BRES2014-1174c �o
gni
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:,
Application Description:
Property Zoning:
Application Valuation:
BRES2014-1174
43330 CROISETTE CT
609052002
DARBY ESTATES TM 31087 PHASE 2
$172,362.80
Applicant:
ADOM VENTURES
77-682 COUNTRY CLUB DR. STE A3
PALM DESERT, CA 92211
LICENSED CONTRACTOR'S DECLAR TION
I hereby affirm under penalty of perjury that I am lice d u ON
provisions of Chapter
9 (commencing with Section 7000) of Division 3 of a Busi ess and Professions Code,
and my License is in full force and efffi
License Class: B License No.: 75
Dat � Contra
OWNER-BtLARATION
I hereby affirm under penalty of perjury that I am exempt from th ontractor'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.).
(_) 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.).
(_J 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:
JIENT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153'
Date: 12/11/2014
Owner:
ADOM VENTURES
77-682 COUNTRY CLUB DR. STE A3
PALM DESERT, CA 92211
Contractor:
G H A ENTERPRISES INC
30-875 DATE PALM DRIVE STE C
CATHEDRAL CITY, CA 92234-3747
(760)969-1400
Llc. No.: 750957
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:
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 b e subject to the workers'
compensation laws of California, and agree that, if houIdto the
worker ' compensation provisions ofS9,ction37fi0ofthe'U or Code, I shall fo ith
copTywith those pro 'sions. i
Date: �APPIIJ ant V_"�WARNING: FAILURE TOSECURWO RS' COMPENSATIONJA
E AGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES IVIL 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 abov f rmation is correct.
I agree to comply with all city and county ordinanc and sta law relating to building
construction, and h re authorize representa)orAg
this y to r upon a above
mentio 16d p�A/QSigna_t
pection purposes.
Dal /fe (Applicantt)
SEA
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t u 3 .-:lwi. . _ti..:x:4r" rp !•a
.>.
.t . .� -�'r.
C'tt;, ::�,gt,n.2t
. ,)
....::;:".._!....e..3R_:v:J.G'3,esr3.ui".`F2cS.Ve1"..'r4e
xi;�METHOD , ,
..FJ . ; RECEIP�Tr#�b
,2 tin
G.H A ENTERPRISES INC
LHECK `
R3183'
w 7137.MFA
Total PaidforNEW CONSTRUCTION PLAN CHECK:. $1,159.53 $1,159.53.
:"'4•t cPk'iySp'.r4•A4i}' �'Siki.rY r.:.:rk,.4Y 'te, ^E:. `:� Y y.. .� f }
x;x 515g' DESCRIPTION`a
:-- TS.:, 8 :''' �`..:;.4:uAd ,E'f: »., •. •
a,F.t ACCOUNT
QTrY
id• :'�. }n .. Y'
r <:
AMOUNT
1:..:"�nr*}
9 '7.� "�y,: f ;p"�
PAID
„, y
225xY
.'1 .Y ..: xb: 'L .1c:`•, l:cr9:'C. P'..'C F.S+s,{..: e,,e f.F _: .n...rD•:''P.ubM...:!U..si�%„''s1.
rr ; _S ,
4
�` E
PAIDMATE,,
M11',9DF,.YCY,.,";�'u.•..4.:
BUILDING SEWER
101-000042401
0
$12.09$12.09
12/11/14
f
,,s ty?.t zE•'fEr t, �fi .£? .:'r .,.Y-::... .4 «'
h PAID BYx x,
: h {s,,;., `��flz�Yf
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k i, r}.', 5y ,� `....: r. E•i-z P:>"Y F%t ':sr
RECEIPTr #
t.aY .., `'� �'.ib�'7 .an m.y
CHECKS#a
r,cep,.:x.
af� fE
,�s,r�.x.,}:
.. ..,.,,.
ti t, s�
:.,a.,:A ._,4.:,.arf.t._,..•.tS.�t5.4-.sai>.. ;c.,as�,z,_+€^:.:.<
Fys
_ , ....,a&.. ay..,,5,..,..,.¢..>•t?,S�..zx: ,,sk.
nt�.. m
.W.aa.,iG-«k[:..3 __»«.,..:
j' CLTD BY.
T:. -s a..,4X�»48-..��'N
G'H A ENTERPRISES INC
CHECK,
R3183'
2137
MFA
�r,� �� �� ,.,,� DESCRIP7'ION� �;`� � ��• x� �
.:;-vd'X
a ad,"�
sEer. �s
TY
'�rr.•AMOUNT�,n��
¢: J'z�..ss,:z 7�T•'x'."
