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HomeMy WebLinkAboutROOF19-0081City of Palm Desert PERMIT NUMBER: ISSUE DATE - Building and Safety Department R 735 Fred Waring Drive OOF19-0081 3I1412019 Palmrn Desert, CA 92260 Permit Type: RE -ROOF Appl. Date: 311412019 Permit RESIDENTIAL Appr. Date: 311412019 Subtype: Job Valuation: $8,710.00 Exp. Date: 911012019 Project Address: 40 ACAPULCO DR Project Description: UNDERLAYM ENT ONLY APN1Tract/Lot No: Owner: Contractor: Applicant: 624021048 MARTIN A MAYER B R S ROOFING INC B R S ROOFING INC TR 14032-1 INT IN 40 ACAPULCO DR 777 SOUTH LUGO AVE 777 SOUTH LUGO AVE COMMON AREAS PALM DESERT, CA 92260 SAN BERNARDINO, CA 92408 SAN BERNARDINO, CA 92408 48 (909)884-8505 (909)884-8505 Licensed Contractor Declaration Fee Summary I hereby affirm under oanalty of oedury that I am licensed under provisions of Chapter 9 ARCH NE FEE - B.5X11 UP TO 11 X1 7 GL-1100000.3411600 $0.14 4nr,and (commencing with Section 7000) of Division 3 of the Business and Professions Coda, my license is in full farce and affect. GREEN SLDG FEE SB1473 GL-6100000-228100D $1.00 MINIMUM INSPECTION FEE GL-1100000-3221100 $159.00 PERMIT ISSUANCE FEE GL-1100000-341140D $105.00 Qwner-Builder Declaration ElI hereby affirm under Penalty of Pedury that F am exempt from the Contractors' State Total Fees Paid: $265.14 l herebyaffirm under the penaltyof perfurythat there is a construction fending agoncyfer the License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable itam(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, alter, 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' Slate Asbestos Declaration License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the Written asbestos notification pursuant to Part 61 of Title 40 of the Code of Federal wired Re uiatiens is re P 9 4 applicant to a civil penalty of not more than five hundred dollars ($500).) when asbestos exists in buildings, or portions thereof, undergoing demolition. I hereby declare that authorized by this permit is from construction that does or does not contain ❑demolition I, as owner of the property, or my employees wRh wages as their sole compensation, asbestos, or that no demolition 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 Cade 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 Soc.6602Wa) and must be filed within 90 improvements are not intended or offered for sale. if, however, the building or days of the slate of this notice, In addition, you must tender payment of the protested fees at the time of improvement is sold within one year of completion, the Owner -guilder will have the the payment or provide evidence of arrangements to pay the protested fees or 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. n1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Sec, 7044, Business and Professions Cade: 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' Slate License Law for the following reason: Date/Signature of property owner or agent WrkeU' Compensation Declaration WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALnES 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. I hereby affirm under the Penalty of Dedury 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 370D 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 is Carrier& Policy Number Expiration Date I certify that in the performance of the rk for which this permit is issued, I shall riot employ any person in any manner sD a to become subject to the workers' compensation laws of California and a re that if I should become subject to the workers' compensaton provisions of S ctl n 00 of the Labor Code, I shag forthwith comply with those provisions. Date Applicant All _ Inl(lal City of Palm Desert Department of Building and Safety Building Permit Application (F r of . e Use only) JOB ID: PLANS FILED: Project Address: t`� ti -C v C_6 0 fi . Suite x Total Value of work: Note: Plan Review Fees may be adjusted after Plan Review Project Description (be specific): FZ;� r Yn _ k I e- (qk S �-, avia f e-5--e-j W i i Y) pia,.? Contractor -Business Name Prooerty Owner ngtme i3f-,S Q©Cif=I Q G- -T4J C �Gs� iZEs �3 �i✓1E1� T N C Address S L V G-{Q Ad, — 147-621S Muir=e_PL . ca�carcx 2�1 o S a�r c�o� ne 1 O. �JJ 3 Phon is Pax CIO R . `� 91•4 , ',"1 g.:�5 Fax E-mail ['o:�i E-mail � Contra r iU se Ka- q � 00 ❑Arch teat ,Na=e MUes-19ner.Name Engineer. Name Address Address City 7dp City Zip Phone Phone Fax Fax E-mail I E-mail License No. License No. . Applicant Name Signature Da 0 Contact Te ephone-Ner. i*-Mail PLEASE COMP:LETE THE REVERSE -ME 73-510 Fred Waring Drive, Patin Desert, CA 92260 • (760) 776-6420 v (760).776-6392 fax • www.cityofpalmdesert.org City of Palm Desert Department of Building. and Safety Phone: (760) 776-6420 mw..dfyoioa[mdesed.g[M SMOKE AND CARBON MONOXIDE ALARM RETROFIT VERIFICATION c, e_r and 1 (Print Property Owner's Name) (Tenants Name - it same as Owner write "Same") who own and/or live in the dwelling located at: Lt0 'N ca 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 AU 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. 1 understand the above requirements and certify that we now have smoke alarms and carbon monoxide alarms installed that comply. We agree to comply with the CRC in regards to smoke alarms, carbon mo ide alarms. StWaYurj of Owner Date Signature of Tenant Date ATTENTION OWNER - OCCUPANT: 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.