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BSOL2014-0029 Revision78-495 CALLE TAMPICO C� 0 D �i4(I1�Cl/ LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BSOL2014-0029 Property Address: 81540 BAFFIN AVE APN: 767710036 Application Description: 17.01kW PV SYSTEM - (54) 315W PANELS/(3) INVERTER+125A SUB Property Zoning: Application Valuation: $631000.00 Applicant: PLANET SOLAR INCORPORATED 73820 DINAH SHORE PALM DESERT, CA VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/26/2016 Owner: JAMES LIPPMAN 317 N ROCKINGHAM LOS ANGELES, CA 0 /n\ Contractor: -�� PLANET SOLAR INCORPORATED 719 E HALEY STREET SANTA BARBARA, CA 93103 .. CM U LAQUWTA COrf,MIJNMDEVEL_ OWE�tTO� (805)692-2700 LIc. No.: 938313 - ------------------------------------------------------------------------------------------_- LICENSED CONTRACTOR'S DECLARATION 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. f--� have and will maintain workers' compensation insurance, as required by Se ion 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: NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURG Policy Number: WC001645925 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 t workers' compensation provisions of Section 3700 of the Labor Code, I sha hwith comply with those provisions. Da� Z G� V Appl�: 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 Professions Code, and my License is in full force and effect. License Class: B. C46 License No.: 938313 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.). (_J 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 ) 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: 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 Building Official 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 correct. I agree to comply with all city and county ordinances and state laws relating to buil 'ng construction, and hereby authorize representatives of this city to enter upon th above -mentioned property for inspection purposes. . ate:- f_/ 81 ! Us, Signature (Applicant or Ag Q Date: 7/26/2016 Application Number:. BSOL2014-0029 Owner: Property Address: 81540 BAFFIN AVE DAMES LIPPMAN APN: 767710036 317 N ROCKINGHAM Application Description: 17.01kW PV SYSTEM - (54) 315W PANELS/(3) INVERTER+125A SUB LOS ANGELES, CA 0 Property Zoning: Application Valuation: $63,000.00 Applicant: Contractor: PLANET SOLAR INCORPORATED PLANET SOLAR INCORPORATED 73820 DINAH SHORE . 719 E HALEY STREET PALM DESERT, CA SANTA BARBARA,CA 93103 (805)692-2700 Llc. No.: 938313. --------------------------------------------------------------------------------------------- Detail: 17.01 kW SOLAR ARRAY - (54) 315W SOLAR WORLD SW315 MONO PANELS W/ (3) SM4 SB60bOTL-22 INVERTERS + 125A SUBPANEL [972SF] 2013 CALIFORNIA ELECTRICAL CODE. FINANCIAL INFORMATION DESCRIPTION ACCOUNT .QTY AMOUNT PLAN CHECK/PERMIT EXTENSION PROCESSING 101-0000-42600 1 $97.17 Total Paid for ADMINISTRATIVE: $97.17 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - BLDG