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BRES2015-0002!r y 78-495'CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BRES2015-0002 Property Address: 56495 MOUNTAIN VIEW APN: 762420003 Application Description: TELEVISION STONE CABINE Property Zoning: Application Valuation: $16,850.00 Applicant: ELITE RENOVATION' 54900 SOUTHERN HILLS LA QUINTA, CA 92253 Td4f 4 449mrcv COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 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 Professions Code, and my License is in full force !agnAeffect. License CI ss: _ ice 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.). ( ) 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 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 Lender's VOICE (760) 777-7125 'FAX (760) 777-7011 INSPECTIONS (760) 777-7153 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' compe sation, as provided for by Section 3700 of the Labor Code, for the performance oft ork for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Se on 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: 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 37 of the Labor Code, I shall forthwith complywith hose p visions. 0�, Date: I' Applicant: WARM G: FAIL RE TO SECURE WORKERS' COM PENSATI N COVERAGE IS UNLAWFUL, • . AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL SAND CIVIL FINES UP TO ONE HUNDRED. THOUSAND DOLLARS ($100,000). IN ADDITI ZO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 O - 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. I certify that I have read this application and state that the above information is correct. I agree to complywith all city and county ordinances and state laws relating to building construction,.and hereby authorize representatives of thn'to enter upon the above- mentiop prope for inspection purposes. Date: f Signature (Applicant or Agent): Date: 1/12/2015 Owner: •ROGERSOHN 1193 PIEDRA MORADA DR PACIFIC PALISADES,,CA 92253 O N Contractor: _o o w ELITE RENOVATION ,..y ss LL 54900 SOUTHERN HILLS Z 08 LA QUINTA, CA_92253 . Q v • z ( (760)27.2-8752 LIc. 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' compe sation, as provided for by Section 3700 of the Labor Code, for the performance oft ork for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Se on 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: 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 37 of the Labor Code, I shall forthwith complywith hose p visions. 0�, Date: I' Applicant: WARM G: FAIL RE TO SECURE WORKERS' COM PENSATI N COVERAGE IS UNLAWFUL, • . AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL SAND CIVIL FINES UP TO ONE HUNDRED. THOUSAND DOLLARS ($100,000). IN ADDITI ZO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 O - 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. I certify that I have read this application and state that the above information is correct. I agree to complywith all city and county ordinances and state laws relating to building construction,.and hereby authorize representatives of thn'to enter upon the above- mentiop prope for inspection purposes. Date: f Signature (Applicant or Agent): FINA NCIAL INFORMATION. �vq- UESCRIPTIONc t ° ACCOUNT r,4,�,� 'QTY "<aAMOUNTc<',-PAID+ j3 rPAID DATE a. BSA5.�61473 FEE 101=0000-20306 0 $1.00 $0.00 s� , PAID BYE "' a, �'' , $ METHODS l£ s =>r RECEIPTS# PK: b ?.�CHECK£# �'', CLTD3BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 .$0.001 Ys x 'DEsc RIP,TION 3 ;` `t ACCOUNT' ii. I f,QTiYv-hAMOUNT r �r> PAID � a iPAID DATE' DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 >'z�xf �_°4 PAIDyBY 4.;� .., METHOD s RECEIP7z4 ,CHECK #+>CLTD BYrt 4 k `DES IPTION # A� ACCOUNT s a f QTYAMOUNT � PAID t; " PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 a t, PAID BY - {`: METHODY � ' � , j �� .RECEIPT,.##.- + �: s , CHECK # ,CLTD 8 ; Y Total Paid for ELECTRICAL: $48.34 $0.00 s- nDESCRIPTION,;.