BWFE2015-004078-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BWFE2015-0040
D VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/17/2015
Property Address: 43545 CROISETTE CT
APN: 609052002
Application Description: 278LNFTX6 1OLNFTX6FTHT 15LNFTX6FTHTWALLS
Property Zoning:
_�7
Application Valuation: $4,000.00
L!—�
Applicant:
FEB 1.7 2015
G H A ENTERPRISES INC
30-875 DATE PALM DRIVE STE C
CATHEDRAL CITY, CA 92234-3747
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
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
bate: 2 Contractor: 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:
OWNER -BUILDER DrLexe
TION Carrier: _ Policy Number: _
I hereby affirm under penalty of perjury that I a)the Contractor's State _ I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement. that he or she is licensed pursuant to the provisions of the comply with those provisions.
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 Date: 2 Applicant:
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for
permit subjects the applicant to a civil penalty of not more than five hundred dollars WARNING: FAILURE TO SECURE WORKERS' COM ENSATION ERAGE IS UNLAWFUL,
($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P IES AND CIVIL FINES UP TO
(_) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES.
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 APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of.completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose
(_) I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or
the Contractors' State License Law.). following issuance of this permit.
(_) I am exempt under Sec. B.&P.C. for this reason 2. Any permit issued as a result of this application becomes null and void if work is
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 Address:
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 ( 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
$120.36
$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-
TOTALS:00
$229.13
$0.00
Description: 278LNFTX6 1OLNFTX6FTHT 15LNFTX6FTHTWALLS
Type: WALL/FENCE Subtype: Status: UNDER REVIEW
Applied: 2/17/2015 PJU
Approved:
Parcel No: 609052002 Site Address: 43545 CROISETTE CT LA QUINTA,CA 92253
Subdivision: Block: Lot: 11
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $4,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: ALL ANGELUS STANDARD 278 LNFTX6FHT/10 LN FT X6FT HT RETURN WALL/15LNFT X 6FT HT COURTYARD WALLS.PRECISION
CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY.
Printed: Tuesday, February 17, 2015 1:21:45 PM 1 of 2 C WrsrEMs
ADDITIONAL
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
13747
ACOMPANIES.COM
OWNER
ADOM VENTURES
77-682 COUNTRY CLUB
PALM DESERT
CA
92211
(760)200-5989
DR. STE A3
FINANCIAL
INFORMATION
Printed: Tuesday, February 17, 2015 1:21:45 PM 1 of 2 C WrsrEMs
PARENT PROJECTS
REVIEWS
"7 REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS DATE NOTES
y
BOND
INFORMATION
NOTES
SEQID
INSPECTION TYPE
'INSPECTOR
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
1 101-0000-20306
0
$1.00
0.00
FOOTINGS
AOR
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
WALL/FENCE - EA
101-0000-42404
0
$120.36
$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* $229.13 $0.00
TOTALS:00
PARENT PROJECTS
REVIEWS
"7 REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS DATE NOTES
BOND
INFORMATION
NOTES
SEQID
INSPECTION TYPE
'INSPECTOR
SCHEDULED
DATE
INSPECTIONS
COMPLETED RESULT
DATE
REMARKS
BOND BEAM
FINAL*"
FOOTINGS
AOR
PARENT PROJECTS
REVIEWS
"7 REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS DATE NOTES
Printed: Tuesday, February 17, 2015 1:21:45 PM 2 of 2 CJ? -SYSTEMS
i
BOND
INFORMATION
ATTACHMENTS
Printed: Tuesday, February 17, 2015 1:21:45 PM 2 of 2 CJ? -SYSTEMS
i
Bin #
City of La Quinta.
Building &r 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: 40a SS S' Com,
Owner's Name:
Address: s
A. P.'Number:
Legal Description: Lp'T" 1
City, ST, Zip:
Contractor:2Ei.t,S ,C_
Telephone:hone:
'
Address: 108-I
Project Description: 27 a' %' 6A�•
City, ST, zip: ca'tr.a.Xro,1 Cc>L g2Z3�
I d (0" YL r % ' 15' 6' Ir-04
Telephone-
P 6• -zs o-
<:�%2
State Lic. # : 75(09 C
City Lic. #:
Arch., Engr., Designer: ��1� CC Cf.,1Ci4,.%irt�t.f
Address:
City., ST, Zip:
Telephone::;::;hr•:
;;;:.;.;. ;rw ::v .<
rk;:�' :cam:;;.,:,:,::.._f•...:!;4;,!.
!:ni'1,.;:!.:isr•is i'::iti`:`.•}:: Aj6:::!ii.: �i Y.!^: J;:
Construction Type: 6%ocAr— Occupancy:
State Lic. #:
Project type (circle one): ew Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.: -7
#Stories:
#Units:
Telephone # of Contact Person:Estimated
Value of Project: L4 0 , to
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala..
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction'
Flood plain plan
Plans resubmitted .
Mechanical
Grading plan
2"" Review, ready for corrections/issue
Electrical
Subcontactor List
Callcd Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN I10USE:-
'" Review, ready for corrcctions/issue
Developer Impact Fee
Planning Approval
Called Contact.Person
A.I.P.P.
Pub. Wks. Appr.
Date of permIt issue
School Fees
Total Permit Fees
-
�
' .
_____
H N