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06100205_.ow ULs a` v 140f lft# PER 41T # 602 4f DAVE CONTROL, # .: �- . �t .S"� 1 �- PROJECTr _ �-r-- r©� ..�. t�<<� -- ,, S F tom, ADDR.ES S r2, '�,? t?_5 ._ OWNER APPL.iCANT ------- AGENCY �,� RETURN status Init M FETURN s'atus Init IN RETURN status Inii BLDG - �--- OUTS1 PLNG - FIRE SAN. DIST. ASSESSOR D e HOOD — HEALTH — RES. (L-VNG) (GARAGE) APNIV c CQ ,SL -- COMM.SQ.FT.(TIEW) T.I. SQ.FT..— RES. REMODEL PHONE -L(.P `f FAX CONTACT �#�Y Voo ~� ECF.IPT PLN. CHECK VALUATION ENERGY CONSTRUCTION TAX--------------(Y) (N>GRADING -- SOILS SCHOOL FEES------------- ----------- (Y) (N _ BLDG PMT (N)0 _ — -- HOUSING MITIGATION FEES----(Y) SEISMIC HEART OF TH C Y ----- ---- ELECT NOTES: PLBG -- MEC H -- --� • f�� TOTAL FEES ISSUED BJ�c_� -�--"_ UATE ,�/� ��� T0 rCITY �" —OF— CUP r1N �+ (� BUILDING DIVISION P1~+T�v - - IBUILDtNGADDRESS: SUNTREK INDUSTRIES oldNi R'S NAME: i p LiMISEDCOhTiAACiE?R'S DECL&RATION u t heRb3 slllrm than 1 tan reenact Sado+ poririox of Chapter 9 (eommaencIn$ Stroh Seetioev*1 of Dividoa 3 c f chs Buuraw an 'ruAaasoes Cede, and my lice— is afull ftsceLid ercecr Lk.a SOLAR PANEL INSTALLATION IN ROOF zI.kansa Class p rile ARCt{tTECPS RATION i W3,a I underrurW my plans shall he wed u puhlk mcoods 8 ] LicoMcd rnor"i' ionm OWNCRDER -BURDrcLARATioN I hereby *Mrm that 1 am ampfrom she C-traetoes Lkraua Law for the n rolktwiq m.aon. (Secdon TD31.3, Butimm; ants Pradcuivaa Code: Any City OreWnty which mom a perndt w censUuer, aper, intpaow. demolish. a wlWt any Awurc i=::p'}orwitsiuutnee.alsomwft&:rpplieantforwchpermitLao,aslanedwtemem A that he it lkmtcd pure ant W the pravigaas of she Curracttx a Lkuut law (t7 yrcr 9 of o (commencinj with Section 70001 of D^ridon 3 of IN Burirre" and Pm(csskwt) Of chat he 3I uumpt thealrom and thisbass rot uta alleged exemption y od Saction 70]1.! by am 49tiOnt for a permit mrbjeas the applkam b a civil pawlty of not more am five hundred dnaasa (SS00), Cj Las nwoar of the Property, a my employe" wilb watts as LWf sole compeaudo". win do am wodt. and dan shvidtare is W intended or oRemd for u)e (See. 7 44,E ss of uW Praudona Code: ThisCo"%mclo s License Law dom not apple propertY wbobuUds or lmrwdos thm K and who dots such wwk himWf orthrough hia own empioyors, provided that such impmwtsaaru are sot i nianded or offated for uk it, howrovat, dte building of bnProvemnt IS sold within on yew of rnmpiatioa. be awner- butic* win have the buds, of pro*1 dist he did rat build a. Improve for PerPoea Of Ole.). td L u awmer of ilia property, am esdia"ely contracting with Rttased coanero.. YO w as"uct dte project is".1044.9udneu and Profwbns:) The Coprove$ theteurt+ and. censer taw doer not g* to an con of i) license d purmint to the (;Nnrae(Ara who ""is for such Projeaa Licenea Law. B B P C for tAia maforn 0 l am eapnpt under set Owner t.._- �1✓ . - Date� 5 _ 6i 7 � YORKER'S COMPENSATION DECLARATION 1 hereby ammo under pemslly of Perjury ON of the following daelarnWnt: 0 1 hate and will mdwia a Certificate of Comm to serif-insarc for Wo�"C of the sailon, as provided for by Sactit>ts YU of the Labor Code. rot the peri wont for which ads permit is issued 0 1 haw Ind will malntam Worbes Compewflos Insurance, as required by Section 3700 of the Labor Coda for dere pWomariee or the work for whkh this permit A issued. My Works Compenuiiva Wormer carrf-r red Policy number are: Carder Policy NO.: CP.RnFlCATL' OF