HomeMy WebLinkAboutHVRC18-0218City of Palm Desert
PERMIT NUMBER:
ISSUED DATE:
Building and Safety Department
73510 Fred Waring Drive
HVRC18-0218
412012018 12:00:00 AM
Palm Desert, CA 92260
Permit Type: HVAC CHANGE OUT
Appl. Date: 4/20/2018
-
RESIDENTIAL
Appr. Date: 412012018
Permit TIER 1-LESS 15 SEER
Subtype:
Exp. Date: 10117/2018
Jab Valuation: $14.00
Project Address: 41557 ARMANAC CT
Project Description:
APNITract/Lot No:
Owner:
Contractor:
Applicant:
622050017
GARY C KLEBER
ESSER SERVICES INC
ESSER SERVICES INC
TR 14079 & INT IN
41557 ARMANAC CT
P O BOX 1636
P O BOX 1636
COMMON AREAS
PALM DESERT, CA 92260
CATHEDRAL CITY, CA 92235
CATHEDRAL CITY, CA 92235
17
(760)324-0550
(760)324-0550
Licensed Contractor Declaration
Fee Summary
I hereby affirm W„nder penalty of oedury that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is In full force and effect.
ARCHIVE FEE - 8.5X11 UP TO 11X17 GL-1100000-3411600 $0.28
GREEN BLDG FEE S131473 GL-6100000-2281 DOO $1.00
-
Initial
RESIDENTIAL HVAC CHANGE OUT GL-1100000.3221100 $159.00
Total Fees Paid: $160.28
Owner -Builder Declaration
1 hereby affirm under Penalty of eeriury that I am exempt from the Contractors' Slate
License Law for the reason(s) indicated below by the checkmark(s) I have placed next
to the applicable items) Section 7031.5 Business and Professions Code: Any city or
county which requires a permit 10 construct, alter, improve, demolish, or repair any
structure, prior to issuance, also requires the applicant for the permit to rile a signed
statement that he or she is licensed pursuant to the provisions of the Contractors' State
License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business
Print Name:
and Professions Code) or that he or she is exempt and the basis for the alleged
exemption. Any violation of Section 7D31.5 by any applicant for a permit subjects the
applicant to a civil penally of not more than five hundred dollars ($500).)
I, as owner of the property, or my employees with wages as their sale compensation,
SignatureofAppikant or Agent
will de the work, and the structure is not intended or offered far sale (Sec. 7044.
Business and Professions Cade; The Contractors' State License Law does not apply to
an owner of property who builds or improves the property, provided that the
Improvements are not Intended or offered for sale. If, however, the building or
improvement is sold within one year of completion, the Owner -Builder will have the
Date:
burden of proving that i1 was not bullt or improved for the purpose of sale.)
L1I,
as owner of the property, am excluslvsly contracting with licensed contractors to
construct the project (Sec. 7044, Business and Professions Code: The Contractofs
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 properly 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 (5100,000), 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 Deriury ONE of the following dedlarations:
-
I have and will maintain a certificate of consent to seHinsure for workers'
compensation, issued by the Director of Industrial Relations as provided for by Section
Initial
3700 of the Labor Code, for the performance of the work forwhich this permit issued.
Policy No.
I have and will maintain workers' compensation insurance, as required by Section
700 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:
-
Initial
Carrier & Policy Number
Expiration Date
1 certify that in the performance of the worn for which this permit is issued, l 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 Section 3700 of the Labor Code, I shall forthwith
-
comply Ith those provisions.
Initial
Dale $ Applicant
City of Palm Desert
Department of Building and Safety
Buiidin • Permit Application
)P1(FFor Office Use Only) q
JOB ID: C.19-_0arD
PLANS FILED:
Project Address:,+155-7 Ar-rnaYnaG G+- Suite
Total Value of work: $ 10, a00. Oc> Note: Plan Review Fees may be adjusted after Plan Review
Project Description (be specific):en�aG� 4 IE3b,c0n
Contractor Business Name
Property Owner Name
Addre
?0 aL w tic, 3
Address
41 l 5 S—I
City Zip
a C, CA ctZ �3�
city Zip
—Ra" G es GA Cl 2�-(vO
Phone
32-4-ossc>
Phone
30 -Z�1-
Fax
Fax
E-mail
E-mail
Contractor License No.
