BDEM2015-000577490 Loma Vista
BDEM2015-0005
Property Address:.
77490 LOMA VISTA
APN:
658220013.
Application Description:
O CONNOR RESIDENCE / DEMO
Property Zoning:
Application Valuation:
$25,000.00
Applicant:
STARK CONSTRUCTION COMPANY INC
39-725 GARAND SUITE E
PALM DESERT, CA 92211
LICENSED CONTRACTOR'S DECLARATION
1 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 Cl as : B `License No.: 577776
Date: Gam' 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).:
( 1, 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 Na
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/12/2015
Owner:
DAN O'CONNOR
77490 LOMA VISTA
LA QUINTA, CA 92253
Contractor:
'STARK CONSTRUCTION COMPANY INC'
39-725 GARAND SUITE E
PALM DESERT, CA 92211
(760)345=9711
Llc. No.: 577776
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 37000 the Labor Code, I shall forthwith
complywith-those sions.
Date: Applicant:CS i
WARNING: FAILURE TO SECURE WORKERS' COMP TION 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 restiictions 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 Quinti, 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
mentioneii rop yfor inspection purposes. /r
Date: Signature (Applicant or Agent)
s
FINANCIAL INFORMATION
n-
z Spy M `R DESCRIPTION x °rj y ACCOUNT =" AMOUNT PAID
PAID DATE
,
L2DEMOLITION,
,MO
INTERIOR 101-0000-42404
$36.26
$36.26
8/12/15
PAIDrBY x«°X§METHOD
;`jRECEIP.T#
%CHECk#-,',;
f
STARK CONSTRUCTION COMPANY INC CHECK
R8424
762
MFA
`;DESCRIPTIONS `} ACCOUNT N w
' QTY
g4,' AMOUNT
PAID ;
PAID DATE:
r,
fit'.
DEMOLITION, INTERIOR PC 101-0000-42600
0
$97.17
$97.17
8/12/15
,. f 4'PAID BY ON- ~ METHODS , ".
kp" " RECEIPT # s p
CHECK # '"
BY .
ri 4' s ,;w , 7 n,f ,.'..
kK* ,4e xP. vk.. + .. +i
.+Y'''a.1s.ri$-d:u.,
yCLTD
STARK CONSTRUCTION COMPANY INC CHECK
R8424
762
MFA
! Total Paid for DEMOLITION: $133.43 $133.43
TOTALS:
Description: 0 CONNOR RESIDENCE / DEMO
Type: DEMOLITION
Subtype: SINGLE FAMILY Status: ISSUED
Applied: 8/12/2015 MFA
Approved: 8/12/2015 MFA
Parcel No: 658220013 Site Address: 77490 LOMA VISTA LA QUINTA,CA 92253
Subdivision: TR 25237
Block: Lot: 41'
Issued: 8/12/2015 EVA
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $25,000.00
Occupancy Type: Construction Type:
Expired: 2/8/2016 EVA
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: TEARING OUT DRYWALL, CABINETS, STUCCO AND CONCRETE. NO STRUCTURAL TO BE REMOVED.
Printed: Wednesday, August 12, 2015 2:29:45 PM 1 of 2
SYSTEMS
SEQID: INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED , RESULT REMARKS NOTES
DATE ° DATE
PRE -SITE BLD
FINAL" I BLD
PARENT PROJECTS
REVIEWS
RETURNED STATUS REMARKS
REVIEW TYPE REVIEWER SENT DATE DUE DATE DATE NOTES.
Printed: Wednesday, August 12, 2015 2:29:45 PM 2 of 2
srsTrMs
y
"PAID
CLTD '
DESCRIPTION
:..
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
,'RECEIPT #
CHECK #
METHOD
BY
BY
STARK
DEMOLITION, INTERIOR
101-0000-42404
0
$36.26
$36.26
8/12/15
R8424
762
CHECK
CONSTRUCTION
MFA
COMPANY INC
STARK
DEMOLITION, INTERIOR
101-0000-42600
0
$97.17
$97.17.
8/12/15
R8424
762
CHECK
CONSTRUCTION
MFA
PC
COMPANY INC
Total Paid for DEMOLITION: $133.43 $133.43
TOTALS: $1j3.43 $131.43
SEQID: INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED , RESULT REMARKS NOTES
DATE ° DATE
PRE -SITE BLD
FINAL" I BLD
PARENT PROJECTS
REVIEWS
RETURNED STATUS REMARKS
REVIEW TYPE REVIEWER SENT DATE DUE DATE DATE NOTES.
Printed: Wednesday, August 12, 2015 2:29:45 PM 2 of 2
srsTrMs
B;" #
Qity of La Quinta
Building &' Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
0005 Building Permit Application and Tracking Sheet
Permit #
pt 2Q l
. .41 O
Project Address:'77
Owner's Name: Ce7l..iyCJ
A. P. Number: -? f 3j
Address:`1 "q 2 D, -A of
Legal Description:
City, ST, Zip: L(,)
Contractor: c or. _ / cY 1T
D
ne• c4T q
le h 0
Address:39'7 Z- Pi[
ProjectDescription: D r1
City, ST, Zip PAI -Al 0011S_eA1;1' c4N, 95 2_1 j
Telephone:
ele h
Po . J
Gtr d
State Lic. # : J % -7
City Lic. #;
Arch., Engr., Designer:
Address: G SS' L —4_et tr%
City, ST, Zip: Pq✓
Telephone: U c'
%h 1 u
Con truct
s ton T e• O Y•
YP 41 U 4✓— Occupancy:
P
State to Lic. #•
Project tYPa (circle one): New
Add'n Alter r Re air De m
Name of Contact Person: &41101Y s — %p Q,4A
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: i
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes..
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance
Title 24 Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''" Review, ready for corrections/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