�:, ACCOUNTS # 'QTY AMOUNT �;PAID �,�PAIDDATEs. PARTITION 101-0000-42400 1 0 $72.52 $0.00 tiu 6 a PAID BY v�& r r{METHOD q, rer •�*s PT F`rs CHECK #, r - *" CLTD BY. DESCRIPTION n, I '< xd, w�- 3 . _ w„taa ACCOUNT°� z"{ }F QTY € +�t;�AMOUNTs ; r `<F:__PAID+ty PAID4DATE' PARTITION PC 101-0000-42600 0 $133.43 $0.00 =�4 PAID' M, � ` ° ` LL METHOD `RECEIPT '�° °a_�<� � � # f . � -R CHECK #'. CLTD'BY Total Paid forPARTITION: $205.95 $0.00 "x� aDESCRIP,TION� +=� cr > r ` ACCOUNT , " ' x a. V.4 EI a °AMOUNT k PAID Y � PAID:DATE= SMI - RESIDENTIAL _ 101-0000-20308 0 $2.19 -$0.00 BYi. sx” �- METHOD' } -R CHECK CHECK # ! CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMt $2.19 $0.00 TOTALS:•• , • •y r Description: TELEVISION STONE CABINET. Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED Applied: 1/7/2015 MFA Approved: 1/9/2015 JJO Parcel No: 762420003 Site Address: 56495 MOUNTAIN VIEW LA QUINTA,CA 92253 Subdivision: TR 28838-4 Block: Lot: 3 Issued: Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $16,850.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: BUILD OUTSIDE T.V. WALL PARTITION IN BACK YARD, INC. ELEC. AND CAB. HOOK-UP ONLY. ADDITIONAL SITES Applied to:Approv6d,-, CONDITIONS Printed: Monday, January 12, 2015 2:41:30 PM 1 of 3 SYSTEMS PARENT PROJECTS BOND INFORMATION' Printed: Monday, January 12, 2015 2:41:30 PM 2 of 3. CRWSYSTEMS FINANCIAL INFORMATION 'k'14: r7l: V .)bEsckI0Tk NT, R" _PAID .'PAID DATE RECEIPT CHECK METHOD BSAS SB14 73 FEE 101-0000-20.306 .0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: DEVICES, FIRST 20 101-0000-42403 0 $24:.17 $0.00 DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 Total Paid for ELECTRICAL: $48.34 $0.00 PARTITION' 101-0000-.42400 0 $72.52 $0.00 PARTITION PC 101-0000-42600 0 $133.43 $0.00. Total Paid for PARTITION: $205.95 $0.00 SMI - RESIDENTIAL 101-0000-20308 0 $2.19 $0.00 Total Paid fo'rSTRONG MOTION INSTRUMENTATION SMI: $2.19 $0.00 TOTALS: $257.48 $0.00 INSPECTIONS INSPECTOR -%p''. 'SCHEDULED DATE,,. W%7 FINAL** PARENT PROJECTS BOND INFORMATION' Printed: Monday, January 12, 2015 2:41:30 PM 2 of 3. CRWSYSTEMS l Bin if City of La Quinta. Building &r 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: 5(R Owner's Name: hN n A. P. Number: Address: (Q 1Q 4 Vlit t% Legal Description: City, ST, Zip: Za t,Y c� as3 ntract Co or .telephone: a. . Address:. j _ 9 11P. �S Project Description: City, ST, zip:. LCv. Cf+ n sem`_ l + b r TeleP hone 7o b k 4 O r c,,9.Ut State Lic. # : R --n739 00 City Lic. #; • A �A Arch:, Engr., Designer: Address: ^ /4NN w DD 0d City., ST, Zip: t a. �X�tg•.. ; �•►� `�? • `SES Telephone: hone: ancY n TYPe• Occupancy: Conslructi : i State Lc., #• Project type cir+cleone • New Add'n Alter Repair Demo .Name of Contact Person: 4L Sq. Ft.: #''Stories: # Units: , Telephone #,of Contact Person,:. ( Estimated Value of Project: 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 Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan j' 2°" Review, ready for corrccC ns/issue316 Electrical . SubcontactorList Called Contact Person ' 'Plumbing p' Grant Deed Plans picked up S.M.I. H.O.A. Approval ' _ Plans resubmitted Grading IN HOUSE:- Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person 4 A.I.P.P. Pub. Wks. Appr Date of permit issue Sclao6l,Fccs Total Permit fees 8 . 0 PGA WEST® FAIRWAYS ASSOCIATION : Dear Homeowner, _ Congratulations on,the1mprove ment you would like to make, to your residence at PGA WEST Fairways. :To insure everything goes smoothly and is in keeping with the PGA -WEST environment, we have:an Architectural/Landscape Committee that goes over each new: project before any work can be started. In order to make sure you get the best service, it is important to provide us with a complete .. :Architectural Application., If anything is missing; it can cause delays in getting approval to start your project_as-we can't process an Arch itectural,Application until it is complete. When your Application is complete, it', will be presented at the next Architectural/landscape Meeting, which is the first Monday of each month. I have attached an Architectural Application for you to fill out and include the required documents. To have it reviewed at the next Architectural Meeting, your completed Application needs to be returned by the 20"' of the month. To help make sure your application is complete, we have attached a checklist so you can go over each item that is required. Thank you and we hope your project turns out just the way you want it. 