,
�:'�.��"�'ACCO.,IINT��- f�
f
t'
BUILDING SEWER PC- -
101-0000-42600.
0
$12.09 _
$12.09 -
12/11/14
yY>.fi: »�*E,{ }ay�!?;?::«^22 a<yq,�:ry��
i,x •y r:.• : ,,,: t
'r' 4 '�Q;?!" r
%.:aYY'.NOY!PY .
.:., 4F .y > .; i #
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"t 3'''e5
(Y•t § F 44 :. m:(' Y
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i.X.}'f
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r
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.«....,,..t...:�
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a
Y.h.z%i•t u ,. '§.. °x� s ts.0
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G'H A ENTERPRISESINC
CHECK
R3183 ..
2137
MFA
:vth�:ssi dx "S 4
DESCRIPTIONS au r 6,x
l .'•t h
"ACCOUNT'
�.t �,'T-;:,:. ,�ro�»
M
.� 4
QTY
� , ..y . �
1 ik-J >a`" Yui' '
AMOUNT f
�,�� _r�x..z�+:� � �ua.:_�
F P- '.W' "xx! A
PAIDP
� �::;�•..•:� : ,.�.:.:x.:3.�.46_
IL•`J meq:•.
;
TRA
10
0.
$217.6FIXTURE/
12/11/14
,
.
.
K`�'� C� Z �nTu��.e ., :.: �� ? 1 �. �.} _ saS.�'^4 S'."� �'C.V'K4 @'.. � � i
?h� tamPAID;BY } arm a�.
:��Z � �4 �' }6. � i.4,. e.mM�`,:d� al y �...o. f `.et•y�:�
a, xrMETjHODtr
. 4` � �.�: , rP � n-. ,�:4 �tY ��C�ts�` �
3,vK i Y Xf3y..:-�L�'. '.2,L ,
3'N!•�.r.. �..�:.y"'.�3¢' - ".
t
§;?x° �s,'i _. :..'._: YK_�`[..�„xb-T,S+h'a 3A#,Y'+:'T Scr. ,.to��f� Yv..,u�.;�i,,'�Y'a"�!:�r_>K..a
WOK ;::£ Mxa�1
�f5.•'.x,J fC��I�S; !+i�';J�.t__
REIPT#
....:, El
X40 �. �.J'�?"w<, La..,fE
Hi
G H ENTERPRISES INC
CHECK , ;, . , ..
R3183
2137.
MFA
�y Y` iJro,°4. „ '33 •y)F ,AF,gT _,!'4:,.v .k:,'i' !`." f s;�,i: `+"a. U. `5+k,.:y'1 t 1•-0I�i;
R'DESCRIP.,fIONi� �, y a �a
:.. ull ff u.Y. ::%: `Uv <.s i^f L.Ji Dx x�:..
s {> x �, k :
'Ws ACCOUIVTr#
::::: Y' § S Sl l Y 1 �fi F._. . aFY. ^K
,". ' is ...:
a . s r; �k4;, :
PAID..:
_ .::. n
< ' '
tf ..E
QTYe ;`.5_. �,AMOUNT"t;y-<
PAfDDATE.
FIXTURE/,TRAP PC
- 101-0000-42600, .
0 $217.62$217.62
"
12/11/14
:e'.ir`P
',{k+ �.xf r Z
x f ;PAID,BY :n�k a }
�
�°.« 1 3 t
t' %'METHOD' *
: w P;+ ''
C
�.w. t ".:.. f , �,itMnr!", ZN� ,m R'1
e':F"
.:.,e n >, a.: ,. yP; :'
r r, ?RECEIPT
G'H A ENTERPRISES INC
CHECK .R3183
2137
MFA
T; ra
zg-
g
&MRFS21PTION' a
GASSYSTEM, S+,OUTLETS 161-'0000-42401
ARM!
ID DATE
Pxl-i"I'My!'i
06.26
$36.26
12/11/14
RECEIPT g xr,"
CFfECK4V'1j,`�
,
C ET Q, B Y110,
V
G H A ENTERPRISES INC
CHECK
R3183
2137
MFA
!�M��DESCRI PTION.
.
11N�i�, NKay
CCOUN
XA
Q17
A M 0 U N Tei
PAID
1 RMPPI
�-�WWQ "Ro
g� .4
1-
A i""O �R
111f �"R
GAS SYSTEM, 5+'QUTLETS PC:,
101-0000-42600
0
$24.17
$24.17;
12/11/14
M
wMl .