LNEMMON FROM WOPLKEIFIX CoyA."MATION INSURANCE (This section need sot be ceripkted if the Petmk to "On" hundred dtdina ($ taro or loss.) I eertmfy diet in the Performance of the work for which lair permit is issw.d, l sholl Dat amploy any peraanlnmyaansncrw?ubescor�taruWwkers'ComQansati°n L.awaofCdiforrda.InK t ApprkW t/ NUMB To A� f . lifter making this covur'-M-wEaemputm, you atauwid become tubjett to Ih, Waker'i Cempcnaation pr moons or the Labor Coft you must O forthwith comply with such prowiwau a d. this Permit shalt tic deemed revoke Z h-+ CONSTRUCTION LENDING AGENCY �. 4 1 homby affirm thu thom u a c mtrnetian kndrnt agcrcy for the performarim L4 Loi > the work for which this Permit is issued (See, 3097, Civ. C.) T ya p Lender, Nuns ;:1 Z [vender's Address U0 1 certify duh I have read dna apPtieadon and sure that the above Worroatiun is UL _ carted. I agree 10 comply with d€ city and cormty ordinances end sure laws miatlnt to builainl censtrunion, and hereby aahorine represcnuttret of this city w enter upon the SO C) aFa.rmentioned property for inspection purposes (We) stile to am iFY ..melfy and fcaP hmmicss theCity of spertino �said Citt. r tiabiliftludg�nu.eossand esperouwhich may inany y i+i y U Min comm imoen of the granting of this permit: APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT SOURCEREGtiLAT1ONS. I1 -1 3- a e Sipiam er AppUaHAZAI+aclo' ° NAt Or N b MATg oc"UP Dry of hsndla haardoas ""acrid Will the applicant n NM building Code, 4.1t Yk &M Heskn W4 Safety w tkfin"d by t►se CupertMo MhutklPe Codc, Section 25531(t)? C3 Yes No Wi11 dere aPplicnr a future bonding or.•up m uaa copinent a dewicea Whith emit huardrru air conundrtauts a defined by Ne Bay Amu Alf QL40ILY Managemaent Diarist? 0 Yes t3 + ,have real to harsnLw mtecriala n rtcrcmeMs under Ch>i.ta r 69i of tic Cafifar• nbHuldtdcSafctyCodr.,Secicnr2SlUS,23533aM23�341wdcruarddtetdutc btdl6ng does ace currently have o wnant. tot it is my rcspor4 Ml3ly to eottfy the acvpuhh or the rctpimemenuwbh hmust hemelortoissum era Ccatlkdeo(Occ4rtcy. Owner orrsdageni Date SRMIT NO. 06100205 ~ PERMIT L%U1 .DAK SANPYNO06 -- I NTROL NO. -- — aurwlNo relwlrr INPo BLDG ELECT PLUMS MECtr job De.-icription Required Inspections Issued by: j Date Re -roofs L / Type of Roof All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant Lute All roof coverings to be Class "B" or better 4 y�,. , ,•ABY _- ry �A+v,'n= 7-A` �`et 4 6, : r --s - - _ l b i x pm* :" on Fe[mit Nuriobt�lr Clr„ed AFid 3?634005 clo Address 22009 BAK DELL F'L Om)e1 Name GRACE Klt # Inspection Tspe Sequence Inspec?o! ScE•taduled Date Inspect Date Feault NttFs Cnmments �►aK 4 Back SUNTREK Thermal -Solar Pool HeatRrs (alifora a- 26081 Merit CV#103 • Laguna dills, CA 92653 (949) 348-9276 Fax (949) 348-1626 - Lic. #676926 120 N. Pacific St., Unit E-6 - San Marcos, CA 92069 (760) 891-9092 Fax (760) 891-9094 - Lic. # 676926 5040 Curnmercial Circle #C - Concord, CA 94520 (425) 688-8975 Fax (925) 688-8984 - Lic. # 676926 Nevada: 4275 W. Bell Drive, # 12 - Las Vegas, NV 89118 (702) 362-3611 Fax (702) 362-3313 - Lic. #39030 Web site, www.suntreksolar.com City of Cupertino Plans for Urac� a Kim Thermal Solar Pool Heating 22009 Oak Dell Place y o y— ri % 2 S 4 8q Cupertino, CA. Description of Suntrek Solar System Panels and Installation Suntrek contact: Randy Murch - 408-422 378: V �� App�4 a �N ���ES `�4 �ptiNANCES WN ass Zlis sat of Si at ati eng tacalns oe kept °n we a Y �nan8e °f trop �, &% t4 � Out 4000otCU s a00 0o smt dtpo- Ot ean IVA sP� be ar, �tK to�pa par�►titari � att di v+o� A" tom` LIO%A i UC 1 2 1 2006 601;�440 _ S&Sj�1TTq! I Cppy jwm�-- -- %NP f - IWIYrIMrM�ii/I�M�Y��1 T. - POLO ad FP _ f f City of Cupertino Plans for Grace Kim Thermal Solar Pool Heating 22009 Oak Dell Place Cupertino, CA. Description of Suntrek Soba System Panels and Installation Suntrek contact: Randy Murch -- 408-422 3785 Suntrek is the manufacture of this system: 15 year warranty on all Suntrek man�li3ctured material. Incorporated in 1991. Kim system requires 3, 48 foot by 28 inch panels equaling 288 square feet Material - EPDM Elastomer, 24" wide 72 chann=els for water flow Manifolds- Polypropylene, 2" diameter, 28" long, '1-2 channels. These manifolds are connected together using high density sleeve using a stainless, steel clamp. Water -channel - m =. 190, OD .333 Weight - l lb per sq, it empty, I '/z lbs. full Max 2peratigg temp. - 1400 Max operating pressure -- 40 psi Manifold are connected to com aasition roof using 3 "lag bolts into sheathing of roof (3/4 or 5.8) sealed with roofer's mastic (Henry's) not liquid nail (see diagram page 3) Manifolds are held in place using an EPDM collector straps (see page3) Collectors (panels) or adhered to the composistion roof approximately every 4 ft. by using; a California approved roofing sealant (see page 12 & 13 for specificatiuns). There is no air gap between roof and collectors Black schedule 40 PVC is used on all plumbing on roof and white schedule 40 FVC down side of house to pool equipment. Electricity for the automatic control units is taken from a tab on the existing pool equipment timer. No new lines run. Check valves are installed on both the feed and return pipes. ( See brochure diagram) Vacuum relief valve is installed on the high point of system on roof. This allows for 100% draining of entire system every time the system shuts down. Their is never stagnant water on roof system Composition Roofs Of all the possible solar applications, the composition roof is probably the easiest of all for installing ,113unirek collectors. The rubber mat glues well to the roofing surface and strapping penetrations are easy and trouble free when done properly. (Click on the mages for larger views) �`�� "e ri.. � ..gip'. A � ®' y � .. � �; ,' � .. p jf � ,. s ,�� u u ., n N � H S. Manifolds all connected and ready for strapping. -t ° Strapping Is a veru important part of solar collector Installations. Most problems that mqv occur years later are due to not properly attaching the sys- tem. Collector straps are made of a strip of collector material five tubes wide by about 2W' long, one stainless Steri washer and for this job 1/4"x2" galvanized lag bolts will be usa (Bolts not included in installation kit.) Run the bolt through the middle tube so that l/4" of the strap extends p"t the washer. f 6. Apply a small amount of roofer's mastic where you plan to make your roof penetration. Directly to the side of the coupler, about 4" out. 7. Wrap your collector strap around the coupler and drive the bolt through into the block 0 If you are not using mounting blocks take extra care not to over tighten the bolts. Most composition roofs are mounted on 1/2 plywood and the penetrations are easy to "spin out". Start the bolt applving a good amount of pressure and the bolt will grab the wood right awq. Tighten just enough to squish the rubber with the