4-Sc, O'R'
❑Architect Name ❑Designer Name
Engineer Name
Address
Address
city Zip
City Zip
Phone
Phone
Fax
Fax
E-mail
E-mail
License No.
License No.
Applicant Name
Signature
Date
J�C' v. �c
� 2 ��
4 �� I $
Contact Telephone Number
E-Mail
Z kZ- -735 -`7� "7(0
PLEASE COMPLETE THE REVERSE SIDE
73-510 Fred Waring Drive, Palm Desert, CA 92260 • (760) 776-6420 • (760) 776-6392 fax • www.cityofpalmdesert,org
w
o
m
N
C
�0
o
a
J
G
a
°0
obD
0
N
a
N
LL
tir
•a
co
Q.
w
Q
U7
LU
w
co
w
Y
a
u
7
2
J
a
r•1
LL
u
7•
Lm
E
y
E
0)
7
to
C
w
u
O
Z
a
�
J
C
a
o
a
u
tv
CL
LL
`n n
O
°'
uj
E
m
U_
O
Z
w
y
u
L
d
y
LLU
u
Q
a
a�
C
dJ
N
C
N
7
0
d1
.O
V)
O
T
E
N
Ln
E
�
Co
p
s
p
m
CLD
C
N
N
v
_O
•O
•y
al
d
y,�
W
c
O
u u C
Z
U
to cn
CL
G
a
c
O •L
+�
to
W
3
CL
=
cu
tY9
•7
�
� O
3 C v_l
=p�
G
In
G
LL.
N
-e
co
Co.
O.
0
o
a
1-4
c
m
Y
C
0
Vf
E
a
T
N
0
to
u
E
o
Q
Z
`a
LLU
Q
2
C
m
w
OC
Ln
O
Y
Q
UJ
id
Ln
E
a
?,a
m to
Q
LLn
-4
f0
N
Lfl
in
N OJ
u 3
�
U
E fO
m
0
� N 0
U w
d
O
Y
U
m
0
O
yQ f0
0
z
Ta0o
m
m
=
u
o
u
ca
L
J J
•�
•�
CL
E
Q
`�
Q u u
rl
0
M
0
Ln
0
1"
0
Ol
0
E
a
C
u
Hu
{
L! C
L
a-• Y
Q
a
0
U
M1•
E
C
d
O
y i y
O
Z
V1
u
G]
� M1•
c a
c
0o
- T
}tea 61 VT1
0
Z
� = Y
C
C 3
OJ •O
M1.
Ozr LA
bD
C U
C a
•0
h
0
o
+• 4-
O
z
Ln QJ
C O a)
E w
V
6.
Y
02 E m
c
°° Ln o
C
aj
}
T a
L O
� u
CO O
to
i L S
C
Ln
__ G�
aC
}
f71 _ E
C i u D
u
E E
O
0 w
V V
Y N N
Ln
}
C
O
V �,
7 Y
4+
E
O
N
Ln
aL-�
w
a T h
V s
C
C
f0
Ln
++ O G1
y
C1
to O Gl
LU
—i
Y U (n
Q
E
En u
o
V
�
L
O
o
V
m +. m
2
r I
O
tYii fo
~
1n w Z
nCL
L
u N
w o
s d:
u 4
L
Q
a rV
� O
6 00
C)
w C)
= N
.O
[iJ
A
CC
ci
0
0�1
C.