N �0 Ry 21,
A, ,%i �P4 ik,! �
MAkO, �M ETHOD
`#
-'NCH ECK",#-,
4, '!BYj
Uj N,
-T�143 nU
KAI A
Jk
:RECEIPT -r
�yNct"T.M, �3-,:gz
G H AENTERPRISES INC =
CHECK
R3183
2137
MFA
VT
mmv,4OUNTzR,'-
-WATER HEATER/VENT ^
101-0000-42401,
0
$12.09
$12.09
12/11/14
`V--r-A
mg 1A X
Willi i WM
4ME H7D
ptRECEIPT1-Zr r�"
CHECKc, 04
j 'q
p: "im . N m
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w
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CLTD BY
G H A ENTERPRISES INC
CHECK
R3183
2137
MFA
.pg
DESCRIPTION �N%','
"WOUNT1 4
A NT
0-
i 'T
-% U
15
p,
WATER.HEATER/VENT PC
101-0000-42600-..:
..0
$7,25
$7.25
12/11/14
j,
miI,
1—,UVa.W711 11�� 11
ilA�- a-Im; NA I "i
U : 1, ,
-G HA ENTERPRISES INC
CHECK
R3183
2137
MFA
n.
.I w
OUNT-31,T1-
PAID;
"0
DATTEf.
WATER SYSTEM INST/ALT/REP-
101-0000-42401
0
$12.09
$12.09
12/11/14
4A PA I D` B Yvj'�,
4—a
li;x �Tu
CKA
L- MY�
n I w
G H ENTERPRISES INC
CHECK
R3183
2137
MFA
DESCRIPTIONS
-OU
iiiM!�,1�9H-MPAI
A
N W -d M
'NT"N
MPUNTZ,
Dan-
WATER SYSTEM..INST/ALT/REP PC.'.
101-0000-42600
0
$12.04
$12..09
12/11/14
1
MR .3
j-0PAIDIGY" 5` "k
b F, , -4-3.
THOMAWRA
,,METHOD
Kz-'n�iffl,
RECEI?,3,%.jW4
"T
G H A ENTERPRISES INC
CHECK
R3183
2137
MFA
Total Paid for PLUMBING FEES: $563.37 .$563.37-
TA -5
M
gall
'MIAMOUNTM�14-'--��
,PA
R, 1A
iM
"T
5--1
SMI = RESIDENTIAL
101-6000=20308
0,
. $22.41
$22.41
12/11/14
4 LE %
�a
W,
E
mM
H A ENTERPRISES INC
CHECK.
R1183
.2137
MFA.
Total Paid f6rSTRONG MOTION INSTRUMENTATION SMI: • $22.41 '$22.41
M�',
NT4-
'M tsr x,
EPAIDMATE-r
"1,0 1
H"M M.
QF
QU g
6"�T—�-.����,;�,��,s7i�;��-.
4g A
SINGLE FAMILY DETACHED
224-00001-20320
.0
'.$1,837.44
$1 37.44
.18
12/11/14
iii U�,
.7
W A.", }wggg%.-, ��q Y,+
5--'-WETHbD`E P�
",g, V
F=W -
-H 9CK,41
Ott
IBY
TD�
q— , .4
V
x. V
ig�jg
X4?
G H,A,ENTERPRISES INC
CHECK
R3183:
2137
MFA
Total Paid forTUM.F -.RESIDENTIAL:,., $1,837.44 $1;837.44
Description: DARBY ESTATES TM 31087 PHASE 2
Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED
Applied: 11/13/2014 AZA
FAMILY DETACHED
Approved: 12/11/2014 AZA
Parcel No: 609052002 Site Address: 43330 CROISETTE CT LA QUINTA,CA 92253
Subdivision: Block: Lot:1
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $172,362.80 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: SFD - PLAN TYPE 1X, LOT 10 2698 SF LIVING (481 sf 2 CAR GARAGE + 339sf ATT. CASITA) ELEV.A. 2013 CODES. 2010 ENERGY. PERMIT
ISSUED AS PART OF MODEL COMPLEX.
Printed: Thursday, December 11, 2014 4:47:00 PM 1 of 5
0 t.i %w
SYSTEMS
ADDITIONAL
CHRONOLOGY'
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE` NOTES
INFORMED LINCOLN FROM GHA THAT CORRECTED SEQUENCE
NOTE
ANGELICA ZARCO
12/11/2014
12/11/2014
SHEET AND SCHOOL FEE LETTER ARE REQUIRED FOR PERMIT
ISSUANCE.
