BRES2015-017078-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
R
c&t!t44Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRES2015-0170
Property Address:
80422 PLATINUM WY
APN:
775220021
Application Description:
THE SIGNATURE PH 1 HACIEN
Property Zoning:
CARLSBAD, CA 92008
Application Valuation:
$214,652.90
Applicant:
CALIFORNIA WEST CONSTRUCTION 1
5927 PRIESTLY DRIVE STE 110
CARLSBAD, CA 92008
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
MAY 0 7 2015
cm0FLA0 j1rjTA
CO-MUNTfYOcbcLOPt,!E TDEPART&iENT
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 -/B License No.: 921,267
Date Contractor:
V �
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 (Chapt=-r 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).:
( 11, 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, 3usiness 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 pu..,suant 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 Name:
Lender's
Date: 5/5/2015
Contractor:
CALIFORNIA WEST CONSTRUCTION 1
5927 PRIESTLY DRIVE STE 110
CARLSBAD, CA 92008
(760)918-6768
LIc. No.: 927267
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.
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:
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 3700 of the Labor Code, 1 shall forthwith
comply with osee p visions. �%
Date: S �/ / Aoolicant: /
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.
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•
mentioned77,
for idion purposes.
Date: Signature (Applicant or Agent)/
Owner:
RREF II - CWC LAO, LLC.
5927 PRIESTLY DRIVE
TM 36537
SUITE 100
,A n nn�
CARLSBAD, CA 92008
MAY 0 7 2015
cm0FLA0 j1rjTA
CO-MUNTfYOcbcLOPt,!E TDEPART&iENT
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 -/B License No.: 921,267
Date Contractor:
V �
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 (Chapt=-r 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).:
( 11, 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, 3usiness 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 pu..,suant 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 Name:
Lender's
Date: 5/5/2015
Contractor:
CALIFORNIA WEST CONSTRUCTION 1
5927 PRIESTLY DRIVE STE 110
CARLSBAD, CA 92008
(760)918-6768
LIc. No.: 927267
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.
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:
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 3700 of the Labor Code, 1 shall forthwith
comply with osee p visions. �%
Date: S �/ / Aoolicant: /
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.
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•
mentioned77,
for idion purposes.
Date: Signature (Applicant or Agent)/
DESCRIPTION
FINANCIAL • 1.
ACCOUNT QTY AMOUNT PAID PAID DATE
ART IN PUBLIC PLACES - RESIDENTIAL
270-0000-43201 0 $36.63 $0.00
PAID BY
METHOD RECEIPT # CHECK # CLTD BY
Total Paid forART IN PUBLIC PLACES - AIPP: $36.63 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$9.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $9.00 $0.00
DESCRIPTION
ACCOUNT -
QTY
AMOUNT
PAID
PAID DATE
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - COMMUNITY CENTERS
254-0000-43200
0
$129.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - LIBRARIES
253-0000-43200
0
$344.00
$0.00
PAID BY ;
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - PARK MAINTENANCE
256-0000-43200
0
$40.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - STREET MAINTENANCE
255-0000-43200
0
$116.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK # .
CLTD BY
Total Paid for DIF -SINGLE FAMILY DWELLING: $6,894.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
-PAID
PAID DATE
TEMP POWER SERVICE
101-0000-42403
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
TEMP POWER SERVICE PC
101-0000-42403
0
$16.92
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL: $41.09 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF
101-0000-42403
0
$24.66
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$145.03
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $169.69 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL PRECISE GRADING -TRACT
HOME
101-0000-42408
0
$133.43
$0.00
PAID BY
METHOD
RECEIPT#
CHECK#
CLTD BY
Total Paid forGRADING: $133.43 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
CONDENSER/COMPRESSOR
101-0000-42402
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
EXHAUST HOOD
101-0000-42402
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FURNACE
101-0000-42402
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
VENT FAN
101-0000-42402
0
$72.54
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for MECHANICAL: $157.15 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
MULTI STRUCTURE PLAN CHECK - EACH
101-0000-42600
0
$48.34
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forMULTI STRUCTURE PLAN CHECK - EACH: $48.34 $0.00
DESCRIPTION p
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
MULTI -SPECIES RESIDENTIAL 0-8 UNITS
101-0000-20310
0
$1,292.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forMULTI-SPECIES RESIDENTIAL $1,292.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$589.97
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forNEW CONSTRUCTION PERMIT: $589.97 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BACKFLOW DEVICE
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION .
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP
101-0000-42401
0
$193.44
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT.
PAID
PAID DATE
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT#
CHECK#
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
'WATER HEATER/VENT
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
r
Total Paid forPLUMBING FEES: $278.06 $0.00
DESCRIPTION
ACCOUNT <.
QTY :
AMOUNT .
