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BCOM2015-0062l llllll VIII IIII I'll -� 53 ���, VOICE (760) 777-7125 Q�i 78-495 CALLE TAMPICO Ct 0 V 4 N.N1�C(/ LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Application Number: BCOM2015-0062 Property Address: 78555 HIGHWAY 111 #100 APN: 643220025 Application Description: JJD LLC / T.I. REAL ESTATE OFFICE Property Zoning: Application Valuation: $35,000.00 Applicant: GABRIEL LUJAN & ASSOCIATES 45175 PANAORAMA DR. SUITE A PALM DESERT, CA 92253 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.: 884711 Dafie: Contractor:l� i•� yL1Se �UP� O (� 2i�5 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 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 permitis issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: Owner: JDD 78555 HIGHWAY 111 LA QUINTA, CA 92253 Contractor: MIRAGE DEVELOPERS INC 121 S PALM CANYON DR #208 PALM SPRINGS, CA 92262 (760)864-9448 LIC. No.: 884711 Date: 2/25/2016 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: Carriew. z Policy Number: _ I certify that in the performance of the work for which this permit is issued, I sshall 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. ate: Z Z� 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this.city to enter upon the above-mentioned property for inspection purposes. Dat -.-Signature (Applicant or Agent OUNT��� ���PAID��;, ,� , ,P i''y h. _ y,£x' fix, .; " F z '; �,y �,£, 9 �' yti r ':s -., 4. (Imm DESCRIPTION IN r E s ACCOUNT QfY AMOUNT PAID PAID DATE: �1.m.4«n r �£ n x.zn'3P.i°.A�:..tR$.e.s3�e.<a.><,4,..fzzi t. !��`.•ai'�. ':.��' s�.. ES-:'s�...x'Fo ,. ., L'R:a.« '3£"..'3 Y { ;:•'s"s+a s;Pn"'".; rx '.: ca'a�h'..-.kr $ai.al.>i;. BSAS SB1473 FEE 101-0006-20306 0 $2.00 $2.00 ..::. aR'as £„- £+" '- - 1' :x.rw 7. .e.¢"" :. "_ ' 41 +,+ f§"s s .. ;n: `, `"' > �,• -r„ a PAID;BY,Rs ` METHOD� :r,•^_'''xcr..i' r. xa' # r CHECK # CLTD`BY6 'Sa.c, £.-*. rt z, s,� r." eW :,�..c.>.va. .RECEIPT , R i✓,Rk�:ed .FvM'£L-'>+C.rd'�` mmm% :..-�`.C;�BS:..£y..w.. HLH ENTERPRISESK INC. CHECK R13262 9808 SKH Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:: $2.00 ,4. t -<i° r., s { DESCRIPTIONdtx�ACCOUNTx Sy' zt3 PiaY Y 'rt'Y rT'S;�vi" 'ap 'yh .u"� �" v+ -.E`"' £: d.� `p i Yk -. k^a Ex Lk •'.-g ^ .. w � ?i, r' �T'` T �. .:�' ? �`Fw „t { `ion` PAID k r s XQTYAeMOUNTn PAID 3 -MATE DEVICES, ADDITIONAL 101-0000-424»03 0 $166.98 $166.98 2/25/16 #-4.u:ia'§.-,.j� T. .y4 .Y'"`}n..,hr' dL ..<Y",''¢Sf lj;',° ➢ y� PAID BY 'rax a' S.c, �G:..>,.y. .'f?i�,� METHC �r �� �q s,4.. 111'.4.vx°> y1�s°�i.