HomeMy WebLinkAboutELPU18-0013City of Palm Desert
PERMIT NUMBER:
ISSUED DATE:
Building and Safety Department
ELPU18-0013
42:00:00 AM
73510 Fred Waring Drive
3I612018
Palm Desert, CA 92260
Permit Type: ELECTRICAL PANEL
Appl. Date: 3!6l2018
UPGRADE
Appr. Date: 3/6/2018
Permit
Subtype:
Exp, Date: 9/212018
Job Valuation: $4,200.00
Project Address: 776" ASH BERRY CT
Project Description: 200AMP T0225AMP
APNITractlLot No:
Owner:
Contractor:
Applicant:
632600067
ERIC A VIGNA
MYERS ELECTRIC CO
MYERS ELECTRIC CO
TR 27770
77644 ASH BERRY CT
425 W LA CADENA DR #21
425 W LA CADENA DR #21
67
PALM DESERT, CA 92211
RIVERSIDE, CA 92501
RIVERSIDE, CA 92501
(951)662-8769
(951)662-8769
Licensed Contractor Declaration
Fee Summary
I hereby affirm under penalty of penury that I am licensed under provisions of Chapter 9
ARCHIVE FEE - B.5X11 UP TO 11 X1 7 GL-11000OD-34116DO 80.2E
- --
(commencing with Section 70DO) of Division 3 of the Business and Professions Code,
_
and my license is in full force and effect.
ELECTRICAL PANEL UPGRADE GL-1100000-32211 DO $239.00
Initial
GREEN BLDG FEE S61473 GI.-610000D-2281000 $1.00
PERMIT ISSUANCE FEE GL-1100DO0.3411400 $105,00
Owner -Builder Declaration
I hereby affirm under penalty of penury that I am exempt from the Contractors' State
Total Fees Paid: $345.28
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
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 file a signed
statement that he or she is licensed pursuant to the provisions of the Contractors' State
License Law(Chapter 9(commancing with Section 7000) of Division 3 of the Business
and Professions Cade) or that he or she is exempt and the basis for the alleged
Print Name:
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penally of not more than five hundred dollars ($500).)
ElI,
as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sate (Sec. 7044,
Business and Professions Code: The Contractors' State License Law does not apply to
SignafureofAppfkanf or Agent:
an owner of property who builds or improves the property, provided that the
improvements are not intended or offered for sale. 0, however, the building or
improvement is sold within one year of completion, the Owner -Builder will have the
burden of prWng 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 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
Workers' Compensation Declaration
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (f9 00.000), IN ADDITION TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN
SE 710N 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under theDenalty of perjury ONF cif the following declarations:
L
1 have and will maintain a certificate of consent to self -Insure forworkers'
compensation, issued by the Director of Industrial Relations as provided for by Section
fiat
37DO of the Labor Code, for the performance of the work for which this permit issued.
/
1N
Policy No,
I have and wilt maintain workers' compensation insurance, as required by Section
37DO of the labor Code, for the performance of the work forwhlch this permit Is
" —"—
issued. My workers' compensation insurance carrier and policy number are:
I tial
Carrier & Policy Number
Irallon Date
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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 ag�eo that if I should becomo subject to the
workers' compensation provision of Section 3700 of the Labor Cade, I shall forthwith
omply with those provisions.
Data App can
City of Palm Desert
Department of Building and Safety
Building Permit Application
Project Address:
(For Office Usa Only)
.]Oe ID;�1
PLANS FILED:
ite
Total Value of work: $ `UD - Note. Plan Review Fees may be adjusted after Plan Review
Project Description (be s
PLEASE COMPLETE THE REVERSE SIDE
.73-510 Fred Waring -Drive, Palm Deserts CA 9ZZ60 • (760)_776-6420 - (76D-}.-776-6392 fax - www.dtyofpalmdesert.org
/�-�a( GrG Pam• ! � � z� ca �,3
CITY OF PALM DESERT PERMIT # so �� 8"wo��;'
Building & Safety Department
73-510 Fred Waring, Palm Desert, CA (760) 776-6420
SMOKE & CARBON MONOXIDE ALARM RETROFIT
2D16 California Residential Code sections R314.8 and R315.2
Where a permit is required for alterations, repairs or additions exceeding $1,000, including exterior work, i.e. roofing,
HVAC change -outs, electrical panel upgrades, windows, etc. existing dwelling or sleeping units that have attached
garages or fuel burning appliances including fireplaces shall have a carbon monoxide alarm.
Smoke and Carbon monoxide alarms shall be installed in the following manner:
• In each sleeping room (only require Smoke Alarms unless bedrooms contain a gas appliance then a carbon
monoxide alarm is required as well)
• Outside each separate sleeping area in the immediate vicinity of the bedrooms. (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)
• Smoke alarms and smoke detectors shall not be located where ambient conditions, including humidity and
temperature are outside the limits specified by the manufacturer's published instructions
• Installation near bathrooms. Smoke alarms shall be installed not less than a 3 ft. horizontal distance from the door
or opening of a bathroom that contains a bathtub or shower unless this would prevent placement of a smoke alarm
required by other sections of the code
• Smoke alarms and smoke detectors shall not be installed within 36 in. horizontal path from the supply registers of a
forced air heating or cooling system and shall be installed outside of the direct airflow from those registers
• Smoke alarms and smoke detectors shall not be installed within a 36 in. horizontal path from the tip of the blade of
a ceiling -suspended (paddle) fan
• Smoke Detectors shall be within 10 years of manufacture marked date and/or replaced if such date does not exist
• Conventional Ionization smoke alarms must be installed with a ten year battery
Interconnection:
Where more than one carbon monoxide alarm is required to be installed within the dwelling unit or within a sleeping unit
the alarm shall be interconnected in a manner that activation of one alarm shall activate all of the alarms. Exception:
Interconnection is not required in existing dwelling units where repairs do not result in the removal of wall and ceiling
finishes, or there is no access by means of attic, basement or crawl space.
The Building Inspector will verify the installation of the smoke and carbon monoxide alarms during the
inspection process or the owner can complete and sign under the penalty of perjury the following:
understand the above requirements and certify that we now have smoke alarms and carbon monoxide alarms
installed that comply. I agree to comply with the CRC in regards to smoke alarms and carbon monoxide alarms.
1, Tl, - pc�- r6 and I, who own and/or live in the
(Property Owner'sKame) (Tenant's namelsame)
Dwelling located at:. / Z&YG/
ig ature of Uwner Date
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 is not achieved during the course
of project construction. It is normally used for projects such as re -roofing, re -siding, patio covers or swimming pools.
4/11/2017
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