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BRES2015-03224 - 78-495 CALLE TAM PICC ' y, LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: J COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BRES2015-0322D Q 0 43420 CROISETTE CT 609052002 DARBY ESTATES TM 31087 PH 6 LOT 4 PLAN SEP 02 2015 $172,362.80 Applicant: G H A ENTERPRISES INC 30-875 DATE PALM DRIVE STE C CATHEDRAL CITY, CA 92234-3747 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.: 75095 QDate: • a �� CContra 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).: (_) 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 Lender's Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/2/2015 caner: DOM VENTURES 7-682 COUNTRY CLUB DR. STE A3 ALM DESERT, CA 92211 C0�9MUNITY CITYOF GUIN— p_ Epq� NT Contractor: G H A ENTERPRISES INC 30-875 DATE PALM DRIVE STE C CATHEDRAL CITY, CA 92234-3747 (760)969-1400 LIc. 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 beco ect to the workers' compensation provisions of Section 370 ofthel_ahErCode,lshaforthwith comply with t ose provisions. Date: Applica WARNING: FAILURE TO SECURE WO ERS' 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 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 relatin to building construction, and hereby authorize representatives of his ' y o ent upon the ove- mentioned Z11) pe for inspection purposes. Date: / Signature (Applicant o /A e DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $7.00 $7.00 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $7.00 $7.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $129.00 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE DIF.- FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK. R8924 1220 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $40.00 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK • R8924 1220 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $116.00 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA Total Paid forDIF -SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE TEMP POWER SERVICE 101-0000-42403 0 $24.17 $24.17 9/2/15 PAID BY METHOD RECEIPT #� _ ~ CHECK #' CLTD BY ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE TEMP POWER SERVICE PC 101-0000-42403 0 $16.92 $16.92 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA Total Paid for ELECTRICAL: •$41.09 $41.09 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $36.99 $36.99 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $15.24 $15.24 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 $145.03 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $47.86 9/2/15 PAID BY METHOD RECEIPT # CHECK # . CLTD BY ADOM VENTURES CHECK R8924 1220 MFA Total Paid for ELECTRICAL- NEW CONSTRUCTION: $245.12 $245.12 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RESIDENTIAL FINISH GRADING PC 101-0000-42600 0 $133.43 $133.43 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA Total Paid forGRADING: $133.43 $133.43 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $72.52 $72.52 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION _ACCOUNT CITY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $48.34 $48.34 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE EXHAUST HOOD PC 101-0000-42600 0 $4.83 $4.83 .9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $72.52 $72.52 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK- R8924• 1220 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000-42600 0 $48.34 $48.34 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $60.45 $60.45 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK' R8924 1220 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $24.15 $24.15 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA Total Paid forMECHANICAL: $343.24- $343.24 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE MULTI -SPECIES RESIDENTIAL 0-8 UNITS - 2015 UPDATE 101=0000-20310 0 $1,301.00 $1,301.00 9/2/15 PAID BY METHOD RECEIPT'# CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA Total Paid forMULTI-SPECIES RESIDENTIAL- $1,301.00 $1,301.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $559.35 $559.35 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA Total Paid forNEW CONSTRUCTION PERMIT: $559.35 $559.35 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,159.53 $1,159.53 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA Total Paid forNEW CONSTRUCTION PLAN CHECK: $1,159.53 $1,159.53 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY - ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID ' PAID DATE FIXTURE/TRAP 101-0000-42401 0 $217.62 $217.62 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $217.62 $217.62 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 $36.26 $36.26 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 5+ OUTLETS PC 101-0000-42600 0 $24.17 $24.17 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $12.09 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 .0 $7.25 $7.25 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $12.09 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $12.09 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA Total Paid for PLUMBING FEES: $563.37 $563.37 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $22.41 $22.41 9/2/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY ADOM VENTURES CHECK R8924 1220 MFA Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $22.41 $22.41 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $1,837.44 9/2/15 PAID BY METHOD, RECEIPT # CHECK #' CLTD BY ADOM VENTURES CHECK R8924 1220 MFA Total Paid forTUMF - RESIDENTIAL: $1,837.44 $1,837.44 7 Description: DARBY ESTATES TM 31087 PH 6 LOT 4 PLAN 1X Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: ISSUED Applied: 8/25/2015 MFA FAMILY DETACHED Approved: 9/2/2015 MFA Parcel No: 609052002 Site Address: 43420 CROISETTE CT LA QUINTA CA 92253 Subdivision: Block: Lot: 4 Issued: 9/2/2015 MFA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $172,362.80 