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14-0333 (DSF)49100 Avenida Anselmo IIIIIIIIVIIIIIIVIIIIIII 32 78-495 CALLE TAMPICO 40 Tw(t D "i" Qumrcu - IE VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 fAX (760) 777-7011COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 f:191U71Z[Cl]4: ► Tlm Date: 2/23/2015 Application Number: AR -14-333 Owner: Property Address: 49100 AVENIDA ANSELMO JOSEPH BIRDSELL e APN:658280005 P 0 BOX 630 Application Description: DEMO EXISTING BUILDING AND REBUILD LARGER HOME LA QUINTA, CA 92247 Z -T-t Property Zoning: 0 M W Application Valuation: $200,431.70 o ^' .n Applicant: Contractor: z ^, SUSAN SECOY JOSEPH BIRDSELL o C 160 S. CYPRESS ST. P 0 BOX 630 D v cil ORANGE, CA 92866 LA QUINTA, CA 92247 C (760)409-7070 Llc. No.: 811293 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.: 811293 J31 /2D,a Li— 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).: (_J 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 ) 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 Address: 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' comp n ation, as provided for by Section 3700 of the Labor Code, for the performance ofheJk for which this permit is issued. Ihave and will maintain workers' compensation insurance, as required by ctio00 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, I shall forthwith comply with those provisions. Date:2-13—/6;Applicant: r, Ijrp/J f3ixP51,7Z4 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 186 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 st ws relating to building construction, and hereby authorize representatives oft 's ty t enter upon the abo e mentioned property for inspection purposes. Date: -23- /5 Signature (Applicant or Age t) DESCRIPTION PAID PAID DATE FINANCIAL .• 1• ACCOUNT QTY AMOUNT ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201 0 $20.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forART IN PUBLIC PLACES - AIPP: $20.00 $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 forBUILDING STANDARDS ADMINISTRATION BSA $9.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $36.99 $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 $15.24 $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 forELECTRICAL - NEW CONSTRUCTION: $245.12 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL FINISH TRADING 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 HOURLY PLAN CHECK 10160003428200 $682.50 $0.00 PAID B' METHOD RECEIPT # CHECK # CLTD BY Total Paid for HOURLY PLAN CHECK: $682.50 $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 CONDENSER/COMPRESSOR PC 101-0000-42600 0 $24.17 $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 DESCRIPTIO N ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOt •D PC 101-0000-42600 0 $4.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTI{;N ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $72.52 $0.00 PAID BY METHOD RECEIPT# CHECK # CLTD BY DESCRIPTI 1 ACCOUNT 101-0000-42600 QTY 0 AMOUNT $48.34 PAID $0.00 PAID DATE FURNACE r C PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCIIIPTIt.N ACCOUNT QTY AMOUNT PAID PAID DATE, VEN r FA . 