CITY STAFF 10170000-42600 0.8 ' $116.00 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - BLDG CITY STAFF 101-0000-42600 0.75 $108.75 DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - BLDG CITY STAFF 101-0000-42600 2.5 $362.50 DESCRIPTION ACCOUNT QTY. AMOUNT HOURLY CHARGE - BLDG CITY STAFF 101-0000-42600* 10.5 '" $72:50' ' DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - BLDG CITY STAFF 101-0000-42600 0.25 $36.25 DESCRIPTION ACCOUNT CITY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 1 $145.00 Total Paid for BLDG CITY STAFF - PER HOUR: $841.00 DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0. $3.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $3.00 DESCRIPTION ACCOUNT CITY AMOUNT PV SYSTEM - ARRAY, FIRST 20 101-0000-42403 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT PV SYSTEM - ARRAY, FIRST 20 PC 101-0000-42600 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT PV SYSTEM - MISC EQUIPMENT 101-0000-42403 0 $96.68 DESCRIPTION ACCOUNT CITY AMOUNT PV SYSTEM - MISC EQUIPMENT 101-0000-42403 .0 '$24.17 DESCRIPTION ACCOUNT QTY AMOUNT PV SYSTEM - MISC EQUIPMENT PC 101-0000-42600 0 $96.68 DESCRIPTION ACCOUNT QTY AMOUNT PV SYSTEM - MISC EQUIPMENT PC 101-0000-42600 0 $24.17 Total Paid for ELECTRICAL: $290.04 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $91.85 Total Paid for PERMIT ISSUANCE: $91.85 TOTALS:0. Description: 17.01kW PV SYSTEM - (54) 315W PANELS/(3) INVERTER+125A SUB Type: SOLAR Subtype: Status: ISSUED Applied: 10/14/2014 SKH Parcel No: 767710036 Site Address: 81540 BAFFIN AVE LA QUINTA,CA 92253 Approved: 6/3/2015 JFU Subdivision: PIN 36300 Block: Lot: 2 Issued: 6/4/2015 SKH Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $63,000.00 Occupancy Type: Construction Type: Expired: 9/28/2016 BHA No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 17.01 kW SOLAR ARRAY - (54) 315W SOLAR WORLD SW315 MONO PANELS W/ (3) SMA SB6000TL-22 INVERTERS + 125A SUBPANEL [972SF) 2013 CALIFORNIA ELECTRICAL CODE. PERMIT EXTENSION GRANTED UNTIL TUESDAY MAY 312, 2016 TO PASS NEXT INSPECTION. SUBSEQUENT EXTENSION WILL REQUIRE A PROCESSING FEE. PERMIT REVISED TO INCLUDE THE ADDITION OF 3 BATTERY BANKS (TOTALING (36) 12V MK AGM STORAGE BATTERIES ALONG WITH • (3) SMA SMARTFORMER CHARGE CONTROLLERS, (3) SUNNY ISLAND 4548 BATTERY INVERTERS AND (3) 125A CRITICAL LOAD CENTERS. 2ND EXTENSION GRANTED UNTIL 9/28/2016 TO PASS INSPECTION. 232 � ApPlied to Approved Approved. to Issued F ppi • CHRONOLOGY CHRONOLOGYTYPE'` ' '"` """'STAFF. NA ACTION DATE " COMPLETION DATE m. NOTES NOTIFIED STEVE PYLE THAT EXTENSION IS GRANTED UNTIL E-MAIL BURT HANADA 4/21/2016 4/21/2016 MAY 2% 2015 TO PASS NEXT INSPECTION. A PROCESSING FEE WILL BE ASSESSED ON SUBSEQUENT EXTENSIONS. Printed: Tuesday, July 26, 2016 3:31:12 PM 1 of 7 Cff?WySTrmS s ' SEVERAL CORRECTIONS WERE NOT ADDRESSED IN THE MOST RECENT REVIEW. APPLICANT STATED HE NEVER RECEIVED THE CORRE(.'TION LIST FROM REVISION 1- 1ST REVIEW. IN ORDER TO AVOID FURTHER REVIEWS AND PERMIT FEES DUE NOTE JAKE FUSON 6/8/2016 - 6/8/2016 TO STAFF TIME, THE PLANS WILL BE RETURNED TO THE APPLICANT ALONG WITH THE CORRECTION LIST SO THE DESIGNER CAN ADDRESS ALL CORRECTIONS BEFORE RESUBMITTING. THE PLANS ARE FILED AT THE FRONT COUNTER READY TO RETURN TO APPLICANT. PLAN CHECK COMPLETE/READY FOR PICK STEPHANIE KHATAMI 4/28/2016 4/28/2016 UP PLAN CHECK COMPLETE/READY FOR PICK TOMMI SANCHEZ . 