<.(.€10f "gg, # P"r�_ 'A, ECK #y�'. CLTD BYE .,: ,. a a D $ xRECEIPT .- s HLH ENTERPRISESK INC. CHECK 813262' 9808 SKH' L. 5 ✓.x i -'." T +S Y .F. C b :. s::._.:. Yx� F- S?°:.'£v. DESCRIPTION }'.: .Acl'$ .' Ty?�'Ngr'f '.D. � ACCOUyNT ap" SCrY`-. QTY r"T �r< 5£. - ,:K `Y'Y-. AM0UNT Z} ? ,I': " .d 'i` 3`.: DATEa ary x PAID PAID DEVICES, ADDITIONAL PC 101-0000-42600 0_. _ $41.40 $41.40 2/25/16 ?� �..� 9.[s' Y PAIDBY� aiMETHOD;.� j 1 f y�.i �S'i •R` s' 1yE # .ro'i CLTD BY _RECEIPT# 4 yCHECK HLH ENTERPRISESK INC. CHECK R13262. 9808 SKH v x A,E.,{:" .:-"_._19.{.',�ir DESCRIPTION i N'�'ex', ACCOUNT �..,'seKi.�-:.'R. ._*„ <:Ug Q,a:'Ei"8 3.s'''� "� 1 PAID t �....wF r`s§. #PLAID OATEYF � �. a : M '_ a .> <,� TYe I AMOUNT r. a. R£i.e".., a.���c � h DEVICES, • FIRST. 20 101-0000-42403 0 $24:17 $24.17 2/25/16 PAf10 BY "'xiF';ah£,+ "d-3 s•`..,:a.:.- METHOD; ?:a:a. E`�.?.' •,�.'=,,x.'`. #s"?{ �2 `* :>f HECK # Y BY 115 u; �� �t�RECEIP T#C HCl s ,. HLH ENTERPRISESK INC. CHECK 1113262,' 9808 SKH ::: ` X ,_-=-e''' ..�?`,': ,x,��Yi. 's`,°§,.: 'rsY€r"z- ,i- ".:sVia; .: - �AMOUNT�rPA1D c.: : •{'.z<yi'"'``f .:,nII>f.: ss,r PAID�OATEv z....,e DESCRIPTtONt�A000IINT�QTY , DEVICES, FIRST. 20 PC 101-0000-42600 0- :$24:17.$24.17' 2/25/16, k( mai,te t..r PAID BY z ¢ w� ''�i -"h.�'x:.g-`3°'�' as $','.f" METHOD av+E{'x§r q�. 'C tY,f RECEIPT # "'�liy�r""*t'. -Y T 9'y .eg< Y , # TD : ,+..r; -t,.. .'' r., ,:.:. ..:.-.. zs.r,Rr.°?".n z,#_a4C..at:,.xx.....;.'.'t?..:-"s..s.{,�.�",,.....,a..yt.:.., rf•F:,.;.tt§`..r.'.?,. .; Mm... T4- �'a':if<.�i.icsCHECK r rvt.:.`,N �axtt_f.,�.: HLH ENTERPRISESK INC. CHECK R13262 9808 SKH Total;Paid for ELECTRICAL: $256.72 $256.72 .. -a :. >c? ` ?hx :DESCRIPTION:,z� -a...-: �%`'''`-''i° ; ACCOUNT�'s ,3 `�'.-g QTY" >' : t, .»:c a.M - ^•xr :PAIf) rPAIDIDATE "zM WOR:` I ..?� �.. .AMOUNT:rt ,.: 'v€,.;:.t:��:.:�F�e ? �k a��'� "I€mss ''Mm; v M,11 ..121,��tn�. sN FIXTURE/TRAP . 101-0000-42401 0. $12:09 $12.09 2/25/16 ..,�RIP {PAID,BY,� iFE:m`�"' W€. METHODWRIM £ �.'...`{'ax,.,....;.k., xz�-; !'F RECEIPT#A;. ��CHECK sPIxE&�'y Tye, '� ?,3..:.'L v f*.: Yx��„f zf� <.:...., #�;CLTDBX� . HLH ENTERPRISESK INC.-, .,CHECK ` R13262 "9808 SKH {J;. { ,5-. '.:.?.. -,-t� k d'� J 1�{ { £ YT � DESCRIPTION :e,{' a' •� .T`'el'f.i4:s: .e4'u 44 '�' c .hs QTY £'s"�... AMOUNT PAID �s�r(. , Q Y tF'..xfrNe.._ ACCOUNT r tt� +" S ,...,i.`n*�4< y ,'�. rc ,i 4 J��.__'Y ,.,E Y$,h�.i''»C�'y$�,. t# $ v.. '= _3..E:_ ..r"s.+, 3' �PAQMATE4 FIXTURE/TRAP PC-. 101-0000-42600 0 $12.09. $12.09 2/25/16 y . `�jf"h'{h k&"� L'i �...�E4!#'$?'...