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BRES2015-0187LICENSED 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 Cla s: BB License No.: 7629887 Date: 1 �Z 07� Contrartoi OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 5 ate 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.). (_) 1, 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 Addre! 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' com nsation, as provided for by Section 3700 of the Labor Code, for the performance o for h this permit is issued. ave d will maintain workers' compensation insurance, as required by 5 700 of the r 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 3 e Labor Code, I shall forthwith comply with t se pr isions. Date: l Applic nt: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWF L, 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 la elating building construction, and hereby authorize representatives of this ci o enter upon he above mentioned ro rty for inspection purposes. Date: % Signature (Applicant or A en v 78-495 CALLE TAMPICO.D V "i �iNII�Cl/ VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 5/13/2015 Application Number: BRES2015-0187 Owner: Property Address: 59715 SEVILLE . T D DESERT DEV APN: 764710011 81570 CARBONERAS Application Description: ANDALUSIA / TM31681-3 / LOT 185 / PLAN 26C LA QUINTA, CA 0 Property Zoning: z Application Valuation: $454,592.30 • a ' a Applicant: Contractor: Nz w ' T D DESERT DEVELOPMENT LIMITED T D DESERT DEV 6FI ENTjJMI � o PO BOX 1716 P0BOX 1716 ;u LA QUINTA, CA 92241 Cq G LA QUINTA, CA 9 247 o Q U d (760)777-1001 Llc. No.: 762987 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 Cla s: BB License No.: 7629887 Date: 1 �Z 07� Contrartoi OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 5 ate 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.). (_) 1, 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 Addre! 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' com nsation, as provided for by Section 3700 of the Labor Code, for the performance o for h this permit is issued. ave d will maintain workers' compensation insurance, as required by 5 700 of the r 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 3 e Labor Code, I shall forthwith comply with t se pr isions. Date: l Applic nt: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWF L, 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 la elating building construction, and hereby authorize representatives of this ci o enter upon he above mentioned ro rty for inspection purposes. Date: % Signature (Applicant or A en DESCRIPTION FINANCIAL , ACCOUNT 1 CITY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $19.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $19.00 $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 CITY AMOUNT PAID PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY nESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE DIF - 1•:RC 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 ESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $0.00 PAID. BY METHOD RECEIPT # CHECK # CLTD BY .DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY I ESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY nESCRIPTION ACCOUNT CITY 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 CITY 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 ,"ESCRIPTION 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 ESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDL rIAL, FIRST 1,OOOSF 101-0000-42403 0 $145.03 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY ESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RFSIDEN AL, 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 ESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PESIDENTIAL RECISEGRADING -TRACT HOME 101-0000-42408 0 $133.43 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forGRADING: $133.43 $0.00 ESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDI_ SER/COMPRESSOR 101-0000-42402 0 $181.30 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY CSCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDEF.'�R/COMPRESSOR PC 101-0000-42600 0 $120.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY ESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE I 1AUST HOOD 101-0000-42402 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT V QTY AMOUNT PAID PAID DATE EXHAUST HOOD PC 101-0000-42600 0 $4.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY • •ESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $181.30 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY ESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE URNACE PC 101-0000-42600 METHOD ACCOUNT _101-0000-42402 0 $120.85 RECEIPT # QTY AMOUNT 0 $96.72 $0.00 CHECK # PAID $0.00 CLTD BY PAID DATE PAID BY 'SCRIPTION VENT FAN PAID BY METHOD RECEIPT # CHECK # CLTD BY 'SCRIPTION ACCOUNT QTY. AMOUNT PAID PAID DATE ENT FAN PC 101-0000-42600 0 $38.64 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forMECHANICAL: $756.58 $0.00 SCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE MULTI -SPECT ; 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 SCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NLW CO ;TRUCTION PERMIT 101-0000-42400 0 $724.37 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forNEW CONSTRUCTION PERMIT: $724.37 $0.00 D SCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONS :IUCTION PLAN CHECK 101-0000-42600 METHOD 0 $1,559.16 RECEIPT # $0.00 CHECK # CLTD BY PAID BY Total Paid forNEW CONSTRUCTION PLAN CHECK: $1,559.16 $0.00 D SCRIPTION ACCOUNT 101-0000-42401 QTY 0 AMOUNT $12.09 