BRES2015-008978-495 CALLE TAMPICO aw
C� 0 D - VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
(760)777-1001
Llc. No.: 762987
T
--------------------------------••----------------------------- ---- --- --- ---- ------ -- --- -- - - - -
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
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).:
(1 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 Name:
Lender's Address:
WORKER'S COMPENSATION DECLARATION
I hereby affirmunder 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
5�e o k for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
coon 37 0 of the Labor Code, for the performance of the wbrk for which this permit
is issued. 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 =rthwith
comply witp thos provisions.
Date: Applicant,
WARNIN : FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS I NLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FIN S 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 in mation ' correct.
I agree to comply with all city and county ordinances and state s relating building
construction, and hereby authorize representatives orhienter up the above•mentioned rope for in coon purposes.
Dated 3nature (Applicant or Age
Date: 3/30/20
Application Number:BRES2015-0089
Owner:
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Property Address:
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T D DESERT DEVELOPMENT LI
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APN:
7647000bk '7cP 4--710 O(C)
P 0 BOX 1716
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Application Description:
ANDALUSIA TM 31681-3#4.&.PLAN 25BR
LA QUINTA, CA 92247
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Property Zoning:
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Application Valuation:
$394,031.00
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Applicant:
Contractor:
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T D DESERT DEVELOPMENT LIMITED
T D DESERT DEVELOPMENT LIMIT D
PO BOX 1716
PO BOX 1716
LA QUINTA, CA 92247
LA QUINTA, CA 92247
(�
(760)777-1001
Llc. No.: 762987
T
--------------------------------••----------------------------- ---- --- --- ---- ------ -- --- -- - - - -
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
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).:
(1 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 Name:
Lender's Address:
WORKER'S COMPENSATION DECLARATION
I hereby affirmunder 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
5�e o k for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
coon 37 0 of the Labor Code, for the performance of the wbrk for which this permit
is issued. 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 =rthwith
comply witp thos provisions.
Date: Applicant,
WARNIN : FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS I NLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FIN S 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 in mation ' correct.
I agree to comply with all city and county ordinances and state s relating building
construction, and hereby authorize representatives orhienter up the above•mentioned rope for in coon purposes.
Dated 3nature (Applicant or Age
FINANCIAL ••
DESCRIPTION ACCOUNT
•
QTY AMOUNT
PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $16.00
$0.00
PAID BY METHOD
RECEIPT #
CHECK # CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $16.00 $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
$61.65
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF, PC
101-0000-42600
0
$25.40
$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
DESCRIPTION
'ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600
0
$47.86
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL- NEW CONSTRUCTION: $279.94 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL FINISH GRADING PC
101-0000-42600
0
$143.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forGRADING: $143.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
CONDENSER/COMPRESSOR
101-0000-42402
0
$145.04
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION,
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$96.68
$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
EXHAUST HOOD PC
101-0000-42600
0
$4.83
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
FURNACE
101-0000-42402
0
$145.04
$0.00
PAID BY
METHOD
RECEIPT ,#
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
FURNACE PC
101-0000-42600
0
$96.68
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
VENT FAN
101-0000-42402
0
$84.63
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
VENT FAN PC
101-0000-42600
0
$33.81
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for MECHANICAL: $618.80 $0.00
DESCRIPTION
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
CITY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$690.77
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forNEW CONSTRUCTION. PERMIT: $690.77 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$1,482.36
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forNEW CONSTRUCTION PLAN CHECK: $1,482.36 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
BACKFLOW DEVICE
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
BACKFLOW DEVICE PC
101-0000-42600
0
$4.83
$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
BUILDING SEWER PC
101-0000-42600
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
$265.98
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP PC
101-0000-42600
0
$265.98
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, S+ OUTLETS
101-0000-42401
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 5+ OUTLETS PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT
101-0000-42401
0
$24.18
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT PC
101-0000-42600
0
$14.50
$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
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PLUMBING FEES: $696.35 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$51.22
$0.00
PAID BY'
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forSTRONG MOTION INSTRUMENTATION SMt $51.22 $0.00
DESCRIPTION .
