BWFE2014-1138' 9 '��
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92.253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BWFE2014-1138
Property Address: 43395 CROISETTE CT
APN: 609052002
Application Description: 150 LN FT X 6 FT HT BLOCK WALL ANGELUS
Property Zoning:
Application Valuation: $4,500.00
Applicant: D Q
G H A ENTERPRISES INC
30-875 DATE PALM DRIVE STE C
CATHEDRAL CITY, CA 9.2234-3747 DEC t14 2014
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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.: 750957
Date: M — Z (A Contractor:
OWNER -BUILDER DECLA ATION
I hereby affirm under penalty of perjury that I am ex 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
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.).
(_) 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 Na
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/2/2014
Owner:
ADOM VENTURES
77-632 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 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: l Z• ' Z — 1 .Applicant:
WARNING: FAILURE TO SECURE WORKERS' C MPE N 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 1 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: �2 _2 ' �� Signature (Applicant or n
15
4w
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA
$1.00
$0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$76.86
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$47.86
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION _
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.91
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for FENCE OR FREESTANDING WALL
TOTALS:00
$185.63
$0.00
Description: 150 LN FT X 6 FT HT BLOCK WALL ANGELUS
CONDITIONS
Type: WALL/FENCE
Subtype: Status: SUBMITTED
Applied: 12/2/2014 PJU
Approved:
Parcel No: 609052002 Site Address: 43395 CROISETTE CT LA QUINTA,CA 92253
Subdivision:
Block: Lot: 16
Issued:
Lot Scl Ft: 0
Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $4,500.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
NAME
Details: 150 LN FTX 6 FT HT BLOCK WALL 20 LN FT X 6 FT HT COURTYARD WALL PER ANGELUS STANDARDS & APPROVED PLANS. 2013 CBC
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
G H A ENTERPRISES INC
30-875 DATE PALM
DRIVE STE C
CATHEDRAL
CITY
CA
92234-
3747
(760)200-5989
CONTRACTOR
G H A ENTERPRISES INC
30-875 DATE PALM
DRIVE STE C
CATHEDRAL
CITY
CA
92234-
1 3747
(760)200-5989
OWNER
ADOM VENTURES
77-682 COUNTRY CLUB
DR. STE A3
PALM DESERT
CA
92211
1 (760)200-5989
FINANCIAL INFORMATION
Printed: Tuesday, December 02, 2014 10:20:23 AM 1 of 2 Cff?
SYSTEMS
aha
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
Printed: Tuesday, December 02, 2014 10:20:23 AM
2of2
Cl? -SYSTEMS
-CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
-
FINAL"
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
WALL/FENCE - EA
101-0000-42404
0
$76.86
$0.00
ADDITIONAL 50 LF
WALL/FENCE - FIRST
101-0000-42404
0
$47.86
$0.00
100 LF
WALL/FENCE - FIRST
101-0000-42600
0
$60.91
$0.00
100 LF PC
Total Paid for FENCE OR FREESTANDING WALL $185.63 $0.00
TOTALS:0•
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
Printed: Tuesday, December 02, 2014 10:20:23 AM
2of2
Cl? -SYSTEMS
INSPECTIONS
SEQID
INSPECTION TYPE
141
INSPECTOR
SCHEDULED
DATE
COMPLETED
DATE
RESULT
REMARKS
NOTES
BOND BEAM
-
FINAL"
FOOTINGS
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
Printed: Tuesday, December 02, 2014 10:20:23 AM
2of2
Cl? -SYSTEMS
#
City. of La Qwtita
Building 8t Safety Division
P.O. Box 1504,78.495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
ProjectAddress: � �3�3 C Q /�S _ -- G
2
Owner's Name: ADO" VjONTVI?,E.S LL,( -:-
A. P. Number I 07 i , WqrAddress:
-e-00-04 E
Legal Description:
City, ST, Zip: S A P4 E
Contractor.
Telephone: S tq-A4 E
Address: 3Oels, D -PA -C 'F>A.l t%A JP_
Project Description: 1$0" LINE2 ► +
City, ST, Zip: t^.1q j Q� �- Lir' G�
OF W1411, Lo s7i'9NOr4r P.
Telephone: %&0 - Cj 6q -1%10 6
State Lia # : 750 City Lie. #:
Z O OF (-0 L)exr-y fTCD W-4 L— L
Arch, Engr., Designer. I' —1'C_ �6;Nj t -:g
&
Address:
City, ST, zip: Pu i wi D �51✓rc.7— GA 92213
Telephone: r :
State Lic. #:
Name of Contact Person: TOS dL0 De, (' 60 (, •Z
Construction Type: /M AS&)(LY Occupancy:
Project type (circle one): 0Add'a Alter Repair Demo
sq, F•; #Stories: #Units:
Telephone # of Contact Person: 760 -&(7 5- S %23
Estimated Value of Project:. L1, 0500 , vJ
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Cheek submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Trun CsIcs•
Called Contact Person
Plan Cheek Balance
Title 24 Cates.
Pians picked up
Construction
Flood plain pian
Plans resubmitted'.
Mechanical
Grading plan
V Review, ready for correctionsrrssue
Electrical
Subcontactor list
Called Contact Person
Plumbing
Grant Deed
Plans picked up
ML
H.O.A. Approval
Plans resubmitted
Grading
IN 110USEt-
Review, ready for eorrectlan&4aue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.LP.P. '
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
Z)
0 15' 30' 60' 120'
GRAPHIC SCALE: 1"-- 30'
I
ADDRESS
5-330 CRO
5-360 CRO
VICINITY MAP
NO SCALE
Important Notice — Underground Service Alert
Section/216/1217 Al the Gorenmml Code regies
P. ug ad 11ed0ovon lhmba be ie:uM bd- d
ond b L — sA M r61. fm W Dq AM
IdenlifiMi.ipll noon..1 lMder"hol Smite RM
TOLL rREE 11 1-800-227-2600 I.o -" days
;dare III 64.
