BRES2015-0377 Revision 278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&t�p 4 s(P Qubt&
COMMUNITY DEVELOPMENT DEPARTMENT
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 and Professions Code,
and my License is in full force and effect.
License Class: B License No.: 750957
Date
Contractor:
OWNER -BUILDER DECLARATION
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.).
(_) 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 Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:. 3/22/2016
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:
Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 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 oft * his permit.
2. Any permit issuedas 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: Signature (Applicant or Agent):
ASSESSOR
COPY
Application Number:
BRES2015-0377
.
ISSUED
Property Address:
43570 CROISETTE CT
APN:
609052002 O�c
U
Application Description:
DARBY ESTATES TM31087 PH
7 PLAN 1M LOT 9
Property Zoning:
Application Valuation:
$155,694.10
p
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
Contractor:
OWNER -BUILDER DECLARATION
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.).
(_) 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 Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:. 3/22/2016
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:
Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 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 oft * his permit.
2. Any permit issuedas 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: Signature (Applicant or Agent):
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY AMOUNT PAID PAID DATE
HOURLY CHARGE - BLDG CITY STAFF
101-0000-42600
1 $145.00 $145.00 1/19/16
PAID BY
METHOD
RECEIPT # CHECK # CLTD BY
G H A ENTERPRISES INC
CHECK
R12182 50098 MFA
Total Paid for BLDG CITY STAFF - PER HOUR: $145.00 $145.00
DESCRIPTION
ACCOUNTQTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$7.00
$7.00
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $7.00 $7.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID .
PAID DATE
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
$942.00
10/9/15
PAID BY
METHOD
RECEIPT # .
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT.,
QTY
AMOUNT
PAID
PAID DATE
DIF - COMMUNITY CENTERS
254-0000-43200
0
$129.00
$129.00
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$433.00
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK # -
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - LIBRARIES
253-0000-43200
0
$344.00
$344.00
10/9/15
PAID BY
METHOD '
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION '
ACCOUNT
QTY
AMOUNT.
PAID
PAID DATE
DIF - PARK MAINTENANCE
256-0000-43200
0
$40.00
$40.00
10/9/15
PAID BY
METHOD..
RECEIPT#-
CHECK#
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$2,048.00
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - STREET MAINTENANCE
255-0000-43200
0
$116.00
$116.00
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF -TRANSPORTATION
250-0000-43200
0
$2,842.00
$2,842.00
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
TEMP POWER SERVICE
101-0000-42403.
0
$24.17
$24.17
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
TEMP POWER SERVICE PC
101-0000-42600
0
$16.92
$16.92
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
Total Paid for ELECTRICAL: $41.09' $41.09
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF
101-0000-42403
0
$36.99
$36.99
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF, PC
101-0000-42600
0
$15.24
$15.24
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$145.03
$145.03
10/9/15
PAID BY
METHOD
- RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT ..
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600
0
$47.86
$47.86
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $245.12 $245.12
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL PRECISE GRADING - TRACT
HOME
101-0000-42408
0
$133.43
$133.43
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
Total Paid for GRADING: $133.43 $133.43
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
CONDENSER/COMPRESSOR
101-0000-42402
0
$72.52
$72.52
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$48.34
$48.34
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT.
PAID
PAID DATE
EXHAUST HOOD
101-0000-42402
0
$12.09
$12.09
10/9/15
PAID BY
- METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
EXHAUST HOOD PC
101-0000-42600
0
$4.83
$4.83
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FURNACE
101-0000-42402
0
$72.52
$72.52
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FURNACE PC
101-0000-42600
0
$48.34
$48.34
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
VENT FAN
101-0000-42402
0
$48.36
$48.36
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
VENT FAN PC
101-0000-42600
0
$19.32
$19.32
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
Total Paid for MECHANICAL: $326.32 $326.32
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
MULTI -SPECIES RESIDENTIAL 0-8 UNITS -
2015 UPDATE
101-0000-20310
0
$1,301.00
$1,301.00
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
Total -Paid for MULTI -SPECIES RESIDENTIAL: $1,301.00 $1,301.00
DESCRIPTION
ACCOUNT •
QTY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$545.41
$545.41
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
Total Paid for NEW CONSTRUCTION PERMIT: $545.41 $545.41
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PLAN CHECK.