A 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:0400
Permit DetailS
PERMIT NUMBER
� BRE -52015-00.89
Gity of La Qu i nta
Description: ANDALUSIA TM 31681-3 PH 5 PLAN 258R
Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: ISSUED
Applied: 11/18/2014 AZA
FAMILY DETACHED
Approved: 11/18/2014 SKH
Parcel No: 764700001 Site Address: 59145 SEVILLE LA QUINTA,CA 92253
Subdivision: TR 31681-3 Block: Lot: 166
Issued: 12/18/2014 SKH
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $394,031.00 Occupancy Type: COnstruction Type:
F�pifed: 9/12/2015 crw
No. Buildings: 0 No. Stories: 0 No. Unites: 0
DESCRIPTION
Details: 4,331 SF DWELLING - PLAN 25C, LOT 184 [VB/RES-3/CLASS-A/13Dj THIS PERMIT DOES NOT INCLUDE POOL, SPA,.BLOCK WALLS, BBQ
OR WATER FEATURE. 2013 CALIFORNIA BUILDING CODES
..'Nti "r;.. 1 .� :, � ',.� • '.:a5��.+�;v:��,y a;v,�,f,,:_ r.,�:..:-, i:;y....-ter +t.'°'Z'.:_ a€, �'�,�„�.�:�3ct3sz�+.s.s ..; �:
'CHRONOLOGY' -+ _
`" �- f^.,r�w l 1r• 1T - r z .
ONDITION,
1 Applied to Approved
Approved to Issued
+:,a � 'r l.'�i� ..A s�., '�-h.�F.1 � �: 1 i „tn 'y'fitfi 1 i,+ �M1i •
S
1 1 • 1 � f� T � r:!
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
" CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$16.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$16.00
$0.00
BSA:
Printed: Monday, March 30, 2015 10:00:57 AM 1 of 5 � J��(����/�V//J
�LJ U U LJ SYSTEMS
Permit Details
City of la Quinta,
PERMIT NUMBER
BRE -62015-00.89
Printed: Monday, March 30, 2015 10:00:57 AM 2 of 5 CffwsrsrEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
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 forDIF - 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
$61.65
$0.00
ADDITION 1,000SF
RESIDENTIAL, EA
101-0000-42600
0
$25.40
$0.00
ADDITION 1,000SF, PC
RESIDENTIAL, FIRST
101-0000-42403
0
$145.03
$0.00
1,000SF
RESIDENTIAL, FIRST
101-0000-42600
0
$47.86
$0.00
1,OOOSF, PC
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $279.94 $0.00
RESIDENTIAL FINISH
101-0000-42600
0
$143.00
$0.00
GRADING PC
Total Paid forGRADING: $143.00 $0.00
Printed: Monday, March 30, 2015 10:00:57 AM 2 of 5 CffwsrsrEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
CONDENSER/COMPRES
SOR
101-0000-42402
0
$145.04
$0.00
CONDENSER/COMPRES
SOR PC
101-0000-42600
0
$96.68
$0.00
EXHAUST HOOD
101-0000-42402
0
$12.09
$0.00
EXHAUST Hv^v^v ?C
M-0000-42600
0
$4.83
$0.00
FURNACE
101-0000-42402
0
$145.04
$0.00
FURNACE PC
101-0000-42600
0
$96.68
$0.00
VENT FAN
101-0000-42402
0
$84.63
$0.00
VENT FAN PC
101-0000-42600
0
$33.81
$0.00
Total Paid forMECHANICAL: $618.80 $0.00
MULTI -SPECIES
RESIDENTIAL 0-8 UNITS
101-0000-20310
0
$1,292.00
$0.00
