BWFE2017-018878-495 CALLE TAMPICC(
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
FRANCISCO NAVA
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
WALL/FENCE/CITY STANDARD/PRE-APPROVED
BWFE2017-0188.
51199 AVENIDA HERRERA
773063019
NAVA / 120 LF OF 6' HIGH BLOCK WALL
$1,000.00
D G°Q
FOC"03 2017
CITYOFLAQUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
{commencing with Section 70001 of Division 3 of the Business and Professions 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
alleg exemption. Any violation of Section 7031.5 by any applicant for a permit
s
Acts the applicant to a civil penalty of not morethan 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 doe's 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
withfeddn
one year of completion, the owner -builder will have the burden of proving that he
oj♦�siot build or improve for the purpose of sale.).
`��j`/-V, as ownerof 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
Vn ractors' State License Law.).
I am exempt under Sec. . B.&P.C. for this reason
#Date -.�� Owner:I
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 Na
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/3/2017
Owner:
FRANCISCO NAVA
Contractor:
OWNER BUILDER
L(c. No.:
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 3X0 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:
Carr r Policy Number:
1 certify that in the performance df the work for which this permit is issued, I
sha I not employ any person in any manner :o as to become subject to the workers'
compensation laws of California, and agree -hat, if 1 should become subject to the
workers' compensation provisions of Sectiou 3700 of the Labor Code, I shall forthwith
comply with� those provisions.
Date: T IV t ,Applicant?.S'COMPENSATION
WARNING: FAILURE TO SECURE WORKE COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,D00). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FDR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKAOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on tris 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 Citi of La Quinta, its officers, agents, and
employees for any act or omission related tc the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this appication becomes null and void if work is not
commenced within 180 days from date of is:uance of such permit, or cessation of work
for 180 days will subject permit to cancellaton.
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 city to enter upon the above-
mentioned pr �Signatu�(
pe/ty for inspection purposes
Date: ` A arr or Agent):
F
Date: 10/3/2017
.Application Number: BWFE2017-0188 Owner:
Property Address: 151199 AVENIDA9iERRERA FRANCISCO NAVA
APN: 773063019
Property Zoning:
Application Valuation: $1,000.00
Applicant: Contractor:
FRANCISCO NAVA OWNER BUILDER
LIc. No.:
----------------------------------------=---------------7-----------------------------------
Detail: 120LF OF 6' HIGH. BLOCK WALL NON -RETAINING. AT SOUTH PL AND FRONT COURTYARD.(CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK
SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. THE AREA BETWEEN THE BACK OF
CURB AND ANY FENCING SHALL BE LANDSCAPED, HAVE A SUITABLE PERMANENT IRRIGATION SYSTEM, AND BE CONTINUOUSLY MAINTAINED BY THE
PROPERTY OWNER. 2016 CALIFORNIA BUILDING CODES.
,., DESCRIPTIO.U.,,.
FINANCIAL INFORMATION
ACCOUNT QTY
AMOUNT
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404 0
$15.60
DESCRIPTION
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404. 0
$52.01
DESCRIPTION
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600 0
$65.02
Total Paid for BLOCKWALL:
$132.63
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRAT°ON BSA:
$1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00 .
Total Paid for RECORDS MANAGEMENT FEE:
$10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: • $S.00
Bin#
OIo�
B
City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
iE ffrit Application and Tracking Sheet
Permit#
Project Address:,6-1 V N 1 DT
'0
1 ' /&� /�
Owner's Name: • AJC /S' v
k�iL
A.P. Number 7-7 3 Q(.3
I
Address:
Legal Description: �j
City, ST, Zip:
Contractor: ����/ �U7 G �/(
` \
Telephone:
Address:
Project Description: -6L vG V—
w ISL
City, ST, Zip:
Telephone:
State Lic. #:
City Lic #:
Arch, Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type:
Proj. Type New Add'n
Occup tncy:
Altcr Repair Demo
State Lic. #:
Name of Contact: ,(,--
SgFt:
#Stories
# Units:
Telephone of Contact: (� ( �
Estimated Value of Project:
( 000 00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'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 Cneck Balance:
Title 24 Calcs
Plans Picked Up
Constriction:
Flood Plain Plan .
Plans Resubmitted
Mechanical:
Grading Plan
2nd Rev, Ready for corrections /
Electri al:
Subcontractor List
Called Contact Person
Plumb-ng:
Grant Deed
Plans Picked Up
S.M.I.
HOA Approval
Plans Resubmitted
Grading
IN-HOUSE
3rd Rev, Ready for corrections /
Develcper Impact Fee
Planning Approval
Called Contact.Person '
A.I.P.F.