'Sincerely, JerMcD Wald, CCAM;:PCAM en ra aanager On Behalf of. PGA WEST FAIRWAYS ASSOCIATION J.M:pg Enclosures Post Office Box 1,696'P La Quinta, California 92247 • Phone (760) 776-5100 • Fax.(760)776-5111 • www.pgawestfairways.com p cab i o n o c z D _ y, M M cr Mi m m z EXHIBIT A .f APPLICATION FOR APPROVAL OF PLANS AND SPECIFICATIONS The ManagementTrust • ��`�- JUL � � 2014 TO: .PGA WEST Fairways Association Attn: Architectural Committee P.O. Sox 1690; y Monarch Group Division La Quints, CA 92247 Fax: (760) 776-511c NAME OF OWNER: / e� PROPERTY ADDRESS: G - Ltcl t ere,-� r MAILING ADDRESS: cct- TELEPHONE #: �3 I C� -2v3 �U EMAIL ADDRESS: CE ��►-�Q fr�L- ARCHITECT, CONTRACTOR, ENGINEER OR OWNMIS REPRESENTATIVE: NAME•%�nanaldl MAILING ADDRESS:s',r�1 LS TELEPHONE # 03� FAx#: PROVIDE COPYOF: CONTRACTOR'S LICENSE CERTIFICATE, OF LIABILITY INSURANCE COPY OF CONTRACTORS ESTIMATE (IF APPLICABLE) Estimated project value: $ % 1 Requested amount of time required to complete improvements. Exhibit "A" (Application for Approval of Plans & Specifica�ti ) -1 set Exinbit "D" (Approved Plant Palette Checklist, if applicallle)'. Landscape/Irrigation/Lighting Plans -1 set ►+ Preliminary Floor Plans -1 set Hardscape Plans -1 set Detailed Plans and/or Drawings -1 set Elevations -1 set : Necessary FeesE C, ExInbk "A" Page 1 of 3: JAN 0 7 2015 CITY 0LA QUINT/ COMMUNITY REVEL PMENT APPLICATION FOR ARCH137ECTURAL CHANGE F ' OR'S STATEMENT: The undersigned Owner acknowledges and agrees: 1. That no work on this request shall commence until written approval of the Architectural Committee has been received. 2. That the application submitted for approval by the Ardiitectural Committee shall not be deemed complete until Owner has provided all of the items required for the type of improvements collated as indicated on the Supplemental Guidelines attached check sheet or as required by the Architecdnal Committee. 3. That Owner has read, Zerstan and shall comply with aII requements of the Regulations and 9�eprovisions of Article V of n. OW140 S SIGNA�T'M : 3?A� NOTE: By signaftw on Mbcation, Homeowner understands and agrees that df Homeowner is delinquent on the payment of cry asse went at the tune wken refund of wdifteeftaW deposits would be due, Association shag be en WW to withhold refund of said deposits wW AwodaWon ds no*W by management that Homeowner's arrearages have beers paid Assocladon shaII notify Homeowner of the amount of the arrearage and the remabsing amount on deposit jhonreowner's bddalsj The Arrkdwft +ad CornnnWee will eonrlete the space below 06 Bite The Architectural Committee has taken the following action: O Approved as submitted on () Approved on with the conditions noted below () Disapproved for the reasons noted below. {) Incomplete application. Ii 4 APPLICATION FOR ARCEaTECTURAL CHANGE FEES/ DEPOSITS I =atrz/ rY - 5C4� . . Homeowner{�j: Name: e -PGA WEST Fah*ays:AddEess: S6q l ($0 s Teiane-:J CiGId;1 A ` : "_ 6e Two Fees are required for most submissions and most be included at the time of submersion: • A non-refundable $50 Application Fee, except for minor changes as noted below. Only one feeis required Ar all work to be done. Although no fees are required for minor changes, submit the nomral =Mt ecdtral forms m the HOA for approval prior to imIemeutmg changes. • A mbndable Performance Deposit Fee is calculated based on the cost of the project to be done The refired will be made upon completion of the work; Mowing an ' inspection by the Archit achnal Committee, and approval of the HOA. Perfornnance Deposits: • No Application or Performance Deposit fee is required for minor changes such as a tees a few shrubs, boulders, pots/vases, and pamtmg of homes in SBA's where the paint palette has been approved and the homeowner is selecting colors from the pre. -approved palette. • For all other wow a deposit of 10% of tine total cost must be submitted to the AOA when _ applying for the approval of the Architectural Committee to proceed. Please provide a copy of the contractor's estimate with this form. • A $50 Homeowner Maintenance Agreement and fee may be required in some special situations. (i.e. wooden garage door installations) as deemed necessary by the Architectural Committee. For a complete description of the Architectural Guidelines refer to the Amhitectaml Guidelines amended September 22, 2011. All necessary forms to be submitted to the HOA can be obtained by calling Management at 760-776-5100 ext. 345 or downloaded from the Fairways web site at httpJ/warw_p awestfauways core. Checks shall be made out to the PGA WEST Fairways Association_ Exhibit "A" Page 3 of 3 r A p� ,�,,.