum deflection that occurred was 1/4". The sandbags were left for 30 minutes with no change in
the deflection or any other sign of distress. After the 30 minutes was completed the fixture was inverted to simulate the download condition.
The results of the tests were duplicated in the uplift condition. The deflection was 1/4' maximum and the fixture suffered no signs of distress
and was to the loading. This document certifies the Tile Trac mount used with SunPower modules, withstands a 50 Ib. per square foot static
pressure load, this loading is equivalent to a wind speed of approximately 125 mph using wind load exposure and gust factor coefficient
.exposure C' as defined in the 2001 Uniform Building Code. Overall the mounting unit performed as expected.
Sincerely,
Ali J. Basama, RCE
This engineering report verifies that Tritek Engineering has provided independent observation for load testing as described in this report.
The results of this load test reflect actual deflection values and.are generally accepted as the industry standard for testing module mounting
systems. Tritek Engineering does not field check installations or verify that the mounting system is installed as described in this engineering
report To assist the building inspector in identification of this mounting system, it is required that a permanent adhesion label describing
"Roof Trac" is to be placed ori at least one of the main support rails.
Structural attachment: Lag bolt attachment should be installed using the proper pilot hole for optimum strength. All lag engagement should
be property torqued and driven perpendicular to into the center of a structural member of the roof. Lag bolts require drilled pilot holes to
length of the thread using the sizes listed below:
1. 5/16' lag bolt requires a 3/16' pilot hole/
2. 3/8" lag bolt requires a%* pilot hole.
If the roof ply or shingle is in excess of 3/8' in thickness, it is recommended that the longer length lag screw be used to insure minimum
engagement. It is the responsibility of the installer to insure that solid attachment is made to the structural member of the roof. Failure to
securely attach to the roof structure may result in damage to equipment or personal injury.
Photovoltaic solar panels are generally accepted as a light weight roof accessories and generally do not require roof load calculations when
property installed. However, this office does not express an opinion as to the load bearing characteristics of all roofs and under all conditions
of load. Roofs in excess of 25 degrees in pitch, with snow load, should be reviewed on a regional basis.
Wind loading values are defined by the UBC are relative to defined load values per square foot performed in this static load test. Structural
attachment devices that have been laboratory tested by accredited ICC testing laboratory and provide similar retention values can be
interchanged with this system.
Note: This engineering is not intended for use in obtaining a permit for systems other than the above mentioned configuration. Unless
otherwise directed in writing, this engineering shall not be publicly posted or copied.
61.39'
DOWNLOAD 60LBISQ. FT DEFLECTION -11V
UPLIFT 501-131SQ. FT DEFLECTION–..1/4"
5/16" Hex
6116" Look Washer.
aAo
Intermodule Clamp
/Channel Nut
Support Rail
3/8' Hex Nut & Washer
11.,— 3/8' Cup Head stud
U
Tile Trac Upper Carriage ~~ Tile Trac Base
5/16" Lag Bolt
SUNPOWERMODULE
LOAD -TEST -SETUP
60, Lb. Per Sq.- Ft
SPR -220
HIGH EFFICIENCY PV MODULE
The SunPower SPR -220 module is designed for use in on -grid
residential and commercial systems where the highest module
efficiency and energy delivery is critical. Utilizing 72 series -
connected A-300 solar cells, the SPR -220 delivers extremely high
power density with total module efficiency approaching 18%.
Reduced voltage -temperature coefficient, exceptional low -light
performance and high sensitivity to light across the entire solar
spectrum mean maximum yearly energy harvest.
SunPower modules—innovative design, proven materials,
outstanding performance.
FEATURES _8t. BENEFITS
• Unique all -back -contact solar cells with conversion efficiency up
to 21.5%
• Low voltage -temperature coefficient enhances high-temperature
operation
• Exceptional low -light performance and high sensivity to light
across the entire solar spectrum maximize yearly energy
delivery
• Highest quality, high -transmission tempered glass provides
enhanced stiffness and impact resistance
• Superior aesthetics - back contact cells with no front side
gridlines and a black annodized frame
• Aerospace style cell interconnects with in -plane strain relief
provide extremely high reliability
1
• Advanced EVA encapsulation system with multi -layer backsheet
meets the most stringent safety requirements for high-voltage
operation
• A sturdy, black anodized aluminium frame allows modules to
be easily roof -mounted with a variety of standard mounting
systems
O February 2006 SunPower Corporation. All rights reserved. Specifications included in this dotasheet are subject to change without notice.
Samoan
mass..
season
seesaw
engage
...s..
Wanage
massae
agnwlww
season
lasagna
SPR -220 HIGH EFFICIENCY PV MODULI:
Unprecedented power density and exceptional
energy production per peak kW.
UL uSTED UL 1703, Class C Fire Rating
t,A IEC 61215, Safety Class II Certified
SunPower Corporation@
1.877.786.0123 Email: sales@sunpowercorp.com www.sunpowercorp.com
Engineered in California
Document#: 001-06637 Rev."
( ELECTRICAL CHARACTERISTICS AT STANDARD
TEST CONDITIONS (STC) {
STC is defined as: irradiance of 1 OOOW/m2, spectrum AM 1.59 and
cell temperature of 25°C
Peak Power 1.2 Pmax 220W
Rated Voltage
Vmp
40.OV
Rated Current
Imp
5.5A
Open Circuit Voltage
V.
47.8V
Short Circuit Current
Isc
5.9A
Series Fuse Rating
---- _-{
15A
Maximum System Voltage
600V (UL)
t
1000V (IEC)
Temperature Co-efficients
Power
-0.38%/°C
Voltage
-136.8mV/�C
Module Efficiency
Current
2.3mA/aC
17.7°
PTC Rating
— —
203.2W
IV -CURVE
5.0
5.5
I
1000 Watts/tn12;
I
25a°C; AM 1:5g
I {
5.0
-- -
-- - ._... - —
-- --- - --
-
- --- --- --
-- - -----.-------
---- _-{
I--
t
4.5-
4.5
I
4.0
4.0.
