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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 gzEV 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 Page 1 of Z