101-0000-42600.
0
$1,113.80
$1,113.80
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,113.80 $1,113.80
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BUILDING SEWER
101-0000-42401
0
$12.09
$12.09
10/9/15
PAID BY, r<!.
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY.
AMOUNT
PAID
PAID DATE
BUILDING SEWER PC
101-0000-42600
0
$12.09
$12.09
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP
101-0000-42401
0
$181.35
$181.35
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP PC
101-0000-42600
0
$181.35
$181.35
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$36.26
$36.26
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 5+ OUTLETS PC
101-0000-42600
0
$24.17
$24.17
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT
101-000042401
0
$12.09
$12.09
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK .#
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT PC
101-0000-42600
0
$7.25
$7.25
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID -DATE
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.09
$12.09
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
DESCRIPTION
ACCOUNT=
QTY
AMOUNT
PAID
PAID DATE
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.09
$12.09
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
Total Paid for -PLUMBING FEES: $490.83 $490.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$20.24
$20.24
10/9/15
PAID BY
METHOD
RECEIPT 4-
CHECK #
CLTD BY
- 'A�DM\1fRTl)RES'°"`
CHECK
R9898
2314
MFA
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $20.24 $20.24
DESCRIPTION.
ACCOUNT
QTY,.
.:.. , AMOUNT
: PAID :
PAID DATE
SINGLE FAMILY DETACHED
224-0000-20320
0
$1,837.44
$1,837.44
10/9/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ADOM VENTURES
CHECK
R9898
2314
MFA
Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1,837.44
$13,100.68 $13,100.68
Description: DARBY ESTATES TM31087 PH 7 PLAN 1M LOT 9
Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: ISSUED
Applied: 12/30/2015 RSE
FAMILY DETACHED
Approved: 10/7/2015 MFA
Parcel No: 609052002 Site Address: 43570 CROISETTE CT LA QUINTA,CA 92253
Subdivision: Block: Lot: 9
Issued: 10/9/2015 MFA
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $155,694.10 Occupancy Type: Construction Type:
Expired: 8/3/2016 crw
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NOTES
Details: 2,415 SF DWELLING PLAN TYPE 1M, LOT 9 [VB/RES-3/CLASS A-FR/13D) THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS
OR DRIVEWAY APPROACH. REVISE FLOOR PLAN TO REMOVE 2 WINDOWS AND ADD 2 PANEL FRENCH DOORS. TITLE -24 WILL BE
REVISED TO SHOW NEW SQ. FT. PER 2013 CALIFORNIA BUILDING CODES.
__j Applied to Approved
Approved to Issued
Printed: Tuesday, March 22, 2016 7:27:10 AM 1 of 8 0r#?
SY57fM5
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
CALLED LAKEN TO INFORM HER THAT THE TITLE -24 WILL
NEED TO BE REVISED TO SHOW THE NEW FRENCH DOORS.
TELEPHONE CALL
JIM JOHNSON
1/6/2016
1/14/2016
LAKEEN BROUGHT IN THE NEW TITLE -24
CALLED LAKEN TO INFORM HER PLANS ARE READY TO ISSUE.
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
Printed: Tuesday, March 22, 2016 7:27:10 AM 1 of 8 0r#?
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FINANCIAL
DESCRIPTION ACCOUNT CITY AMOUNT
PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
BY
HOURLY CHARGE - 101-0000-42600 1 $145.00
$145.00
1/19/16 R12182 50098 CHECK G H A ENTERPRISES MFA
BLDG CITY STAFF
INC.