6/8/2016 6/8/2016 PLAN CHECK - PLANS AND CORRECTIONSLIST- WAS PICKED I UP BY APPLICANT. UP -. PLAN CHECK PICKED UP KAY HENSEL 2/20/2015 2/20/2015 PLAN CHECK CORRECTIONS PICKED UP PLAN CHECK PICKED UP MARY FASANO 5/27/2015 5/27/2015 PLAN CHECK PICKED UP STEPHANIE KHATAMI 4/8/2015 4/8/2015 PLAN CHECK PICKED UP BY STEVE PYLE. PLAN.CHECK SUBMITTAL MARY FASANO 6/1/2015 6/1/2015 RECEIVED PLAN CHECK SUBMITTAL RAMSES SEVILLA 4/20/2016 4/20/2016 FIRST REVISION. CONTRACTOR WILL CONTACT BURT RECEIVED BECAUSE PERMIT EXP. RSE PLAN CHECK SUBMITTAL RAMSES SEVILLA 7/13/1016 7/13/2016 2ND REVISION RECEIVED PLAN CHECK SUBMITTAL STEPHANIE KHATAMI 5/25/2016 5/25/2016 RECEIVED PUBLIC COUNTER VISIT JAKE FUSON 6/7/2016 APPLICANT CAME TO THE COUNTER CI CHECK STATUS. RESUBMITTAL PHILIP JUAREZ 2/6/2015 2/6/2015 RESUBMITTAL PHILIP JUAREZ 4/2/2015 4%2/2015 • plans resubmitted Printed: Tuesday, July 26, 2016 3:31:12 PM - 2 of 7 SYSTEMS SPOKE WITH CHRISTIAN FROM PLANET SOLAR VIA TELEPHONE CALL JAKE FUSON 11/14/2014 11/14/2014 TELEPHONE; NOTIFYING HIM 1ST REVIEW WAS COMPLETE, REVISIONS WERE REQUIRED, AND PLANS/CORRECTION LIST WERE READY TO BE PICKED UP TELEPHONE CALL JAKE FUSON 2/18/2015 2/18/2015 NOTIFIED STEVE W/ PLANET SOLAR INC THAT HIS PLAN REVIEW WAS COMPLETE AND REVISIONS WERE REQUIRED. NOTIFIED STEVE PYLE W/ PLANET SOLAR THAT PLAN REVIEW TELEPHONE CALL JAKE FUSON 4/8/2015 4/8/2015 WAS COMPLETE AND REVISIONS WERE REQUIRED. NOTIFIED'STEVE PYLE W/ PLANET SOLAR THAT PLANS TELEPHONE CALL JAKE FUSON 5/26/2015 5/26/2015 REVIEW WAS COMPLETE AND REVISIONS WERE REQUIRED. TELEPHONE CALL JAKE FUSON 6/3/2015 6/3/2015 NOTIFIED JONATHAN AT PLANET SOLAR THAT PLANS WERE APPROVED AND PERMIT WAS READY TO ISSUE. TELEPHONE CALL JAKE FUSON 4/27/2-016 4/27/2016 NOTIFIED STEVE PYLE WITH PLANET SOLAR THAT PLAN REVIEW WAS COMPLETE AND REVISIONS WERE REQUIRED. TELEPHONE CALL JAKE FUSON 7/21/2016 7/21/2016 NOTIFIED STEVE PYLE W/ PLANET SOLAR INC THAT PLANS WERE APPROVED AND PERMIT WAS READY TO ISSUE. CONDITIONS CONTACTS NAME TYPE.w NAME. _. ADDRESSI ' ' CITY STATE .. ZIP - PHONE FAX `:EMAIL" APPLICANT PLANET SOLAR INCORPORATED 73820 DINAH SHORE PALM DESERT CA CONTRACTOR PLANET SOLAR INCORPORATED 719 E HALEY STREET SANTA CA 93103 BARBARA OWNER JAMES LIPPMAN 317 N ROCKINGHAM LOS ANGELES CA 0 FINANCIAL INFORMATION Printed: Tuesday, July 26, 2016 3:31:12 PM 3 of 7 SYS7LNIS '- '. DESCRIPTION." ~ACCOUNT s. QTY "°AMOUNT .. ' PAID PAID DATE 'RECEIPT:# LHzECK#a .:METHOD = 77 77 .PAID BY CLTD' BY PLAN CHECK/PERMIT EXTENSION 101-0000-42600 1 $97.17 $97.17 7/26/16 R17398 