Pub. Wks. Apps
Date of permit issue
School Fees
Total Permit.Fees,
P.O. BOX 1'504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(760) 777-7012
FAX (760) 777-7011
Disclosures •& Forms for Owner -Builders Applying for Construe =ion Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the ouilder of the property
improvements specified at w I D k t�&12P-4-4=
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your
responsibilities and possible risk you may incur by having this permit issued in your name as the
Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision,
signed, and returned this form to us at our official address indicated. An agent of the owner ca -,mot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
�►`� I. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
building permit that erroneously implies that the property owner isproviding his or her own labor and materiaf personally. I, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not provide coverage for -those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on y property.
2. I understand building permits are not required to be signed by property owners unless ' they are responsible for the .
construction and are not hiring a licensed Contractor to assume this responsibility.
3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and whaving the permit filed in his or her name instead of m
sr lic
on. y
4. I understand Contractors are required by law to be licensed and bonded in California and to list heiense numbers on
permits and contracts.
k5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors an
d thtal value'
of my construction. is at least five hundred dollars ($500), including labor and materials, I may be considered n "eomployer"
under state and federal law.
Ad -6. I understand if I am considered an "employer" under state and federal law, I must register-witb the state and
federal
government, withhold payroll taxes, 1
P Yr provide workers' compensation disability insurance, and contri jute to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial
risk.
09-17. I understand under California Contractors' State License Law, an Owner -Builder who builds sEngle-farnily residential
structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of :he work is performed
under contract with a licensed general building Contractor.
.1p 8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
financial or personal injuries sustained by any subsequent owners) that result from any latent construction defects in the
workmanship or materials.
,% 9. I understand I may obtain more information regarding my, obligations as an "employer" from the Internal Revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
k0. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party legally.' and fulancially responsible for p o os d construction activity at the following address:
11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner -Builders as.well as employers.
12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the infomnation I
have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist.you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder andwish to hire Contractors,
you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or
other verification acceptable to the agency is required to be presented when the permit is issued to verify the property
owner's signature.
Signature of pioperty"owner Date:
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project. .
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of,Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued -to verify the property owners signature.
Property Owner's. Signature: Date:
CITY OF LA QUINTA SUB-CONTRACTOR. LIST
JOB ADDRESS PERMIT NUMBER OWNER - �„BUILDER
This form shall be posted on- the io6 with the Boildinp Insriection Card at .all times in a-consj2acuous-. )p ace. Only-persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by. the Building Division prior to commencement of work. Failure to comply will result•in a stoppage of work and/or the voidance
of permit.. For each applicable trade,, all information .requested below must be completed key ppplrcant.. "On File" is not an acceptable response
1
,building
1
. ...... ... ..... ...... .. ,. ,.. ..., �. • �: ,.Busiri'ess:L dG
,..... >.. ..... ... . ......:.......... ... ..... .. .........._:.....•.;. „ , crs -Coni yens ro ,.� . .. ... . .
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Company Name Classification License Number Exp. Date Carrier Name Policy Number Exp. Date License Number Exp. Date'
(xx/xx/xx)
(e.g. A, B, C-8)` (xxxzxx) (xxlxxlxx) (e.g. State Fund, CalComp) (Format Varies) (xxlxxlxx) (xxxx)
7.
EARTMWO•�tK,(� 12), a •
,
;'CONCRETE is 8)
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<STRUC7 STEEL�(C 51�);�
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:MASONRY (C;79}_ `
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;PLUM[31NG (C 36),
-
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'LATH ;PLn$TER {G 35)
DRYWALL
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GENERAL NOTES:
I.- ALL WRK CALL ED W. IN THE5E F7•..N6 5BALL BE I XEX'W ?a Di EXIFGIk COYkRN
FCR.Ci1AFT'fAVSHP A'D WET' IN FAL PGCOP.OAIILL MBI TIE ADO'tED Cilia
AID C':ED:NA`GES LT TE .1PJ501C14O11 IN HIILII It 5 9EIN6 (XJSIPoCIFD.
2: ALL YORW, T EP.ER 5FELF CAL LY O.ALLE FOR OR NOT. SW L. BF COISRV TED
LIVER THE 1,41l57 a4TICN Or TIE U:IFXV.. FLILDUK LOGE AS ADOPTED BY THE
LOCAL CA RNA, AEE`LY.
