HomeMy WebLinkAboutSiemens - Permit Application OFFICE USE ONLY - PERMIT NO.
PLAN LOCATION:
CITY OF PALM DESERT
DEPARTMENT OF DEVELOPMENT SERVICES
73510 Fred Waring Drive, Palm Desert, California 92260
Phone (760) 776-6435 ▪ Fax (760) 776-6392 ▪ permitcenter@cityofpalmdesert.org
BUILDING PERMIT APPLICATION
Project Address:
Total Value of Work $:
Project Description (Describe the Specific Nature of Approval Requested):
REROOF CRRC: HVAC SEER: WATER HEATER ENERGY:
OTHER:
Contractor Business Name:
Phone:
Mailing Address: Fax:
City: State: Zip: Email:
License No.
Property Owner Name:
Phone:
Mailing Address: Fax:
City: State: Zip: Email:
Architect/Designer Name (circle one):
Phone:
Mailing Address: Fax:
City: State: Zip: Email:
License No.
Engineer Name:
Phone:
Mailing Address: Fax:
City: State: Zip: Email:
License No.
Applicant Name:
Phone:
Mailing Address: Fax:
City: State: Zip: Email:
Applicant Signature (must match the applicant name above): By signing this application, I certify that the information
provided is accurate. I understand that the City might not approve what I am applying for and/or might require conditions
of approval.
Print Name: Signature: Date:
*THE REVERSE SIDE MUST BE COMPLETED FOR RESIDENTIAL REMODELS AND TENANT IMPROVEMENTS
CITY OF PALM DESERT
BUILDING PERMIT APPLICATION
2
Structure Information:
All applicable information must be completed below
Commercial
Remodel Sq. Ft.
Addition Sq. Ft. Residential
Remodel Sq. Ft.
Addition Sq. Ft.
Assembly Area
Accessory Cover
Office
Garage Area
Retail
Living Area
Warehouse/Storage
No. of Bedrooms
Total Building
No. of Baths
Accessory Cover
No. of Dwelling Units
Multi-family, some Residential, and Commercial Projects plans must be submitted to the Fire Department.
Fire requires one (1) complete set of plans. Please call Fire at (760) 346-1870 for further information.
THE FOLLOWING ITEMS ARE BEING SUBMITTED:
(Please check all that you have provided)
2 COMPLETE SETS OF PLANS, including the following supporting documents if applicable:
Structural Calculations Title 24 – Energy Calculations
Truss Calculations Soils report CF-R Forms Manufacturer’s Specifications Electrical Mechanical Plumbing HOA Letter of Approval (required by Planning Dept.)
Assessor:
Please submit the following for new construction, square footage addition to an existing structure, photovoltaic and
swimming pool permits
Commercial projects- 1 title page, 1 site plan, 1 elevation, 1 floor plan
Residential projects- 1 site plan, 1 dimensioned floor plan, at least 1 elevation plan
FEES
Plan Check Hourly: $168.00 (Plan Review Fees may be adjusted after Plan Review)
Inspection Hourly: $159.00
Archive Fee:
8.5x11 up to 11x17 $.07 per page
Plans $.80 per page
Do not base your permit fees off of the fees stated above. For Reference Only.
OFFICE USE ONLY
Permit No. Plan Location:
APN: Received By:
Roof Type (circle one):
Shingles Built Up Concrete Foam Metal
Tile type:_________________
Occupancy Group (circle one):
R2 R3 A.2 U R3-U A2
B M MIXED
Construction Type (circle one):
IA IB IIA IIB IIIA IIIB IV HT VA
VB
Fire Sprinklers: YES NO