BRES2014-1137Applicant:
GHA ENTERPRISE, INC.
OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
Twit D 4 Q&& VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT. INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/4/2014
Owner:
ADOM VENTURES
77-682 COUNTRY CLUB DR. STE A3
i-3/CLASS �D PALM DESERT, CA 92211
NOV 4 PT4 lUl Contractor:
GHA ENTERPRISE, INC.
n,OrlAQUINTA OUTSIDE CITY LIMITS
-- — MEN' P`pARTttENT LA QUINTA, CA 92253
(760)969-1400
Llc. 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 Class: _ License No.: :LIC -0104516
Date: fl I Contractor:
OWNER-BUILDE DECLARATION
fl hereby affirm under penalty of perjury that I exem 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 Name:
Lender's Add
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 w'fh those provisions.
Date: f I Applicant:/
WARNING: FAILURE TO SECURE WORKERS' COM ,ENSATION COV AGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL D 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 com 1y with all city and county ordinances and state laws relating to building
construction, d hereby authorize representatives of this city to enter upon the above.
mentioned property for inspection purposIntorAgent): Date: r Signature (Appli,.
f' w
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA
92253
Application Number:
BRES2014-1137
Property Address:
43455 CROISETTE CT
APN:
609052002
Application Description:
2,359SF DWELLING/VB/R
Property Zoning:
Application Valuation:
$143,544.40
Applicant:
GHA ENTERPRISE, INC.
OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
Twit D 4 Q&& VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT. INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/4/2014
Owner:
ADOM VENTURES
77-682 COUNTRY CLUB DR. STE A3
i-3/CLASS �D PALM DESERT, CA 92211
NOV 4 PT4 lUl Contractor:
GHA ENTERPRISE, INC.
n,OrlAQUINTA OUTSIDE CITY LIMITS
-- — MEN' P`pARTttENT LA QUINTA, CA 92253
(760)969-1400
Llc. 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 Class: _ License No.: :LIC -0104516
Date: fl I Contractor:
OWNER-BUILDE DECLARATION
fl hereby affirm under penalty of perjury that I exem 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 Name:
Lender's Add
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 w'fh those provisions.
Date: f I Applicant:/
WARNING: FAILURE TO SECURE WORKERS' COM ,ENSATION COV AGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL D 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 com 1y with all city and county ordinances and state laws relating to building
construction, d hereby authorize representatives of this city to enter upon the above.
mentioned property for inspection purposIntorAgent): Date: r Signature (Appli,.
FINANCIAL •• 1•
DESCRIPTION ACCOUNT
QTY AMOUNT PAID
PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $6.00 $0.00
PAID BY METHOD
RECEIPT # CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA; $6.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - COMMUNITY CENTERS
254-0000-43200
0
$129.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - LIBRARIES
253-0000-43200
0
$344.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - PARK MAINTENANCE
256-0000-43200
0
$40.00
$0.00
PAID BY
METHOD
RECEIPT It
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - STREET MAINTENANCE
255-0000-43200
0
$116.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forDIF - SINGLE FAMILY DWELLINCR $6,894.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF
101-0000-42403
1 0
$36.99
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF, PC
101-0000-42600
0
$15.24
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$145.03
$0.00
PAID BY
METHOD
RECEIPT#
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600
0
$47.86
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $245.12 $0.00
DESCRIPTION _
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL FINISH GRADING PC
101-0000-42600
0
$143.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forGRADING: $143.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
EXHAUST• HOOD
101-0000-42402
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
EXHAUST HOOD PC
101-0000-42600
0
$4.83
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FURNACE
101-0000-42402
0
$72.52
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FURNACE PC
101-0000-42600
0
$48.34
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
VENT FAN
101-0000-42402
0
$48.36
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
VENT FAN PC
101-0000-42600
0
$19.32
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for MECHANICAL: $205.46 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
MULTI -SPECIES RESIDENTIAL 0-8 UNITS
101-0000-20310
0
$1,292.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forMULTI-SPECIES RESIDENTIAL• $1,292.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$535.57
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forNEW CONSTRUCTION PERMIT: $535.57 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$1,081.52
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY,
Total Paid forNEW CONSTRUCTION PLAN CHECK: $1,081.52 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE'
BUILDING SEWER PC
101-0000-42600
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP
101-0000-42401
0
$181.35
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP PC
101-0000-42600
0
$181.35
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK # f
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 5+ OUTLETS PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
1
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY .
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT PC
101-0000-42600
0
$7.25
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.09
$0.00
PAID BY
METHOD =
RECEIPT #
CHECK #
CLTD BY
Total Paid for PLUMBING FEES: $490.83 $0.00
DESCRIPTION
ACCOUNT -
QTY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$18.66
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $18.66 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SINGLE FAMILY DETACHED
224-0000-20320
0
$1,837.44
$0.00
PAID BY
METHOD
RECEIPT#
CHECK #
CLTD BY
Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00
TOTALS:$12,749.60 $0.00
Description: 2,359SF DWELLING/VB/RES-3/CLASS A-FR/13D
Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED
Applied: 10/24/2014 AOR
FAMILY DETACHED
Approved: 10/24/2014 AOR
Parcel No: 609052002 Site Address: 43455 CROISETTE CT LA QUINTA,CA 92253
Subdivision: Block: Lot: 14
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $143,544.40 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 2,359SF DWELLING - PLAN 1R, ELEVATION B, LOT 14 [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK
WALLS OR DRIVEWAY APPROACH. 2013 CALIFORNIA BUILDING CODES.