10247 CHECK PLANET SOLAR RSE PROCESSING INCORPORATED Total Paid for ADMINISTRATIVE: $97.17 $97.17 HOURLY CHARGE - 101-0000-42600 0.8 $116.00 $116.00 6/4/15 R6791 6813 CHECK PLANET SOLAR SKH BLDG CITY STAFF INCORPORATED HOURLY CHARGE - 101-0000-42600 0.75 "$108.75 $108.75 6/4/15 R6791 6813 CHECK PLANET SOLAR SKH BLDG CITY STAFF INCORPORATED HOURLY CHARGE - 101-0000-42600 2.5 $362.50 $362.50 7/26/16 R17398 10247 CHECK PLANET SOLAR RSE BLDG CITY STAFF INCORPORATED HOURLY CHARGE - 101-0000-42600 0.5 $72.50 $72.50 7/26/16 R17398' 10247 CHECK PLANET SOLAR RSE BLDG CITY STAFF INCORPORATED HOURLY CHARGE - 101-0000-42660 0.25 $36.25 $36.25 7/26/16 R17398 10247 CHECK PLANET SOLAR RSE BLDG CITY STAFF - INCORPORATED HOURLY CHARGE - CITY 101-0000-42600 1 . $145.00 . $145.00 7/26/16 R17398 10247 CHECK PLANET SOLAR _ RSE BUILDING STAFF INCORPORATED Total Paid for BLDG CITY STAFF - PER HOUR: $841.00 $841.00 BSAS SB1473 FEE 101-0000-20306 0 $3.00 $3.00 6/4/15 R6791 6813 CHECK PLANET SOLAR SKH INCORPORATED Total Paid for BUILDING STANDARDS ADMINISTRATION. $3.00 $3.00 BSA: PV SYSTEM -ARRAY, 101-0000-42403 0 • $24.17 $24.17 6/4/15 R6791 6813 CHECK PLANET SOLAR SKH FIRST 20 INCORPORATED PV SYSTEM - ARRAY, 101-0000-42600 0 $24.17 $24.17 6/4/15 R6791 6813 CHECK PLANET SOLAR SKH FIRST 20 PC INCORPORATED PV SYSTEM - MISC 101-0000-42403 0 $96.68 $96.68 7/26/16 R17398 10247 CHECK PLANET SOLAR RSE EQUIPMENT INCORPORATED PV SYSTEM - MISC 101-0000-42403 0 $24.17 $24.17 6/4/15 R6791 6813 CHECK PLANET SOLAR SKH EQUIPMENT INCORPORATED Printed: Tuesday, July 26, 2016 3:31:12 PM 4 of 7 SYSTEMS DESCRIPTION- .' =ACCOUNT CITY AMOUNT r PAID 'PAID DATEy .RECE'lkki .."�.. CHECK#' METHOD PAID BY r CLT D , PV SYSTEM - MISC 101-0000-42600 0 $96.68 $96.68 7/26/16 R17398 10247 CHECK PLANET SOLAR RSE EQUIPMENT PC INCORPORATED PV SYSTEM - MISC 101-0000-42600 0 $24.17 $24.17 6/4/15 R6791 6813 CHECK PLANET SOLAR SKH EQUIPMENT PC INCORPORATED Total Paid for ELECTRICAL: $290.04 $290.04 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 6/4/15 R6791 6813 CHECK PLANET SOLAR KH T INCORPORATED Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS:0. $1,323.06 PARENT PROJECTS RETURNED REVIEW TYPE REVIEWER SENT DATE ` ' DUE DATE REVIEWS STATUS REMARKS NOTES - -DATE NON-STRUCTURAL JAKE FUSON 10/13/2014 10/20/2014 11/14/2014 REVISIONS REQUIRED SEE ATTACHED CORRECTION LIST APPLICANT INCORRECTLY SUBMITTED PLANS FOR NON-STRUCTURAL JAKE FUSON 2/6/2015 2/13/2015 2/11/1015 PENDING DOCUMENTS A HOUSE OUTSIDE CITY LIMITS. APPLICANT WAS NOTIFIED, AND WAS ASKED TO RE -SUBMIT THE - CORRECT PLAN. NON-STRUCTURAL JAKE FUSON 2/11/2015 2/18/2015 2/18/2015 REVISIONS REQUIRED SEE ATTACHED REVIEW. NON-STRUCTURAL JAKE FUSON 4/2/2015 4/9/2015 4/8/2015 REVISIONS REQUIRED SEE 3RD REVIEW. NON-STRUCTURAL - JAKE FUSON 5/18/2015 5/26/2015 5/26/2015 REVISIONS REQUIRED 1 WK Printed: Tuesday, July 26, 2016 3:31:12 PM 5 of 7 ; s YSTEMS NON-STRUCTURAL - UC APPROVED- WIRING IN WET LOCATIONS MUST BE APPROVED JAKE