washer. !f you do over tighten .your bait you'll feel the bolt suddenly spin -easily In place as it strips out the wood. if leji alone the collector will eventually pull the strap out, leaving,a hole in the roof and an unsecured section of the collector bank Pull our the bolt, seal the hole and in, again to the side. a Close-up of properly fastened manifold strap. Trim. off excess strap, — • Note placement of stainless steel clamps allowing access to the screws beneath the strap f----- Manifolds all secure, collectors ready to be roiled out. 8. Blow or sweep the collet - tor area. This isn't usually necessary on a pitched roof belt a flat roof will collect a lot of debris. if a roof is particularly dirty, you may need to hose it off and wait fart it to dry. The mastic won't adhere well to a wet or dusty surface. ---% Unlike shingled roofs, this one has no file line fo follow, so we snapped a chalk line to help us get our first collector straight. 9. Apply a line of mastic every three feet. Make no more than two lines per IOoz. tube, otherwise you'll not be using enough to properly secure the F _ collectors. 9 IO.After applying mastic for one collector, roll outthe collector, pulling, it tightly as you roll it out.—. --► k k.lmni'diately after rolling out the collector, grab the manifold at each end and pull the collector until you we the tubber at the far end start to straighten out. At this point you can remove that tape as well. 12. do back over the collector and press the rubber into the mastic, straightening it out as you go. This is essential to insure good adhesion to the collector.---► r On a pitched roof, especially on a hot duv, you may have to go back periodically and push the rubber back into place until the mastic starts to set up. /t is also important not to step on the collectors where the mastic is. You'll find it to be extremely slipperv. You probably won't fall off the roof but you may have to change ,Maur short. 13. Continue rolling out the rest of the collector bank in the same nuamer. You shouldn't nerd to snap miy more chalk lines. Just go off of the previous: collector. Make sure your manifolds touch each other and axe straight. • As the dale progresses. especiarlly if it hent) ap, you will notice the collectors looking a listleju nnv. DON'T PANIC! As the fresh rubber heats up it Er.Vands and buckles up a bit between the mastic lines. They will shrink back as soon as ywu run that cold pool water shrough them. DO NOT try stretching the collectors to makw them *flat again. Aey will eventually shrink back to their original cold length. 14. Connect the pipe You mask up in step 4 before rolling out the retnaining collectors. You rt>uy also want to snap another chalk line in order to get the next collector straight. 1S. Once all of your collectors an roiled out, connect and strap them as you did the other end. —'-'► install the vacuum relief valve to the high Conner, opposite end of your return pipe. 4— Fcea to wilecuws ♦. Retum toOOM eq -P. Schematic for plumbing the system. Feed pipe goes to the lowest point of the system while the return corns off the opposite high corner, * All plumbing should be done with 2 " schedule 40 evr pipe, wrich may be difficult to find in black iike w+e use, but whhe pipe can easily be painted, &-hedule 80 PVC is another option. It has a dark gmy calor but is heavier and more expensive. What~ you do, don't be tempted to use black ABS' pipe, ABS is