17-1206_BALLARD, TIMOTHY J._Check Request for Deposit ReductionCity of San Juan Capistrano
CHECK REQUEST
Administrative Services Department
Address Check to: Name: Peppertree Bend Construction /Tim Ballard
Address: 3501 Jamboree Road
Suite 4200
Check Amount Requested
CHECK TOTAL:
Invoice Number:
Newport Beach. CA 92960
$ 291,510.00
$ 291, 510.00
B16-0887
Account No.: 90-00000-23302-00000-238
Check stub to contain the following: Grading Surety deposit reduction
Invoice Date: 4/20/2017
Check Requested By: Employee: Deena Berens, Development Services
Department: Public Works & Utilities
Department Approval: Steve May, Public Works & Utilities Director
Transmittal Instructions: MReturn Check To:
Mail:
Other (specify)
For Administrative Services Use Only
Vendor Number:
Date: 12/6/%2017
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Warrant Number: . Date:
Approved:
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CITY OF SAN JUAN CAPISTRANO
32400 Paseo Adelanto
SAN JUAN CAPISTRANO, CA 92675
(949) 493-1171
Paid By PEPPERTREE BEND CONS Contractor R & B BUILDERS INC
32565B GOLDEN LANTERN #231
DANA POINT CA 92629
Permit Number B16-0887
Site Address
Receipt Number 56473
32121 PEPPERTREE BND
Paid Date 4/20/2017
Description
Check No 10006
Grading & Retaining Wall for New SFR
Payment Method CHECK
Fees
ADMINISTRATIVE FEE
$299.73
DEVELOPMENT CHARGES DOMI
$450.00
GRADING PERMIT FEE
01-00000-44222-00000-000
$2,123.00
GRADING REFUNDABLE DEPOSI
90-00000-23302-00000-238
$323,900.00
MICROFILE-DIGITAL FEE
01-00000-44230-00000-000
$171.00
ON SITE IMPROVEMENT PERMIT
01-00000-44222-00000-000
$2,124.67
OTHER INSPECTIONS & FEES
01-00000-44120-00000-000
$253.08
PERMIT ISSUANCE FEES
$27.24
FEE TOTAL $329,348.72