BWFE2014-113778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ty,,44Q9mr(v
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BWFE2014-1137
Property Address: 43425 CROISETTE CT
APN: 609052002
Application Description: 170 LN FT X 6 FT HT BLOCK WALL ANGELUS
Property Zoning:
Application Valuation: $4,500.00
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.: 750957
Date: i Z `Z t L4 Contractor:
OWNER -BUILDER DE RATION
I hereby affirm under penalty of perjury that I am xempt from Contractor's State
License Law for the following reason (Sec. 7031.5, Bu s 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).: 1
(_) I, as owner of the property, or my employees with wades 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/2/2014
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 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: i Z — L —NkA Applicant:
WARNING: FAILURE TO SECURE WORKERS' OMPENSA COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMI ENALTIES 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, indemnity 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:) Z -2 H Signature (Applicant �,
FINANCIAL • •
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 SO 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• $185.63 $0.00
• • ••
Description: 170 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: 43425 CROISETTE CT LA QUINTA,CA 92253
Subdivision:
Block: Lot: 15
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $4,500.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: 150 LN FTX 6 FT HT 20 LN FTX 6 FT HT COURTYARD WALL PER APPROVED PLANS & ANGELUS STANDARDS 2013.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
CONTACTS
�= NAME TYPE
NAME=
ADDRESS1'
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-
3747
(760)200-5989
OWNER
ADOM VENTURES
77-682 COUNTRY CLUB
DR. STE A3
PALM DESERT
CA
92211
(760)200-5989
FINANCIAL INFORMATION
Printed: Tuesday, December 02, 2014 10:30:28 AM 1 of 2 CR
SYSTEMS
';a
—DESCRIPTION
r�
NOTES
SEQID
_ T
CLD
SCHEDULED
DATE
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE^
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS 561473 FEE
101-0000-20306
0
$1.00
$0.00
FOOTINGS
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
Printed: Tuesday, December 02, 2014 10:30:28 AM 2 of 2
N?WYSTEMS
NOTES
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
DATE
INSPECTIONS
COMPLETED
DATE
RESULT
REMARKS
FINAL"
BOND BEAM
FOOTINGS
Printed: Tuesday, December 02, 2014 10:30:28 AM 2 of 2
N?WYSTEMS
#
City of* La Quinta
Building a Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 • (760) 777-7012
Building Permit Application -and Tracking Sheet
Permit #
Project Address:Zwt✓IL=(J G yto
A P.Number. 6)rqMj
wner's Name: A 1>0"VONTM E.S L, Ler
Address: SAMlr
Legal Description:
City, ST, Zip: rj #}-i%4G-
Contractor. car A �J'} i(ji a4L 5"ES
Telephone: Sr A -M a
Address: aO4a'"1S Pa.( I%A d Q .
Project Description: 150" L I NE4trz ► +
City, ST, Zip: C-PCror-'j 2#' L, LIr U4
OF &041LD94NJ W14- It, 1- Q S-R4N[)1Q"121%.
Telephone: 7Go-cj6q-1`100. •
:b ^fz�t\
State Lic. # : " S095r7 CityLic. #:
Arch, Engr., Designer. I FG F nJ&iA t5r-.iZ
2-0, O F 602v yrlrD W.4 L. L
'o` •}'?�\
Address:
City, ST, Zip: Rk I ro 0 51= fur- &A g2Z13
Telephone:Construction
Type: M AS&J(W Occupancy:
State Lic. #:
Project type (circle one): ew Add'n Alter Repair Demo
Name of Contact Person: TO HrJ
Sq, FL:#Stories:
# Units:
Telephone # of Contact Person: 7&0
Estimated Value of project LI, 500 , 1
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
Submittal
Rcq'd
Recd
TRACMG
PERMITFEES-
Plan Sets
Plan Check submitted
Item
Amount
Stroctaral CaIcs.
Reviewed, ready for corrections
Plan Chcck Deposit.
Truss Cates.
Called Contact Person
Plan Check Balance
Tide 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubm'itted'.
