HomeMy WebLinkAboutELPU18-0083City of Palm Desert
PERMIT NUMBER:
ISSUE DATE:
Building and Safety Department
73510 Fred Waring Drive
ELPU18-0083
12114/2018
Palm
Palm Desert, CA 92260
Permit Type: ELECTRICAL PANEL
Appl. Date: 12/14/2018
UPGRADE
Permit
Appr. Date: 12/14/2018
Subtype:
Exp. Date: 6/12/2019
Jab Valuation: $2,000.00
Project Address: 74180 ASTER DR
Project Description: 100amp to 125amp
APN1Tract/Lot No:
Owner:
Contractor:
Applicant:
624204006
JEREMY H SPEAR
AFFORDABLE ELECTRIC
AFFORDABLE ELECTRIC
SHADOW VILLAGE 2
71599 TANGIER RD
13616 ARROW BLVD
13616 ARROW BLVD
80
RANCHO MIRAGE, CA 92270
FONTANA, CA 92335
FONTANA, CA 92335
(626)374-4652
(626)374-4652
Licensed Contractor Declaration
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
Fee Summary
ARCHIVE FEE - 6.5X11 UP TO 11 X1 7 GL-1100000-3411600 $0.07
(commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
ELECTRICAL. PANEL UPGRADE GL-1100000-3221100 $159.00
Initial
GREEN BLDG FEE SB1473 GL8100000.2281000 $1.00
PERMIT ISSUANCE FEE GL-1100000-341140D $165.00
Owner -Sy lid er Declaration
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State
Total Fees Paid: $265.07
t herebyatfirm under the penalty of perjury that there Is a construction lending agency for the
License Law for the reaspn(s) Indicaled 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 offhe 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' Stale
Asbestos Declaration
License Law(Chapier 9(commencing with Section 7000) of DMsion 3 of the Business
and Professions Code) or that he or she is exempt and the basis for the alleged
axempdon. Any violation of Section by any applicant e permit subjects the
Written asbestos notification pursuant to Part 61 of Title 40 of the Code of Federal Regulations is required
penalty re than arsfor
applicant to a civil penally of not more than five hundred dollars ($50D).)
when asbestos exists In buildings, or portions thereof, undergoing demolition. I hereby declare thatq
I, as owner of the property, or my employees with wages as their sole compensation,
demolition authorized by this permit is from construction that Aces or does not contain
asbestos, or that no demolition is authorized by this perm It.
will do the work, and the structure is not intended or offered for sale (Sec. 7C44,
Business and Professions Code: The Contractors' State License Law does not apply 10
NOTICE: You may protest any of the fees for this permit in accordance with CA Goy Code Sec. 66020
an owner of property who builds or Improres 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 data of this notice. In addition, you must tender payment of the protested fees at the time of
improvement is sold within one year of completion, the Owner -Builder will have the
the payment or provide evidence of arrangements to pay the protested fees or exactions at the time they
burden of proving 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 (Sec. 7044, 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.)
ElI
am exempt from Licensure under the Contractors' State License Law for the
fallowing 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 PINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION DAMAGES AS PRONDED FOR IN
SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNErS FEES.
I hereby affirm under the penalty of perlury ONE of the following declarations:
I have and will maintain a certificate of consent to self -insure 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.
Initial
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 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 ermit is issued, I shall not
'
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r.r
employ any person in any manner so as to became su t to the workers'
compensation laws of California and agree thatA I sh d became subject to the
ense on provisions of Section 0 he L r Code, I shall fo with
workers' cotl)pl
1JTi14lVL J
comply Z10,as ro ' ions.
Initial
� 'G
Date Applicant
"'J � . 4
City of Palm Desert
Department of Building and Safety
Buildinq Permit Application
(For Office Use Only)
JOB ID.
PLANS FILED:
Project Address: _ / q1 A 5 17� kSuite #
Total Value of work: $ ZOO O `� Note: Plan Review Fees may be adjusted after Alan Review
Project Description (be specific):
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Contractor Business Name
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Property Owner Name
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Address � J
Address
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city Zip
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Fax
Fax
E-mail 3
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mail
Contractor License No. /
❑Architect Name ❑Designer Name
Engineer Name
Address
Address
city Zip
city Zip
Phone
Phone
Fax
Fax
E-mail
E-mail
License No.
License No.
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Apalicant Name
Signatur
Dater
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Contact Telephone
E-Mail�J
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PLEASE COMPLETE THE REVERSE SIDE
73-510 Fred Waring Drive, Palm Desert, CA 92260 • (760) 776-6420 • (760) 776-6392 fax • www.cityofpalmdesert.org
CITY OF PALM DESERT
PERMIT #
Building & Safety Department
73-510 Fred Waring, Palm Desert, CA (760) 776-6420
SMOKE & CARBON MONOXIDE ALARM RETROFIT
2016 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:
I 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.
I, �t� v► Oc�ilet and 1, Le c ode r who own and/or live in the
(Property Owner's name) (Tenant's name/same)
Dwelling located at: t "!� �% s '�` Dr
- - k?a�� �__ 1-2� 1 -�- --- —
Sig Owner Date Signatur enant 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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