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BRES2015-0451
78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: GHA ENTERPRISE, INC. OUTSIDE CITY LIMITS LA QUINTA, CA 92253 51 4 VOICE (760) 777-7125 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT 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 nd Professions Code, and my License is in full force and effeAILDERDECLARATIO License Cla s: B License No.: 75 •� Date. / IO' Contra OWNER-B 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.). (_) 1, 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. Q. Lender's Lender's Add (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, andagree tha I should eeome•subject to the workers' compensation provisions of Section 00 of the ober Code, I shall forthwith comply witA those provisions.' Date: I / Applica WARNING: FAILURE TO SECURE WO ERS' COMPENSATICOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER CRIMINAL PENALT 5 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 andhold 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 stat�la s reia 'ng•t ilding construction, and hereby authorize representatives of at-id ci t en r upon the above-mentioned property for inspection purposes. Date: I It /21 Signature (Applicant or Ag t): Date: 1/11/2016 BRES2015=0451 Owner: 43305 CROISETTE CT ADOM VENTURES 609052002 77-682 COUNTRY CLUB DR. T_E A3 DARBY ESTATES TM31087 PH 8 LOT 19 PLAN 1XAR PALM DESERT, CA 92211 QX $172,362.80 rn E p I jD� � mil v Contractor:G H A ENTERPRISES INC30-875 L DATE PALM DRIVE C' CATHEDRAL CITY, CA 9223374 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 nd Professions Code, and my License is in full force and effeAILDERDECLARATIO License Cla s: B License No.: 75 •� Date. / IO' Contra OWNER-B 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.). (_) 1, 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. Q. Lender's Lender's Add (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, andagree tha I should eeome•subject to the workers' compensation provisions of Section 00 of the ober Code, I shall forthwith comply witA those provisions.' Date: I / Applica WARNING: FAILURE TO SECURE WO ERS' COMPENSATICOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER CRIMINAL PENALT 5 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 andhold 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 stat�la s reia 'ng•t ilding construction, and hereby authorize representatives of at-id ci t en r upon the above-mentioned property for inspection purposes. Date: I It /21 Signature (Applicant or Ag t): l . • 1 . FINANCIAL DESCRIPTION ACCOUNT _.. QTY. AMOUNT . PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $7.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $7.00 $0.00 DESCRIPTION ACCOUNTQTY 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 # 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 for DIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 DESCRIPTION ACCOUNT. QTY AMOUNT PAID -PAID DATE TEMP POWER -SERVICE 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY. AMOUNT PAID PAID DATE TEMP POWER SERVICE PC 101-0000-42600 0 $16.92 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $41.09 $0.00 DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 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 1,0005F, 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 PRECISE GRADING - TRACT HOME 101-0000-42408 0 $133.43 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for GRADING: $133.43 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $72.52 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $48.34 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY 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 $60.45 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-42600 0 $24.15 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for MECHANICAL: $343.24 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE MULTI -SPECIES RESIDENTIAL 0-8 UNITS - 2015 UPDATE 101-0000-20310 0 $1,301.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for MULTI -SPECIES RESIDENTIAL: $1,301.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $559.35 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for NEW CONSTRUCTION PERMIT: $559.35 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $1,159.53 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,159.53 $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 $217.62 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $217.62 $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 # 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 "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: $563.37 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $22.41 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for STRONG MOTION INSTRUMENTATION SMI: $22.41 $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 for TUMF - RESIDENTIAL: $1,837.44 . $0.00 1 • Permit Details PERMIT NUMBER City of La Quinta BREs2015=0451 :r a Description: DARBY ESTATES TM31087 PH 8 LOT 19 PLAN 1XAR Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED Applied: 12/14/2015 MFA FAMILY DETACHED Approved: 1/11/2016 MFA Parcel No: 609052002 Site Address: 43305 CROISETTE CT LA QUINTA,CA 92253 Subdivision: Block: Lot: 