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HomeMy WebLinkAboutROOF18-0340City of Palm Desert PERMIT NUMBER: ISSUE DATE: Building and Safety Department 73510 Fred Waring Drive ROOF18-0340 12114/2018 Palm Desert, CA 92260 Permit Type: RE -ROOF Appl. Date: 1211412018 Permit RESIDENTIAL Appr. Date: 12/1412018 Subtype: Job Valuation: $11.814.00 Exp. Date: 611212019 Project Address: 73420 AGAVE LN Project Description: TILE RESET APN/Tract/Lot No: Owner: Contractor: Applicant: 655052008 DOMINIC TORDJMANN VISION ROOF SERVICES INC VISION ROOF SERVICES INC TR 5553 PO BOX 4799 41905 BOARDWALK SUITE L 41905 BOARDWALK SUITE L 69 PALOS VERDES PENINSULA, CA 90274 PALM DESERT, CA 92211 PALM DESERT, CA 92211 (844)348-7663 (844)348-7663 Licensed Contractor Declaration Fee Summary I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 ARCHIVE FEE - 8,5X11 UP TO 11X17 GL-11000OD-34116DO $0.14 (commencing with Section 7600) of Division 3 of the Business and professions Code, and my license is in full force and effect. GREEN BLDG FEE SB1473 GL-61000OD-22610DO $1,00 Initial MINIMUM INSPECTION FEE GL-1 IODOOD-3221 100 $159.00 PERMIT ISSUANCE FEE GL-11000OD-34114DO $105.00 Owner -Builder Declaration 1 hereby affirm under penalty of perfury that I am exempt from the Contractors' State -total Fees Paid: $265.14 I hereby affirm under the penalty of pedurythat there Is a construction lending 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, CMI Code) County which requires a permit to contract, 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' State 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 penult subjects the Written asbestos notification pursuant to pan 61 of Tice 40 of the Code of Federal Re uia6ons is required P 9 applicant to a civil penalty of not more than five hundred dollars ($5001.) when asbestos eldsts in buildings, or portions thereof, undergoing demolition. I hereby declare that ademolition 1, as owner of the property, or my employees with wages as their sole compensation, authorized by this permit is from construction that does or does 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 Cade: 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 properly, provided that the (a). The protest must satisfy the requirements of Gov. Cade Sec.56020(a) and must be filed within 90 improvements are not Intended or offered for sale. If, however, the building or days of the date 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 -Builder will have the the payment or provide evidence of arrangements 10 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. 1, 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 Contreclors' State License Law.) I am exempt from Licensure under the Contractors' State License Law for the following reason: Date/Signature of property owner or agent Workers' Compensation Declaration WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 1S UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,000), IN ADDITION TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'5 FEES. 1 hereby affirm under the penalty of verlury ONE of the fo[loMng declaratio, Ills„ I have and will maintain a certificate of consent to selNnsure for workers' compensation, Issued by the Director of Industrial Relations as prodded for by Section 3701) 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 carter and policy number ere: Initial Carrier & Policy Number Expiration Date 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 10 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 complywril�h roasse rovislons. ^ i, :9 r t 1�Applicant _ V Initial Data City of Palm Desert Department of Building and Safety Building Permit Application (For Office Use Only) JOB ID: 0OR — 0-3�`�j PLANS FILED: Project Address: 7 3`f ZO A_ Suite # Total Value of work: $_��,T 1. �" Note: Plan Review Fees may be adjusted after Plan Review Project Description (be specific): e- _ ve,a G -tf �c Se L r c 41 s Applicant Name Signature Date Z' Contact Telephone Number E-Mail 7 oWC- PLEASE COMPLETE THE REVERSE SIDE 73-510 Fred Waring Drive, Palm Desert, CA 92260 - (760) 776-6420 - (760) 776-6392 fax - www.cityofpalmdesert.org City of Palm Desert Department of Building and Safety Phone: (760) 776-6420 vrw,r.citvafaaimdesert.ora SMOKE AND CARBON MONOXIDE ALARM RETROFIT VERIFICATION 1. -DO Ail OIL D and 1, (Print Property Owner's Name) (Tenant's Name - if same as Owner write "Same") who own andfor liven in the dwelling located at: -73 Pllum 00-me r-4 C-+- (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, R316.2 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 2H 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 alarms installed that comply. We agree to comply with the CRC in regards to smoke alarms, carbon monoxide alarms. E7 lam% - AP Signature of Owner Cate ATTENTION OWNER - OCCUPANT: Signature of Tenant ©ate 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.