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BRES2014-1146:- 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tity 4 Q*ro COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT q"iy�" o (� VOICE ( 0) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/19/2014 Application Number: BRES2014-1146 ' Owner: Property Address: 43395 CROISETTE CT ADOM VENTURES APN: 609052002 77-682 COUNTRY CLUB DR. STE A3 Application Description: 2,415SF DWELLING/VB/RES-3/CLASS A-FR/13D PALM DESERT, CA 92211 Property Zoning: Application Valuation: $146,266.50 Applicant: II Contractor: GHA ENTERPRISE, INC. D [,=`� LI GHA ENTERPRISE, INC. OUTSIDE CITY LIMITS OUTSIDE CITY LIMITS LA QUINTA, CA 92253 NOV 0 A 2014 LA QUINTA, CA 92253 CITY OF LA QUINTA (760)969-1400 COMMUNITY DEVELOPMENT DEPARTMENT LIC. No.::LIC 0104516 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Classy License No.: :LIC -0104516 Date: II !� Contractor: OWNER -BUILDER ��om I hereby affirm under penalty of perjury that I a 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 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 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 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 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: Ll I K Applicant: WARNING: FAILURE TO SECURE WORKERS' CO PENSATIO OVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL IES 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. Date: to L14114 Signature (Applicant or Agent): FINANCIAL .• 1• DESCRIPTION I ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $6.00 $6.00 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA Total Paid forBUILDING STANDARDS ADMINISTRATION BSA; $6.00 $6.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $129.00 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $40.00 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $116.00 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE DIF -TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA Total Paid forDIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $36.99 $36.99 11/4/14 PAID BY METHOD T y RECEIPT # K ` CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $15.24 $15.24 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 $145.03 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $47.86 11/4/14 PAID BY METHOD RECEIPT '# CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA Total Paid for ELECTRICAL - NEW CONSTRUCTION: $245.12 $245.12 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL FINISH GRADING PC 101-0000-42600 0 $143.00 $143.00 11/4/14 PAID BY METHOD RECEIPT# CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA Total Paid forGRADING: $143.00 $143.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD PC 101-0000-42600 0 $4.83 $4.83 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $72.52 $72.52 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000-42600 0 $48.34 $48.34 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $48.36 $48.36 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $19.32 $19.32 11/4/14 PAID BY T METHOD RECEIPT # T CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA Total Paid for MECHANICAL: $205.46 $205.46 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE MULTI -SPECIES RESIDENTIAL 0-8 UNITS 101-0000-20310 0 $1,292.00 $1,292.00 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA Total Paid for MULTI -SPECIES RESIDENTIAL $1,292.00 $1,292.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $538.03 $538.03 11/4/14 . PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA Total Paid forNEW CONSTRUCTION PERMIT: $538.03 $538.03 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,089.59 $1,089.59 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,089.59 $1,089.59 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT • CITY AMOUNT PAID PAID DATE BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $181.35 $181.35 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $181.35 $181.35 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $36.26 $36.26 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $24.17 $24.17 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION , ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $12.09 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $7.25 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $12.09 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $12.09 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA Total Paid for PLUMBING FEES: $490.83 $490.83 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $19.01 $19.01 11/4/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $19.01 $19.01 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SINGLE FAMILY DETACHED, 224-0000-20320 0 $1,837.44 $1,837.44 11/4/14 PAID BY METHOD - RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R2673 1083 MFA Total Paid forTUMF - RESIDENTIAL: $1,837.44 $1,837.44 TOTALS:$12,760.48 $12,760.48 Description: 2,415SF DWELLING/VB/RES-3/CLASS A-FR/131) Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: ISSUED Applied: 10/24/2014 AOR FAMILY DETACHED Approved: 10/24/2014 AOR Parcel No: 609052002 Site Address: 43395 CROISETTE CT LA QUINTA,CA 92253 Subdivision: Block: Lot: 16 Issued: 11/4/2014 MFA Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $146,266.50 Occupancy Type: Construction Type: Expired: 5/3/2015 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 2,415SF DWELLING - PLAN 1M, ELEVATION B, LOT 16 [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2013 CALIFORNIA BUILDING CODES. Applied to Approved Approved to Issued CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL APPLICANT GHA ENTERPRISE, INC. OUTSIDE CITY LIMITS LA QUINTA CA 92253 (760)200-5989 CONTRACTOR GHA ENTERPRISE, INC. OUTSIDE CITY LIMITS LA QUINTA CA 92253 (760)200-5989 OWNER ADOM VENTURES 77-682 COUNTRY CLUB DR. STE A3 PALM DESERT CA 