FUSON 6/1/2015 6/8/2015 6/3/2015 FOR WET USE LOCATIONS. FUSIBLE J-BOXES 1 CONDITIONS MUST CONTAIN 15 AMP FUSES. PERMIT REVISED TO INCLUDE THE INSTALLATION 1ST BLDG NS (1 WK) JAKE FUSON 4/20/2016 4/27/2016 4/27/2016 REVISIONS REQUIRED REVISION 1- 1ST OF STORAGE BATTERIES. SEE REVISION 1- 1ST SUBMITTAL REVIEW CORRECTION LIST AND REDLINES. SEVERAL CORRECTIONS WERE NOT ADDRESSED. APPLICANT STATED HE NEVER RECEIVED THE CORRECTION LIST FROM REVISION 1- 1ST 2ND BLDG NS (1 REVISION 1- 2ND REVIEW. IN ORDER TO AVOID FURTHER REVIEWS WK) JAKE FUSON 5/25/2016 6/2/2016 6/8/2016 INCOMPLETE SUBMITTAL AND PERMIT FEES DUE TO STAFF TIME, THE PLANS WILL BE RETURNED TO THE APPLICANT ALONG WITH THE CORRECTION LIST $O THE DESIGNER CAN ADDRESS•ALL CORRECTIONS BEFORE RESUBMITTING. 2ND BLDG NS (1 JAKE FUSON ' 7/13/2016 7/20/2016 7/21/2016 APPROVED REVISION 1.- 3RD WK) SUBMITTAL BOND INFORMATION '. Attachment -Type: ? CREATED'_- ATTACHMENTS , ; '. OWNER ` ` DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED, RE Lippman permit RE Lippman permit DOC 4/21/2016 BURT HANADA extension BSOL2014- extension BSOL2014- 1 0029.pdf 0029.pdf DOC 2/18/2015 JAKE FUSON 2ND REVIEW SOLAR 2ND REVIEW.pdf 0 CORRECTION LIST DOC 2/18/201S JAKE FUSON 1ST REVIEW SOLAR 1ST REVIEW.pdf 0 CORRECTION LIST DOC 4/8/2015 JAKE FUSON 3RD REVIEW SOLAR 3RD REVIEW.pdf 0 CORRECTION LIST . DOC 4/8/2015 JAKE FUSON 3RD REVIEW REDLINES SOLAR 3RD REVIEW - 0 REDLINES.pdf DOC 5/26/201S JAKE FUSON 4TH REVIEW 81540 Baffin - 4th.pdf 0 CORRECTION LIST Printed: Tuesday, July 26, 2016 3:31:12 PM 6 of 7 sysret S ?, 'CREATED : OWNER ' ` DESCRIPTION -k, Attachment Type PAT.HNAME ` SUBDIR ETRAKIT ENABLED ' BSOL2014-0029 - REVISION 1- 1ST DOC 4/27/2016 JAKE FUSON REVIEW CORRECTION REVISION 1- 1ST 1 REVIEW CORRECTION LIST LIST.pdf BSOL2014-0029 - . DOC 4/27/2016 JAKE FUSON REVISION 1- 1ST REVISION 1- 1ST 1 REVIEW REDLINES REVIEW REDLINES.pdf Printed: Tuesday, July 26, 2016 3:31:12 PM 7 of 7 SYSTEMS Bin v6/ City of .0 Quinto . Building a Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 'Building Permit Application and Tracking Sheet Permit # p(il) Project Address: Owner's Name: A. P. Number: Address: 8) S"� �j(� ��1 /isJLp— Legal Description: City, ST, Zip: L CN,- G)._ Contractor: Address: ............. Project Description: City, ST, Zip: Q_L.J /SST Telephone: State Lic. # : City Lie. #.: 14 Arch., Engr., Designer: Address: City., ST, Zip: h one: Telephone: tr n Co s ucti Type: e• Occupancy: Y P S State Lic: #• Project (cir cle ne • New Add'n Alter ReP•air Demo Name of Contact Person: Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: . APPLICANT: DO NOT WRITE BELOW THIS LINE t/ Submittal Req'd Rec'd TRACMG 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 Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.[. li.O.A. Approval Plans resubmitted Grading IN IiOUSE:- 7rd. Review, ready for correctionsrssue Developer Impact Tee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, LT--t�-1 Permit Fees