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Home My WebLink AboutWIND18-0080City of Palm Desert PERMIT NUMBER: ISSUE DATE: Building and Safety Department WIND18-0090 8116l2018 735 Fred Waring Drive Palm Desert, CA 92260 Permit Type: WINDOW Appl. Date: 8/16/2018 REPLACEMENT Permit Appr. Date: 8/16/2018 Subtype: Exp. Date: 2l1212019 Job Valuation: $3,615.00 Project Address: 76945 ASCALON AVE Project Description: LIKE FOR LIKE AAN/Tract/Lot No: Owner: Contractor: Applicant: 634171059 LINDA M. SULLIVAN D WICK ENTERPRISES INC D WICK ENTERPRISES INC 1NT IN COM LOTS 1 76945 ASCALON AVE 1515 CROWN ST 1515 CROWN ST THRU 5 TR 23322-3 MB PALM DESERT, CA 92211 REDLANDS, CA 92373 RED LANDS, CA 92373 207163 (9D9)335-4846 (909)335-4846 31 L1_G_e_nsQd Contractor Declaration Fee Summary I hereby affirm under penalty of pedury that I am licensed under provisions of Chapter 9 ARCHIVE FEE - 8.5X11 UP TO 1 lX17 GL-1100000-3411600 $0.28 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. GREEN BLDG FEE SB1473 GL-5100000-2281COD $1.00 Initial MINIMUM INSPECTION FEE GL-1100000-3221100 $169.00 PERMIT ISSUANCE FEE GL-1100000-3411400 $105.00 Owner -Builder Declaration ElI hereby affirm under penalty of penury that I am exempt from the Contractors' State Total rrees Paid: $265.28 1 herebyafrrrm under the penahyof perjury that 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, 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' 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 by any applicant for a permit subjects the Written asbestos notification pursuant to Part 61 of Title 40 of the Cade of Federal Regulations is required pplica t t re than applicant to a civil penally of not more than five hundred dollars ($500).) when asbestos exists in buildings, or portions thereof, undergoing demolition. I hereby declare that demolition authorized by this permit is from construction that does or does not contain ElI, as owner of the properly, or my employees with 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 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 properly 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 90 improvements are not intended or offered for sale. If, however, the building or days of the date of this nofice. In addition, you must tender payment of the protested fees at the time of improvement is sold within one year of completion, the Owner-Builderwill have the the payment or provide evidence of arrangements to pay the protested fees or exactions at the time they burden of probing 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 (See. 7D44, 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: Date/Signature of property owner or agent W rk ' C m ensation Declaration WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHILL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CMt. 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. hereby al' irk,under the penalty of penury ONE of the following declarations: �I I have and will maintain a ceffficale of consent to selMnsure 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. Ii.l Policy No. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is _ issued. My workers' compensation insurance carder and policy number are: 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 to the workers' compensation laws of California and agre uld became subject to the workers' compensation provisions of on 370D of the r Code, I shalt forthwith camply ( itch/—th se proms fons. IW _ Initial DateL� Applicant City of Palm Desert Department of Building and Safety Buildinq Permit A lication (For Office Use Only) JOB ID: jf j� Q PLANS FILED: project Address: - T4 Suite # ,_ Total Value of work: $ 1 Note. Plan Review Fees may be adjusted after Plan Review Project Description (be specifick 7�-->, , — 0 0 Contractor Business Name I Address city � �iu!- Zip _ Phone "+ 96c s Fax E-mail ems' S� Contractor License No. ❑Architect Name ❑Designer Name Phone License 0 F!r0P6rtY Owner Name Address C' city Phone Engineer Name License PLEASE COMPLETE THE REVERSE SIDE 73-510 Fred Waring Drive, Palm Desert, CA 92260 - (760) i76 6420 • (760) 776-6392 fax - www.citYOfpalmdesert.or g b %Oo -,-i I aN1 M 0❑wC7z�- Ofw=zpm 0 LL n�mXaj [1J p U,} ❑ (nTJ ZC�d 1 Is ¢ ¢ a �wCDO Q p QT� E ❑ � Z ;z¢wZ0� Q ❑ w LL U p wUr I Q'0p Z U [L 1- - Q z p U J Q ¢ z 4 ILU' z(�—� _ w O z Z zh-mww 5zCc) w w 0 0 a NNZ�0. 1 Is U zt��4fl-p0� o x�wz p�U J47U1� �aaooa4 am�arxv�w ZZOQ�IL o�mrQac�n� wwJg�QU L QOrnfl p�zr Q �awca�QO 0 5 cn X � N �x CA T N cc C Ujcr Q �� w O o 1: z uj !�w . � Q ny � U d •i,. J r '1 $ J g { � <a Ta � zr l ° _- Lij /�� U UO �C50' �p0