�,-.,.,,.n-,.E OF $30 'HE APPROVED _-NA ARE NOT ON e�aN:�a•m���� ., C EONS! JAN 0 7. 2015 CITY Ur i..,A QUINTA COMMUNITY DEVELOPMENT "AN ADEQUATELY EpT�N THE OBDEBRIS SITE DUORI IS RE UI. OF CONSTRUCTION AND M °�'T► n AS NECESSARY. FAILURE T( THE CITY TO HAVE THE CO THE EXPENSE OF THE I ;'CTION HOURS _ . 7 0 a CK1 rn to 5:30 p.m. � P.M.� � i' a.r Zy c.. ■ "hAuwwa1d®gme0.0om - ID'S; •i �• .:r �. a.rp. to 7:00 p.m. 6h4. 1 0 G::". ; u j 7;,t Cod« 1"olld.ays: None A FINISH FLOOR ELEVATION CERTIFICATION BY A LICENSED SURVEYOR OR ENGINEER IS FOUNDATION INS%F,i,TION' aFR( N k6py on th3' fcllowing New Year's D Dr. Malin Lu President's D Memorial Da} Indenendenc( Labor Day Veteran's Day Thanksgiving, Christmas Da CITY OF L BUILDING WE APPR FOR CONE DATE Sohn Outdoor Living Room Na D"c""" °aye Rendering Project number !r 14 Number Date „- Stone Wall SK.03 Drawn by Author Chocked by checker Scale Keynote Legend 2V Value ' Value Keynote Text i=G IIr Level_1 3r — �7 • �'i 44 Plan scale: 114* V-0` 4 96" C.L. 1 SK02 SK.01 aKs 3B 1rr ,na s' 1_ #3 Elevation: view 1 scale: 114" = 1'-0" . l 13 7 SB" 11 10 22" 145 I 14 SK.O7 g 7 ' I 10 1 Stone wall with Integrated cabinet 2 Cabinet to house tv 8 cable box 6 Built in Cabinet 7 Seating area, and back rest walls at angle 8 Exist fire pit 9 Existing stone patio 10 Stone- Bodega Bluff, from EI Dorado 11 Top Cap stone, contrasting light colored stone 12 Open cavity to run conduit 13 Upper t.v. cabinet doors, with elbow joint to fold 14 t.v. mounted on swivel arm 16 Cabinet doors when closed, cabinet face recessed from stone face #2 Elevation: view 1 scale: 1/4'- 1'•/P #1 Plan scale: 114"- 1'-0" I - - - - Sohn Outdoor Living Room No. Descriptlon Data _n PI'a B leu >: oa, CK Interiors profed number ProjectNumber o^�'°' j�S caMlle.kurewski®gmail.com Stone Wall - Checked by fAc 4 A BY t / `DATE. CITY OF LA. QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION r DATE BY 1 .!� j � ' ti., ' f +� — y •s _'. ( �A > TOP '�f0.G 1 lo scq-,u6 Per sicA,6 y„x 2(0 i' S�V45 C. a� 9A: sjeeL TMc Ramse-L -}•n co(-\c, klo screw kc S' Ale SIU, CITY OF LA QUINTA I j - -BUILDING & SAFETY DEPT. APPIE _ Satin J�es\'ct-e s 2t� rn 56 qy troul4aili V" eLA) T IIT Py. &4orn a Al Date: November 8, 2014 Invoice # Elate Renovations To: Rodger Sohn 54900 Southern Hills (310) 203-0870 La Quinta CA, 92253 (310) 717-0829 cell Lic. #: 773900 celtrog@aol.com 818-481-0937 Brian@reocleanup123.com SALESPERSON JOB PAYMENT TERMS DUE DATE Brian 56495 Mountain View La Quinta, CA 92253 QUANTITY DESCRIPTION UNIT PRICE LINE TOTAL Front Courtyard Gazebo: 2 Install (2) new infrared heaters on the front courtyard gazebo. $2100.00 -_ _;-Material allowance for the heaters of $600_00 each. _ _ - — - i Install new fan in the gazebo in the front courtyard area. Excludes _ $800.00 light fixtures Proposed New TV Structure: Proposed TV wall structure is to parallel the existing home and be inset into the existing ficus tree hedge in the back yard. We are to mount the TV on an articulating mount than comes out i and can be made to face the TV in multiple directions. i Framing $800.00 1 Build wall to house TV $1600.00 i Rough electrical and cable $2200.00 1 Install rock facade on wall $2900.00 i Rock facade material aliowance or stone for the l dorado $ lOOO.00 stone 1 Cabinet for the electronics to be housed in to look rustic $3400.00 1 Doors covering the TV to match the look of the cabinet $900.00 i Resetting of removed pavers $900.00 Trash and debris removal and hauling $800.00 TV mount will be purchased and the receipt will be provided i for reimbursement. TV mounting bracket installation and TV $250.00 installation __ _ __ 1 City permits and fees are extra and will be added to the final Subtotal $16,850.00 Sales Tax Total $16,850.00