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BRES2015-003578-495 CALLE TAMPICO CZ 0 D i �IUCl/ LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2015-0035 Property Address: 59655 SEVILLE APN: 764710009 ,Application Description: ANDALUSIA TM 31681-33,560 SQ FT PLAN 22A Property Zoning: � Application Valuation: $321,708.30 Applicant: Q m T D DESERT DEVELOPMENT LIMITED P 0 BOX 1716 Z LA QUINTA, CA 92247 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.: 762987 r Date: Contractors OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own.employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (__j I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I 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 Add Owner: T D DESERT DEV 81570 CARBONERAS LA QUINTA, CA 0 Contractor: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS(760)777-7153 T D DESERT DEVELOPMENT LI P 0 BOX 1716 LA QUINTA, CA 92247 (760)777-1001 LIC. No.: 762987 Date: 2/11/2015 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 w r for which this permit is issued. I have and will maintain workers' compensation insurance, as required by S ion 370 of the labor Cade, for the performance of the work for which this permit, is issued. M 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 e, hall forthwith comply with hose rovisions. Date: Z /� 1 5 Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLA FUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. ' 1 I certify that I have read this application and state that the above inforTa-7i n is correct. I agree to comply with all city and county ordinances and st elating o building construction, and hereby authorize representatives of ci enter upo the above- mentioned/p operty for inspection purposes. Date: �� !Signature (Applicant or Age 0 w 0 D N � � a2 a ITED o 0 Q m o L.L Z 1"� U 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 w r for which this permit is issued. I have and will maintain workers' compensation insurance, as required by S ion 370 of the labor Cade, for the performance of the work for which this permit, is issued. M 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 e, hall forthwith comply with hose rovisions. Date: Z /� 1 5 Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLA FUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. ' 1 I certify that I have read this application and state that the above inforTa-7i n is correct. I agree to comply with all city and county ordinances and st elating o building construction, and hereby authorize representatives of ci enter upo the above- mentioned/p operty for inspection purposes. Date: �� !Signature (Applicant or Age DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $13.00 $13.00 2/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $13.00 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 2/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $129.00 2/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - FIRE PROTECTION 2S7-0000-43200 0 $433.00 $433.00 2/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 2/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $40.00 2/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARKS/REC 251-0000-43200 •0 $2,048.00 $2,048.00 2/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $116.00 2/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF -TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 2/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH 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 1 $24.17 $24.17 2/11/15 PAID BY _ METHOD RECEIPT #� CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE TEMP POWER"SERVICE PC 101-0000-42403 0 $16.92 $16.92 2/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH Total Paid for ELECTRICAL: $41.09 $41.09 DESCRIPTION - ACCOUNT .QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $49.32 $49.32 2/11/15 PAID BY METHOD. RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $20.32 $20.32 2/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 $145.03 2/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $47.86 2/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH Total Paid for ELECTRICAL- NEW CONSTRUCTION: $262.53 $262.53 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $108.78 $108.78 2/11/15 - PAID BY, METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $72.51 $72.51 2/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 2/11/15 PAID BY - METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT QTY1 AMOUNT PAID PAID DATE EXHAUST HOOD. PC 101-0000-42600 0 $4.83 $4.83 2/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH _DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $108.78 $108.78 2/11/15 PAID BY; .. METHOD RECEIPT# CHECK# CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000-42600 0 $72.51 $72.51 2/11/15 PAID BY' METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT . QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $96.72 $96.72 2/11/15 PAID BY METHOD RECEIPT# CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 ' 9201 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $38.64 $38.64 2/11/15 PAID BY METHOD. RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH Total Paid forMECHANICAL: $514.86 $514.86 DESCRIPTION ACCOUNT QTY: AMOUNT PAID