PAID $0.00 PAID DATE BA= 'FLOW:•DEVICE PAID BY METHOD RECEIPT # CHECK # CLTD BY SCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BA0 .OW DEVICE PC 101-0000-42600 0 $4.83 $0.00 PAID BY METHOD _ RECEIPT #+ CHECK# CLTD BY DISCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BU DING SEWER 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY D .SCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUII. ING SEWER PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY P SCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FI rURE/TRAP 101-0000-42401 0 $290.16 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY ISCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIX 'JRE/TRAP PC 101-0000-42600 METHOD 0 $290.16 RECEIPT # $0.00 CHECK # CLTD BY PAID BY C SCRIPTION ACCOUNT 101-0000-42401 QTY 0 AMOUNT $36.26 PAID $0.00 PAID DATE (,AS Sy iEM, 5+ OUTLETS PAID BY METHOD RECEIPT # CHECK # CLTD BY 'I. SCRIPTION ACCOUNT 101-0000-42600 QTY 0 AMOUNT $24.17 PAID $0.00 PAID DATE G AS SYSI %1, 5+ OUTLETS PC PAID BY METHOD RECEIPT # CHECK # CLTD BY 3 I SCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WAT R HEATER/VENT 101-0000-42401 0 $24.18 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY f' 'SCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATEI +EATER/VENT PC 101-0000-42600 0 $14.50 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY I "SCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER S STEM INST/ALT/REP 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY I SCRIPTION ACCOUNT 101-0000-42600 QTY 0 AMOUNT $12.09 PAID $0.00 PAID DATE V'A-ER SY [M INST/ALT/REP PC PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $744.71 $0.00 f.:r•SCRIPTION ACCOUNT CITY AMOUNT PAID -PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $59.10 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $59.10 $0.00 DESCRIPTION ACCOUNT. CITY AMOUNT PAID PAID DATE SINGLE `AMILY 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 171777171.77 7-7 Tu�� Y w Description: ANDALUSIA / TM31681-3 / LOT 185 / PLAN 26C CONDITIONS Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: UNDER REVIEW Applied: 5/7/2015 SKH FAMILY DETACHED Approved: Parcel No: 764710011 Site Address: 59715 SEVILLE LA QUINTA,CA 92253 Subdivision: TR 31681-3 Block: Lot: 185 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $468,304.60 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 LA QUINTA Details: 5,131 SQ. FT. PLAN 26C LOT 185. THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, BBQ OR WATER FEATURE. 2013 CALIFORNIA BUILDING CODES. t CHRONOLOGY 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, May 13, 2015 5:12:48 PM 1 of 5 RWYSTEMS __ _ - � . . ,''- -� • -�.�„,a,� _.... --..E .,- �, r-. amt. *�e.:,,,.�.r-,-.y..,.�.,,, _s'.>.�:-�-.'r-!ts�T+F�°-?-'Rt�''�i+�':.±�s�� :- ,�.,, Printed: Wednesday, May 13, 2015 5:12:48 PM 2 of 5 _ CRWYS TEMS CLTD DESCRIPTION ACCOUNT CITY 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 $0.60 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 $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 1,000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $279.94 $0.00 Printed: Wednesday, May 13, 2015 5:12:48 PM 2 of 5 _ CRWYS TEMS � - 1 Printed: Wednesday, May 13, 2015 5:12:48 PM 3 of 5 ��SYSTEMS DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY E 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 $181.30 $0.00 SOR CONDENSER/COMPRES 101-0000-42600 0 $120.85 $0.00 SOR PC EXHAUST HOOD 101-0000-42402 0 $12.09 $0.00 EXHAUST HOOD PC 101-0000-42600 0 $4.83 $0.00 FURNACE 101-0000-42402 0 $181.30 $0.00 FURNACE PC 101-0000-42600 0 $120.85 $0.00 VENT FAN 101-0000-42402 0 $96.72 $0.00 VENT FAN PC 101-0000-42600 0 $38.64 $0.00 Total Paid for MECHANICAL: $756.58 $0.00 MULTI -SPECIES 101-0000-20310 0 $1,292.00 $0.00 RESIDENTIAL 0-8 UNITS Total Paid forMULTI-SPECIES RESIDENTIAL-. $1,292.00 $0.00 NEW CONSTRUCTION 101-0000-424000 $724.37 $0.00 PERMIT Total Paid forNEW CONSTRUCTION PERMIT: $724.37 $0.00 NEW CONSTRUCTION 101-0000-426000 $1,559.16 $0.00 PLAN CHECK Total Paid forNEW CONSTRUCTION PLAN CHECK: $1,559.16 $0.00 BACKFLOW DEVICE 101-0000-42401 0 $12.09 $0.00 BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $0.00 Printed: Wednesday, May 13, 2015 5:12:48 PM 3 of 5 ��SYSTEMS f��L�,i,i�� 2 = ..�,�: � j��-..x -.�`•� o- ter' .�`a.�-'Y'. PARENT PROJECTS Printed: Wednesday, May 13, 2015 5:12:48 PM 4 of 5 -J' �■7 �1�LJ LJ SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL"* BLD CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY 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 $290.16 $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $290.16 $0.00 GAS SYSTEM 5+ 101-0000-42401 0' $36.26 $0.00 OUTLETS GAS SYSTEM, 5+ 101-0000-42600 0 $24.17 $0.00 OUTLETS PC WATER HEATER/VENT 101-0000-42401 0 $24.18 $0.00 WATER 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: $744.71 $0.00 SMI - RESIDENTIAL 101-0000-20308 0 $59.10 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SM! $59.10 $0.00 SINGLE FAMILY 224-0000-203200 $1,837.44 $0.00 DETACHED Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS:•0 PARENT PROJECTS Printed: Wednesday, May 13, 2015 5:12:48 PM 4 of 5 -J' �■7 �1�LJ LJ SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL"* BLD PARENT PROJECTS Printed: Wednesday, May 13, 2015 5:12:48 PM 4 of 5 -J' �■7 �1�LJ LJ SYSTEMS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS DATE NON-STRUCTURALBUILDING 5/7/2015 5/21/2015 11 BUCKET FIRE I FIRE BUCKET 5/11/2015 5/26/2015 1 5/11/2015 I READY FOR APPROVAL REMARKS NOTES Printed: Wednesday, May 13, 2015 5:12:48 PM 5 of 5 CRWYSTEMS