Total Paid for BLDG CITY STAFF - PER HOUR: $145.00 $145.00
BSAS SB1473 FEE
1 101-0000-20306
1 0
$7.00
$7.00
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION $7,00 $7.00
BSA:
DIF -CIVIC CENTER
252-0000-43200
0
$942.00
$942.00
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
DIF - COMMUNITY
254-0000-43200
0
$129.00
$129.00
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
CENTERS
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$433.00
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
DIF - LIBRARIES
253-0000-43200
.0
$344.00
$344.00
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
DIF -PARK
256-0000-43200
0
$40.00
$40.00
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
MAINTENANCE
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$2,048.00
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
DIF - STREET
255-0000-43200
0
$116.00
$116.00
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
MAINTENANCE
DIF - TRANSPORTATION
250-0000-43200
0
$20-842.00
$2,842.00
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00
TEMP POWER SERVICE
101-0000-42403
0
$24.17
$24.17
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
TEMP POWER SERVICE
101-0000-42600
0
$16.92
$16.92
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
PC
Total Paid for ELECTRICAL: $41.09 $41.09
Printed: Tuesday, March 22, 2016 7:27:10 AM 2 of 8 C
SY57FMS
Printed: Tuesday, March 22, 2016 7:27:10 AM 3 of 8 C
SY57EM5
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
'BBYY
RESIDENTIAL,
101-0000-42403
0
$36.99
$36.99
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
ADDITION 1,OOOSF
RESIDENTIAL, EA
101-0000-42600
0
$15.24
$15.24
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
ADDITION 1,OOOSF, PC
RESIDENTIAL, FIRST
101-0000-42403
0
$145.03
$145.03
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
1,000SF
RESIDENTIAL, FIRST '
101-0000-42600
0
$47.86
$47.86
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
1,OOOSF, PC
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $245.12 $245.12
RESIDENTIAL PRECISE
GRADING - TRACT
101-0000-42408
0
$133.43
$133.43
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
HOME
Total Paid for GRADING: $133.43 $133.43
CONDENSER/COMPRES
101-0000-42402
0
$72.52
$72.52
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
SOR
CONDENSE R/COMPRES
101-0000-42600
0
$48.34
$48.34
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
SOR PC
EXHAUST HOOD
101-0000-42402
0
$12.09
$12.09
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
EXHAUST HOOD PC
101=0000-42600
0
$4.83
$4.83
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
FURNACE
101-0000-42402
0
$72.52
$72.52
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
FURNACE PC
101-0000-42600
0
$48.34
$48.34
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
VENT FAN
101-0000-42402
0
$48.36
$48.36
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
VENT FAN PC
101-0000-42600
0
$19.32
$19.32
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
Total Paid for MECHANICAL: $326.32 $326.32
MULTI -SPECIES
RESIDENTIAL 0-8 UNITS
101-0000-20310
0
$1,301.00
$1,301.00
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
-2015 UPDATE
Total Paid for MULTI -SPECIES RESIDENTIAL: $1,301.00 $1,301.00
Printed: Tuesday, March 22, 2016 7:27:10 AM 3 of 8 C
SY57EM5
Permit Details
PERMIT NUMBER
City of La Quinta BRE5201k150377
Printed: Tuesday, March 22, 2016 7:27:10 AM 4 of 8 V
SYSTEMS
T^
_ f
T
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
NEW CONSTRUCTION
101-0000-42400
0
$545.41
$545.41
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
PERMIT
Total Paid for NEW CONSTRUCTION PERMIT: $545.41 $545.41
NEW CONSTRUCTION
101-0000-42600
0
$1,113.80
$1,113.80
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
PLAN CHECK
Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,113.80 $1,113.80
BUILDING SEWER
101-0000-42401
0
$12.09
$12.09
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
BUILDING SEWER PC
101-0000-42600
0
$12.09
$12.09
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
FIXTURE/TRAP
101-0000-42401
0
$181.35
$181.35
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
FIXTURE/TRAP PC
101-0000-42600
0
$181.35
$181.35
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
GAS SYSTEM, 5+
101-0000-42401
0
$36.26
$36.26
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
OUTLETS
GAS SYSTEM, 5+
101-0000-42600
0
$24.17
$24.17
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
OUTLETS PC
WATER HEATER/VENT
101-0000-42401
0'
$12.09
$12.09
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
WATER HEATER/VENT
101-0000-42600
0
$7.25
$7.25
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
PC
WATER SYSTEM
101-0000-42401
0
$12.09
$12.09
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
INST/ALT/REP
WATER SYSTEM
101-0000-42600
0
$12.09
$12.09
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
INST/ALT/REP PC
Total Paid for PLUMBING FEES: $490.83 $490.83
SMI - RESIDENTIAL
101-0000-20308
0.