� S v,N PAID>BY ° � r E.K. y,`'y.:.., fie- ..� 3;,f•L i. F£...?�i:.�i'.�,� e. �r y✓ffftl.t�a .<Y"S'A'„Sx , #.: E w " CHECK # � CLTD BYi 'T 'v a itz < ?e:x1m .METHUD VN :�� . s,:f '' , . { _ ..•REC-EIPT i` :' : x?:� . �`� 4 a4,.,�. . x HLH ENTERPRISESK INC.- CHECK -R13262 . r 9808 SKH Total Paid for PLUMBING FEES: :<. ;:$24.18 $24.18 . Y7 ^ s' C ,:.i;:z.,y 'moi. vY � $ 4 dmf. r y qi� r ? > < "5. -. j { ACCOUNT. -e._ yA - �{.`4}� q `w e�t�-t'f 9 } ii,R _r " _;:R'DESCRIPTION gQTI(AMOUNTPAID.00-igPAIDhDATvE: REMODEL, EA ADDITIONAL 500 SF 101-0000-42400 0 $217.50 $217:50 2/25/16, '} .. i. .," R. �$$�x� l' S % Yfx i'£ 4 {-9'y S ' fi PAID.:BY� °zX ' .Su Y '` 'Y -a w_ _11mi1 . __" " . y,2 S METHOD "' -. :bY.+i "':F `;? e'i.E.7rai'RvaFb✓' i £E xt£f';,('r i SJ2'% 'L" RECEIPT mg u S ,yxF;?* Nb ( 'ss CHECK #CLTD BYF 4 e . , w. „?., .. J# '.¢`:T'•S`.E �.. _. ?'s H.s.:.e. :{- 3i.dxa5.... - x5' ...a ".r%Fix'E '-, �... _. '.3>iN' _....{Y.2�S.,:. i:, _ ."fW."iX'. +. $.e..,e$3t NaS`.>.4C..S".. Sl: pyx xFx. £ �... HLH. ENTERPRISESK INC. CHECK 1113262 9808 ,SKH lzay.. _i ,. DESCRIPTIONEAC4GONT��QTY_�AMOUNT�PAID� s2,!'F.a, i >£ o :kX.„ "a:i*k",�y.,'vst "' < < +"*-,>?.�ti`'o.�' S CK:F PAIDDATE REMODEL, EA ADDITIONAL 500 SF.PC 101-0000-42600 0 $174.00 '$174.00 " . 2/25/16 w r PAID BY r � " v METHOD H 3$ `* �RECEIPTt#: yt, yk,.Fw 1, :.'sem-aa*-.xv"?R::" £ CH E #r z x CLTD BY jM x� .� r. �., .. SCK '-% HLH`ENTERP.RISESK INC. CHECK R13262 • 9808 SKH M%; ; DESCRIPTION ) R�.�;, .�'�'sy-v-�•' �„ �ACCO.UNT-� ��� CITY own OUNT��� ���PAID��;, REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $49.31 2/25/16 PAID BY. METHOD :RECEIPT#. CHECK # -:" CLTD BY HLH ENTERPRISESK INC. CHECK R13262 9808 SKH DESCRIPTION ACCOUNT :,' QTY AMOUNT: m. PAID PAID DATE, REMODEL, FIRST 500 SF PC 101-0000-42600 0 $134.88 $134.88 2/25/16 PAID BY METHOD RECEIP,:T # �` "CHECK#, CLTD B.Y:. ; HLH ENTERPRISESK INC. CHECK R13262 9808 SKH Total Paid for REMODEL:. $575.69 $575.69 i Description: JJD LLC / T.I. REAL ESTATE OFFICE Type: BUILDING, COMMERCIAL Subtype: REMODEL Status: APPROVED Applied: 11/9/2015 SGU Approved: 2/18/2016 BHA Parcel No: 643220025 Site Address: 78555 HIGHWAY 111 #100 LA QUINTA,CA 92253 Subdivision: PM 29791 Block: Lot: 1 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $35,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 KAY HENSEL Details: TENANT IMPROVEMENT FOR REAL ESTATE OFFICE 4,951 SF INTERIOR TENANT IMPROVEMENT FOR "BERKSHIRE HATHAWAY / CALIFORNIA PROPERTIES" REAL ESTATE OFFICES. "B" OCCUPANCY, TYPE V -B CONSTR. 