92211 (760)200-5989 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $6.00 $6.00 11/4/14 R2673 1083 CHECK I ADOM VENTURES I MFA Total Paid forBUILDING STANDARDS ADMINISTRATION $6.00 $6.00 BSA: Printed: Wednesday, November 19, 2014 11:04:12 AM 1 of 5 N?WSYSiEMS Printed: Wednesday, November 19, 2014 11:04:12 AM 2 of 5 R -w -SYS TEMS TLiD DESCRIPTION ACCOUNT QTY AMOUNT PAID T PAID DATE RECEIPT # CHECK # METHOD PAID BY BY DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA DIF - COMMUNITY 254-0000-43200 0 $129.00 $129.00 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA CENTERS DIF - FIRE PROTECTION 257-000043200 0 $433.00 $433.00 11/4/14 , R2673 1083 CHECK ADOM VENTURES MFA DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA DIF - PARK 256-0000-43200 0 $40.00 $40.00 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA MAINTENANCE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA DIF - STREET' 255-0000-43200 0 $116.00 $116.00 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA MAINTENANCE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA Total Paid forDIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 RESIDENTIAL, EA 101-0000-42403 0 $36.99 $36.99 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA ADDITION 1,000SF RESIDENTIAL, EA 101-0000-42600 0 $15.24 $15.24 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA ADDITION 1,000SF, PC RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $145.03 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA 1,000SF RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $47.86 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA 1,000SF, PC Total Paid forELECTRICAL - NEW CONSTRUCTION: $245.12 $245.12 RESIDENTIAL FINIfj:::� -0000-42600 0 $143.00 $143.00 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA GRADING PC Total Paid forGRADING: $143.00 $143.00 EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA EXHAUST HOOD PC 101-0000-42600 0 $4.83 $4.83 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA FURNACE 101-0000-42402 0 $72.52 $72.52 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA FURNACE PC 101-0000-42600 0 $48.34 $48.34 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA Printed: Wednesday, November 19, 2014 11:04:12 AM 2 of 5 R -w -SYS TEMS Printed: Wednesday, November 19, 2014 11:04:12 AM 3 of 5 B?WSYS TEMS CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY VENT FAN 101-0000-42402 0 $48.36 $48.36 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA VENT FAN PC 101-0000-42600 0 $19.32 $19.32 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA Total Paid for MECHANICAL: $205.46 $205.46 MULTI -SPECIES 101-0000-20310 0 $1,292.00 $1,292.00 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA RESIDENTIAL 0-8 UNITS Total Paid forMULTI-SPECIES RESIDENTIAL- $1,292.00 $1,292.00 NEW CONSTRUCTION 101-0000-424000 $538.03 $538.03 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA PERMIT Total Paid forNEW CONSTRUCTION PERMIT: $538.03 $538.03 NEW CONSTRUCTION 101-0000-426000 $1,089.59 $1,089.59 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA PLAN CHECK Total Paid forNEW CONSTRUCTION PLAN CHECK: $1,089.59 $1,089.59 BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA FIXTURE/TRAP 101-0000-42401 0 $181.35 $181.35 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA FIXTURE/TRAP PC 101-0000-42600 0 '$181.35 $181.35 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA GAS SYSTEM, 5+ 101-0000-42401 0 $36.26 $36.26 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA OUTLETS GAS SYSTEM, 5+ 101-0000-42600 0 $24.17 $24.17 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA OUTLETS PC WATER HEATER/VENT 101-0000-42401 0 $12.09 $12.09 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA WATER HEATER/VENT 101-0000-42600 0 $7.25 $7.25 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA PC WATER SYSTEM 101-0000-42401 0 $12.09 $12.09 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA INST/ALT/REP WATER SYSTEM 101-0000-42600 0 $12.09 $12.09 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA INST/ALT/REP PC Total Paid for PLUMBING FEES: $490.83 $490.83 Printed: Wednesday, November 19, 2014 11:04:12 AM 3 of 5 B?WSYS TEMS PARENTPROJECTS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK #' METHOD PAID BY BY SMI - RESIDENTIAL 101-0000-20308 0 $19.01 $19.01 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $19.01 $19.01 SINGLE FAMILY 224-0000-20320 0. $1,837.44 $1,837.44 11/4/14 R2673 1083 CHECK ADOM VENTURES MFA DETACHED FOOTINGS KKI 11/12/2014 11/12/2014 APPROVED Total Paid forTUMF - RESIDENTIAL: $1,837.44 $1,837.44 TOTALS:.0$12,760.48 PARENTPROJECTS INSPECTIONS REVIEWS SEQID' INSPECTION TYPE INSPECTOR SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES BUILDING FINAL" 10/24/2014 10/24/2014 10/24/2014 APPROVED OKAY TO ISSUE WITHOUT APPROVAL OF 2013 ENERGY CODE UPDATE - FOUNDATION ONLY INSPECTION UNTIL REVIEWED AND APPROVED. 1ST PW GREEN SHEET UNDERGROUND PLBG KKI 11/5/2014 11/5/2014 APPROVED SLAB KKI 11/12/2014 11/12/2014 APPROVED FOOTINGS KKI 11/12/2014 11/12/2014 APPROVED PARENTPROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE STATUS REMARKS NOTES BUILDING AJ ORTEGA 10/24/2014 10/24/2014 10/24/2014 APPROVED OKAY TO ISSUE WITHOUT APPROVAL OF 2013 ENERGY CODE UPDATE - FOUNDATION ONLY INSPECTION UNTIL REVIEWED AND APPROVED. 1ST PW GREEN SHEET I AMY YU 111/13/2014 11/13/2014 11/13/2014 COMPLETED Printed: Wednesday, November 19, 2014 11:04:12 AM 4 of 5 RWYS TEMS Printed: Wednesday, November 19, 2014 11:04:12 AM 5 of 5 ' CJ?SYSTfMS ATTACHMENTS Attachment Type CREATED OWNER`. DESCRIPTION PATHNAME �SUBDIR ETRAKIT ENABLED 43-455,43-425,43-395 43-455,43-425,43-395 DOC 11/17/2014 STEPHANIE KHATAMI Croisette Court lots 14- 16 PM10 DARBY Croisette Court lots 14- 16 PM10 DARBY 0 ESTATES.pdf ESTATES.pdf Printed: Wednesday, November 19, 2014 11:04:12 AM 5 of 5 ' CJ?SYSTfMS