$20.24
$20.24
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $20.24 $20.24
SINGLE FAMILY
224.0000-20320.
0
$1,837.44
$1,837.44
10/9/15
R9898
2314
CHECK
ADOM VENTURES
MFA
DETACHED
Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1,837.44
Printed: Tuesday, March 22, 2016 7:27:10 AM 4 of 8 V
SYSTEMS
Printed: Tuesday, March 22, 2016 7:27:10 AM 5 of 8
SYSTEMS
INSPECTIONS
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
DATE `
COMPLETED
DATE
RESULT
REMARKS
NOTES
GAS RELEASE
BLD
SEWER CONNECTION
AOR
10/26/2015
10/26/2015
APPROVED
UNDERGROUND PLBG
AOR
10/26/2015
10/26/2015
APPROVED
FOOTINGS
KKI
11/6/2015
11/6/2015
APPROVED
SLAB
KKI
11/6/2015
11/6/2015
APPROVED
ROOF NAIL
KKI
11/24/2015
11/24/2015
APPROVED
OKAY TO WRAP
LUR
12/7/2015
12/7/2015
APPROVED
FRAMING
KKI
12/14/2015
12/14/2015
APPROVED
ROUGH ELEC
KKI
12/14/2015
12/14/2015
APPROVED
ROUGH.MECH
KKI
12/14/2015
12/14/2015
APPROVED
ROUGH PLBG
KKI
12/14/2015
12/14/2015
APPROVED
INSULATION
KKI
12/16/2015
12/16/2015
APPROVED
LATH
KKI
12/16/2015
12/16/2015
CANCELED
LATH
KKI
12/21/2015
12/21/2015
APPROVED
DRYWALL NAIL
KKI
12/22/2015
7
12/22/2015
APPROVED
eTRAKiT Inspection
Request
12/22/2015 4:39 AM G H A ENTERPRISES INC
Contact Name: Giovanny Garcia
Site Address: 43570 CROISETTE CT
Phone:7606601952
e -Mail: giovanny@ghacompanies.com
FRAMING
KKI
1/20/2016
1/20/2016
APPROVED
GAS LINE/TEST
JFU
1/21/2016
1/21/2016
APPROVED
TEMP USE OF PERM PWR
JFU
1/21/2016
1/21/2016
APPROVED
Printed: Tuesday, March 22, 2016 7:27:10 AM 5 of 8
SYSTEMS
Printed: Tuesday, March 22, 2016 7:27:10 AM 6 of 8 c
SYSTEMS
The job site located at 43 570 Croisette court
is in compliance with the city standards for
PUBLIC WORKS FINAL
GCU
2/2/2016
2/2/2016
PARTIALLY
the curb and gutter relocation and the
APPROVED
driveway approach at this timeThe weather
is 37 to 63 degrees with clear skies The
winds are approximately 2 to 4 mph
The general superintendent Alex is on the
job site overseeing the subcontractors who
are working on theADA sidewalks and
Driveway approach at this time.The ADA
PUBLIC WORKS FINAL
GCU
2/3/2016
2/3/2016
PARTIALLY
requirements are in place at this time.The
APPROVED
Compaction report indicates. 96 percent
compaction at this time.The weather is 39 to
64 degrees with clear skies The winds are
approximately 2 to 4 mph
The general superintendent Alex is on the
job site overseeing the subcontractors who
are working on theDriveway approach and
OFFSITE CONCRETE IMP.
