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BRES2015-0302VOICE (760) 777-7125 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA'92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 4/22/2016 Application Number: BRES2015-0302 Owner: Property Address: 53525 HUMBOLDT BLVD LEONARD TWETEN APN: 767700018 Property Zoning: Application Valuation: $699,404.80 Applicant: Contractor. AP; 2 2 2C`5 GORDON STEIN DISCOVER BUILD RS 51053 SORREL COURT 80955 AVE UE 52 INDIO, CA 92201 LA QUINT CA 92253 CITYOFLAQUINTA COMMUNITY DEVELOPMENT DEPAETMENT11 (760)393-5286 — —� Llc. No.: AEC252 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 and effect. License Class: _ License No.: AEC252 Date Contra�� 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 owrier 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. Q. Lender's Na Lender's 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 thework for which this permit is issued. ave 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: _ Polity 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 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: H" Z7—' l �/ Applicant:?/� 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 et 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. Icertify 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 property for inspection purposes. Date: %�� GV Signature (Applicant or Agent): DESCRIPTION FINANCIAL •1i ACCOUNT QTY AMOUNT PAID PAID DATE ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $989.84 $989.84 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE Total Paid for ART IN PUBLIC PLACES - AIPP: $989.84 $989.84 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $24.00 $24.00 4/22/16 PAID BY. - METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $24.00 $24.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 4/22/16 - PAID BY ' METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $129.00 4/22/16 : PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT' QTY, AMOUNT PAID PAID DATE DIF -FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 ' 4/22/16 PAID BY.. _ METHOD RECEIPT # CHECK # CLTD BY DISCOVERYAUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE. DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 4/22/16 PAID BY.. METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $40.00 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY" DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNTQTY AMOUNT PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00. $2,048.00 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $116.00 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT ' PAID PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 4/22/16 PAID BY. METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE TEMP POWER SERVICE 101-0000-42403 0 $24.17 $24.17 4/22/16 PAID BY' METHOD RECEIPT # CHECK # ' CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE -TEMP POWER SERVICE PC 101-0000-42403 0 $16.92 $16.92 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE Total Paid for ELECTRICAL: $41.09 $41.09 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $110.97 $110.97 4/22/16 PAID BY METHOD RECEIPT. # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $45.72 $45.72 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0. $145.03 $145.03 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $47.86 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE Total Paid for ELECTRICAL - NEW CONSTRUCTION: $349.58 $349.58 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF 101-0000-42408 0 $36.26 $36.26 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL PRECISE GRADING - CUSTOM HOME LOT >7KSF PC 101-0000-42600 0 $181.29 $181.29 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY . DISCOVERY BUILDERS CHECK R14975 2695 RSE Total Paid for GRADING: $217.55 $217.55 DESCRIPTION. ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $181.30 $181.30 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $120.85 $120.85 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY'BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID. PAID DATE EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 4/22/16 PAID BY METHOD • RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD PC 101-0000-42600 0 $4.83 $4.83 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT "PAID PAID DATE FURNACE 101-0000-42402 0 $181.30 $181.30 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000-02600 0 $120.85 $120.85 4/22/16 PAID BY METHOD RECEIPT # CHECK # (YTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY . AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $132.99 $132.99 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $53.13 $53.13 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE Total Paid for MECHANICAL: $807.34 $807.34 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ,NEW CONSTRUCTION PERMIT 101-0000-42400 0 $803.33 $803.33 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE Total Paid for NEW CONSTRUCTION PERMIT: $803.33 $803.33 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $539.64 $539.64 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 R5E DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,200.00 .$1,200.00 8/6/15 . PAID BY METHOD RECEIPT # CHECK # CLTD BY DESIGN MIND STUDIO CHECK R8271 5576 PIU Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,739.64 $1,739.64 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE 101-0000-02401 0 $12.09 $12.09 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $4.83 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695. RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID ' PAID DATE FIXTURE/TRAP 101-0000-42401 0 $362.70 $362.70 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY . DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $362.70 $362.70 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ' ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $36.26 $36.26 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, S+ OUTLETS PC 101-0000-42600 0 $24.17 $24.17 4/22/16 PAID BY, METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ROOF DRAIN 101-0000-42401 0 $181.35 $181.35 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ROOF DRAIN PC 101-0000-42600 0 $181.35 $181.35 4/22/16 PAID BY METHOD RECEIPT # CHECK #, CLTD BY DISCOVERY BUILDERS CHECK R14915 2695 RSE `DESCRIPTION ACCOUNT QTY AMOUNT' PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $24.18 $24.18 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT = QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $14.50 $14.50 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $12.09 4/22/16 PAID BY 'METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC .101-0000-42600 0 $12.09 $12.09 4/22/16 PAID BY METHOD RECEIPT # CHECK # 'CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE Total Paid for PLUMBING FEES: $1,252.49 $1,252.49 - DESCRIPTION ACCOUNT QTY -AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $77.47 $77.47 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE. Total Paid for STRONG MOTION INSTRUMENTATION SMI: $77.47 $77.47 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $1,837.44 4/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY DISCOVERY BUILDERS CHECK R14975 2695 RSE Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1;837.44 Description: DISCOVERY CORPORATION CALIFORNIA NEW SINGLE FAMILY DWELLING Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED Applied: 8/6/2015 PJU FAMILY DETACHED Approved: 11/16/2015 J10 Parcel No: 767700018 Site Address: 53525 HUMBOLDT BLVD LA QUINTA,CA 92253 Subdivision: TR 33076-2 Block: Lot: 66 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $699,404.80 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: NEW SFD THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, DRIVEWAY APPROACH, FIRE PIT, BBQ PIT OR WATER FEATURE.THIS HOME IS FIRE SPRINKLED PER 2013 CRC CODES. ADDITIONAL SITES Applied to Approved Printed: Friday, April 22, 2016 10:59:48 AM 1 of 6 C .,. SYSTr: AAS CHRONOLOGY �� CHRO.NOLOGYT�1(PG.,.. � � � �,.�:�� ,..'STAFFNA'fvfl �,�,�� _,��... ACiItl��ryaTE� CO... _._..... LETION 6A MP DATE _.... . NOTES NOTE JIM JOHNSON 11/5/2015 11/16/2015 ESGIL TRANSMITTAL RECEIVED (APPROVED) VIA EMAIL, PLANS CURRENTLY IN ROUTE. ALL THIS INFO WAS ADDED ON 8/7 BUT ON MONDAY, 8/10 NOTE KAY HENSEL 8/7/2015 8/7/2015 NOTHING WAS THERE. ALL RE -ADDED ON 8/10 PLAN CHECK COMMENTS FROM CONSULTANT JIM JOHNSON 11/16/2015 11/13/2015, RECEIVED PLAN CHECK COMMENTS FROM CONSULTANT PHILIP JUAREZ 8/21/2015 8/21/2015 PLANS NEED CORRECTIONS PER ESGIL RECEIVED PLAN CHECK SENT TO KAY HENSEL 8/7/2015 8/7/2015 OUTSIDE PC PLAN CHECK SENT TO STEPHANIE GUMPERT 11/4/2015 11/4/2015 OUTSIDE PC Printed: Friday, April 22, 2016 10:59:48 AM 1 of 6 C .,. SYSTr: AAS PLAN CHECK SUBMITTAL FINANCIAL PHILIP JUAREZ 8/6/2015 INFORMATION 8/6/2015 RECEIVED . CLTD DESC DESCRIPTION A. ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD •PAID BY RESUBMITTAL STEPHANIE GUMPERT 11/4/2015 $989.84 $989.84 11/4/2015 CHECK DISCOVERY BUILDERS RSE RESIDENTIAL TELEPHONE CALL JIM JOHNSON 8/26/2015 Total Paid for ART IN PUBLIC PLACES - AIPP: $989.84 8/26/2015 CALLED.GORDON STEIN TO INFORM HIM PLANS ARE READY , BSAS SB1473 FEE 101-0000-20306 0 $24.00 $24.00 4/22/16 1 R14975 2695 FOR CORRECTIONS. I DISCOVERY BUILDERS I RSE Total Paid for BUILDING STANDARDS ADMINISTRATION• $24.00 $24.00 BSA: CALLED GORDON STEIN TO INFORM HIM PLANS ARE APPROVED PENDING HIS SIFNATURE, SCHOOL FEES, GRANT TELEPHONE CALL JIM JOHNSON 11/16/2015 11/16/2015 DEED PLANS SIGNED AND GRANT DEED RECIEVED CONDITIONS CONDITION DATE DATE DATE CONTACT TYPE ADDED REQUIRED SATISFIED STATUS REMARKS NOTES READY TO ISSUE JIM JOHNSON 11/5/2015 9/5/2015 4/22/2016 COMPLETE CHECKLIST CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT. GORDON STEIN 51053 SORREL COURT INDIO CA 92201 CONTRACTOR DISCOVERY BUILDERS 80955 AVENUE 52 LA QUINTA CA 92253 zhanan@discoverybuil dersllc.com OWNER LEONARD TWETEN 217 PALM RIDGE PALM DESERT CA 0 Printed: Friday, April 22, 2016 10:59:48 AM 2 of 6 I:%V SYS TEti1S FINANCIAL INFORMATION . CLTD DESC DESCRIPTION A. ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD •PAID BY BY ART IN PUBLIC PLACES - 270-0000-43201 0 $989.84 $989.84 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE RESIDENTIAL Total Paid for ART IN PUBLIC PLACES - AIPP: $989.84 $989.84 BSAS SB1473 FEE 101-0000-20306 0 $24.00 $24.00 4/22/16 1 R14975 2695 CHECK I DISCOVERY BUILDERS I RSE Total Paid for BUILDING STANDARDS ADMINISTRATION• $24.00 $24.00 BSA: Printed: Friday, April 22, 2016 10:59:48 AM 2 of 6 I:%V SYS TEti1S Printed: Friday, April 22, 2016 10:59:48 AM 3 of 6 srsr(M5 CL TD DESCRIPTION ACCOUNT-:: CITY AMOUNT PAID' PAID DATE RECEIPT# CHECK# METHOD PAID BY BY DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE DIF.- COMMUNITY 254-0000-43200 0 $129.00 $129.00 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE CENTERS DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE DIF - PARK 256-0000-43200 0 $40.00 $40.00 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE MAINTENANCE DIF - PARKS/REC 251-0000-43200 0 $2,048.00. $2,048.00 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE DIF -STREET 255-0000-43200 0 $116.00 $116.00 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE MAINTENANCE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE Total Paid for DIF -.SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 - TEMP POWER SERVICE 101-0000-42403 0 $24.17 $24.17 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE TEMP POWER SERVICE 101-0000-42403 0 $16.92 $16.92 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE PC Total Paid for ELECTRICAL: $41.09. $41.09 RESIDENTIAL, 101-0000-42403 0 $110.97 $110.97 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE ADDITION 1,000O5S E RESIDENTIAL, EA 101-0000-42600 0 $45.72 $45.72 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE ADDITION 1,000SF, PC RESIDENTIAL, FIRST 101-0000-42403 .0 $145.03 $145.03 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE 1,000SF RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $47.86 4/22/16 R14975 2695 CHECK [DISCOVERY BUILDERS RSE 1,000SF; PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $349.58. $349.58 RESIDENTIAL PRECISE GRADING - CUSTOM 101-0000-42408 0. $36.26 $36.26 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE HOME LOT >7KSF Printed: Friday, April 22, 2016 10:59:48 AM 3 of 6 srsr(M5 Printed: Friday, April 22, 2016 10:59:48 AM 4 of 6 sysrcnts CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD _ PAID BY BY RESIDENTIAL PRECISE GRADING - CUSTOM 101-0000-42600 0 $181.29 $181.29 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE HOME LOT >7KSF PC Total Paid for GRADING: $217.55 $217.55 CONDENSER/COMPRES 101-0000-42402 0 • $181.30 $181.30 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE SOR CONDENSER/COMPRES 101-0000-42600 0 $120.85 $120.85 4/22/16 1114975 2695 CHECK DISCOVERY BUILDERS RSE SOR PC EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 4/22/16 R1497S 2695 CHECK DISCOVERY BUILDERS RSE EXHAUST HOOD PC 101-0000-42600 0• $4.83 $4.83 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE FURNACE 101-0000-42402 0 $181.30 $181.30 