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BRES2016-002411111111111111111111 77 78-495 CALVE TAMPICO LA &INTA, CALIFORNIA 92253 Application Number: BRE52016-0024 Property Address: 54533 SOUTHERN HILLS APN: 775101061 Application Description: KESSLER/BATH REMODEL Property Zoning: PALM DESERT, CA 92260 Application Valuation: $6,500.00 c&ht D `HCl/ VOICE (760) 777-7125 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 2/1/2016 Owner: ROBERT R KESSLER 54533 SOUTHERN HILLS LA QUINTA, CA 92253 Applicant: Contractor: BIG WOOD BUILDERS INC l BIG WOOD BUILDERS INC 73487 GOLD FLOWER ST 7d �' `' Tai 73487 GOLD FLOWER ST PALM DESERT, CA 92260 lilt PALM DESERT, CA 92260 _ (818)822-0575 Llc. No.: 984963 --------------------------------------------------------------------------------------------- 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.: 984963 if Date: L r 1 ` 1(0 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: 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 s 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. G Date: - I "1(e 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 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-mentioned property for inspection purposes. Date: 2--14(o Signature (Applicant or Agent): FINANCIAL •• 1• DESCRIPTION ACCOUNTEOAMOUNT PAID PAID DATE BSAS SS1473 FEE 101-0000-20306 $1.00 $1.00 2/1/16 PAID BY METHOD > RECEIPT # CHECK # CLTD BY BIG WOOD BUILDERS INC CHECK MR256 2413 TSA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 2/1/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY BIG WOOD BUILDERS INC CHECK MR256 2413 TSA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 2/1/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY BIG WOOD BUILDERS INC CHECK MR256 2413 TSA Total Paid for ELECTRICAL: $48.34 $48.34 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PARTITION 101-0000-42400 0 $72.52 $72.52 2/1/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY BIG WOOD BUILDERS INC CHECK MR256 2413 TSA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PARTITION PC 101-0000-42600 0 $133.43 $133.43 2/1/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY BIG WOOD BUILDERS INC CHECK MR256 2413 TSA Total Paid for PARTITION: $205.95 $205.95 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $24.18 $24.18 2/1/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY .BIG WOOD BUILDERS INC CHECK MR256 2413 TSA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-02600 0 $24.18 $24.18 2/1/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY BIG WOOD BUILDERS INC CHECK MR256 2413 TSA Total Paid for PLUMBING FEES: $48.36 $48.36 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $0.85 $0.85 2/1/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY BIG WOOD BUILDERS INC CHECK MR256 2413 TSA Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.85 $0.85 TOTALS:04 Description: KESSLER/BATH REMODEL Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: ISSUED Applied: 2/1/2016 LUR Approved: 2/1/2016 LUR Parcel No: 775101061 Site Address: 54533 SOUTHERN HILLS LA QUINTA,CA 92253 Subdivision: TR 22432-2 SEE ASSESSORS MB 769/43 Block: Lot: 6 Issued: 2/1/2016 TSA FOR CMS Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $6,500.00 Occupancy Type: Construction Type: Expired: 7/30/2016 TSA No. Buildings: 0 No. Stories: 0. No. Unites: 0 ADDRESSI Details: MASTER BATHROOM REMODEL. REPLACE 2 SINKS, ADD 15 RECEPTICALS, & DRYWALL AT WATER DAMAGE LOCATIONS. 