Occupancy Type: Construction Type: Expired: 2/29/2016 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 CITY Details: 2,698 SF DWELLING PLAN TYPE 1X, LOT 4 [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2013 CALIFORNIA BUILDING CODES 8� 0 __j Applied to Approved . In Approved to Issued CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT G H A ENTERPRISES INC 30-875 DATE PALM CATHEDRAL CA 92234- (760)200-5989 MARIOGONZALEZ@GH DRIVE STE C CITY 3747 ACOMPANIES.COM CONTRACTOR G H A ENTERPRISES INC 30-875 DATE PALM CATHEDRAL CA 92234- (760)200-5989 MARIOGONZALEZ@GH DRIVE STE C CITY 3747 ACOMPANIES.COM OWNER ADOM VENTURES 77-682 COUNTRY CLUB PALM DESERT CA 92211 (760)200-5989 DR. STE A3 Printed: Wednesday, September 02, 2015 12:24:37 PM 1 of 5 SYST: MS Printed: Wednesday, September 02, 2015 12:24:37 PM 2 of 5 C SYSTEMS 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 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA Total Paid forBUILDING STANDARDS ADMINISTRATION $7,00 $7.00 BSA: DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA DIF - COMMUNITY 254-0000-43200 0 $129.00 $129.00 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA CENTERS DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA DIF - LIBRARIES 253-0000-43200 0 .$344.00 $344.00 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA DIF - PARK 256-0000-43200 0 $40.00 $40.00 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA MAINTENANCE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA DIF - STREET 255-0000-43200 0 $116.00 $116.00 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA MAINTENANCE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 9/2/15 R8924 1220 j CHECK ADOM VENTURES MFA Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 TEMP POWER SERVICE 101-0000-42403 0 $24.17 $24.17 9/2/15 .118924 1220 CHECK ADOM VENTURES MFA TEMP POWER SERVICE 101-0000-42403 0 $16.92 $16.92 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA PC Total Paid for ELECTRICAL: $41.09 $41.09 RESIDENTIAL, 101-0000-42403 0 $36.99 $36.99 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA ADDITION 1,000O5S E RESIDENTIAL, EA 101-0000-42600 0 $15.24 $15.24 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA ADDITION 1,000SF, PC RESIDENTIAL, FIRST 101-0000-424030 $145.03 $145.03 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA 1,000SF Printed: Wednesday, September 02, 2015 12:24:37 PM 2 of 5 C SYSTEMS Printed: Wednesday, September 02, 2015 12:24:37 PM 3 of 5 SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT. PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $47.86 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA - 1,000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $245.12 $245.12 RESIDENTIAL FINISH 101-0000-42600 0 $133.43 $133.43 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA GRADING PC Total Paid forGRADING: $133.43 $133.43 CONDENSER/COMPRES 101-0000-42402 0 $72.52 $72.52 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA SOR CONDENSER/COMPRES 101-0000-42600 0 $48.34 $48.34 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA SOR PC EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA EXHAUST HOOD PC 101-0000-42600 0 $4.83 $4.83 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA FURNACE 101-0000-42402 0 $72.52 $72.52 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA FURNACE PC 101-0000-426QO 0 $48.34 $48.34 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA VENT FAN 101-0000-42402 0 $60.45 $60.45 9/2/15 118924 1220 CHECK ADOM VENTURES MFA VENT FAN PC 101-0000-42600 0 $24.15 $24.15 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA Total Paid for MECHANICAL: $343.24 $343.24 MULTI -SPECIES RESIDENTIAL 0-8 UNITS 101-0000-20310 0 $1,301.00 $1,301.00 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA - 2015 UPDATE Total Paid forMULTI-SPECIES RESIDENTIAL $1,301.00 $1,301.00 NEW CONSTRUCTION 101-0000-42400 0 $559.35 $559.35 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA PERMIT Total Paid forNEW CONSTRUCTION PERMIT: $559.35 $559.35 NEW CONSTRUCTION 101-0000-42600 0 $1,159.53 $1,159.53 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA PLAN CHECK Total Paid forNEW CONSTRUCTION PLAN CHECK: $1,159.53 $1,159.53 Printed: Wednesday, September 02, 2015 12:24:37 PM 3 of 5 SYSTEMS INSPECTIONS PARENT PROJECTS Printed: Wednesday, September 02, 2015 12:24:37 PM 4 of 5 ' SYST: M 5 CL DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA FIXTURE/TRAP 101-0000-42401 0 $217.62 $217.62 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA FIXTURE/TRAP PC 101-0000-42600 0 $217.62 $217.62 9/2/15 1 R8924 1220 CHECK ADOM VENTURES MFA GAS SYSTEM, 5+ 101-0000-42401 0 $36.26 $36.26 9/2/15 .118924 1220 CHECK ADOM VENTURES MFA OUTLETS GAS SYSTEM, 5+ 101-0000-42600 0 $24.17 $24.17 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA OUTLETS PC WATER HEATER/VENT 101-0000-42401 0 $12.09 $12.09 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA WATER HEATER/VENT 101-0000-42600 0 $7.25 $7.25 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA PC WATER SYSTEM 101-0000-42401 0 $12.09 $12.09 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA INST/ALT/REP WATER SYSTEM 101-0000-42600 0 $12.09 $12.099/2/15 R8924 1220 CHECK ADOM VENTURES MFA INST/ALT/REP PC Total Paid for PLUMBING FEES: $563.37 $563.37 . SMI -RESIDENTIAL 101-0000-20308 0 $22.41 $22.41 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA - Total Paid forSTItONG MOTION INSTRUMENTATION SMI: $22.41 $22.41 SINGLE FAMILY 224-0000-203200 $1,837.44 $1,837.44 9/2/15 R8924 1220 CHECK ADOM VENTURES MFA DETACHED Total Paid forTUMF - RESIDENTIAL: $1,837.44 $1,837.44 TOTALS:0.$13,106.98 INSPECTIONS PARENT PROJECTS Printed: Wednesday, September 02, 2015 12:24:37 PM 4 of 5 ' SYST: M 5 NOi�el"1'1'1PERMIT NSMBER f(r City of La Quints BRESZUI5-032.2 h"REVIEW'TYPE"I REVIEWER—'I-SENT-DATE`I`DUE'DATE'I DATE—I—STATUS I REMARKS -1 "NOTES Printed: Wednesday, September 02, 2015 12:24:37 PM 5 of 5 L7 6.i :.oJ 4J SY57EM5