PAID DATE MULTI -SPECIES RESIDENTIAL 0-8 UNITS 101-0000-20310 0 $1,292.00 $1,292.00 2/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH Total Paid forMULTI-SPECIES RESIDENTIAL• $1,292.00 $1,292.00 DESCRIPTION ACCOUNT . QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $649.89 $649.89 2/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH Total Paid forNEW CONSTRUCTION PERMIT: $649.89 $649.89 DESCRIPTION ACCOUNT QTY ,AMOUNT .PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,388.92 $1,388.92 2/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK' R3681 9201 SKH Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,388.92 $1,388.92 DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE 101-0000-42401 0 $12.09 $12.09 2/11/15 PAID BY METHOD.' RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $4.83 2/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT CITY, AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 2/11/15 PAID BY , METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION,,," ACCOUNT QTY w VAMOUNT PAID PAID DATE BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 2/11/15 PAID BY _.METHOD RECEIPT# CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $278.07 $278.07 2/11/15 PAID BY METHOD RECEIPT# CHECK # 'CLTD BY - T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $278.07 $278.07 2/11/15 PAID BY "' METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $36.26 $36.26 2/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $24.17 $24.17 2/11/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $24.18 $24.18 2/11/15 PAID BY METHOD RECEIPT #. CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION .ACCOUNT . CITYAMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $14.50 $14.50 2/11/15 PAID'BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION' . ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $12.09 2/11/15 PAID BY . METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH DESCRIPTION ACCOUNT., QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $12.09 2/11/15 PAID BY ": - METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH Total Paid for PLUMBING FEES: $720.53 $720.53 :DESCRIPTION , . ACCOUNT QTY AMOUNT PAID -,PAID DATE' SMI - RESIDENTIAL 101-0000-20308 0 $41.82 $41.82 2/11/15 PAID BY METHOD RECEIPT # ; CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH Total Paid forSTRONG MOTION INSTRUMENTATION SMt $41.82 $41.82 DESCRIPTION" ,' ACCOUNT - CITY AMOUNT PAID PAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $1,837.44 2/11/15 PAID BY METHOD RECEIPT # -CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R3681 9201 SKH Total Paid forTUMF - RESIDENTIAL: $1,837.44 $1,837.44 TOTALS:6m, 0: $13,656.08 I Description: ANDALUSIA TM 31681-3 3,560 SQ FT PLAN 22A Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: ISSUED Applied: 1/28/2015 SKH FAMILY DETACHED Approved: Parcel No: 764710009 Site Address: 59655 SEVILLE LA QUINTA,CA 92253 Subdivision: TR 31681-3 Block: Lot: 183 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $321,708.30 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 3,560SF DWELLING - PLAN 22BR LOT 183 [V-I/RES-3/CLASS A-FR/13D/ENGINEERED] THIS PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR WATER FEATURES. 2013 CALIFORNIA BUILDING CODES CHRONOLOGY TYPE STAFF NAME ADDITIONAL CHRONOLOGY ACTION DATE COMPLETION DATE NOTES E-MAIL STEPHANIE KHATAMI 1/28/2015 1/28/2015 • RECEIVED SEQUENCE SHEET (ATTACHED) FOR ONE NEW HOME. CONDITIONS CONTACTS NAME TYPE NAME. ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT T D DESERT DEVELOPMENT LIMITED P O BOX 1716 LA QUINTA CA 92247 CONTRACTOR T D DESERT DEVELOPMENT LIMITED P O BOX 1716 LA QUINTA CA 92247 OWNER T D DESERT DEV 81570 CARBONERAS LA QUINTA CA 0 Printed: Wednesday, February 11, 2015 10:01:11 AM 1 of 6 CR SY.C7FMS Printed: Wednesday, February 11, 2015 10:01:11 AM 2 of 6 CRWY.CrFMt CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY T D DESERT BSAS SB1473 FEE 101-0000-20306 0 $13.00 $13.00 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH LIMITED Total Paid for BUILDING STANDARDS ADMINISTRATION $13.00 $13.00 BSA: 1 T D DESERT DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH LIMITED T D DESERT DIF - COMMUNITY 254-0000-43200 0 $129.00 $129.00 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH CENTERS LIMITED T D DESERT DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH LIMITED T D DESERT DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH LIMITED T D DESERT DIF - PARK 256-0000-43200 0 $40.00 $40.00 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH MAINTENANCE LIMITED T D DESERT DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH LIMITED T D DESERT DIF -STREET 255-0000-43200 0 $116.00 $116.00 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH MAINTENANCE LIMITED T D DESERT DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH LIMITED Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 Printed: Wednesday, February 11, 2015 10:01:11 AM 2 of 6 CRWY.CrFMt Printed: Wednesday, February 11, 2015 10:01:11 AM 3 of 6 CR101/ CY.0 7FM.0 CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY T D DESERT TEMP POWER SERVICE 101-0000-42403 0 $24.17 $24.17 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH LIMITED T D DESERT TEMP