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY STATE
ZIP PHONE FAX EMAIL
APPLICANT-
ADOM VENTURES
77-682 COUNTRY CLUB
PALM DESERT
CA
92211 (760)200-5989
DR. STE A3
CONTRACTOR
G H A ENTERPRISES INC
30-875 DATE PALM
CATHEDRAL
CA
92234- (760)200-5989
DRIVE STE C
CITY
1 3747
OWNER
ADOM VENTURES
77-682 COUNTRY CLUB
PALM DESERT
CA
92211 (760)200-5989
DR. STE A3
Printed: Thursday, December 11, 2014 4:47:00 PM 1 of 5
0 t.i %w
SYSTEMS
FINANCIAL
,
A •
CLTD
DESCRIPTION ACCOUNT • QTY AMOUNT
PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY
BY
BSAS SB1473 FEE 101-0000-20306 0 $7.00
$7.00
12/11/14 R3183 2137 CHECK G H A ENTECRPRISES MFA
IN
Total Paid forBUILDING STANDARDS ADMINISTRATION
$7.00 $7.00
BSA:
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
$942.00
12/11/14
R3183
2137
CHECK
G H A ENTECRPRISES
MFA
IN
DIF - COMMUNITY
254-0000-43200
0
$129.00
$129.00
12/11/14
R3183
2137
CHECK
G H A ENTERPRISES
MFA•
CENTERS
INC
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$433.00
12/11/14
R3183
2137
CHECK
G H A EN
MFA
INECRPRISES
DIF - LIBRARIES
253-0000-43200
0
$344.00
$344.00
12/11/14
R3183
2137
CHECK
G H A ENTECRPRISES
MFA
IN
DIF - PARK
256-0000-43200
0
$40.00
$40.00
12/11/14
R3183
2137
CHECK
G H A -ENTERPRISES
MFA
MAINTENANCE
INC
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$2,048.00
12/11/14
R3183
2137
CHECK
G H A ENTECRPRISES
MFA
IN
DIF - STREET
255-0000-43200
0'
$116.00
$116.00
12/11/14
R3183
2137
CHECK
G H A ENTERPRISES
MFA
MAINTENANCE
INC
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
$2,842.00
12/11/14
R3183
2137
CHECK
G H A ENNECRPRISES
MFA
Total Paid forDIF - SINGLE FAMILY DWELLING $6,894.00 $6,894.00
RESIDENTIAL, EA
101-0000-42403
0
$36.99
$36.99
12/11/14
R3183
2137
CHECK
G H A'ENTERPRISES
MFA
ADDITION 1,OOOSF
INC
RESIDENTIAL, EA
101-0000-42600
0
$15.24
$15.24
12/11/14
R3183
2137
CHECK
G H A ENTERPRISES
MFA
ADDITION 1,000SF, PC
INC
RESIDENTIAL, FIRST
101-0000-424030
$145.03
$145.03
12/11/14
R3183
2137
CHECK
G H A ENTERPRISES
MFA
1,000SF •
INC
Printed: Thursday, December 11, 2014 4:47:00 PM 2 of 5
1127127 SYSTr:MS
Printed: Thursday, December 11, 2014 4:47:00 PM 3 of 5
SYSTEMS
►p
C LTD;
DESCRIPTION
ACCOUNT,,
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
_
BY
RESIDENTIAL, FIRST
101-0000-42600
0
$47.86
$47.86
12/11/14
R3183
2137
CHECK
G H A ENTERPRISES
MFA
1,OOOSF, PC
INC
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $245.12 $245.12
RESIDENTIAL FINISH
101-0000-426000
$143.00
$143.00
12/11/14
R3183
2137
CHECK
G H A*ENTERPRISES
MFA
GRADING PC
INC
Total Paid forGRADING: $143.00 $143.00
CONDENSER/COM_ PRES
101-0000-42402
0
$72.52
$72.52
12/11/14
R3183
2137
CHECK
G H A ENTERPRISES
MFA-
SOR
INC
CONDENSER/COMPRES
101-0000-42600
0
$48.34
$48.34
12/11/14
R3183
2137
CHECK
G H A ENTERPRISES
MFA
SOR PC
INC
EXHAUST HOOD
101-0000-42402
0
$12.09
$12.09
12/11/14
R3183
2137.