19 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $172,362.80 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 OUTSIDE CITY LIMITS Details: 2,698 SF DWELLING PLAN TYPE 1XAR, LOT 19 [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2013 CALIFORNIA BUILDING CODES CHRONOLOGY CONDITIONS NAME TYPE : NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT GHA ENTERPRISE, INC. OUTSIDE CITY LIMITS LA QUINTA CA 92253 (760)200-5989 CONTRACTOR G H A ENTERPRISES INC 30-875 DATE PALM DRIVE STE C CATHEDRAL CITY CA 92234- 3747 (760)200-5989 MARIOGONZALEZ@GH ACOMPANIES.COM OWNER ADOM VENTURES 77-682 COUNTRY CLUB DR. STE A3 PALM DESERT CA 92211 (760)200-5989 Printed: Monday, January 11, 2016 8:45:42 AM 1 of 5 0? RJ SYSTEMS Printed: Monday, January 11, 2016 8:45:42 AM 2 of 5 V? SY57.M5 _ CLTD DESCRIPTION ACCOUNT~ QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306. 0 $7.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $7,00 $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 TEMP POWER SERVICE 101-0000-42403 0 $24.17 $0.00 TEMP POWER SERVICE 101-0000-42600 0 $16.92 $0.00 PC Total Paid for ELECTRICAL: $41.09 $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 1,000SF Printed: Monday, January 11, 2016 8:45:42 AM 2 of 5 V? SY57.M5 P.0 -11D Det"a PERMIT NUMBER City of La M to BRES2015-0451 Printed: Monday, January 11, 2016 8:45:42 AM 3 of 5 ( RL -►1--! SYSTEMS CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $0.00 1,000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $245.12 $0.00 RESIDENTIAL PRECISE GRADING - TRACT 101-0000-42408 0 $133.43 $0.00 HOME Total Paid for GRADING: $133.43 $0.00 CONDENSER/COMPRES 101=0000-42402 0 $72.52 $0.00 SOR CONDENSER/COMPRES 101-0000-42600 0 $48.34 $0.00 SOR PC 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 1 $60.45 $0.00 VENT FAN PC 101-0000-42600 0 $24.15 $0.00 Total Paid for MECHANICAL: $343.24 $0.00 MULTI -SPECIES RESIDENTIAL 0-8 UNITS 101-0000-20310 0 $1,301.00 $0.00 -2015 UPDATE Total Paid for MULTI -SPECIES RESIDENTIAL: $1,301.00 $0.00 NEW CONSTRUCTION 101-0000-42400 0 $559.35 $0.00 PERMIT Total Paid for NEW CONSTRUCTION PERMIT: $559.35 $0.00 Printed: Monday, January 11, 2016 8:45:42 AM 3 of 5 ( RL -►1--! SYSTEMS DESCRIPTION ACCOUNT CITY AMOUNT PAID PAIDDATE RECEIPT#. CHECK#. METHOD PAID CLTD -BY BY NEW CONSTRUCTION 101-0000-42600 0 $1,159.53 $0.00 PLAN CHECK Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,159.53 $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 $217.62 $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $217.62 $0.00 GAS SYSTEM, 5+ 101-0000-42401 0 $36.26 $0.00 OUTLETS GAS SYSTEM, 5+ 101-0000-42600 0 $24.17 $0.00 OUTLETS PC WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 WATER HEATER/VENT 101-0000-42600 0 $7.25 $0.00 PC WATER SYSTEM 101-0000-42401 0 $12.09 $0.00 INST/ALT/REP WATER SYSTEM 101-0000-42600 0 $12.09 $0.00 INST/ALT/REP PC Total Paid for PLUMBING FEES: $563.37 $0.00 ---f--O-] SMI - RESIDENTIAL 101-0000-20308 $22.41 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $22.41 $0.00 SINGLE FAMILY 224-0000-203200 $1,837.44 $0.00 DETACHED Total Paid for TI IMF - RESIDENTIAL: $1,837.44 $0.00 • •LS: $13,106.98 $0.00 INSPECTIONS Printed: Monday, January 11, 2016 8:45:42 AM 4 of 5 OR SY57FM5 BOND INFORMATION Attachment Type CREATED OWNER ATTACHMENTS DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 12/30/2015 LISA NOTTINGHAM Res Spk - Darby.docx Res Spk - Darby.docx 0 DOC 12/15/2015 MARY FASANO DARBY ESTATES LOTS 5 - DARBY ESTATES LOTS 5 - 0 19 PAD CERTS.pdf 19 PAD CERTS.pdf DARBY ESTATES SOILS DARBY ESTATES SOILS DOC 12/15/2015 MARY FASANO REPORTS LOTS 6-19 REPORTS LOTS 6-19 0 INTERIM LOTS 1-5.pdf INTERIM LOTS 1-5.pdf Printed: Monday, January 11, 2016 8:45:42 AM 5 of 5 SYSTEMS f. EGeY✓• NOTE. SOME ITEMS MAY NOT BE APPLICABLE FOR THE LOT SHOWN HEREON. HARDSCAPE ® A/C UNIT ❑T TELEPHONE QE ELECTRICAL ©- CABLE TV CZF- WATER SERVICE SEWER LATERAL FIRE HYDRANT ELECTRICAL TRANSFORMER. PUBLIC UTILITY EASEMENT STREET LIGHT --- 0 STORM DRAINS/PIPE --- DRAINAGE SWALE WALLS AND FEWCNCi BLOCK WALL RETAINING WALL ® GATE Q No. 55606 La CROISETTE COURT CAI.�t"� 10/12/f5 DISCLOSURE STATEMENT: This plan is for general information only and is intended to show approximate. relationships. This plan is not intended to show precise utility, mailbox or air conditioner locations, exact conditions, nor does it accurately reflect the size of utility boxes. GHA Companies does not determine utility or mailbox locations and these locations are subject to change due to actual field conditions. GHA Companies makes no guarantees as to the accuracy of this plan nor is any liability assumed for any other than that intended. This plan may not show current record information. Refer to the title report for dimensions, easements, and other information of record. All dimensions are approximate and subject to change. For exact locations it is strongly advised"to check actual field conditions. These conditions must be verified prior to beginning any design or construction of homeowner lot improvements. BUYERS INITIALS: DATE: REVISED: —A HEITEC I W•- °e tea . 625]$ M.I.M. Pl...$alta P Palm 0—it Calla mla 92x11 �� C N S W L T I N G 180.3 ..W hi1009409010 Lf??015 C"11"T"not TRACT 31087 43-5 -I /3y0�/ /G�'�,OwIS/E�TT�TE CSO/ URr p♦ TW L