Con"—tion—f,octa We. Loot n "'adopts •ilh gmerdty accepted mnaWctnn
pelices. cmatmcl'm cohl—te, •i b.,I*to .same We and complete re ebr.ty la
lob site cmatims army me wase of crostmclion W the project iedMitg safety of of ;—oII
and property, that lois remiemmt spm be mode to aptly —Ii.—y and not he emited to
nmmd .." I.- and amsbuction emlrecte, hethm age. to defend, kel— y aM hdd
design pro(ns1uW hoof— nom m, and dl tenuity, 1. or WegM, to chhheetteh .i. the
pelommce of rM m "i.pro%ct g,;,y f.ETily arirhg has Ins sde nvgymce of dedm
p'Meesmd.
PRIVATE ENGINEER'S NOTE TO CONTRACTOR
R,a euriende aM ncohm W m,y u derground ulditY pip.. emWuits o structures sho.n on these plans
obloined by o arch of the —;low. recoNa. to the best of our M..Wq. there ating
'faces "I'll m 'ho- an these pl.no
The conV--to,is redo✓etl to lake due Dremutiomry me -1.1
er
to the utility lines . n h meso drawing.. The co a or lurther o all fabilityono
ies Ibaity for the Wir", go". c...;" or .tractor. stgwn lornot sho.n on°these cl.-iNl.
IN THE CITY OF LA OUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA
SITE PLAN
"DARBY ESTA TES n
TRACT NO. 31087
Il
PqF
ESRT�
No. 55606
se CIVIL r
REVISIONS:
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SECTION A—A
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PREPARED UNDER THE DIRECT SUPERVISION OF:
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SITE PLAN
MICHAEL D. HACKER R.C.E. NO. 55606
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TRACT NO. 31087
OF
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SITE
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PLOT DATE: 10107114
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Or SECTION
of sEcnoN le, t 5 s., A. 7 E. sB.BSM.
DATE. pIr ENGINEER
DRAWN Br: J.E.
W,0. FOR: DWG.
130902 ADOM VENTURES. LLC 130902 517E
FILE NO.
FRED
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MILES
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AVENUE
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W
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Ma
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VICINITY MAP
NO SCALE
Important Notice — Underground Service Alert
Section/216/1217 Al the Gorenmml Code regies
P. ug ad 11ed0ovon lhmba be ie:uM bd- d
ond b L — sA M r61. fm W Dq AM
IdenlifiMi.ipll noon..1 lMder"hol Smite RM
TOLL rREE 11 1-800-227-2600 I.o -" days
;dare III 64.
Con"—tion—f,octa We. Loot n "'adopts •ilh gmerdty accepted mnaWctnn
pelices. cmatmcl'm cohl—te, •i b.,I*to .same We and complete re ebr.ty la
lob site cmatims army me wase of crostmclion W the project iedMitg safety of of ;—oII
and property, that lois remiemmt spm be mode to aptly —Ii.—y and not he emited to
nmmd .." I.- and amsbuction emlrecte, hethm age. to defend, kel— y aM hdd
design pro(ns1uW hoof— nom m, and dl tenuity, 1. or WegM, to chhheetteh .i. the
pelommce of rM m "i.pro%ct g,;,y f.ETily arirhg has Ins sde nvgymce of dedm
p'Meesmd.
PRIVATE ENGINEER'S NOTE TO CONTRACTOR
R,a euriende aM ncohm W m,y u derground ulditY pip.. emWuits o structures sho.n on these plans
obloined by o arch of the —;low. recoNa. to the best of our M..Wq. there ating
'faces "I'll m 'ho- an these pl.no
The conV--to,is redo✓etl to lake due Dremutiomry me -1.1
er
to the utility lines . n h meso drawing.. The co a or lurther o all fabilityono
ies Ibaity for the Wir", go". c...;" or .tractor. stgwn lornot sho.n on°these cl.-iNl.
IN THE CITY OF LA OUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA
SITE PLAN
"DARBY ESTA TES n
TRACT NO. 31087
Il
PqF
ESRT�
No. 55606
se CIVIL r
REVISIONS:
it
I3.
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FG PER PLAN
PROP. 6' HIGH
BLOCK WALL
.75
f_J
'-4' PVC DRAINPIPE
SECTION A—A
'
NOT TO SCALE
PREPARED UNDER THE DIRECT SUPERVISION OF:
CITY OF LA OUINTA
SHEET
HEITEC
A1C
w.h ell.elne.eam
—toefe-0—
D�mown. c.LLI o:pda
SP
SITE PLAN
MICHAEL D. HACKER R.C.E. NO. 55606
DATE.
O N S U L T I N G
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TRACT NO. 31087
OF
APPROVED BY: CITY OF LA OUINTA
SCALE: AS NOTED
BEING A OF A PORRON OF MF N 1/2 Of 7N£ SW 1/1
SHEETS
PLOT DATE: 10107114
DESIGN BY: J.E.
Or SECTION
of sEcnoN le, t 5 s., A. 7 E. sB.BSM.
DATE. pIr ENGINEER
DRAWN Br: J.E.
W,0. FOR: DWG.
130902 ADOM VENTURES. LLC 130902 517E
FILE NO.
CHECKED BYM.H.