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HomeMy WebLinkAboutROOF19-0079City of Palm Desert PERMIT NUMBER: ISSUE DATE: Building and Safety Department 73510 Fred Waring Drive ROOF19-0079 3/1412019 Palm Desertt,, CCA 92260 Permit Type: RE -ROOF Appl. Date: 3114/2019 Permit RESIDENTIAL Subtype: Job Valuation: $11,725.00 Appr, Date: 3/14/2019 Exp. Date: 911012019 Project Address: 28 ACAPULCO DR Project Description: UNDERLAYMENT ONLY APNITract/Lot No: Owner: Contractor: Applicant: 624021033 CHARLES B ROOT. B R S ROOFING INC B R S ROOFING INC TR 14032-1 INT IN 135 CUTTER 777 SOUTH LUGO AVE 777 SOUTH LUGO AVE COMMON AREAS BARRINGTON, IL 60010 SAN BERNARDINO, CA 92408 SAN BERNARDINO, CA 9240B 33 (909)884-8505 (909)884-8505 Licensed ContractorDerFee Summary, f hereby affirm under enal of pe6ury that I am licensed under provisions of Chapter 9 ARCHIVE FEE - 8.5XI I UP TO 11X17 GL-1100000-3411600 $0.14 (commencing with Section 7D00) of Division 3 of the Business and Professions Code, and my license is in full force and effect. GREEN BLDG FEE S91473 GL-6100000-2281000 $1.OD MINIMUM iNSPECTICN FEE GL-11D0000-3221100 $159.00 PERMIT ISSUANCE FEE GL-1100000-3411400 $105.00 Owner -Builder Declaration 1 hereby affirm under Density of pe(e(ua that I am exempt from the Contractors' State Total Fees Paid: $265.14 f herebyafrm under the penalty of perjury that there is a construction fending agencyfor the License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) Section 7031.5 Business and Professions Code: Any city or performance of the work for which this permit Is Issued (Sec 3097, Civil Code) county which requires a permit to construct, aNer, improve, demolish, or repair any Lenders Name and address structure, prior to 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 Contractors' State Asbestos Declaration License Law(Chapler 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that ti or she . exempt and the basis for the alleged exemption. Any violation of Section by any applicant for a permit subjects the Written asbestos notification pursuant to Part 61 of Tile 40 of the Code of Federal Regulations is required re than applicant lD a civil penalty of net more than Floe hundred dollars ($500}.} when asbestos exists in buildings, or portions thereof, undergoing demolition. I hereby declare that 9 I, as owner of the property, or my employees with wages as their sole compensation, demolition authorized by this permit is from construction that does or does not contain asbestos, or that no demotition is authorized by this permit. 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 NOTICE: You may protest any of the fees for this permit in accordance with CA Gov Code Sec. 66020 an owner of property who builds or improves the property, provided that the (a). The protest must satisfy the requirements of Gov. Code Sec.66020(a) and must be filed within W improvements are not intended or offered for sale. If, however, the building or days of the dale of this notice. In addition, you must tender payment of the protested fees at the lime of improvement is sold within one year of completion, the Owner -Builder will have the the payment or provide evidence of arrangements to pay the protested fees Dr exactions at the time they burden of proving that it was not built or improved for the purpose of sale.) are due if they are not already due. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a licensed contractor pursuant to the Contractors' State License Law,) I am exempt from Licensure under the Contractors' State License Law for the following reason: DatelSignature of property owner or agent Workers' Compensation Declaration 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 ATTORNEYS FEES. I hereby affirm under the anal of perjury ONE of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit issued, Initial Policy No. 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; In tia Comer & Policy Number Expiration Date 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 Sect i 3700 the Labor Code, I shall forthwith comply with those provisions. ` ' Ila VA _ Initial Date Applicant City of Palm Desert Department of Building and Safety Building Permit Application (For Ofty Use Only) JOB 1D:P��Ag UC�I PLANS FILED: Project Address: 0 1 C_O ID !`. Suite `dotal Value of work: S-0 I z 3,00 Note: plan Review Fees maybe adjusted after Plan Review - -► -� ro,k S'e- avid re5--e. W A ri-fJJ 4 C - �P—� I In Contractor-Susiness Name Prooerty Owner Name :S �'o0f=rttJ&-7-WC D5SEU-KES07,T- �IEI�IT zNC Address Lo Met„ a262-s- Mez r-f-P L . °it"� "�2A o S Zt:l Fax t(O q . 191-4 . � Fax E-mail [`o:0-pi via, , C-ov-ki E-mail Contractor- License -No; i �ArchiteCt Mamie reer..Nar .e irngiaeelr Hame Address Address City Zip City Zip Phone Phone Fax Fax E-mail E-mail License No. License No. . Alsoiicant Name Signature El , Contact Te ephone•Number:. E-Mali PLEASE COMPLETE THE REVERSE:SIDE 73-510 Fred Waring Drive, Palm Desert, CA 92260 - (760) 776-6420 • (760).776-6392 fax • www4tvofpa1mdesert.org =5 City of Palm Desert " Department of Building and Safety Phone: (760) 776-6420 www.dtvofoalmdesert.ora SMOKE AND CARBON MONOXIDE ALARM RETROFIT VERIFICATION 1, a , and I, (Print Property Owner's Name) (Tenant's Name - if same as Owner write "Same") who own andlor live in the dwelling located at: cg C <n (Address) verify that the smoke and carbon monoxide alarms required by the California Residential Code (CRC) have been installed in the dwelling, in compliance with the code and with the manufacturer's instructions and further that they have been tested and do function properly. In an effort to enhance life safety within dwellings, CRC Sections R314.6, R315.2 and CBC 420.4 requires the retrofit of these alarms in existing dwellings when alterations, repairs or additions requiring a permit and exceeding $1,000 in value are made. Generally, the alarms must be hard wired (110 volt) with battery back-up and all alarms are to be interconnected. If the installation of the alarms will require the removal of wall or ceiling finishes or there is no access by means of attic, basement or crawl space, then alarms may be solely battery operated and not interconnected. Alarms must be installed in g_l_l of the following locations within the existing dwelling: • In all bedrooms (only require Smoke Alarms) • Immediately outside of each separate bedroom (require Smoke and Carbon Monoxide Alarms) • In each story level of the dwelling, including basements and habitable attic rooms (require Smoke and Carbon Monoxide Alarms) And; Shall be current within 10 years from the date of manufacture marked on the unit, or replaced if the date of manufacture cannot be determined. • Shall be equipped with a 10 year battery if a conventional ionization smoke alarm. These safety devices must be installed by the time a final inspection is requested for your project. l understand the above requirements an certify that we now have smoke alarms and carbon monoxide alarms installed that comply. We a L gre to comply with the CRC in regards to smoke alarms, carbon 5 ►-z i - 11 Date ATTENTION OWNER - OCCUPANT: Signature of Tenant Date This is a Voluntary Smoke and Carbon Monoxide Alarm verification procedure. If you prefer a Building Inspector to perform the verification, you must arrange to have an adult present at the time of inspection. NOTE: This Verification is only used when normal access to the interior of the dwelling by the City of Palm Desert Building Inspector is not achieved during the course of project construction. It is normally used for projects such as re -roofing, re -siding, patio covers, swimming pools and the like.