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HomeMy WebLinkAboutWIND19-0003City of Palm Desert PERMIT NUMBER: ISSUE DATE: Building and Safety Department 73510 Fred Waring Drive ' WIND19-0003 1/7/2019 Palm Palm Desert, CA 92260 Permit Type: WINDOW Appl.Date: 1/7/2019 REPLACEMENT Permit Subtype: Job Valuation: $19,988.00 Appr. Date: 1/7/2019 Exp, Date: 7/6/2019 Project Address: 41593 AVENTINE CT Project Description: RETROFIT 16 WINDOWS 4 SLIDERS APN1Tract/Lot No: Owner: Contractor: Applicant: 622051009 TERRY MARKUS HILL CALIFORNIA SHOWCASE CALIFORNIA SHOWCASE TR 14079 & INT IN 41593 AV€NTINE CT CONSTRUCTION INC CONSTRUCTION INC COMMON AREAS PALM DESERT, CA 92260 1507 MARLBOROUGH AVENUE 1507 MARLBOROUGH AVENUE 54 RIVERSIDE, CA 92507 RIVERSIDE, CA 92507 (951)682-0208 (951)682-0208 Licens,e,o Contractor Declaration Fee Summary I hereby affirm under penalty of padury that I am licensed under provisions of Chapter 9 ARCHIVE FEE - 8.5X11 UP TO 11 X1 7 GL-1100000-3411600 $0.21 ommencing with Section 7000) of Division 3 of the SuslAess and Professions Code, find my license is in full force and effect. GREEN BLDG FEE SS1473 GL-6100000-2281000 S5.00 Initial MINIMUM INSPECTION FEE OL-11000DO-3221100 $159.00 PERMIT ISSUANCE FEE GL-11000D0-3411400 $105,00 Qw6gr-Builder Declaration 1 hereby affirm under penalty of penury that I am exempt from the Contractors' Stale Total Fees Paid: $265.21 a herebyaffrrm under the penaltyof perjury that there is a construction )ending agency for the License Law for the masons) 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 performance ofthe work for which this permit is issued (Sac 3097, Civil Code) county which requires a permit to construct, alter, improve, demolish, or repair any Lenders Mama andaddress structure, prior to issuance, also requires the applicant for the permit to file a signed statement that he or she Is licensed pursuant 10 the provisions of the Contractors' State Asbestos Declaration License Law(Chapler 9(commencing 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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the Written asbestos notification pursuant to Part 61 of Tille 40 of the Code of Federal Regulations is required applicant to a civil penalty of not more than five hundred dollars ($500).) when asbestos exists In bulldings, or portions thereof, undergoing demolition. I hereby declare that demolition authorized by this permit is from construction that does or does not contain I, as owner of the property, or my employees with wages as their sole compensation, asbestos, or that no demolition is authorized by this permit. will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to NOTICE: You may protest any of the fees for this permit in accordance with CA Gov Code Sec. 66020 an ownei of property who builds or improves the property, provided that the (a). The protest must satisfy the requirements of Gov, Code See.66020(a) and must be filed within 90 improvements are not intended or offered for sale. If, however, the building or days of the date of this notice. In addition, you must lender 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. 7(144, Business and Professions Coda: The Contractots 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 15 UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,006), IN ADDITION TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under the penalty of penury ONE of the following declaratlons: 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 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 Carrier & Policy Number Expiration Date I certify that in the performance of the work forwhich this permit is issued, I shall not employ any person in any manner se as to become subject to the workers' compensation laws of California an ree that R I should be m ject to the 3700( workers' compensation provisions f S Lion 3700 the Lab de shall fie ith comply 'lh t se pmwsions. Initial Da;e� Applican City of Palm Desert Department of Building and Safety .Building Permit Application (For Office Use Only) rr,, JOB ID: PLANS FILED: Project Address: 4 159 3 Hfe'nf fl c a f Suite # Total Value of work: A Note: Plan Review Fees may be adjusted after Plan Review Project Description (be specific): �f.1'1r1D�1� �f � ,, l u UV I n - -r-- " I`" dC)6r5 S r CgVtrao Businegs Na a r l Property O ner Name Addres1 �� A cu rA Address /j L r� n �y ` r- bZip 1��Vcr City i V ` Zip ��,.y '0r 1 City f ( f (e on 0 Z2,4G0 Phone _ -7 l Phon 1 1 3 q(D 4 Fax Fax E-mail E-mail Contractor License No. r, ! Z 5 Z ❑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 S' na re Date PM&A �, 0 0 t /' /" Contact lephone Number E- ail a `6 to ? • 3 7.3 -7 PLEASE COMPLETE THE REVERSE SIDE 73-510 Fred Waring Drive, Palm Desert, CA 92260 • (760) 776-6420 • (760) 776-6392 fax • www.cityofpalmdesert.org 1-UIM ---6 -b d-tQ-m -lk- ()A AR11,A- awre 9 13i s11oP "lfe rr - Y�arC1,t 5 A i 5�3 �Jenlin2 C�. (( �ialrrl I�PSer-� CA q��'D (� 3) 400 - �-a �I- 0 U'Bvi�Xc°ev ?Dox av N LIA -Fffc.7 C: on O��LS �� 0�4 I T�L, D.Zc{ I,L-Fr}GT oo.23 �TVA S 2,b �J LSD I t� & �b bx g3.5x99 �t-Fac#l) r o,a 8 s G0 = o,c9l MANUFACTURED WINDOWS AND DOOR SWITH GLAZING SHALL HAVE A CERTIFIED LABEL ATTACHED TO THE GLASS BY THE NATIONAL FENESTRATION RATING COUNCIL (OORC) AND SHALL REMAIN ON THE UNTIL APPROVED BY THE INSPECTOR. 0 axo 3v L� I`4 p.23 u-FftC,-ry o, 2.8 BIV L-�vtN(� 0 u-rncT= @ a 0.25 901 LACEmr=9r'-' -.)A I M00A 5 CITY OF P LM DESERT fl TMENT OF WLDING 8 SAf IS APPROVAL BECOMES NULL & VOID IF INSPECTION NOT RECORDED WITHIN 180 DAYS OF ISSUANCE. j { L WORK SHALL BE DIN ALS AAN LL )PROVED PLANS. THIS 0 6 Ell RUED TO BE A PERMIT r M n OLATION OF ANY OF TH ORDINANCES OR • TH � r co iry) 4n Q ss S UST BE KEPT 0 JO �' ov e\1 xo � 2X� ,5 , ; ,FWc-br = D. s f% 6 _ 0. U D^ 2 S Eal CITY G-F FALL DESERT DEwiiq,rMENT OF COMMUN Y DEVELOPMENT APPROVc,1) BY: © C.0 RES. NO --S I STAFF L e © P.C-RES. � I] ARC AC 10 F R BY CONSTRUCTION SHALL COMMENCE W(THIN ONE YEAR OF THE APPROVAL