Total Paid forMULTI-SPECIES RESIDENTIAL- $1,292.00 $0.00
NEW CONSTRUCTION
PERMIT
101-0000-42400
0
$690.77
$0.00
Total Paid forNEW CONSTRUCTION PERMIT: $690.77 $0.00
NEW CONSTRUCTION
PLAN CHECK
101-0000-42600
0
$1,482.36
$0.00
Total Paid forNEW CONSTRUCTION PLAN CHECK: $1,482.36 $0.00
BACKFLOW DEVICE
101-0000-42401
0
$12.09
$0.00
BACKFLOW DEVICE PC
101-0000-42600
0
$4.83
$0.00
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
BUILDING SEWER PC'
101-0000-42600
0
$12.09
$0.00
FIXTURE/TRAP
101-0000-42401
0
$265.98
$0.00
FIXTURE/TRAP PC
101-0000-42600
0
$265.98
$0.00
Printed: Monday, March 30, 2015 10:00:57 AM 3 bf 5 E7E7SYSTEMS
Permit Det�aiIS
PERMIT NUMBER
City of la Qu i nta
BRESMI5
-00.$9
7SEQIDINSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
0 FINAL"
0 FRAMING
KKI
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
GAS SYSTEM, 5+
101-0000-42401
0
$36.26
$0.00
0 ROUGH MECH
KKI
OUTLETS
0 ROUGH PLBG
KKI
GAS SYSTEM, 5+
101-0000-42600
0
$24.17
$0.00
OUTLETS PC
WATER HEATER/VENT
101-0000-42401
0
$24.18
$0.00
WRIER HEATER/VENT
101-0000-42600
0
$14.50
$0.00
PC
WATER SYSTEM
101-0000-42401
0
$12.09
$0.00
INST/ALT/REP
WATER SYSTEM
101-0000-42600
0
$12.09
$0.00
INST/ALT/REP PC
Total Paid for PLUMBING FEES: $696.35 $0.00
SMI - RESIDENTIAL
101-0000-20308
1 0
$51.22
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $51.22 $0.00
SINGLE FAMILY
224-0000-203200
$1,837.44
$0.00
DETACHED
Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00
-
.RJ..• o..`R .. .3.. .i"• •'tet, • 1c,.y` 1 11 rt.`�.-4r."` 4..aJ-1 1. .f_ X -.' t*,, s�<;+i '�(;••jr
%.s
7SEQIDINSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
0 FINAL"
0 FRAMING
KKI
0 OKAY TO WRAP
KKI
0 ROUGH ELEC
KKI
0 ROUGH MECH
KKI
0 ROUGH PLBG
KKI
Printed: Monday, March 30, 2015 10:00:57 AM 4 of 5 CO&WSYSTEMS
0
SEWER CONNECTION
KKI
,6 `�'
e
ifC
-Zak
0
UNDERGROUND PLBG
KKI
jy# •r
33 .,{t
� �.}{��` � .. A .... z `.; Itf.a +fe>t � ,,at ��.t '�7�r.
'41,n b ;kJ+ r�
� '� tt' TV ''ss� F?� 'yY � +. ��^ �'y -s�.ft �r".E
0
FOOTINGS
KKI
t 1a+'
?,a '4.-
r:�'' ,n. ��. ,? a -k.� `13y 4...%�'•a
�f: r
a9,.-.
0
SLAB
KKI
RETURNED
STATUS REMARKS
REVIEW TYPE
0
ROOF NAIL
KKI
NOTES
.,rill ..':_:.:.i •tu s'�M��i..~'`
r !x ,�' .y Fy '( �y}, M44 Y* ,
,6 `�'
e
ifC
-Zak
1
jy# •r
33 .,{t
� �.}{��` � .. A .... z `.; Itf.a +fe>t � ,,at ��.t '�7�r.
'41,n b ;kJ+ r�
� '� tt' TV ''ss� F?� 'yY � +. ��^ �'y -s�.ft �r".E
�St �,,}Y.. ,- ..' ti
a
.
fTMx�'n
t 1a+'
?,a '4.-
r:�'' ,n. ��. ,? a -k.� `13y 4...%�'•a
�f: r
a9,.-.
RETURNED
STATUS REMARKS
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
NOTES
DATE
1ST PW GREEN
AMY YU
SHEET
LISA
FIRE
NOTTINGHA
M
Printed: Monday, March 30, 2015 10:00:57 AM 5 of 5 ORRYSTEMS