101-0000-42402 METHOD 0 $96.72 RECEIPT # $0.00 CHECK # CLTD BY PAID BY ACCOUNT 101-0000-42600 QTY AMOUNT 0 $38.64 PAID $0.00 PAID DATE DESCPIPTI 4 VENT FAN C PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for MECHANICAL: $333.57 $0.00 DESO P11 1 ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSrRI CTI J PERMIT 101-0000-42400 0 $582.13 $0.00 . PA D B' METHOD RECEIPT # CHECK # CLTD BY Total Paid for NEW CONSTRUCTION PERMIT: $582.13 $0.00 DESCPIPTIC ^1 ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION 'LAN CHECK 101-0000-42600 0 $1,234.04 $0.00 Pr IJ B METHOD I RECEIPT# CHECK # CLTD BY Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,234.04 $0.00 nESCRIPTIc ACCOUNT - QTY AMOUNT PAID PAID DATE r'XTUIiE/TI P 101-0000-42401 0 $145.08 $0.00 PAID BY METHOD RECEIPT # _ CHECK # �Y CLTD BY DESCRIPTI( N ACCOUNT QTY AMOUNT PAID PAID DATE FIx*ruw/TR", PC 101-0000-42600 0 $145.08 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY ')ESCRIPTICIN ACCOUNT QTY AMOUNT PAID PAID DATE GAS 5 STi , t UTLETS PAID BY 101-0000-42401 0 $36.26 $0.00 METHOD RECEIPT # CHECK # CLTD BY ;PT GAS S C 'LETS PC ACCOUNT QTY AMOUNT PAID PAID DATE 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY PT' J I, ATL /VENT P • D Bti Pi J W/11 Lv ENT PC, li WATT 11 /ALT/REP t Ti 1 WATER N ALT/REP PC B ACCOUNT QTY AMOUNT PAID PAID DATE 101-0000-42401 0 $12.09 $0.00 METHOD RECEIPT # CHECK # CLTD BY ACCOUNT QTY AMOUNT PAID PAID DATE 101-0000-42600 0 $7.25 $0.00 METHOD RECEIPT # CHECK # CLTD BY ACCOUNT QTY AMOUNT PAID PAID DATE 101-0000-42401 0 $12.09 $0.00 METHOD RECEIPT # CHECK # CLTD BY ACCOUNT QTY AMOUNT PAID PAID DATE 101-0000-42600 0 $12.09 $0.00 METHOD RECEIPT # CHECK # CLTD BY Total Paid (or PLUMBING FEES: $394.11 $0.00 P' d D IAL B ACCOUNT QTY AMOUNT PAID PAID DATE 101-0000-20308 0 $26.06 $0.00 METHOD RECEIPT # CHECK # CLTD BY •tal Paid for STRONG MOTION INSTRUMENTATION SMk $26.06 $0.00 e p P.ERMiT NUMBER �z� Descr piion: DEMO EXISTING BUILDING AND REBUILD LARGER HOME Type: BUILDING, RESIDENTIAL Subtype: ADDITION Status: PLAN CHECK Applied: 3/27/2014 Parcel No: 658280005 Site Address: 49100 AVENIDA ANSELMO LA QUINTA,CA 92253 Approved: 12/22/2014 JJO Subdivision: Block: Lot: Issued: Lot Sq Ft: Building Sq Ft: Zoning: Finaled: Valuation: $200,431.70 Occupancy Type: Construction Type: Expired: No. Buildings: No. Stories: No. Unites: Details: DEMO HOUSE AND REBUILD LARGER HOME OF 3073 SQ FT. 340 SQ. FT. PATIO, 700 SQ. FT. GARAGE. ONLY SLAB THAT WILL REMAIN IS THE FIREPLACE FTG. SEPTIC TANK WILL ALSO REMAIN. ASBERTOS REPORT REQUIRED. FOR DEMO PERMIT APPLICATION EXTENSION IS APPROVED. PERMIT MUST BE OBTAINED BY MARCH 23, 2015. BUILDING OFFICIAL APPROVED EXTENSION FOR 180 DAYS 12/12/ 2014 ITEMS PENDING: P.M. 10, BURRTEC WASTE PLAN, SEPTIC TANK SHALL BE SIZED BY HEALTH DEPT FOR NEW HOME. SHOW LOCATION ON PLANS AND PROVIDE HEALTH DEPT APPROVAL: HOA LETTER REQUIRED AND SCHOOL FEES. ter' 270 —! 