not Intended for this type of gppif ation and will rause you endless headaches down Me line. Paint alf pipe, (if you couldn't get black PVC) fittingB anti mastic that shows vrith flet black spray paint, -----♦ M a Plumbing The Solar At The Pool Equipment: At last glance pool equipment can be intimidating. Although no two took alike, when you understand the basics, they are all the same when it comes to the solar tie-in. Red arrows indicate flow with solar on. Blue arrows indicate solar bypass flow. Yellow lines indicate how the plumbing was prior to the solar tie in. I. Turn off pool filter and set filter to backwash. 2, Locate the pipe that runs from the filter into the gas heater. Cut out enough of this pipe to install your solar equipment. If there is no heater, this pine will run directly into the ground, to the pool. In this case there may be a chlorinator device on the pipe. Make your tie-in the device, (You may need to relo%ate the device if it is too close to the filter,' — =� Valve position and flow with se!aron 3. Install the cluck valve directly after the filter. 4, Install the solar valve after the cheek valve. (Connecting it tike the diagram will snake it easiest for installing an automatic controller.) S. One port of the solar valve (shown in blue) will go to the solar collectors. 6. The other port will be plumbed to the return tee. 7. The other two pods of the return tet will connect to the solar collector return (shown in red) and the; heater inlet (or pool return). 8. A check valve should be installed on the return line. This is not required for the operation of the system. It serves to isolate the system from getting any water when bypassed. valve position andflow with solar bypassed 37 YCLO�- 10 VM important! When wrapping pipes around an eve, alr.+ays strap the pipes at the very top, just under the elbows. 38 AutomPtic Controls: A great addition to your suntrvk system is the Compeol LX -220 automatic control system. It will increase the efficiency of your system by 95 to 20 percent by automatically bypassing the collectors when the sun is not directly shining on them. Water passing thix)ugh the collectors at night, on a cool or rainy day, or even just a dark cloud passing over- head can cool the pool quickly through the collectors. operationtWhcn your solar system is Operating, an indicator light will be on. 'Select one of the settings below.. Auto: This is the standard oPerational position. It will automatically divert water through the soler collectors when their is sufficient solar heat to raise the tetttpemture of the Pool until your desired pool temperature is met. Off, Water will bypass the solar collectors and circulate in it's regular flher cycle. onl Manual Overrides Generally used to check the system or cool the pool while running the pump at night. Included in the automatic control frit: t- Compool LX 220 controller. 1-Comlwol 3 -way solar valve. 1- Compool valve actuator. I - Pool temp. sensor. I. Solar temp, sensor. I- Installation and operation guide. Manv automated pool systems come with solar control options and only require an additional valve actuator and solar sensor. Che^k vour indoor controller or owners manual. 