Printed: Tuesday, November 04, 201411:52:46 AM 1 of 4
0?= SYSTEMS
CHnONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE NOTES
EMAIL SENT TO ALEX GONZALES REQUESTING UPDATE OF
E-MAIL
AJ ORTEGA
10/16/2014
10/16/2014
PLANS PRIOR TO APPROVAL OF PHASE 1 SEQUENCE SHEET.
CONDITIONS
NAME TYPE
NAME
ADDRESS1
CONTACTS
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
PALM DESERT
CA
92211
(760)200-S989-
760)200-5989DR.
DR.STE A3
Printed: Tuesday, November 04, 201411:52:46 AM 1 of 4
0?= SYSTEMS
Printed: Tuesday, November 04, 2014 11:52:46 AM 2 of 4
1YSTEMS
C
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$6.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $6.00 $0.00
BSA:
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
$0.00
DIF - COMMUNITY
254-0000-43200
0
$129.00
$0.00
CENTERS
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$0.00
DIF - LIBRARIES
253-0000-43200
0
$344.00
$0.00
DIF - PARK
256-0000-43200
0
$40.00
$0.00
MAINTENANCE
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$0.00
DIF - STREET
255-0000-43200
0
$116.00
$0.00
MAINTENANCE
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
$0.00
Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00
RESIDENTIAL, EA
101-0000-42403
0
$36.99
$0.00
ADDITION 1,000SF
RESIDENTIAL, EA
101-0000-42600
0
$15.24
$0.00
ADDITION 1,000SF, PC
RESIDENTIAL, FIRST
101-0000-42403
0
$145.03
$0.00
1,OOOSF
RESIDENTIAL, FIRST
101-0000-42600
0
$47.86
$0.00
1,000SF, PC
Total Paid forELECTRICAL - NEW CONSTRUCTION: $245.12 $0.00
RESIDENTIAL FINISH
101-0000-42600
0
$143.00
$0.00
GRADING PC
Total Paid forGRADING: $143.00 $0.00
Printed: Tuesday, November 04, 2014 11:52:46 AM 2 of 4
1YSTEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
LTD
CBY
BY
EXHAUST HOOD
101-0000-42402
0
$12.09
$0.00
EXHAUST HOOD PC
101-0000-42600
0
$4.83
$0.00
FURNACE
101-0000-42402
0
$72.52
$0.00
FURNACE PC
101-0000-42600
0
$48.34
$0.00
VENT FAN
101-0000-42402
0
$48.36
$0.00
VENT FAN PC
101-0000-42600
0
$19.32
$0.00
Total Paid for MECHANICAL: $205.46 $0.00
MULTI -SPECIES
RESIDENTIAL 0-8 UNITS
101-0000-203100
$1,292.00
$0.00
Total Paid forMULTI-SPECIES RESIDENTIAL $1,292.00 $0.00
NEW CONSTRUCTION
PERMIT
101-0000-42400
0
$535.57
$0.00
Total Paid forNEW CONSTRUCTION PERMIT: $535.57 $0.00
NEW CONSTRUCTION
PLAN CHECK
101-0000-426000
$1,081.52
$0.00
Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,081.52 $0.00
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
BUILDING SEWER PC
101-0000-42600
0
$12.09
$0.00
FIXTURE/TRAP
101-0000-42401
0
$181.35
$0.00
FIXTURE/TRAP PC
101-0000-42600
0
$181.35
$0.00
GAS SYSTEM, 5+
OUTLETS
101-0000-42401
0
$36.26
$0.00
GAS SYSTEM, 5+
OUTLETS PC
101-0000-42600
0
$24.17
$0.00
WATER HEATER/VENT
101-0000-42401
0
$12.09
$0.00
WATER HEATER/VENT
PC
101-0000-42600
0
$7.25
$0.00
Printed: Tuesday, November 04, 2014 11:52:46 AM 3 of 4
R?SYSTFMS
PARENT ..
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
WATER SYSTEM
101-0000-42401
0
$12.09
$0.00
10/16/2014
REVISIONS REQUIRED
CURRENT PLAN APPROVAL DOES NOT INCLUDE
2013 CALIFORNIA ENERGY CODE.
INST/ALT/REP
OKAY TO ISSUE WITHOUT APPROVAL OF 2013
BUILDING
AJ ORTEGA
10/24/2014
10/24/2014
10/24/2014
WATER SYSTEM
101-0000-42600
0
$12.09
$0.00
INSPECTION UNTIL REVIEWED AND APPROVED.
INST/ALT/REP PC
Total Paid for PLUMBING FEES:' $490.83 $0.00
SMI - RESIDENTIAL
101-0000-20308
1 0
$18.66
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $18.66 $0.00
SINGLE FAMILY
224-0000-203200
$1,837.44
$0.00
DETACHED
Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00
TOTAI I%- $17,74q.60 k.00
PARENT ..
REVIEWS
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
RETURNED
DATE
STATUS
REMARKS
NOTES
BUILDING
AJ ORTEGA
10/16/2014
10/16/2014
10/16/2014
REVISIONS REQUIRED
CURRENT PLAN APPROVAL DOES NOT INCLUDE
2013 CALIFORNIA ENERGY CODE.
OKAY TO ISSUE WITHOUT APPROVAL OF 2013
BUILDING
AJ ORTEGA
10/24/2014
10/24/2014
10/24/2014
APPROVED
ENERGY CODE UPDATE - FOUNDATION ONLY
INSPECTION UNTIL REVIEWED AND APPROVED.
BOND INFORMATION
Printed: Tuesday, November 04, 2014 11:52:46 AM 4 of 4 Cg?
SYSTEMS