1 Applied to Approved CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES EMAILED ROB LANGE - OWNER THAT APPLICATION E-MAIL BURT HANADA 12/12/2014 12/12/2014 EXTENSION IS APPROVED & PERMIT MUST BE OBTAINED BY MARCH 23, 2015. See attached email regarding separate demo permit Hi Todd, We can issue the demo permit separately. Prior to doing so we will need an asbestos report on the structure and a Waste Management Plan. Contact Burrtec for assistance with this. We would need these things regardless of how you pulled the permits. Negligible financial impact on pulling the permits separately. Obtain the above-mentioned documents and come down and apply for the demo permit. Printed: Monday, February 23, 2015 11:27:43 AM 1 of 6 (appo SYSTEMS Tom ndrtung From: Todd Wallace [mailto.tmw@socal.rr.com] Sent: Friday, November 21, 2014 5:03 AM To: Tom Hartung Cc: robwlange@gmail.com Subject: 49100 Avenida Anselmo Mr. Hartung, Good morning. E-MAIL TOM HARTUNG 11/24/2014 11/24/2014 1 have a project that I am helping an old friend on that is currently in the plan check process in the City of La Quinta. The address for the property is 49100 Avenida Anselmo. I am inquiring to see if there is a possibility to pull a demo permit prior to securing a building permit. The reason we are looking at this option is because we are fast approaching the holiday season and not sure how long the second go through will take in the plan check process. The architect of record is out of the country for two weeks. It is our understanding that there were only three structural changes•that had to be made from the first round. We are also wondering what the cost impact would be to -pull a demo permit separate from the building permit? Are there any additional hurdles that we incur by pulling the two permits separate from one another? Thank you, Todd Wallace owner c. 714.244.6844 mailto:tmw@socal.rr.com mailto:waflaceelectrictmw@gmail.com PLAN CHECK COMMENTS FROM CONSULTANT KAY HENSEL 11/10/2014 11/10/2014 STRUC RFC 11/10/14 RECEIVED PLAN CHECK PICKED UP STEPHANIE KHATAMI 11/13/2014 11/13/2014 PICKED UP BY SUSAN (SK) Printed: Monday, February 23, 2015 11:27:43 AM 2 of 6 SYSTEMS w P! "i CHV,"( SEN f TJ rAY ncNSEL 1C/24/2014 10/24/2014 • OUTSIDE PC CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID RESUBMITTAL MARY FASANO 12/5/2014 BY ART IN PUBLIC PLACES - 270-0000-43201 0 $20.00 RESUBMITTAL PHILIP JUAREZ 12/5/2014 12/5/2014 PLANS RE -SUBMITTED OK BY JJ. SENT TO PLAN CHECK KAY HENSEL 12/5/2014 12/5/2014 STRUC TO YOUNG - DUE 12/12/14 CONSULTANT Total Paid for BUILDING STANDARDS ADMINISTRATION $9,00 $0.00 BSA: CALLED SUSAN SECOY ARCH. TO INFORM HER THERE CORRECTIONS STRUC. 3RD PLAN CHECK AND A EXTENTION TELEPHONE CALL JIM JOHNSON 11/13/2014 11/13/2014 LETTER WILL BE REQUIRED FOR PLAN CHECK, PLANS CHECK • ONLY VALID FOR 180 DAYS. PLANS SUBMITTED 3/7/2014. CALLED MR LANGE TO INFORMHIM PLANS ARE READY TO TELEPHONE CALL JIM JOHNSON 12/22/2014 12/22/2014 ISSUE.- ITEMS PENDING : HEALTH DEPT APPROVAL SEPTIC TANK AND SCHOOL FEES . - • • w:� 7 NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT SUSAN SECOY 160 S. CYPRESS ST. ORANGE CA 92866 (760)409-7070 CONTRACTOR JOSEPH BIRDSELL P O BOX 630 LA QUINTA CA 92247 (760)409-7070 OWNER JOSEPH BIRDSELL P O BOX 630 LA QUINTA CA 92247 (760)409-7070 Printed: Monday, February 23, 2015 11:27:43 AM 3 of 6 CRWSYSrfMS • FINANCIAL• • CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY ART IN PUBLIC PLACES - 270-0000-43201 0 $20.00 $0.00 RESIDENTIAL Total Paid forART IN PUBLIC PLACES - AIPP: $20.00 $0.00 BSAS SB1473 FEE 101-0000-20306 1 0 1 $9.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $9,00 $0.00 BSA: Printed: Monday, February 23, 2015 11:27:43 AM 3 of 6 CRWSYSrfMS 7 ' � _ . S N �..3-.,Ir". �. -.. �. -��- _}t�.