— —
--1---^-�
I
3.5
--
{
—
En 3.0
a 2.5
—
--- --—�
_----I
2.0
:-- -
-- ----
------;--
-..... 1 -
—
--
1.5
� I
f
r
j
1.0-
.0 0.5
0.5
1--
0.0 ..:1.1_1.1_-.1111_. _1.1..1
0 5 10 15 20 25 30 35 40 45 50
Volts
'Peak Power Tolerance: +/- 5%
2Power guaranteed for 25 years. See SunPower Limited Warranty for details.
j MECHANICAL SPECIFICATIONS
Length (mm) x Width (mm) - - 1559 x 798
Thickness, including junction box (mm) 46
Weight (kg) 15
2X 0 4.2
1 IF
146�
SunPower Corporation@
1.877.786.0123 Email: sales@sunpowercorp.com www.sunpowercorp.com
, Engineered in California
11
Document#: 001.06637 Rev."
SPR -5200
ULTRA HIGH EFFICIENCY INVERTER
The SunPower SPR -5200 is a state-of-the-art inverter
which combines high efficiency with high reliability,
and is specifically designed to be perfectly matched to
SunPower's SPR range of high efficiency PV modules.
SunPower inverters come with an industry leading
10 -year warranty.
FEATURES & ,BENEFITS
• Ultra high efficiency
• Low standby power - 3 watts
• High thermal efficiency, no fan required
• Wide range of possible string configurations with
SunPower's PV modules
• Easy to read vaccum fluorescent display with data
logging capabilities as standard
• Robust, UL50, aluminum enclosure
• Aesthetically pleasing design, blends elegantly with
its surroundings
O 6ctober 2005 SunPower Corperafian. AR rights reserved. Specificafians included in tris datasheet are suhjee to charge wilhoul na6m.
SPR -5200
Ultra High Efficiency Inverter
Dacutnenig: 001-05111 Rev"
SunPower Corporation® .
A subsidiary of Cypress Semiconductor Corporation
1.877.786.0123 Email: sales@sunpowercorp.com wwwsunpowercorp.com
i
? POWER CHARACTERISTICS
109
Continuous Output Power
520OW
Maximum System Voltage (DC)
500V
Operating DC Voltage Range
24OV-450V
Maximum DC Operating Current
23A
Nominal AC Output Voltage
240V
Operating AC Voltage Range
211V -264V
Operating Frequency Range
{
59.3Hz-60.5 Hz
-
Normal Output Frequency
60Hz
y
Maximum Continuous Output AC Current_
23A
Maximum Output Fault Current (AC)
25A
Output Overcurrent Protection
30A
CONSTRUCTION AND ENVIRONMENT 1
Enclosure _ A F a
Aluminum, NEMA 31Z ;
Cooling _
Natural Convection I
Relative Humidity s
0%- 1000% Condensing
Peak Efficiency _ �- -
97%
COMPLIANCES
UL 1741, IEEE 519, IEEE 929, NEC 690, FCC Class B
MECHANICAL SPECIFICATIONS `
a
Dimensions (W x D x H) 18" x 9" x 27
Weight (lbs) 135
DIMENSIONS
109
,410
1]b9
. 90
... ... ......... .......... ..... ... .. ..:... .....
e
85
............ ....... .......... .... ...... .. .... ...... .. ....-....... ........
W 80
!0 Vdc
—1-280 Vdc
75
........... ................... .....:.. ..6ft400 Vdc
70
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
% of Rated Output Power
COMPLIANCES
UL 1741, IEEE 519, IEEE 929, NEC 690, FCC Class B
MECHANICAL SPECIFICATIONS `
a
Dimensions (W x D x H) 18" x 9" x 27
Weight (lbs) 135
DIMENSIONS
0 October 2005 SunPawer Corycrafion. All rights reserved. 5peciAcaeons inducted in this dotasheet are whietl to change without ncrice. DocvmenlN: 001-05111 Rev"
SunPower Corporation
A subsidiary of Cypress Semiconductor Corporation
1.877.786.0123 Email: sales@sunpowercorp.com www.sunpowercorp.com
�- 1555
,410
1]b9
0 October 2005 SunPawer Corycrafion. All rights reserved. 5peciAcaeons inducted in this dotasheet are whietl to change without ncrice. DocvmenlN: 001-05111 Rev"
SunPower Corporation
A subsidiary of Cypress Semiconductor Corporation
1.877.786.0123 Email: sales@sunpowercorp.com www.sunpowercorp.com
Bin #16C,
City of La Quinta
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: '7 Ll MA
Owner's Name:
A. P. Number:
Address:
Legal Description: R . P- C--U
Contractor:_
��yS �
City, ST, Zip:
Telephone:"
Address: q
3
Project Description:
City, ST,Zip: S (1l� �Z..
(�--
Telephone: `"f `t
State Lic. #: Z 3
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
3; �tl
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): Nei Add'n Alter Repair Demo
Name of Contact Person: .'s A OLVJSq.
Ft.:
#Stories: I
#Units: I
Telephone # of Contact Person: 3S 3 (O "
Estimated Value of Project: I - 00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRA - . G .
PERMIT FEES
Plan Sets
3
Plan Check submitted
?
Item
Amount
Structural Calcs.
Reviewed, ready for cosi r ecti
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading,plan
2nd Review, ready for eorrectionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for correcti s/-ssu
7110
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
(OIZ(o / W ON /soil 9 p