GCU
2/3/2016
2/3/2016
PARTIALLY
Offsite City Sidewalk
ADA Sidewalks.The ADA requirements are in
APPROVED
compliance.The soils report indicates 96
percent.The weather is 39 to 64 degrees
with clear skies The winds are approximately
2to4mph
This inspection is for a final on the
dwelling.This dwelling is not ready for
building final for sometime, please remove
this inspection from the list for now.The
PUBLIC WORKS FINAL
GCU
2/4/2016
2/4/2016
NOT READY
general superintendent will reschedule the
final inspection for this dwelling in the near
future.The weather is 39 to 68 degrees with
clear skies The winds are approximately 2 to
4 mph
Printed: Tuesday, March 22, 2016 7:27:10 AM 6 of 8 c
SYSTEMS
PARENT PROJECTS
Printed: Tuesday, March 22, 2016 7:27:10 AM 7 of 8
OSYSTfMS
The general superintendent Alex is on the
job site overseeing the subcontractors who
OFFSITE CONCRETE IMP
GCU
2/4/2016
2/4/2016
PARTIALLY
are working on the Concrete Sidewalks and
APPROVED
Driveway approaches at this time.The
weather is 39 to 68 degrees with clear skies
The winds are approximately 2 to 4 mph
The general superintendent Joe is on the job
site overseeing the subcontractors who are
OFFSITE CONCRETE IMP
GCU
2/5/2016
2/5/2016
APPROVED
working on the Driveway approach and the
ADA sidewalks at this time.The weather is 48
to 73 degrees with clear skies The winds are
approximately 2 to 4 mph
The job site located at 43570 Croisette ct is
APPROVED
not ready for a Public Works final inspection
PUBLIC WORKS FINAL
GCU
2/5/2016
2/5/2016
W/EXCEPTIO
at this time. Please return this inspection
N
request to the will call file for now
The job site is not ready for a Public works
PUBLIC WORKS FINAL
GCU
2/8/2016
2/8/2016
NOT READY
final at this time.Please remove this
inspection from the schedule for now.
PUBLIC WORKS FINAL
GCU
2/9/2016
2/9/2016
APPROVED
W/EXCEPTIO
This house is not ready for a final inspection
at this time.Please put it on hold for now.
N
PARENT PROJECTS
Printed: Tuesday, March 22, 2016 7:27:10 AM 7 of 8
OSYSTfMS
Printed: Tuesday, March 22, 2016 7:27:10 AM 8 of 8
SYSTEMS
ATTACHMENTS
Attachment Type
CREATED
OWNER
DESCRIPTION
PATHNAME
SUBDIR .
ETRAKIT ENABLED
DOC
1/5/2016
JIM JOHNSON
43-570 CROISRTTE CT.
43-570 CROISRTTE CT.
0
PLAN 1M LOT 9.docx
PLAN 1M LOT 9.docx
-
DOC
9/28/2015
LISA NOTTINGHAM
Res Spk - Darby.docx
Res Spk - Darby.docx
0
IMAGE
2/3/2016
GREG CURDES
Lot 9.JPG
Lot 9.JPG
0
Lot 9 in compliance with
Lot 9 in compliance with
IMAGE
2/5/2016
GREG CURDES
ADA rules and
ADA rules and
0
regulations .JPG
regulations .JPG
Lot 10 curb and
Lot 10 curb and
IMAGE
2/2/2016
GREG CURDES
0
gutter.JPG
gutter.JPG
IMAGE
2/3/2016
GREG CURDES
parcel 9.JPG
parcel 9 .JPG
0
IMAGE
2/4/2016
GREG CURDES
lot 9_1.jpg
lot 9_1.jpg
0
Printed: Tuesday, March 22, 2016 7:27:10 AM 8 of 8
SYSTEMS