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Home My WebLink AboutWTRH19-0046City of Palm Desert PERMIT NUMBER: ISSUE DATE: Building and Safety Department 73510 Fred Waring Drive WTRH19-0048 Palm Desert, CA 92260 _ Permit Type: WATER HEATER Appl. Date: 5/2/2019 Permit STANDARD CHANGE Appr. Date: 512/2019 Subtype: OUT Job Valuation: $2,525.00 Exp. Date: Project Address: 43744 AVENIDA ALICANTE 14 Project Description: APNITractlLot No: Owner: Contractor: Applicant: 637341053 CONNIE B SAVAGE HARRISON ENTERPRISES INC HARRISON ENTERPRISES INC INT IN COM LOTS 42 & 43744 AVENIDAALICANTE 14 31170 RESERVE DRIVE 31170 RESERVE DRIVE 43 TR 19748-1 MB PALM DESERT, CA 92211 THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276 1421049 (760)343-7488 (760)343-7488 14 LiWnsed Contractor Declaration Fee Summary t hereby affirm under penalty of Pedury that I am licensed under provisions of Chapter 9 ARCHIVE FEE - 8.5X11 UP TO 11 X1 7 GL-1100000-341160D $0.14 (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-5100000-228100D $1.00 lnitia[ WATER HEATER CHANGE OUT GL-1100000-3221100 $80.00 Total Fees Paid: $81.14 Qvv gLBLiiIft Q,QGl,�ration 1 hereby affirm under penalty of penury that I am exempt from the Contractors' State f hereby affirm under the penaltyof perjury that there is a construction lending agencyfor the License Law for the reason{5) indicated below by the checkmark(s) I have placed next Performance of the work for which this permit is issued (See 3097, Civil Code) to the applicable item(s) Section 7031.5 Business and Professions Cade: Any city or Lenders Name and address 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 Asbestos Declaration statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law(Chapter 9(commencing with Section 700D) of Division 3 of the Business Written asbestos notification pursuant to Part 61 of Title 40 of the Code of Federal Regulations is required and Professions Code) or that he or she is exempt and the basis for the alleged when asbestos exists in buildings, or portions thereof, undergoing demolition. I hereby declare that exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the demolition authorized by this permit is from construction that does or does not contain applicant to a civil penalty of not more than five hundred dollars ($500),) asbestos, or that no demolition is authorized by this permit. I, 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 sale (Sec. 7044, NOTICE: You may protest any of the fees for this permit in accordance with CA Gov Code Sec. 66020 Business and Professions Cade: The Contractors' State License Law does not apply to (a). The protest must satisfy the requirements of Gov. Code Sec.66020(a) and must be filed within 90 days of the date of this notice. In addition, you must tender of the fees at the time of an owner of property who builds or improves the property, provided that the payment protested the payment or provide evidence of arrangements to pay the protested fees or exactions at the time they improvements are not intended or offered for sale. If, however, the building or are due If they are not already due. 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.) Eli, 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.) 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 UNLAWFULAND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (510a,eeej, IN ADDITION TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under the penalty of oerlulDt ONE of the following declarations: I have and will maintain a certificate of consent to self4nsure forworkers' compensation, issued by the Director of Industpal RelaCans 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 carrier and policy number are; Initial Carrier & Policy Number Expiration Date [ 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwlth comply with those provisions. ` DalApplicant _ Initial City of Palm Desert Department of Building and Safety Building_ Permit Application Project Address: 43744 Avenida Alicante * H (For OfficeUseOnly) JOB IDW 1 1-' 1_� PLANS FILED: Suite # Total Value of work: $ 2,525.00 Note: Plan Review Fees may be adjusted after Plan Review Project Description (be specific): Replace 40 gallon gas water heater UF= (7 , ('_5 Contractor Business Name General Air Conditioning Property Owner Name Connie Savage Address 31170 Reserve Drive Address 43744 Avenida Alicante City Zip Thousand Palms, CA 92276 City Zip Palm Desert, CA 92211 Phone 760-343-7488 Phone 442-227-6147 Fax Fax E-mail E-mail Contractor License No. 686310 El Architect 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 Steven Schnierer A April 30, 2019 Contact Telephone Number E-Mail 818-735-7876 swschnierer@road runner, com PLEASE COMPLETE THE REVERSE SIDE 73-510 Fred Waring drive, Palm Desert, CA 92260 • (760) 776-6420 • (760) 776-6392 fax • www.cityofpalmdesert.org