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HomeMy WebLinkAboutWIND18-0039City of Palm Desert PERMIT NUMBER: ISSUED DATE: Building and Safety Department 73510 Fred Waring Drive WIND18-0039 41111208 12:00:00 AM Palm Desert, CA 92260 Permit Type: WINDOW Appl. Date: 4/11/2018 REPLACEMENT Appr. Date: 4/11/2018 Permit Subtype: Exp. Date: 101812018 Job Valuation: $15,145.00 Project Address. 76820 ASCOT CIR Project Description: APN[Tract/Lot No: Owner: Contractor: Applicant: 626272006 LESLIE L LAWRENCE LESLIE L LAWRENCE TR 21651 76820 ASCOT CIR 76820 ASCOT CIR 28 PALM DESERT, CA 92211 PALM DESERT, CA 92211 Licensed Contractor Declaration Fee Summary I hereby affirm under penalty of Podury that I am licensed under proNsions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code. and my license Is In full farce and effect. ARCHIVE FEE - 8.5X11 UP TO 11X17 GL-11 DOOOO-3411600 $0.2B GREEN BLDG FEE S81473 GL-61 D0000-2281000 $1.00 - _ Initial MINIMUM INSPECTION FEE GL-11o0000-3221100 $159.00 PERMIT ISSUANCE FEE GL-1100000-3411400 $105.OD Qwner-Bijilder Declaration I hereby affirm under penally of peaerLry that I am exempt from the Contractors' Stato Total Fees Paid: $265.28 License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicab}a item(s) Section 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any 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 Stale License Law(Chapter 9(commencing with Section 70DO) of Division 3 of the Business and Professions Code) or that he or she is exempt and the basis for the alleged prfnf Name: exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($50D).) I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is net intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to SignatureofAppffcant or Agent 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 burden of proving that it was not built or improved for the purpose of sale.) Date: 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 properly 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: DatelSignalure of property 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby _affirm. under the Penalty of Derlury ONE of the following declarations I have and will maintain a certificate of consent to selfinsum forworkers' compensation, Issued by the Director of Industrial Relations as provided for by Section - Initial 3700 of the Labor Code, for the performance of the work forwhich this permit issued. Policy No. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work forwhich this permit is issued. My workers' compensation insurance carrier and policy number are: - Initial Cartier & Policy Number Expiration Date I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California and agree that if I should became subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. - Initial Date Applicant City of Palm Desert Department of Building and Safety Building Permit Application (For Office Use Only) 7� JOB ID: Wltw �z PLANS FILED: g� r Project Address:CZ(ti9 Suite # Total Value of work: Note: Plan Review Fees may be adjusted after Plan Review Project Description (be specific): L Contractor Business Name Property Own r Name Address Address r � 7 City Zip Ci ff Zip Phone Phone Fax Fax E-mail E-mail Contractor License No. ❑Archiltect Name ❑Designer Name Engineer Name Address Address City Zip city Zip Phone Phone Fax Fax E-mail E-mail License No. License No. Applicant Name Signature Date Co tact Telephone Number -Mail PLEASE COMPLETE THE REVERSE SIDE 73-510 Fred Waring Drive, Palm Desert, CA 92260 • (760) 776-6420 - (760) 776-6392 fax • www.cityofpalmdesert.org W1NDI$-�3°� CITY "O`' PALM DESERT DEPAR."I'°MENT OF COMMUNI'l-V DEVELOPMENT APPROVED BY: ,,! C.0 RES. NO—__--Y( STAFF LETTER El PC, g���CI`ARCACTION FORM Dy I,li'Iw Date ONE YEAR O CONSTRUCTIONCOMMENCE WITHIN HE APPROVAL t C�n�nc �� �\V�c�oZrvs n `r' n mF-1 - . OF IS PROVALBEC.OME3 ULL &VOID IF INSI CTION ECORDED HIN t80 DAYS OF ISANCE. K SH DON IN ACCORD NWITH P £D P THIS A PROVA S LOT BE N T U E A PER T FOR: PRAL OF: Y I LA OF ANY OF HE IONS STATE ANCES OR LAM S. SET OF AROVED T BE KEPT ON T E J UNTIL C0rLETED. m, 30 oq 15 REGENCY PALMS HOMEOWNERS ASSOCIATION C/O Desert Management 42427 Rancho Mirage Lane Rancho Mirage, CA 92270 P.760.862,1202 F.760.862.1210 0312112018 Ralph R. & Leslie L. Lawrence 76820 Ascot Circle Palm Desert CA 92211 RE: Architectural Approval - 76820 Ascot Circle -Acc-t:#:-46-00©24- - . --- -- Dear Ralph R. & Leslie L. Lawrence: WcI K-oo3� Thank you for submitting an Architectural Application.The Board of Directors approved your Architectural request to install a new front door and new windows as submitted on March 12, 2018. You may begin your project effective immediately. However, you must adhere to the specifications that you submitted with your application to the Board of Directors. In addition, you must adhere to the following work hours based on the guidelines set forth by the City of Palm Desert: Monday - Friday 6:00 am to 7:00pm; Saturday 8:00 am to 5:00 pm; Sundays and Holidays, no work allowed. Please be sure to contact our office when your project starts and again when it is completed. If you have any questions, please feel free to contact me at (760) 862-1202. Sincerely, Cheryl Williams Community Association Assistant Manager 0n bel-calf o� the Board of -Directors HOAlfile BOD