3: ALL LXTt W. F, AIIHORK SYAI I. HAVE A "INE 5LOFE .AKA'( FRO% I: -E B)1LVI16
OE KN)
4: BE 0MIL CO11.Zf OR STALL 7iiD1STiY F.AHUM E IIy,EF KIIT 1115 D-OIEN 5 FIR OE
10 K=ff XRS NTH AY 01SIlM'YN AN) 5 WL P.Ei77T A' DFGVI AIV 10 IiE MWER
FRY➢. TO COHD4W NTT` i,1.5rw) AM GYAATYM E KI -1 F:CH TIES PLWi NNONT
TIE YR.'"7179('MES%T IRCH IIF it" IIF. O4F!JNr1".."C4 PYifE' AL R'C5'1 R!IY
FOE:'. EXVIA1104
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Fw! TO FASJOAIGP T.$ 6M.4L CO;IRACtOT HLL BE FFYO.WE TO ill.. R. AXOUIE
TEE FOR P.h'Ei'1'17 If9mr, DA.TS' OF IMITED IIEI'S 5O NOV-' 50 F51 K SWL N7,
AITkR9if L`PTGT T.0 CO6I1RLTIOK 5C1£7LLE
3.- INEREDLENT SIC V15115 BY 71E 1551CRER CR E1511TER IN ND KAY ALLA_VIA, 5 TIE
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is :ILL S.¢CC.NPALTLIRS E11AL. VfA' TIP .DS SHE '441N 24 K'xAdS PRICR TO
CCHlC1CPF, VWAEK. "i JJ}OOTRK.ICJA SINT. FF.. R-cFP0151311 FOR REMEFv'115
RELATED TRAD:` 18. Y4FAlf.-FHARATICH ASD SNAIL RE'MI ANY
IDN-Yct*L. mI6 L'•ISLRiPAFGY r0 TIE EEtERAL C04TRALFT.. DEOUTON OF HORK
BY NTY'A45-ILNFRA{70.2 �IDICATly A'AS`T/TALE 7 TIE PREN106 TRADE'S K?,r,
3: TIE OvMER Ate, 10 ;vLv MW,1`95, Od)"IFY, Na DEFEND T.'F OEN&IiK 415
EF?,o L3`i. Nd) MkAlEER5 AGNN5T PRY .ND ALL LIABILI i ', CLA:H DAYXIL AND
UYiT5 OF 2E1=ME A%16 OJT F T -E ERRORS OR 01155IO15. OR If6LISE':.T AC;�
CA ,) BT RE TV7f ILATVi16 TO TIE 19146 AT 5-,Cffrt.AT1OT5.
- A\ OR .AL'IFRATION OF ITEM PU46 EVIL BE AT IEE
WL kW: OF TIE I£45W KAKPIEC3 GPLSNG TIE SAME AND 4gA.D 5E
TQN9�3J BY ITE DECANFR rt aFCI.AD FCR. COFLTT`7:TY YITDI TH.5E PIANS.
0. VERIFY CCNNEGBON POINTS FOR HOVER TELET`VE An CAI' SY5TN* PIM i0
LO*TTWTCN AFfPDXKATE My LMAiIUA IWX ATF7 FLR TRAW-fORFER
LOnAT4715,ErO.
II: Gol WIN MA UTILITY CO4.ANY REC UIff14NT5. FFO * ALL RELATE WO PNS.
RA.L DOhT-5 AV RISERS.
12: CONTRACTOR STALL L�RIFf ACTUAL DEPTH AND LOSATI ON OF ALL EAST06 UT@ TREE,
i%PoOF: r0 COHitILT.IKN. CACI. uDF.Rrt0I1U7:iRV1L`_ ALERT 11oL1 FP.tT
�4 24A4�
13: 10 iRfNJIIT6, 6P.ADI16, EYG/.VAPNG, CRILLIIY. PIPE PDSW`6. RNTIIv
Th'EL'J VETTING FF)CE POST HOIF5 ETC THEY H LL SPRY NFOWAATIGN OR LOCATE
.AHI VARK ANY U P REWD FACILITIES.
II.- B)LVNS ADORE56-. 5 -ALL BE FW40M ON THE LUL CTI1151N ELCH FKytl'N N, iG EE
RATL Y \145:F. END LE516LE FROM THE 5TITSL7 PER :.1.770% 50).
KARN 45. PLANT MATE^IAL LISTED HAY OR KAY NOT IV -.VE FEET AJPRO40 BY
DIE /GF.HJITLRAi GCWrj50N'ER15011-111E.
t S, A'ED AF.AS M7&VEC STALE BE PROVIDE W FULL C04 - N)TOFWIK:
IRWC+ANONI SYSTEM W AN .APIWCYI D BACK ROT) XVICE.