48 OCC. LOAD. 2013 CODES. ._ i Applied to Approved ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME- ACTION DATE COMPLETION DATE NOTES NOTE KAY HENSEL 2/5/2016 2/5/2016 GABRIEL LUJAN BROUGHT IN THE ENERGY CALCS THAT HE FORGOT ON 2/3 WHEN HE RESUBMITTED NOTE STEPHANIE KHATAMI 2/3/2016 2/3/2016 CHANGE OF APPLICANT (LETTER ATTACHED FOR APPROVAL) PLAN CHECK PICKED UP STEPHANIE GUMPERT 11/24/2015 11/24/2015 PUBLIC COUNTER VISIT RAMSES SEVILLA 2/22/2016 2/22/2016 GABRIEL DROP OFF ASSESOR SET AND FIRE LETTER APPROVOL TELEPHONE CALL BURT HANADA 11/24/2015 11/24/2015 NOTIFIED TOD DAVIDSON THAT CORRECTIONS ARE READY FOR PICKUP TELEPHONE CALL BURT HANADA 2/18/2016 2/18/2016 CONTACTED GABRIEL LUJAN THAT PLANS.ARE APPROVED, NEED FIR LETTER AND 1 SET OF PLANS FOR ASSESSOR. CONDITIONS Printed: Thursday, February 25, 2016 10:26:40 AM 1 of 4 SYSTEHIS u�tt a •c;;,G o� 0 s of n�F vE`•' CONDITION CONTACT DATE DATE DATE STATUS REMARKS NOTES TYPE DESCRIPTION ADDED REQUIRED SATISFIED PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD 1 SET FOR ASSESSOR COPY REQUIRED PRIOR TO BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $2.00 2/25/16 R13262 9808 CHECK PERMIT ISSUANCE. READY TO ISSUE BURT HANADA 2/18/2016 2/22/2016 2/22/2016 COMPLETE FIRE DEPT. APPROVAL LETTER. CHECKLIST Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $2.00 BSA: 1 ASSESOR COPY REC'D; 1 FIRE APPROVAL LTR 101-0000-42403 0 $166.98 $166.98 2/25/16 R13262 9808 CHECK HLH ENTERPRISESK SKH RECD. INC. DEVICES, ADDITIONALHLH 101-0000-42600 0 � $41.40 $41.40 2/25/16 R13262 9808 CONTACTS NAME TYPE NAME PC ADDRESSI CITY - STATE ZIP PHONE FAX EMAIL APPLICANT GABRIEL LUJAN & ASSOCIATES 45175 PANAORAMA PALM DESERT CA 92253 (760)578-8545 $24.17 2/25/16 R13262 9808 CHECK DR. SUITE A SKH CONTRACTOR MIRAGE DEVELOPERS INC 121 S PALM CANYON PALM SPRINGS CA 92262 (760)578-8545 101-0000-426000 $24.17 $24.17 2/25/16 DR #208 9808 CHECK HLH ENTERPRISESK SKH OWNER JDD 78555 HIGHWAY 111 LA QUINTA CA 92253 (760)578-8545 Printed: Thursday, February 25, 2016 10:26:40 AM 2 of 4 cJ SYSTEMS FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY `AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $2.00 2/25/16 R13262 9808 CHECK HLH ENTERPRISESK SKH INC. Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $2.00 BSA: DEVICES, ADDITIONAL 101-0000-42403 0 $166.98 $166.98 2/25/16 R13262 9808 CHECK HLH ENTERPRISESK SKH INC. DEVICES, ADDITIONALHLH 101-0000-42600 0 � $41.40 $41.40 2/25/16 R13262 9808 CHECK ENTERPRISESK SKH PC INC: DEVICES, FIRST -20 101-0000-42403 0 $24.17 $24.17 2/25/16 R13262 9808 CHECK HLH ENTERPRISESK SKH INC. DEVICES, FIRST 20 PC. 101-0000-426000 $24.17 $24.17 2/25/16 R13262 9808 CHECK HLH ENTERPRISESK SKH INC. Total Paid for ELECTRICAL: $256.72 $256.72 Printed: Thursday, February 25, 2016 10:26:40 AM 2 of 4 cJ SYSTEMS DESCRIPTION ACCOUNT. QTY AMOUNT . PAID PAID DATE RECEIPT # • CHECK # METHOD PAID BY CLTD RETURNED REVIEWS STATUS REMARKS. REVIEW TYPE REVIEWER SENT DATE DUE DATE BY FIXTURE/TRAP 101-0000-42401 0 $12.09 $12.09 2/25/16 R13262 9808 CHECK HCH ENTERPRISESK SKH BURT 11/9/2015 11/24/2015 11/23/2015 REVISIONS REQUIRED 1ST BLDG NS (2 -WK) INC. FIXTURE/TRAP PC 101-0000-42600 0 $12.09. $12.09 2/25/16 R13262 9808 CHECK HLH ENTERPRISESK SKH 1ST PLANNING (2 JAY WUU 11/9/2015 11/24/2015 12/7/2015 READY FOR APPROVAL INC. Total Paid for PLUMBING FEES: $24.18 $24.18 REMODEL, EA 101-0000-42400 0 $217.50 $217.50 2/25/16 R13262 9808 CHECK HLH ENTERPRISESK SKH ADDITIONAL 500 SF WK) HANADA CONDITIONS COPY. INC. 2ND PLANNING (2 REMODEL, EA 101-0000-42600 0 $174.00 $174.00 2/25/16 R13262 9808 CHECK HLH ENTERPRISESK SKH ADDITIONAL 500 SF PC NEW DESIGNER PLEASE REVIEW INC. REMODEL, FIRST 100 SF 101-0000-42400 0 $49.31 $49.31 2/25/16 R13262 9808. CHECK HLH ENTERPRISESK SKH INC. REMODEL, FIRST 500 SF 101-0000-426000 $134.88. $134.88 2/25/16 R13262 .9808 CHECK HLH ENTERPRISESK SKH PC INC. Total Paid for REMODEL: $575.69 $575.69 TOTALS: INSPECTIONS Printed: Thursday, February 25, 2016 10:26:40 AM 3 of 4 SYSTEM S PARENT RETURNED REVIEWS STATUS REMARKS. REVIEW TYPE REVIEWER SENT DATE DUE DATE NOTES M DATE -.;. BURT 11/9/2015 11/24/2015 11/23/2015 REVISIONS REQUIRED 1ST BLDG NS (2 -WK) HANADA 1ST PLANNING (2 JAY WUU 11/9/2015 11/24/2015 12/7/2015 READY FOR APPROVAL WK) 2ND BLDG NS (2 BURT 2/3/2016 2/18/2016 2/18/2016 APPROVED- 1 SET FOR ASSESSOR WK) HANADA CONDITIONS COPY. 2ND PLANNING (2 JAY WUU 2/3/2016 2/18/2016 2/8/2016 READY FOR APPROVAL WK) NEW DESIGNER PLEASE REVIEW Printed: Thursday, February 25, 2016 10:26:40 AM 3 of 4 SYSTEM S BOND INFORMATION 11 Printed: Thursday, *February 25, 2016 10:26:40 AM 4 of 4 ,. SYS7EnAS ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED , 78-555 Highway 1111.00 78-555 Highway 111 100 DOC 11/24/2015 BURT HANADA T.I..docx T.I..docx 0 DOC 2/22/2016 , RAMSES SEVILLA APPROVE FIRE LETTER approv fire letter.pdf 1 DOC 2/3/2016 STEPHANIE KHATAMI CHECK LIST 2-3-16.pdf CHECK LIST 2-3-16.pdf 0 REQUEST TO CHANGE REQUEST TO CHANGE DOC 2/3/2016 STEPHANIE KHATAMI DESIGNER -APPLICANT 2 DESIGNER -APPLICANT 2 0 -3-16.pdf-3-16.pdf Printed: Thursday, *February 25, 2016 10:26:40 AM 4 of 4 ,. SYS7EnAS