Mecharileal
Grading plan
V Review, ready for corrections/issue
Electrical
Subeostaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
ML
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for correctionsAsane
Developer Impact Fee
Planning Approval
Called Contact Person
A I.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
. F"
Z
0 15' 30' 60' 120'
GRAPHIC SCALE: 1--- 30'
COUNTRY'
CLUB
L
'pVFiP
DRIVE
Ay,
wp
U
W
{
�
♦ti
iG'
41nd
AVENUE
10
U
2 ?
DARBY R
SITE
3 3
'REO
WAKING
ORNE
MILES
AVENUE
2
IIY
j
V
N
N
STATE HWY
III
VICINITY MAP
NO SCALE
Important Notice — Underground Service Alert
Setup 4216/4217 d the CBrvmml Code iegwn
0% NM Belfidges moh6d he hosed Mae s
pond I I••,.ei ed . "fid. I. yae N Net
Idem tion 1NmM ml (Jmhgmad Sence Nal
TOL FILE at 1 -M227 -2600 1-o sating days
Mare Yat dg.
Cont—ion cmvocla ogren thot lh occadaee rith gedaalty oecepled emswedud
p«tics.'ddhbdclim cantracla A I'—ked le oosome We oM eompla, -.wily la
ob site .6t'ms chit,, the carie of cdnswetim of the pojeet. ilduding safety of d prim,
and papery, that this reg i-dht shall be mode to opply wnt-..y and .ol be 14nit:o to
d railing howl, odd oalswcfin eenaneta f ethee ogress to defmil naemnify odd hold
dssign pofaiiiond hmsdess hm, any and dl Wbaily. red a dleges. in connection riU the
peefamee of dcors on this p bFcl, edglip foolitY aei o hon the sas degi)elee of desiF
WO—imd.
PRIVAT N IN R' NOTE TO CONTRACTOR
Tne eiinence and """ of dhy mdeegho"' "T" Ad
es. cpbuits or slruelurss slw.n m these PWh,
b obtained f ,o semeh of the mpilable rewrds. to the best of our knarkdae there ore no uistidg
-Xei ucepl lmrn on Ihne plan,. Tne mnvactw u rpulred W lake ane pecbotimd, memurss
to peolecl the utility fires Mom on Nese d awiiyi. The con r lunher h 3 all ruhitiity and
reepmiiptily for the WRY pipes. conduits d, My l— 1— 1, Morn on these d•a.iga.
IN THE CITY OF LA OUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA
SITE PLAN
"DARBY ESTA TES n
TRACT NO. 31087
it
I
13
I
I
13
I
I
13
I <
I g
13 �-
I
I �
I
13
I
I
13
i .
I C
Scr-
CCU
iE
LA . FG PER PASNCI�OFJU
OP
�., HIGH
N A BOCK WALL
75LIG & SAFETY DEPT
APPROVED 1.75' .
FOR CONSTRUCTIONLgv T�
PVC DRAINPIPE
SECTION A -A
DATE B V No. 55606 1
NOT TO SCALE
-
'r a cwl�
REVISIONS: PREPARED UNDER THE DIRECT SUPERVISION OF: CITY OF LA O U I N T A SHEET
.r.nenoolde.aom
N0. DESCRIPTION BY I DAIS A HEITEC a267SMebnleRece.BUlteG SITE PLAN SP
MICHAEL D. SwLNER R.C.E. N0. 55606 p.Bd o...rt uwade Bxxu
T /—k C O N S U L T I N G TBoaeaAow -70
_
DA 7E. TRACT NO. 31087 OF
APPROVED BY: CITY OF LA OUINTA SCALE: AS NOTED
! - PLOT DATE: 10 07/14
DESI ON BY: J.E. BEING A SUBOMSION OF A POR77ON OF THE N 1/2 OF THE SW 1/4 SHEETS
OF SECROw FILE NO.
[DRAWN—J.E. W.O. FOR: DWG.
OaiE CYTY-ENGINEER CHECKED BY: M.H. 130902 AOOM VENTURES. UC 130902 SITE