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE FURNACE PC 101-0000-42600 0 $120.85 $120.85 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE VENT FAN 101-0000-42402 0 •$132.99 $132.99 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE VENT FAN PC 101-0000-42600 0 $53.13 $53.13 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE Total Paid for MECHANICAL: $807.34 $807.34 NEW CONSTRUCTION 101-0000-42400 0 $803.33 $803.33 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE PERMIT Total Paid for NEW CONSTRUCTION PERMIT: $803.33 $803.33 NEW CONSTRUCTION 101-0000-42600 0 $539.64 $539.64 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE PLAN CHECK NEW CONSTRUCTION 101-0000-42600 0 $1,200.00 $1,200.00 8/6/15 R8271 5576 CHECK DESIGN MIND STUDIO PJU PLAN CHECK . Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,739.64 $1,739.64 BACKFLOW DEVICE 101-0000-42401 0 $12.09 $12.09 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $4.83 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE Printed: Friday, April 22, 2016 10:59:48 AM 4 of 6 sysrcnts INSPECTIONS PARENT PROJECTS Printed: Friday, April 22, 2016 10:59:48 AM 5 of 6 - syszrMS y CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID' PAID DATE RECEIPT # CHECK # METHOD PAID BY BY .,. BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE FIXTURE/TRAP 101-0000-42401 0 $362.70 $362.70 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE FIXTURE/TRAP PC 101-0000-42600 0 $362.70 $362.70 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE GAS SYSTEM, 5+ 101-0000-42401 0 $36.26 $36.26 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE OUTLETS GAS SYSTEM, 5+ 101-0000-42600 0 $24.17 $24.17 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE OUTLETS PC ROOF DRAIN 101-0000-42401 0. $181.35 $181.35 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE ROOF DRAIN PC 101-0000-42600 0 $181.35 $181.35 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE WATER HEATER/VENT 101-0000-42401 0 $24.18 $24.18 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE WATER HEATER/VENT 101-0000-42600 0 $14.50 $14.50 4/22/16 R14975 .269S+ CHECK DISCOVERY BUILDERS RSE PC WATER SYSTEM 101-0000-42401 0 $12.09 $12.09 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE INST/ALT/REP WATER SYSTEM 101-0000-42600 0 $12.09 $12.09 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE INST/ALT/REP PC Total Paid for PLUMBING FEES: $1,252.49 $1,252.49 SMI -RESIDENTIAL 101-0000-20308 0 $77.47 1 $77.47 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI: $77.47 $77.47 SINGLE FAMILY 224-0000-20320 0. $1,837.44 $1,837.44 4/22/16 R14975 2695 CHECK DISCOVERY BUILDERS RSE DETACHED Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1,837.44 TOTALS:i'' INSPECTIONS PARENT PROJECTS Printed: Friday, April 22, 2016 10:59:48 AM 5 of 6 - syszrMS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS - REMARKS NOTES SUBDIR ETRAKIT ENABLED Attachment Type DATE OWNER ATTACHMENTS DESCRIPTION PATHNAME NON-STRUCTURAL - JIM JOHNSON 8/6/2015 8/27/2015 8/26/2015 REVISIONS REQUIRED DOC 3 WK AJ ORTEGA 1ST REVIEW ESGIL FEE REVIEW ESGIL FEE 0 STRUCTURAL - 2 WK KURT CULVER 8/6/2015 8/27/2015 8/19/2015 REVISIONS REQUIRED STRUC P/C ONLY - YOUNG DID THE CALCS . 1ST PW GREEN AMY YU 9/21/2015 9/28/2015 9/22/2015 READY FOR APPROVAL AJ ORTEGA STRUCTURAL SHEET 1 CORRECTIONS CORRECTIONS.pdf 2ND BLDG NS (2 JIM JOHNSON 11/4/2015 11/19/2015 11/5/2015 APPROVED WK) BRES2015-0302 -2ND 2ND BLDG STR (2 KURT CULVER 11/4/2015 11/19/2015 11/10/2015 READY FOR APPROVAL 0 WK) TRANSMITTAL APPROVAL.pdf Printed: Friday, April 22, 2016 10:59:48 AM 6 of 6 SYSTEMS BOND INFORMATION SUBDIR ETRAKIT ENABLED Attachment Type CREATED OWNER ATTACHMENTS DESCRIPTION PATHNAME BRES2015-0302 - 1ST DOC 8/25/2015 AJ ORTEGA 1ST REVIEW ESGIL FEE REVIEW ESGIL FEE 0 SHEET SHEET.pdf 1ST REVIEW BRES2015-0302 - 1ST DOC 8/25/2015 AJ ORTEGA STRUCTURAL REVIEW STRUCTURAL 1 CORRECTIONS CORRECTIONS.pdf 2ND REVIEW BRES2015-0302 -2ND DOC 11/10/2015 AJ ORTEGA STRUCTURAL REVIEW STRUCTURAL 0 TRANSMITTAL APPROVAL.pdf (APPROVED) DOC 11/5/2015 JIM JOHNSON SCHOOL FEES BRES2015- SCHOOL FEES BRES2015- 0 0302.pdf 0302.pdf DOC 4/22/2016 RAMSES SEVILLA HUMBOLT SCHOOL HUMBOLT SCHOOL 1 FEE.pdf FEE.pdf DOC 4/22/2016 RAMSES SEVILLA HUMBOLT DEED.pdf HUMBOLT DEED.pdf 1 DOC 9/23/2015 STEPHANIE KHATAMI PM10 APPROVAL 09-22- PM10 APPROVAL 09-22- 0 15.pdf 15.pdf Printed: Friday, April 22, 2016 10:59:48 AM 6 of 6 SYSTEMS