42 Cowpwt LI( 320 controller. C'ompool solar calve and actuator. Attn: Roy Heine Suntrek Headquarters 5 Holland, Building #21:5 Irvine, CA, 92618 Dear Mr. Heine, Per your request, I am writing to inform you of Franklin International's test results for Suntrek Roofing Sealant used in conjunction with the Suntrek rubber tubing on ceramic tile, wood (maple) and composition roofing. For this testing samples were constructed measuring approximately one -inch wide by three -inches in length, where the above listed substrates were adhered using Suntrek Roofing Sealant. The roofing sealant was permitted to cure at room temperature for seven days, after which the rubber tubing was peeled from the various substrates using a calibrated universal testing machine to obtain the force required to peel the tubing from the substrates. The following photograph depicts one of the samples being tested: FC, The following table is a summary of the data collected during our testing: Substrates (Adhc►ents) Average Peel Strength (Pounds Per Linear Inch Suntrek Rubber Tubing / Ceramic Tile 12.156 Suntrek Rubber Tubing / Composition Roofing 10.996 Suntrek Dabber Tubing/ Woad (Maple) 8.045 When viewed in conjunction with the numerous successful applications using Suntrek Roofing Sealant to adhere Suntrek Rubber Tubing to the listed substrates, experience indicates that the above values are sufficient for your application. 1 hope that this information is helpful, and ask that you feel free to contact me at 1-800- 347r4583, or direct at (614) 445-1468 if 1 can be of any further assistance. Sincerely, Timothy C. Massaira Technical Services Manager Franklin International I.x220f2Tx System Includes LX -220 Solar Controller. CVA -24T Valve Actuator. PTV-2TS 2" Solar Valve. TS -5T Water Temperature Sensor. TS -ST Solar Temperature Sensor. Accessories 2COND Solar sensor hook-up cable, HW -5B Electric drain -down valve for glazed collectors. RLY-SC Relay kit for pool cleaner or booster pump. Copyright 1998, Compool. Inc. Tefan®is s registered trWenurk of DuPont. Additional Features Pool Cleaner Protection- Protects pool cleaner pump from damage caused by air in the solar collectors at start-up. Requires relay kit RLY-SC. Solar Booster Pump- For use in systems which utilize a booster or independent solar pump. Booster pump is activated when solar energy is available. Requires relay kit RLY-SC. Pentair Pool Products Inc. Phone (800) 831-7133 Fax (800) 284-4151 www.pentairpool.com Brochure 443.0809 CITY OF CUPERTINO Item, 1 of 1 PERMIT RECEIPT OPERATOR: amyw COPY # 1 Sec: Twp: Rng: pub: Blk: hot: APN . , ... ..: 32639005. 00 DATE ISSUEZ..... ..: 1.0/27/2006 RECEIPT #.. , .... ..: 36599 REFERENCE ID # ..: 06100205 SITE ADDRESS ..: 22009 OAKDELL PL SUBDIVISION CITY ... ... ., .. CUPERTINQ IMPACT AREA ... ... OWNER ........ , .. GRACE KIM ADDRESS . , . CITY/STATE/ZIP . ... , RECEIVED FROM .. ..: GRACE KIM CONTRACTOR .. , .... c ROY HE INE LIC # 28410 COMPANY .. ..: SUNTREK INDUSTRIES ADDRESS 5 HOLLAND BUILDING 21.5 CITY/STATE/ZIP : IRVINE, CA 92618 TELEPHONE .: (949)348-9276 _-FEE ID y __- UNIT-- _- QUANTITY_- PD-TO-DT THIS SOLARRES FLAT RATE 1..00 -AMOUNT_-- 300.00 0.00 'THIS-REC- _NEW -BAL 300.00 0.00 TOTAL P'-:ZMIT ----300.00 r----'0.00 300.00 _----0.00 METHOD OF PAYMENT AMOUNT ----- NUMBER OTHER ------300.00 MASTERCARD ------ TOTAL RECEIPT __�-==300.