`r. .... .� ..,. •3e+Ta� - :V,a..vtF.�3li4z'-. .. ��. `�..�T• � � S � . t a r j � j � � :''rte".:- ?'��*, . t rs �i ►1 lei 1 it �31� 1�� i t'� � � �� PAID 3Y I I I i I BY RESIDENTIAL, EA 101-0000-42403 0 $36.99 $0.00 ADDITION 1,000SF RESIDENTIAL, EA 101-0000-42600 0 $15.24 $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: $245.12 $0.00 RESIDENTIAL FINISH 101-0000-426000 $143.00 $0.00 GRADING PC Total Paid forGRADING: $143.00 $0.00 HOURLY PLAN CHECK 10160003428200 $682.50 $0.00 Total Paid forHOURLY PLAN CHECK: $682.50 $0.00 CONDENSER/COMPRES 101-0000-42402 0- $36.26 $0.00 SOR CONDENSER/COMPRES 101-0000-42600 0 $24.17 $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 $72.52 $0.00 FURNACE PC 101-0000-42600 0 $48.34 $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: $333.57 $0.00 NEW CONSTRUCTION 101-0000-42400Fo $582.13 $0.00 PERMIT Total Paid forNEW CONSTRUCTION PERMIT: $582.13 $0.00 Printed: Monday, February 23, 2015 11:27:43 AM 4 of 6 CRWYSTEMS _ NEW CONSTRUCTION 01-0000-42600 0 $1,234.04 $0.00 PLAN CHECK Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,234.04 $0.00 FIXTURE/TRAP 101-0000-42401 0 $145.08 $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $145.08 $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 $12.09 $0.00 WATER HEATER/VENT 101-0000-42600 0 $7.25 $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 forPLUMBING FEES: $394.11 $0.00 SMI - RESIDENTIAL 101-0000-20308 1 0 1 $26.06 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMt $26.06 $0.00 TOTALS:0• INSPECTIONS Printed: Monday, February 23, 2015 11:27:43 AM 5 of 6 SYSTEMS -- ----- I REQUIRED - --- -- i1i4, REQV,icr_ iONS 21%U. CHECK CORRECTIONS REQUIRED 2ND PLAN CHECK CORRECTIONS REQUIRED STRUC ..n. ' ,L� .NSON 16/1.i%zk. 7/23/201 I CORRECTIONS I I I REQUIRED DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED. 49-100 AVENIDA NON STRUC APPROVED ITEMS REQUIRED: HEALTH DEPT APPROVAL DOC 12/12/2014 BURT HANADA ANSELMO Extension APPROVED APPROVED W/ NON-STRUCTURAL JIM JOHNSON 10/28/2014 10/28/2014 10/28/2014 W/CONDITIONS CONDITIONS SEPTIC SYSTEM, P.M. 10 AND BURRTEC WASTE 48-9-100 48-9-100 PLANS HOA LETTER. STRUC APPROVAL STILL 10/28/2014 JIM JOHNSON 0 PENDING. ANSELMO.docx ANSELMO.docx STRUC CORRECTIONS REQUIRED ALSO EXTENTION 49-100 AVENIDA 49-100 AVENIDA DOC 10/28/2014 JIM JOHNSON REQUIRED 12/5/14 NO PLACE FOR 4TH P/C! STRUC TO STRUCTURAL JIM JOHNSON 10/28/2014 11/12/2014 12/17/2014 APPROVED APPROVED 49-100 AVENIDA 49-100 AVENIDA YOUNG - DUE 12/12/14 12/16/2014 PLANS APPROVED DOC 11/13/2014 JIM JOHNSON 0 Printed: Monday, February 23, 2015 11:27:43 AM 6of6 CRWSYSTEMS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED. 49-100 AVENIDA 49-100 AVENIDA DOC 12/12/2014 BURT HANADA ANSELMO Extension ANSELMO Extension 1 Ltr.pdf ltr.pdf 48-9-100 48-9-100 DOC 10/28/2014 JIM JOHNSON 0 ANSELMO.docx ANSELMO.docx 49-100 AVENIDA 49-100 AVENIDA DOC 10/28/2014 JIM JOHNSON 0 ANSELMO.docx ANSELMO.docx 49-100 AVENIDA 49-100 AVENIDA DOC 11/13/2014 JIM JOHNSON 0 ANSELMO.docx ANSELMO_l.docx DOC 1/5/2015 STEPHANIE KHATAMI SCHOOL FEES 1-5-15.pdf SCHOOL FEES 1-5-15.pdf 0 ENVIROMENTAL HEALTH ENVIROMENTAL HEALTH DOC 1/5/2015 STEPHANIE KHATAMI APPROVAL - SEWER.pdf APPROVAL - SEWER.pdf 0 Printed: Monday, February 23, 2015 11:27:43 AM 6of6 CRWSYSTEMS