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Home My WebLink AboutROOF19-0082City of Palm Desert PERMIT NUMBER: ISSUE DATE: Building and Safety Department 73510 Fred Waring Drive ROOF19-0082 3/14/2019 Palm Desert, CA 92260 Permit Type: RE -ROOF Appl. Date: 3/14/2019 Permit RESIDENTIAL Appr. Date: 3/14/2019 Subtype: Job Valuation: $15,410.00 Exp. Date: 9110/2019 Project Address: 44 ACAPULC0 DR Project Description: UNITS 44-46 UNDERLAYMENT ONLY APN/Tract/Lot No: Owner: Contractor: Applicant: 624021049 SONDRA KAE LAFON HOSSFELD B R S ROOFING INC B R S ROOFING INC TR 14032-1 INT IN 1075 GRAY FLYCATCHER CT 777 SOUTH LUGO AVE 777 SOUTH LUGO AVE COMMON AREAS REDMOND, OR 97756 SAN BERNARDINO, CA 92408 SAN BERNARDINO, CA 92408 49 (909)B84-8505 (909)884-8505 Licensed Contractor Declaration Fee Summary I hereby affirm under penalty of Pedary that 1 am licensed under provisions of Chapter 9 ARCHIVE FEE - 8.5X11 UP TO 11X17 GL-1100000-3411600 $0,14 (commencing with Section 760D) of Division 3 of the Business and Professions Cade, ! i I and my license is in full force and effect. GREEN BLDG FEE SB1473 GL-6100000-2281000 $1,00 MINIMUM INSPECTION FEE GLA100000-3221100 $159.00 PERMIT ISSUANCE FEE GL-11 DODOO-3411400 $105.00 Owner-Bu(Ider Declaration 1 hereby affirm under penalty of veriory that I am exempt from the Contractors' State Total Fees Paid: $265,14 f hereby affirm under the penaltyofperjury that there is a construction fending agency for 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, 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 er she is licensed pursuant to the provisions of the Contractors' State Asbestos Declaration License Law(Chapter 9(commencing with Section 700D) 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 by any applicant for perm:) subjects the Written asbestos notification pursuant to Part 61 of Title 40 of the Code of Federal Regulations is required t re than applicant to a civil penalty of not more than five hundred dollars ($500}.} ( when asbestos exists in buildings, or anions thereof, undergoing demolition. I herebydeclare that g I, as owner of the property, or my employees with wages as their sole compensation, demolition authorized by this permit mit is from construction that does or oes not contain 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 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 Sec66020(a) and must be filed within 9D Improvements are not intended or offered for sale. If, however, the building or days of the date of this notice. In addition, you must lender payment of the protested fees at the time 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 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. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors 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' Stale 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 SUBJECTAN 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, I hereby atfirm under the penalty of perjury ONE of the following declarations: I have and will maintain a certificate of consent to self -Ensure 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 canter and policy number are: In Carrier &Policy Number Expiration Dale I 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 still ould become subject to the workers' compensation provisions of Secti 700 f he Labor Code, I shall forthwith complyWith those roti,Sions. Date J( r Applicant _ Initial City of Palm Desert Department or Building and Safety Building Permit Application (For office Use Only) ��( JOB 1Q: "C wk PLANS FLED: Project Address: 94" 1\ c oq J C.' o 1) Suite 'iota[ VaIue of work; S_ 0100 Note. Alan Review Fees maybe adjusted after plan Review Project Description (be specific): �Z�—�cs� YPA "i-� �-� i'C�1S� LVI� -s-J-W A Y)-e-J Aw .00au- lC, ymuy�. Contractor.Susiness Name Property owner e u o r J C. pFO-T, Est' r [sv�GGMaN T {Vo��/ ,teV Address. S a i� Ad,'— LA z 6 '!S- c 'tR I ` e-set4-i 'iIZ2- .1 Pho3V"1 �3 Ptrone Fax 1 �i.. cl Q R . �8 %-4 . g845 Fax i E-maii 'fib l `l bps [`ott + C-OYti1 E-Mai1 i Contra - r .Lce�se �Q: OAr..chi-teat .Nance rrer...iNa a 3EntgMeer.14ame Address Address city Zip City zip Phone Phone Fax I Fax E-mail E-mail License No. License No. . Applicant Dame Signature o S. Cohtact ` e ephone•.N er.:. -760 E-Mali e-�� PLEASE COMPLETS THE REVERSELS[DE 73-610 Fred Waring Drive, pairm Desert, CA 92260 + (760) 776-6420 • (760).776-53 2 fax • www.ciWofpalrndesert.org City of Palm Desert -; Department of Building and Safety Phone: (760) 776-6420 ww -w.cltyofnalmde1,gd&m SMOKE AND CARBON MONOXIDE ALARM RETROFIT VERIFICATION I, -wea -fie o n , and I, (Print Property owner's Name) (tenant fs Name - If same as Owner write "Same") who own and/or live in the dwelling located at: LILA A ca 0v ress) 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 ga 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. stand the above requirements and certify that we now have smoke alarms and carbon monoxide installed that comply. We agree to comply with the CRC in regards to smoke alarms, carbon of Owner Date ATTENTION OWNER - OCCUPANT: I =1 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. City of Palm Desert Department of Building. and Safety Phone: (760) 776-6420 wwwAtyofnaf mde_od.ora SMOKE AND CARBON MONOXIDE ALARM RETROFIT VERIFICATION 1, a te-fit- 'Sa % I , and I, (Print Propdrty Owner's Name) (Tenant's Name - if same as Owner write "Same") who own and/or live in the dwelling located at: V ` Lo ,. (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 ga 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. I understand the above requirements and certify that we now have smoke alarms and carbon monoxide alarm&\inptalled that comply. We agree to comply with the CRC in regards to smoke alarms, carbon of 3 -Y> 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.