-00 t*,t,t,t��** ��ttt*tr�ttttir�#,ttrt�r�$,rt*tt***f,t�,tt���r►tt,�,r,r�*�*t�#*t,t A.S.R, (408) 499-1551 Permit # 06100205 PLAN CHECK NUMBER: 06436.CUP Nov. 3, 2006 PROJECT: Install Solar Panel 22009 Oakdell lel De i sgner : Randy March 408-422-3785 DOCUMENTS,-A37=9I3: ^ - - - - - - VIA 1 SET OF Documents HAND DELIVERY" Dear Sue The attached documents were reviewed and cleared by our office. _ i' m �row cffiv of CUPEkTINO 0 0 CITY OF'CUPERTINO PERMIT APPLICATION FO IM 0(v I O(JR Mailing Address (if different from building address): I�tiilding Address: CA - Phone #: Owner's Name* License ft: rContractor_ �% Cupertino Business Licensett: 2!R4110 phone: Ub -ontact' onl�ct: fax: ACL,-� -- ----' Building Permit, Info: Job Description o'.Q;&-antial 'm Ft. Floor Asca: Elect Plumb Cost 01 Project: 15,0-0 Type of Construct ect Size.. Standard EL El 11antity Fee ID —A -A P- PLOTHF-F- dc) I L E R I BBO0ILEK-i 1 L 6BILER4 BBOILER5 '--ACONSTAX jCONSTA-X iCONSTAX-13Q B (,'0 N S T A -K- H --bCONSTAXR c 10(1x40 BimYC204) BENERGY mech 0 Commercial 0 Sq.Ft.: OccupaLncy Group: Please clieck this box if the project is a second-stoU addition: _O � NERGY DD - Ld-----T,�vcsq�a�ion fee BUILDING ICiA TNVEST--- I of 3 Fee CwrOUP Other Appliances Boiler -100,000 Btu Boile - —MECHANICAL_ MEC�HX�r4ICA.L— Boiler > IOOK to 500K Btu MECHANICAL Boiler -, 500K to I M Btu MECHANICAL Boiler > IM to 1.75 M Btu MECHANICAL Boiler MECHANICAL Construction Tax BUILDING BUILDING Ind/Off/comrn/Quasi for 130 Zone --__---131 —ING BUILDING Hotel and MOtcl---- ------- C. nstax - Resi/Mobile I LDIN 1000.' EI-EcTRICAL ELE&FRICAL Elec600V>IOOO A, ELFC YRICALL� Elec Svcs 600V <= 200A BtJILD[NCj__-- -BUILDING NERGY DD - Ld-----T,�vcsq�a�ion fee BUILDING ICiA TNVEST--- I of 3 ft Pounter Cheddi Check all items that pertain to the project to confirm completeness! L7 Is project in the City? Yes -- 'No ❑ As annexation completed? Yes <-No bj4ame, Address of Project b] Name, Phone Number of Contact Person Title Sheet b Cover. Pape L7 ample:e Architectural Plan Sheet(s) ❑ Stntctural Plan Sheet(s) Structural Calculations El Mechanical Plan Sheet(s) Plumbing Plan Sheet(s) G Electrical Plan Sheet(s) 0 .Accessibility Plan Sheet(s) Submittal application: Signature:�r-- School Fee's- inform applicant it requirect ❑ Business License .,`❑ APN # ❑ 'C'hange of Use ❑ ❑ _ Plan Documents �- ❑ T-24 Energy Plan Sheet(s) p T-24 Energy Calculations ❑ Plan p4oes signed and stamped la-'-# of Plan Sets submitted 17''# of Plan Sets required Plot/Site BMPs Date: rsJ'Z') ' 4 G _ Plan Distribution Building ❑ Health Department 0 Planning -(Adding 2"d unit, Commercial Tl w/change --Q> County Assessor (Final approved plans for all of use or exterior work and any food service application) projects) M Public Works - (New SFDWL; addition/remodel ❑ Special Inspectors Copy w/25% increase in sq, footage; commercial addition; all hillside applications; grading and drainage permits; retaining wail permits; swimming pool (new/demo) O Fire Department- (All commercial, All new SFDWL) 13 Sanitary.. (Everything)_ ❑ Health Department (Any food service, septic tanks) Plan Distribution, Signature: �!'�---- "'"'-''""" Date; Prior to issuing ANY Permit, ALL the applicable items bellow MUST be check off as completed .�Buildin, Department Approval El Planning Department Approval Public Works Approval 0 Sanitary Approval 0 Ylealth Department Approval ® Fire Department Approval ❑ Sanitary Permit Sanitary Back Flow Noted D Sneciallnspection - ❑ Workman's Comp. current ❑ Contractors License is current 0 School Fees Paid 0 Construction Tax Paid 0 Planning Recovery Fee 0 Housing Mit; ,;%tion Fee ❑ Heart of the t sty 'r ee County Ass.. ,�i.,r Copy of Approved Plans 0 —Date: Permit issuance: Signature: Revised 11/18/04