BPLB2014-1023Applicant:
STARK CONSTRUCTION COMPANY INC
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
D VOICE (760) 777=7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/26/2014
Owner:
SCHNEIDER
52334 AVENIDA RUBIO
LA QUINTA, CA 92253
Contractor:
STARK CONSTRUCTION COMPANY INC
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)345-9710.
LIC. No.: :LIC -0000790
a
----------------------------------------------------------------------------- ----- - - - - -- - - - -
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am'licensed under provisions of Chapter• I hereby affirm underpenalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business,and Professions Code, I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: License No.: :LIC -0000790 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
i is issued. My workers' compensation insurance carrier and polity number are:
OWNER -BUILDER DECLARATION Carrier: Policy Number:
I hereby affirm under penalty of perjury that I am exempt from 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 theapplicant 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 - t i �c� Applica ��J�
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora
permit subjects the applicant to a civil penalty of not more'than five.hundred dollars KARNIN : FAILU/ETO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) 1, 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,,Businessand 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 orimproves 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
not commenced w"rthin 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
Date:
Owner:
i
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. 3091, Civ. C.).
Lender's
Lender's Address:
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 t nter upo the above
mentioned pr erty f i spection purposes.
Date:A/ w � /lSignature (Applicant or Agent
'J 4 6/''
•
78-495 CALLE-TAMPO.IC
LA QUINTA, CALIFORNIA 92253
Application Number:
BPLB2014-1023
Property Address:
52334 AVENIDA RUBIO
APN:
773253024
Application Description:
132 LF GAS LINE
Property,Zoning:
Application Valuation:
$2,500.00
Applicant:
STARK CONSTRUCTION COMPANY INC
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
D VOICE (760) 777=7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/26/2014
Owner:
SCHNEIDER
52334 AVENIDA RUBIO
LA QUINTA, CA 92253
Contractor:
STARK CONSTRUCTION COMPANY INC
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)345-9710.
LIC. No.: :LIC -0000790
a
----------------------------------------------------------------------------- ----- - - - - -- - - - -
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am'licensed under provisions of Chapter• I hereby affirm underpenalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business,and Professions Code, I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: License No.: :LIC -0000790 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
i is issued. My workers' compensation insurance carrier and polity number are:
OWNER -BUILDER DECLARATION Carrier: Policy Number:
I hereby affirm under penalty of perjury that I am exempt from 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 theapplicant 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 - t i �c� Applica ��J�
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora
permit subjects the applicant to a civil penalty of not more'than five.hundred dollars KARNIN : FAILU/ETO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) 1, 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,,Businessand 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 orimproves 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
not commenced w"rthin 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
Date:
Owner:
i
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. 3091, Civ. C.).
Lender's
Lender's Address:
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 t nter upo the above
mentioned pr erty f i spection purposes.
Date:A/ w � /lSignature (Applicant or Agent
'J 4 6/''
. I • ii 1 ®
g:
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BSAS SB1473 FEE 101 0000-20306 0 $1.00.
$1.00 9/26/14
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STARK CONSTRUCTION COMPANY,INCi CHECK. 121504
9668 MFA
Total Paid for BUILDING:STANDARDS•ADMINISTRATION°BSAc, ' $T..00 $1.00
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PERMIT ISSUANCE _
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9/26/14
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Total Paid for PERMIT ISSUANCE .$91:85.. .:. $91.85
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DATE:
GAS SYSTEM, 1�-4.OUTLETS
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STARK CONSTRUCTION COMPANY INC,
CHECK
R1504; .
9668
MFA
Totali Paid f6rPLU`WING FEES ;$36 26 $36.26
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Bin # Cray of LQ Qurnta
Building 8r Safety, Division
Permit # P.O. Box 1504, 78-493 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permi(Application and Tracking Sheet
Project Address: 5'x.",'1 j �U� /� �� Owner's Name:
A. P. Number:�7 �S `� �v
Address: Sv—;5o V
Legal Description: 640
City, ST, Zip: (,,,4 6 -IF&
Contractor: 5079,SIk
Telephone: � %
Item
Address-3,-5ZS— 6711 f4UIO 6ZI170 C�
Project Description:
City, ST, Zip:;�,-4, L.vS'
Reviewed, ready for corrections _
State Lic. #: ZZZ6City
Lic. #; ,
Arch., Engr., Designer: 4 S Z7,j1/
Address: / (�' Il,� Js
f)i -YoU./ e
Called Contact Person
City., ST, Zip: /Z,6 o ' r
Plan Check Balance.
ofelePh�)7C0? —2 Z/00
;>::.
::'u.:::>`;::.>:':::;:"a:-:%>;.<><•`'
Construction Type: Occupancy.
>i::>:.:?i•.s:
Plans picked up
3tatc Lic. #:
Project type (circle otic): New Add'n Alter Repair Demo
,4amc of Contact Person: �rQ� —>4/-1 /Z,
Sq. Ft.:
# Stories:
# Units:
Ccicphone #,of Contact Person: 42. ��� ()5`76
Estimated Value of Projcct: S 042 "1
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACMNG
PERMIT FRES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections _
Plan Cluck Dcposit
Truss C21cs.
Called Contact Person
Plan Check Balance.
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"' Review, ready for correctionsrssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
I-LO.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'`d Review, ready for corrections(ssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
'Date of permit issue
School Fccs
Total Permit Fees
Description: 132 LF GAS LINE
Type: PLUMBING
Subtype:
Status: SUBMITTED
Applied: 9/26/2014 MFA
Approved:
Parcel No: 773253024 Site Address: 52334 AVENIDA RUBIO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 10
Lot: 20
Issued:
UNIT 1
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $2,500.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
Details: 132 LF OF GAS LINE
FINANCIAL INFORMATION
Printed: Friday, September 26, 2014 1:30:12 PM 1 of 2 lc _
PARENT PROJECTS
Printed: Friday, September 26,2U1413O:1ZPM 2of2
SE NSPECTIONTYPf�-,,.,'_r.,-: -�,INSP SCHEDULED ICOMPLETED.
------------ -
AEMARKS-
RESULT -:NOTE
PLUMBING FINAL"
177,
STARK
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
9/26/14
R1504
9668
CHECK
CONSTRUCTION
MFA
COMPANY INC
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00
STARK
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
9/26/14
R1504
9668
CHECK
CONSTRUCTION
MFA
COMPANY INC
Total Paid forPERMIT ISSUANCE: $91.85 $91.8s
STARK
GAS SYSTEM, 1-4
101-0000-42401
0
$12.09
$12.09
9/26/14
R1504
9668
CHECK
CONSTRUCTION
MFA
OUTLETS
COMPANY INC
STARK
GAS SYSTEM,.1-4
101-0000-42600
0
$24.17
$24.17
9/26/14
R1504
9668
CHECK
CONSTRUCTION
MFA
OUTLETS PC
COMPANY INC
Total Paid forPLUMBING FEES: $36.26 $36.26
PARENT PROJECTS
Printed: Friday, September 26,2U1413O:1ZPM 2of2
SE NSPECTIONTYPf�-,,.,'_r.,-: -�,INSP SCHEDULED ICOMPLETED.
------------ -
AEMARKS-
RESULT -:NOTE
PLUMBING FINAL"
PARENT PROJECTS
Printed: Friday, September 26,2U1413O:1ZPM 2of2