,E,90RAR, TOLETS SCALL BE PROlI6D L'.Y TNC 60L4!A, C NTN ALiG2 FW.. A_L
TRADES LITTIL TCF C4171E11U!9TIE YORK.
ALL MADE591-11. AT ALL T. u KEEP -If NE`IF-ES FR4E FROM A.'.C".. AT CH
CE HAVE Au1ERW.5 OK iM3D51 CA5E1) BY TNF H;RK.
:10 UTI'.IIY IMUES PARALLE]. Y0 A FOOTIN51JD DEFER iHA4 VSTALL BE
LOCATED 17HOI A MANCE. OF 4'-0' Of: A BIILO:IG FOOT 16.
01LITY 1.RD*E5 FERFENDKLA.AR TO A FOTTIN5 9QA1 BEA MIWMTI',T,- 4'-0'
DLTPNO ATIE U51CRM) Sol. 54ALL BE COMPACTED MIEN A 4'-0' DISTANCE 0.
ANlFOOD , OR UDER A CDILRE' `APS.
ITE iIEYEL!AtiR(CC4:fPJY.T.R'O41TR iS RESPGNEiBtE FOR THE
VE:EY,ATIO: OF ES5TT� CURS (OR ECCE OF STREET PAVING IF 1O
("M E45"), LOCATION =ROM• THE PF' -'T" L"Ef5) XTRI TIC 'J51.IL
1,MX6 D'3A.WE T.
5UlE HATER SPALL MAIN ATAY FPD% EULDI15. IK CRAVL ML
FAIL A H:ITMAd OF 5% HNH% T E'FIRST 10 FEET ;2% FOR W--@0105
5J:`'ALE5I
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LANDSCAPE NOTES:
(: LAHI HA7R;N 5LNI II LCT HATIR LYS VARIETY.
2: tT`-b SIAL NDI EE P.NTW w1HN 17-1 Of A pIY. E%A;k
III
3r Il 5f51EM 5V1L COW151 W SFINCER eEACS TWT
AE W4P;R FOR TIE."' 6 MATERIAL TWT 5 DEW
UiRr AIW.1W6AIITJI 5. alb, SWL BE ON NI PTTWAM rJfR
AD ZOfC AS NEC"
<: P?OIU 51113 all W*A71ON LOPS TO SIDE YARDS fOE RALE£
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5: SwAaER WAD55HN.1lE IWTALLi? AD ARIfiTFD 5q1 DIAT
I1EY W 107 OAP. SWAY OI KALYS AND VRN'5 A5 HELL Ai O:
LULDINE 'All SPYACC5 ND mw0
n: 13E5 SWI. BE STAKED 50 TWT THE 6PLhT1 OF I.t TRF. IS ITO
LNSBR'rD. RANT TRU' N -.& VA NIH TIE IMT ,E 00T BALL.
1: PROP TO RA;FFFhT Q M 11•EDV0 61MIFi, FT YV& EASM6
VESR5 AND HE.. 5TERU7INE 501 WIN M APPPIhFD
Gf ,Xk *00 KOVIE A:L MAD HA.TIR'N AU 17X1.
ERAA�, VERIFY H1H WOIFACRAS'RS DLRELTI.15 FO7 RAr�
PAN15 N ANO AROJD T E STERI ZED Y)L. N LW) G CRRA
Ew"K w 55RN4TE OF. OOFJED B%C! NAY LE Teo.
8: IATT", f %LAS LWCAIED SlI EE PRC/Y:ED WILL
CO.ERASE, AOIOWTG IWJ6ATkiN 5(STDi W AF{F.OVED
5AL6UYMOF`Ofi
9- WOAX PRE55PE 4T.WAICR FOR NAT5..55WE HES
PPEI PF ;YL@Lh 60 P.S I l --q OG !-0711
SEPARATE PERMIT
ITENS TRAI %Tal 4 %-ARAIE id3W IF AI}lf)
•�5
'F'AS
.:tIAIWNG HALLS
• 13�01K Kldl-S
• CRIVEIN'AY5
• SMIG TANK 561BM
'BI.00.K KALL5, RE(H)IRE FILAN14ING APPROVAL FOP.
FP.OP05ED LOCATIONS AND r16&45 PRIOR TO OBTA N
BUILDIN5 PERMIT'
WAVOY AP?ROACR REWRE5 USFECTIO7 OF RELIC YLRKS
DEPARR E'T7 .
GATE ELEVATION/DETAIL
SCALE: 1/4" = V -O"
T
I
I
b�,HTSGRHB9Q
8
e
. 4O'a-
. 5'4
I
V
G•
�
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