V
O
-4
N
0
00
00 Lo 10
N CD
O .i
E 5
o v
C C
U O
O N
N r d
w L
oz Ln
m
f6
a E
o O
u
o 5
C3
o
o �
O
O ,
OO h
CDa
O LD
o p
O N
m
c
o
Ln
N C
o
oN N
O
Q c
C
r-1 V
E
z w
G bn
O C
m
bo
0-1 u
a
m
�
u
—n
CL
Z
F Qj m
L 6
O C
O U f=
-0 fn
H
Ip J
t6
al .0 u
N O
Z h u
:Eu 6
N
41
ro
L_ LM Qu
0
c c CL
u
Sd
G
cr i ~
en
m
H
v
�A_
E T
L
� 3 C tFl
a=i
cn
O �
u
a
uj
a
o
a
CO V
r a
ao
C C fll
- a a
w
r, + _a
ro m
O
O 'u T
w
C o -
U ~
m E a
CL,
N 111
f2J
i C 'm_ N
U t O 2 u
3 a U
m N m
a`^
o
y Ep v
r•
i c C
v C C
m y y t r
O
0 iZ
C O
— 00 CL
m U o
N '7 W
Q V E
a L' E
-0 `: o-
ro m ca
O
V
0
m m =. y C
CN u
.--I :7
v v
C H
d b O Y
Q
,
Q
CL m ami
0 d
U
C
C E J= u
O
T
Iai
_ CuC
N V C D
cn
m 3
V C O N
o
a p
m
c c w
o CL g v va E
m o
Ln
O
+� E m
.0
ao
ELLI p
0 E p
fU .2 16
O
w
Ln p
LLJ=_
ro 00 CL
'm -,p — E
Q
N
�u u W al
o0 ` E a
O
Qj
m m
Ln
N
of
c c y
w
3 3 6-0
m p m
Q.
D
ro v ro
Qj mIj
LLJ
Qt'^
d
�.
Q L
CL 3 o o3
$
ro o o_ m -o
O al U w > C a
iy+
N
Y
00
bA G
ro
Q m p- v (U
CJ 41 f6 O
uC ac,
C O
O `7 y i2 u ut
w a) y U m p
C!1
O
+' fu =
az
— 4 Q
¢L o
E 0 m im o v
a)CL
saw
U
3a,o=m
�
I..)
C y V" A y
c
m ai m v
4.1
r
E Y m a d
o O u 00 Z m
dl
4
U
Ln =
.-• �.- 3 ~ 4
O
N
O
a+ 41 f1
% c
4 0 u a Q
V
a i H
1
u E x a x a r o
fU
=
u
o U� O C Ln end m u
m v
a ai i i N E
�wavauu
CL
N
O , �°'�
O
Ew �2 oci
h
fkl
C m
vyi
Cmn Mn u
O l6
O
O LML C
U
++
j, as Z
m E as
Q
y O
Y m
[ll
7 rr [r [C C d
N O ry 'n mo w.
y
4J LL L J LL LL
� u u u u w
LL
LL
/v
N
O
Ln
rl
13
C
m
fC
0
N
Q
Ln
ri
Ln
C
O
..w
u
Gl
N
O
GJ
C
f0
s
V
41
a}
Q
.5
cr
Lu
3
O
}
O
41 L4
u
41
C
C
f31
d
u
I4
Q.
al
w
Q.
O
V
O
N
Z
C
LLI
LLI
U
tll
O
a
t
a
a
f2
m
O
C
LA
fU
0
C
0
a--�
u
W)
LL
Q)
.O
CL
0
T
a
R
IO
0
C
cu
0
v
C
O
U
tn
as
.Ln
M
LU N
w o
s
u O
� N
2 o
a_Ln 9
fX rl
w C)
= N
4
L
4
a
a
0
v
0
Q
N
v
O
co
lDLD
ONC) O
ui C o
Ln a
� v
CO O
C N CJ
O Nja.+
m m
_ E
O 4
0 CL S
cu
W
N
0
J
Q
LL
W
u
z
a
J
a
0
u
LL
LLJ
-
u
W
u
m
0
M
Q1
bA
m
.a.