2013 CALIFORNIA BULDING CODES. CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX. EMAIL APPLICANT BIG WOOD BUILDERS INC 73487 GOLD FLOWER ST PALM DESERT CA 92260 CONTRACTOR BIG WOOD BUILDERS INC 73487 GOLD FLOWER ST PALM DESERT CA 92260 OWNER ROBERT R KESSLER 54533 SOUTHERN HILLS LA QUINTA CA 92253 Printed: Monday, February 01, 2016.3:06:47 PM 1 of 3 IClow_........ Printed: Monday, February 01, 2016 3:06:47 PM - 2 of 3 drgp_.•_-_ CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BIG WOOD BUILDlikS BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 2/1/16 MR256 2413 CHECK TSA INC Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 2/1/16 MR256 2413 CHECK BIG WOONCUILDERS TSA DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 2/1/16 MR256 2413 CHECK BIG WOOD BUILDERS TSA INC Total Paid for ELECTRICAL: $48.34 $48.34 PARTITION 101-0000-42400 0 $72.52 $72.52 2/1/16 MR256 2413 CHECK BIG WOOINCUILDERS TSA PARTITION PC 101-0000-42600 0 $133.43 $133.43 2/1/16 MR256 2413 CHECK BIG WOONCUILDERS TSA Total Paid for PARTITION: $205.95 $205.95 FIXTURE/TRAP 101-0000-42401 0 $24.18 $24.18 2/1/16 MR256 2413 CHECK BIG WOONCUILDERS TSA FIXTURE/TRAP PC 101-0000-42600 0 $24.18 $24.18 2/1/16 MR256 2413 CHECK BIG WOOD BUILDERS TSA INC Total Paid for PLUMBING FEES: $48.36 $48.36 SMI - RESIDENTIAL 101-0000-20308 0 $0.85 $0.85 2/1/16 MR256 2413 CHECK BIG WOO.NCUILDERS TSA Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.85 $0.85 $304.SO $304.50 Printed: Monday, February 01, 2016 3:06:47 PM - 2 of 3 drgp_.•_-_ Printed: Monday, February 01, 2016 3:06:47 PM 3 of 3 Kessler floorplan.jpeg I .,Wiy is cc -tv..".4p u,6 I job Va. .d u 4ppfixb;,.1- f.. b= pud a job I'midiviors, CITY OF LA QUINTA BUIL & SAFETY DEPT. APPROVED FOR CONSTRUCTION DAT g14ZLBY 2/1/16, 8:08 AM I tbout.blank Page. 1 of 1 It VE14T F t CLOTHES Y 011E. �-O^E 4N SHONE 0 !,2 S14ELVES ASOVE URU . ... ........ DOUBLE 0-NWAG WRROWNGEDON WALLS TXNG OUT 4* .,Wiy is cc -tv..".4p u,6 I job Va. .d u 4ppfixb;,.1- f.. b= pud a job I'midiviors, CITY OF LA QUINTA BUIL & SAFETY DEPT. APPROVED FOR CONSTRUCTION DAT g14ZLBY 2/1/16, 8:08 AM I tbout.blank Page. 1 of 1 It .......... ........ . ,'a eMJ�Q� DEWrQ WRROWNGEDON WALLS TXNG OUT LED CAN LJGHTS�THRO UGHOUTRCPM wcufwKs CLOS.-T AND SHmw-! .,Wiy is cc -tv..".4p u,6 I job Va. .d u 4ppfixb;,.1- f.. b= pud a job I'midiviors, CITY OF LA QUINTA BUIL & SAFETY DEPT. APPROVED FOR CONSTRUCTION DAT g14ZLBY 2/1/16, 8:08 AM I tbout.blank Page. 1 of 1 ,'a eMJ�Q� DEWrQ WRROWNGEDON WALLS TXNG OUT LED CAN LJGHTS�THRO UGHOUTRCPM wcufwKs CLOS.-T AND SHmw-! P1 EXTY'rF ZURIETS 11.'CWD1W, u=MNV.4,1 nAam_s .,Wiy is cc -tv..".4p u,6 I job Va. .d u 4ppfixb;,.1- f.. b= pud a job I'midiviors, CITY OF LA QUINTA BUIL & SAFETY DEPT. APPROVED FOR CONSTRUCTION DAT g14ZLBY 2/1/16, 8:08 AM I tbout.blank Page. 1 of 1 do motto Q °`n # ; City of La Quin to Buifding &r Safety Division . . 78-495 Calfe Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # aQ�S4D/ - 0021 �^ Project Address: 's3 3 J dtJ -9r'h 11� I i Owner's Name:' A. P. Number: Address: i Y 5 3 Legal Description: City, ST, Zip: (k 4L4ZLS Contractor: ! O (Nal cGGv1 Telephone: P hone: Address: 7 3 8 7 S f- Project Description: City, ST, Zip: vl l q tX e Telhon . e P GG -immom 6 Z "C7 l- i State Lic. # : O 3 City Lie. #: Arch., Engr., Designer: 0 n Address; City., ST, Zip: s>z> CTelePhone: o truction TYP e: Occupancy: State u 'type (circle one): New Add'n Alter Repairair Demo Name of Contact Person: 4#1,4wade(Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Sit- gZ Z o575 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 Calcs. 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 Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for correctionstiissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue Scliodl Fees, Total Permit Fees