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BWFE2015-024878-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BWFE201S-0248 Property Address: 43480 CROISETTE CT APN: 609052002 Application Description: 145 LN FT X 6 FT HT BLOCK WALL PER CITY STANDARDS Property Zoning: Application • Valuation: $1,500.00` Applicant: v GHAENTERPR�SE\`INC V30-875 DATE PALM] RIVE STE C) CATHEDRAL CITY ,t 9223343.7.47' MUmo�Eoti��NSOEer�-. SORA • . 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 ®aje: `Z) Contractor: OWNER -BUILDER EC RATIO I hereby affirm under penalty of perjury that I am a empt 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 o 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 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/21/2015 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. Dae: 1 2') Applicant: WARNING: FAILURE TO SECURE WORKERS' COM ENSATSNCOAGEISUNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL IVIL 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:APO Signature (Applicant or Agent): 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 50 LF 101-0000-42404 0 $14.50 $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 forFENCE OR FREESTANDING WALL- $123.27 $0.00 TOTALS:00 Description: 145 LN FT X 6 FT HT BLOCK WALL PER CITY STANDARDS Type: WALL/FENCE Subtype: Status: UNDER REVIEW Applied: 7/21/2015 PJU Approved: Parcel No: 609052002 Site Address: 43480 CROISETTE CT LA QUINTA,CA 92253 Subdivision: Block: Lot:6 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME TYPE Details: NOTES 145 LN FT X 6 FT BLOCK WALL INCLUDES PERIMETER WALL & COURTYARD SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY.2013CBC 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: Tuesday, July 21, 2015 10:59:57 AM 1 of 2 sysrrms Printed: Tuesday, July 21, 2015 10:59:57 AM 2 of 2 Ll LJ SYSTEMS INSPECTIONS SEQID INSPECTION TYPE CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY FINAL'"* BLD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: WALL/FENCE - EA 101-0000-42404 0 $14.50 $0.00 ADDITIONAL 50 LF WALL/FENCE - FIRST 101-0000-42404 0 $47.86 $0.00 100 LF WALL/FENCE - FIRST 101-0000-426000 $60.91 $0.00 100 LF PC Total Paid forFENCE OR FREESTANDING WALL $123.27 $0.00 TOTALS:00 Printed: Tuesday, July 21, 2015 10:59:57 AM 2 of 2 Ll LJ SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES BOND BEAM BLD FINAL'"* BLD FOOTINGS BLD Printed: Tuesday, July 21, 2015 10:59:57 AM 2 of 2 Ll LJ SYSTEMS Bin # City of La Quinta Building 8Z Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:: -1311-6V C Owner's Name: A. P. Number: Address: Legal Description: City, , Zip: Contractor: = �76C fc Ct- elePho _ K Q'v ..............:...........:. Address:�bq)7S _ P019-) tYl �2 PrectDescription: YgVPILO x (`-i5 ` L4:�- City, ST, Zip: CCt-1�rr—i (,,4-t Ca 9Lz3Li Of `^e W l�tC3tJL lvZ9-�� th�lvz�e.s ele h Telephone: o . P % -. y 6 I o U ................................... Vie. , ��• Y � r State Lie. # : f75o Q$ r7 City Lie. M. iLe v�h w& -`k h re- `S a n G,�\ Arch., Engr., Designer: Address: City, ST, Zip: P� G� �- CAO, AZZ1 Telephone: one: bU-3"1 0 - D rbO onstruction TYPe•EOccupancy: State to Lic. # • 0roJect tYPe(civ r 1e one):: NeAdd'n Alter Repair.air Demo Name of Contact Person: \_�c Cha ��J �a.S Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: -76e) _ Z450 Cj QjS Estimated Value of Project: I GOO • APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates, Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval C0 i,C_a_lled Contact Person A.I.P.P. Pub. Wks. 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