CHECK
G H A ENTECRPRISES
MFA
IN
EXHAUST HOOD PC
101-0000-42600
0
$4.83
$4.83
12/11/14
R3183
2137
CHECK
G H A ENTECRPRISES
MFA
IN
FURNACE
101-0000-42402
0
$72.52
$72.52
12/11/14
R3183
2137
CHECK
G H A ENTECRPRISES
MFA
IN
FURNACE PG
101-0000-42600
0
$48.34
$48.34
12/11/14
R3183
2137
CHECK
G H A ENTECRPRISES
MFA
IN
VENT FAN
101-0000-42402
0
$60.45
$60.45
12/11/14
R3183
2137
CHECK
G H A ENTECRPRISES
MFA
IN
VENT FAN PC
101-0000-42600
0
$24.15
$24.15
12/11/14
R3183
2137
CHECK
G H A'ENTECRPRISES
MFA
IN
Total Paid forMECHANICAL: $343.24 $343.24
- MULTI -SPECIES
101-0000-20310
0
$1,292.00
$1,292.00
12/11/14
R3183
2137
CHECK
G H A ENTERPRISES
MFA
RESIDENTIAL 0-8 UNITS
INC
Total Paid forMULTI-SPECIES RESIDENTIAL $1,292.00 $1,292.00
Printed: Thursday, December 11, 2014 4:47:00 PM 3 of 5
SYSTEMS
►p
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
.
13Y
BY
NEW CONSTRUCTIONG
101-0000-42400
0
$559.35
$559.35
12/11/14
'R3183
2137
CHECK
H A ENTERPRISES
MFA
PERMIT
INC
Total Paid forNEW CONSTRUCTION PERMIT: $559.35 $559.35
NEW CONSTRUCTION
101-0000-42600
0
$1,159.53
$1,159.53
12/11/14
R3183
2137
CHECK
G H A ENTERPRISES
MFA
PLAN CHECK
INC
Total Paid forNEW CONSTRUCTION PLAN CHECK: $1,159.53 $1,159.53
BUILDING SEWER
101-0000-42401
0
$12.09
$12.09
12/11/14
R3183
2137
CHECK
G H A EN
NECRPRISES
MFA
BUILDING SEWER PC
101-0000-42600
0
$12.09
$12.09
12/11/14
R3183
2137
CHECK
G H A ENTECRPRISES
MFA
IN
FIXTURE/TRAP
101-0000-42401
0
$217.62
$217.62
12/11/14
R3183
2137
CHECK
G H A ENTECRPRISES
MFA
IN
FIXTURE/TRAP PC
101-0000-42600
0
$217.62
$217.62
12/11/14
R3183
2137
CHECK
G H A ENTECRPRISES
MFA
IN
GAS SYSTEM, 5+
101-0000-42401
0.
$36.26
$36.26
12/11/14
R3183
2137
CHECK
G H A ENTERPRISES
MFA.
OUTLETS
INC
GAS SYSTEM, 5+
101-0000-42600
0
$24.17
$24.17
12/11/14
R3183
2137
CHECK
G H A ENTERPRISES
MFA
OUTLETS PC
INC
WATER HEATER/VENT
101-0000-42401
0
$12.09
$12.09
12/11/14
R3183
2137
CHECK
G H A EN
NECRPRISES
MFA
WATER HEATER/VENT
101-0000-42600
0
$7.25
$7.25
12/11/14
R3183
2137
CHECK
G H A*ENTERPRISES
MFA
PC
INC
WATER SYSTEM
101-0000-42401
0
$12.09
$12.09
12/11/14
R3183
2137
CHECK
G H A ENTERPRISES
MFA
INST/ALT/REP
INC
WATER SYSTEM
101-0000-42600
0
$12.09
$12.09
12/11/14
R3183F21377CHECK
G H A ENTERPRISES
MFA
INST/ALT/REP PC
INC
Total Paid for PLUMBING FEES: $563.37 $563.37
Printed: Thursday, December 11, 2014 4:47:00 PM 4 of 5
SYSTEMS
Printed: Thursday, December 11, 2014 4:47:00 PM 5 of 5 C7
SYSTEh1S
CLTD.
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD'
PAID BY
By
SMI - RESIDENTIAL
101-0000-20308
0
$22.41
$22.41
12/11/14
R3183
2137
CHECK
G H A EN
MFA,
INECRPRISES
Total Paid forSTRONG MOTION INSTRUMENTATION SMI:
$22.41
$22.41
SINGLE FAMILY
224-0000-20320
0
$1,837.44
$1,837.44
12/11/14
R3183
2137
CHECK
G H A ENTERPRISES
MFA
DETACHED
INC
Total Paid forTUMF - RESIDENTIAL:
$1,837.44
$1,837.44
TOTALS:0.
$13,066.46
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR
SCHEDULED COMPLETED
RESULT
REMARKS
NOTES
DATE
DATE
FINAL"
Printed: Thursday, December 11, 2014 4:47:00 PM 5 of 5 C7
SYSTEh1S