L qJ
D �
E u
. 0 y CL
N C
C OV � m
m N O
ci
3
m_
al �1 C
{Tj
L E
-
N m CL
u E
n p u cu 'u
ti E 0
m u V m
v
C C
m
CL
Q U
E
0
V u u O
a1
_
C
0 0 a v
m W
0 m m
a
CL ? o
m m ,
..
m a)
`m `m
:0 -o m
U L
m 3
'S
r '
CL
a�i o c o.
o m
CL
-o E -10, as o
m o—
C
O
7 = u
m
V
-p c aL
CI C
C Y
C C
E o
ao
O
n
u
b _0O "
m
c
E c c 0 j m
na
"v,
`w
j
o
N A
C
¢
r=
cD
o y :t CL " v
Y
-m
y
O
vt
Qry
00
Q
Ln
m
m
cl
U
i�
m O C �. al L
al il�
-O
61
v
Ch
O
N
cu
V1
m
ai w- N n a+
O �3
,y �..tr
�
.y
al
O
i
N
N
E
�
�
OO
=
v {�
CO
�
C •� C n0 •p m
OV :
O
�
nn
N W
�t
a) M
ep o
,.,.,
L
U a/ '-C-p ' j
'0
Q
u�
O
6C1
p p
GO
❑ ✓i
in` N
U
a W
m_ci
0
:r
d o
�
U
Y' r r�
(EOj
V
c m Y a
as a
� a
O ar CL u u a
E
u = E
o, m o" to
u
-
-
o m E
d
ai
i
N
0 Q al -6 C +m„
v +J K w v m
G
4 ."' m U
O
� u o E m y« Ea C
.�
,N
C
u
O
m c y' a v u u
G7
'a
o a o m= Y 1
d
U
O
�
3 -ap w y m« u o
U
iJ
m
=
m
Q)
m C V Y w .0 `�• T
a rt a� c ai ..• a
V
_
E
� a1 o H y-
a N
LD y U
�
O
m
-
-0 i j m N `ai
u+�
+L
E
G m E a E
7 m °3 o
r
U ai 0 v
L Y C N c O T N
n
m
O
O
°
E 0 v i u$ m
O
dJ
.7
L
o
[1 0 w n m
C N 'v
m
m
c m al �
o-0 o fO a t CL a; v
J!u+
?a
0
-p '.N d I H C
N
"' 7 m -0 'Fw m
O
i
N
0>
al p� m
al
m
Vl
0- 0- "�_ ~ _ C Y
Q
E
-I
°'
c-o
C
c0 m m 0
_ °no Y
ai
E
M
N
z
a) Cw ai
m
?
u
L
:3 E 4. G c 7 C
0
Z
U
Ol
y
m
L
bD
11
E L al n c 0
} a
c
C
U
G7
` a
c O
fa
_
O al E m ar u 0.
v Cp
61
Lp
_
co
•i
co
G
,L
C i
T J••'
J
a_i Y
�
a
? Q7
N N
Uu
m
v�'i Nl
m
O
_�
m
p
m
_
E
0 7�
CL L
m N
=
v
a
.--i ry rri v vi
o
CL
a
v",
Co
' L
o
od
�N
Gl
u
ci
o v�i
ao0
[Yo
e-i
a V,
u—
¢m
u�i
wcn
u w
¢a
V
EA N
w O
s
u O
41 O
t N
O O
00
� C)
w O
= N
i
N
al
G
al
O
CL
Q)
0
N
V
C?
W
CD w 10
0
N O
ai cy o
E ?
O.LA aj
m C
0 O O
i
o ar 7
� m
O
E
c Qcu �
cr � In
L
v
E
z
C
0:
City of Palm Desert
Department of Building and Safety Phone:
(760) 776-6420
www.cfto€nalrndPserl.,)W //Vl / ( fl /fJ 21
SMOKE AND CARBON MONOXIDE ALARM RETROFIT VERIFICATION
I, lS r G K 4 e & /+ , and I,
(Print Property Owner's Name) j (Tenant's
Name - ifsameas Owner write "Same")
who own and/or live in the dwelling located at: l y /7l�1`%��7%� +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, R315.2 and CBC 420.4 requires the
retrofit of these alarms in existing dwellings when alterations, r,epairs 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 2I 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.
gnatu of Owner Da e
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.