POWER SERVICE 101-0000-42403 0 $16.92 $16.92 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH PC LIMITED Total Paid for ELECTRICAL: $41.09 $41.09 T D DESERT RESIDENTIAL, EA 101-0000-42403 0 $49.32 $49.32 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH ADDITION 1,00OSF LIMITED T D DESERT RESIDENTIAL, EA 101-0000-42600 0 $20.32 $20.32 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH ADDITION 1,000SF, PC LIMITED T D DESERT RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $145.03 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH 1,OO LIMITED T D DESERT RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $47.86 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH 1,000SF, PC LIMITED Total Paid for ELECTRICAL - NEW CONSTRUCTION: $262.53 $262.53 T D DESERT CONDENSER/COMPRES 101-0000-42402 0 $108.78 $108.78 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH SOR LIMITED T D DESERT CONDENSE R/COMPRES 101-0000-42600 0 $72.51 $72.51 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH SOR PC LIMITED T D DESERT EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH LIMITED T D DESERT EXHAUST HOOD PC 101-0000-42600 0 $4.83 $4.83 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH LIMITED Printed: Wednesday, February 11, 2015 10:01:11 AM 3 of 6 CR101/ CY.0 7FM.0 Printed: Wednesday, February 11, 2015 10:01:11 AM 4 of 6 C1? SYCTF M.S i� CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT #' CHECK # METHOD PAID BY BY T D DESERT FURNACE 101-0000-42402 0 $108.78 $108.78 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH LIMITED T D DESERT FURNACE PC 101-0000-42600 0 $72.51 $72.51 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH LIMITED _ T D DESERT VENT FAN 101-0000-42402 0 $96.72 $96.72 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH LIMITED T D DESERT VENT FAN PC 101-0000-42600 0 $38.64 $38.64 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH LIMITED Total Paid for MECHANICAL: $514.86 $514.86 T D DESERT MULTI -SPECIES 101-0000-20310 0 $1,292.00 $1,292.00 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH RESIDENTIAL 0-8 UNITS LIMITED Total Paid forMULTI-SPECIES RESIDENTIAL $1,292.00 $1,292.00 T D DESERT NEW CONSTRUCTION 101-0000-42400 0 $649.89 $649.89 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH PERMIT LIMITED Total Paid forNEW CONSTRUCTION PERMIT: $649.89 $649.89 T D DESERT NEW CONSTRUCTION 101-0000-42600 0 $1,388.92 $1,388.92 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH PLAN CHECK LIMITED Total Paid forNEW CONSTRUCTION PLAN CHECK: $1,388.92 $1,388.92 T D DESERT BACKFLOW DEVICE 101-0000-42401 0 $12.09 $12.09 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH LIMITED T D DESERT BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $4.83 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH LIMITED Printed: Wednesday, February 11, 2015 10:01:11 AM 4 of 6 C1? SYCTF M.S Printed: Wednesday, February 11, 2015 10:01:11 AM 5 of 6 CRWY.STFAAC CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY T D DESERT ' BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH LIMITED T D DESERT BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH LIMITED T D DESERT FIXTURE/TRAP 101-0000-42401 0 $278.07 $278.07 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH LIMITED T D DESERT FIXTURE/TRAP PC .101-0000-42600 0 $278.07 $278.07 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH LIMITED T D DESERT GAS SYSTEM, 5+ 101-0000-42401 0 $36.26 $36.26 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH OUTLETS I LIMITED T D DESERT GAS SYSTEM, 5+ 101-0000-42600 0 $24.17 $24.17 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH OUTLETS PC LIMITED T D DESERT WATER HEATER/VENT 101-0000-42401 0 $24.18 $24.18 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH LIMITED T D DESERT WATER HEATER/VENT 101-0000-42600 0 $14.50 $14.50 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH PC LIMITED T D DESERT WATER SYSTEM 101-0000-42401 0 $12.09 $12.09 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH INST/ALT/REP LIMITED T D DESERT WATER SYSTEM 101-0000-42600 0 $12.09 $12.09 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH INST/ALT/REP PC LIMITED Total Paid for PLUMBING FEES: $720.53 $720.53 Printed: Wednesday, February 11, 2015 10:01:11 AM 5 of 6 CRWY.STFAAC BOND INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY SEQUENCE SHEET DOC 2/2/2015 STEPHANIE KHATAMI SEQUENCE SHEET RECEIVED..pdf BY BUILDING BUILDING T D DESERT CERTIFICATION LETTER SMI - RESIDENTIAL 101-0000-20308 0 $41.82 $41.82 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH_ 59-655 SEVILLE 59-655 SEVILLE LIMITED BRES2015-0035.pdf Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $41.82 $41.82 T D DESERT SINGLE FAMILY 224-0000-20320 0 $1,837.44 $1,837.44 2/11/15 R3681 9201 CHECK DEVELOPMENT SKH DETACHED LIMITED Total Paid forTUMF - RESIDENTIAL: $1,837.44 $1,837.44 TOTALS:0: $13,656.08 BOND INFORMATION ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED SEQUENCE SHEET DOC 2/2/2015 STEPHANIE KHATAMI SEQUENCE SHEET RECEIVED..pdf 0 BUILDING BUILDING CERTIFICATION LETTER CERTIFICATION LETTER DOC 2/4/2015 STEPHANIE KHATAMI 0 59-655 SEVILLE 59-655 SEVILLE BRES2015-0035.pdf BRES2015-0035.pdf Printed: Wednesday, February 11, 2015 10:01:11 AM 6 of 6 C§? CYC7FM.0