PAID
PAID DATE
SMI - RESIDENTIAL,
101-0000-20308
0
$27.91
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forSTRONG MOTION INSTRUMENTATION SMI $27.91 $0.00
DESCRIPTION
ACCOUNT'
QTY
AMOUNT
PAID
PAID DATE
SINGLE FAMILY DETACHED
224-0000-20320
0
$1,837.44
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00
TOTALS:00
Description: THE SIGNATURE PH 1 HACIENDAS LOT 38 TM 36537
Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: UNDER REVIEW Applied: 4/28/2015 MFA
FAMILY DETACHED
Parcel No: 775220021 Site Address: 80422 PLATINUM WY LA QUINTA,CA 92253 Approved:
Subdivision: PM 20426 Block: Lot: 38 Issued:
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $214,652.90 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 2,429 SF DWELLING 209 SF OUTDOOR LIVING. PLAN TYPE 4CR, LOT 38 [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE
POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
CALIFORNIA WEST CONSTRUCTION I
5927 PRIESTLY DRIVE
CARLSBAD
CA
92008
(760)918-6768
LBELLOSO@CALWESTC
STE 110
OMMUNITIES.COM
CONTRACTOR
CALIFORNIA WEST CONSTRUCTION[
5927 PRIESTLY DRIVE
CARLSBAD
CA
92008
(760)918-6768
LBELLOSO@CALWESTC
_
STE 110
OMMUNITIES.COM
OWNER
RREF II - CWC LAO, LLC.
5927 PRIESTLY DRIVE
CARLSBAD
CA
92008
(760)918-6768
DFONTANA@CALIFORN
IAWESTCOMMUNITIES.
COM
I
Printed: Tuesday, May 05, 2015 12:54:39 PM 1 of 4 IC7
SY57EM5
Pier m int D1elt�a
City of la Quints
Printed: Tuesday, May 05, 2015 12:54:39 PM 2 of 4 C[ OM17
SYSTEMS
PERMIT
NUMBER
BRE52015-0170
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
Printed: Tuesday, May 05, 2015 12:54:39 PM 2 of 4 C[ OM17
SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
ART IN PUBLIC PLACES -
270-0000-43201
0
$36.63
$0.00
RESIDENTIAL
Total Paid forART IN PUBLIC PLACES - AIPP: $36.63 $0.00
BSAS SB1473 FEE
101-0000-20306
0
$9.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $9,00 $0.00
BSA:
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
$0.00
DIF - COMMUNITY
254-0000-43200
0
$129.00
$0.00
CENTERS
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$0.00
DIF - LIBRARIES
253-0000-43200
0
$344.00
$0.00
DIF - PARK
256-0000-43200
0
$40.00
$0.00
MAINTENANCE
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$0.00
DIF - STREET
255-0000-43200
0
$116.00
$0.00
MAINTENANCE
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
$0.00
Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00
TEMP POWER SERVICE
101-0000-42403
0
$24.17
$0.00
TEMP POWER SERVICE
101-0000-42403
0
$16.92
$0.00
PC
Total Paid for ELECTRICAL: $41.09 $0.00
RESIDENTIAL, EA
101-0000-42403
0
$24.66
$0.00
ADDITION 1,000SF
RESIDENTIAL, FIRST
101-0000-42403
0
$145.03
$0.00
1,000SF
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $169.69 $0.00
Printed: Tuesday, May 05, 2015 12:54:39 PM 2 of 4 C[ OM17
SYSTEMS
Printed: Tuesday, May 05, 2015 12:54:39 PM 3 of 4 C
SY57EM5
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
RESIDENTIAL PRECISE
GRADING - TRACT
101-0000-42408
0
$133.43
$0.00
HOME
Total Paid forGRADING: $133.43 $0.00
CONDENSER/COMPRES
101-0000-42402
0
$36.26
$0.00
SOR
EXHAUST HOOD
101-0000-42402
0
$12.09
$0.00
FURNACE
101-0000-42402
0
$36.26
$0.00
VENT FAN
101-0000-42402
j 0
j $72.54
1 $0.00
Total Paid for MECHANICAL: $157.15 $0.00
MULTI STRUCTURE
101-0000-42600
0
$48.34
$0.00
PLAN CHECK -EACH
Total Paid for MULTI STRUCTURE PLAN CHECK - EACH: $48.34 $0.00
MULTI -SPECIES
101-0000-203100
$1,292.00
$0.00
RESIDENTIAL 0-8 UNITS
Total Paid forMULTI-SPECIES RESIDENTIAL $1,292.00 $0.00
NEW CONSTRUCTION
101-0000-42400
0
$589.97
$0.00
PERMIT
Total Paid for NEW CONSTRUCTION PERMIT: $589.97 $0.00
BACKFLOW DEVICE
101-0000-42401
0
$12.09
$0.00
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
FIXTURE/TRAP
101-0000-42401
0
$193.44
$0.00
GAS SYSTEM, S+
101-0000-42401
0
$36.26
$0.00
OUTLETS
WATER HEATER/VENT
101-0000-42401 1
0 1
$12.09 1
$0.00
Printed: Tuesday, May 05, 2015 12:54:39 PM 3 of 4 C
SY57EM5
PARENT PROJECTS
ATTACHMENTS
Printed: Tuesday, May 05, 2015 12:54:39 PM 4 of 4
SYSTEMS
• .
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
0 FINAL" BLD
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
"
BY
WATER SYSTEM
101-0000-42401
0
$12.09
$0.00
INST/ALT/REP
Total Paid for PLUMBING FEES: $278.06 $0.00
SMI - RESIDENTIAL
101-0000-20308
0
$27.91
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMt $27.91 $0.00
SINGLE FAMILY
224-0000-20320
0
$1,837.44
$0.00
DETACHED
Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00
TOTALS:00
PARENT PROJECTS
ATTACHMENTS
Printed: Tuesday, May 05, 2015 12:54:39 PM 4 of 4
SYSTEMS
• .
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
0 FINAL" BLD
PARENT PROJECTS
ATTACHMENTS
Printed: Tuesday, May 05, 2015 12:54:39 PM 4 of 4
SYSTEMS