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Home My WebLink AboutELEC17-0027 PERMIT EXPIREDCity of Palm Desert PERMIT NUMBER: ISSUE DATE: Building and Safety Department ELEC17-0027 73510 Fred Waring Drive 1211412017 Palm desert, CA 92260 Permit Type: ELECTRICAL Appl. Date: 12/14/2017 Permit RESIDENTIAL Appr. Date: 1211412017 Subtype: Job Valuation: $1,500.00 Exp. Date: 611212018 Project Address: 113 AZZURO DR Project Description: REPAIR MAIN SERVICE PANEL APN/TractlLot No: Owner: Contractor: Applicant: 626440048 JASON BRENNAN BECK GROUP INC BECK GROUP INC TR 29468-3 49 GOLDBRIAR WAY PO BOX 5937 PO BOX 5937 13 MISSION VIEJO CA, 92692 HUNTINGTON BEACH, CA 92615 HUNTINGTON BEACH, CA 92615 (714)330-6252 (714)330-6252 Licensed Contractor Declaration Fee Summal')( I hereby affirm under Penalty of oedury that I am licensed under provisions of Chapter 9 ARCHIVE FEE - 8.5X11 UP TO 11X17 GL-11000DO-3411600 $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-61000DO-2281000 $1.00 Initial MINIMUM INSPECTION FEE GL-1100000-322110D $159.00 PERMIT ISSUANCE FEE GL-1100000-3411400 $1D5.00 0wriRr-Builder. Declaration I hereby affirm under penalty of Pedury that I am exempt from the Contractors' State Total Fees Paid: $265.14 1 herebyalrnn under the penaHyofperjury that there is a construction lending agency for the License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable dem(s) Section 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any performance of the work for which this permit is issued (Sec 3097, Civil Code) structure, prior to issuance, also requires the applicant for the permit to file a signed Lenders Name and address statement that he or she is licensed pursuant to the provisions of the Contractors' State Asbestos Declaration License Law(Chapter g(commencing with Section 7000) of Division 3 of the Business and Professions Code) 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 applicant to a civil penalty of not more than five hundred dollars ($500).) Written asbestos not ICS 11) Part 61 ofTille 40 of the Code of Federal Regulations is required when asbestos exists in din or ons thereof, undergoing demolition. I hereby declare that demolition authorized b Is a cm construction that does or does not contain 1, as owner of the properly, or my employees with wages as their sole compensation, asbestos, or that a Ion 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 me r the fees for this permit in accordance with CA Gov Code Sec. $0020 an owner of property who builds or improves the property, provided that the (a). 3'he protest ti e requirements of Gov. Cade Sec.66020(a) and must be filed within 90 improvements are not intended or offered for sale, If, however, the building or days of t f t ce. 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 pa Rio vidence of arrangements to pay the protested fees or exactions at the time they burden of proving that it was net built or Improved for the purpose of sale.) are due 1 e re t ready 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.) I am exempt from Licensure under the Contractors' State License Law for the following reason: DatelSignature of property owner or agent workers' Comnensatlon Declaration WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SSa0,000), IN ADDITION TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under the penalty o of the declarations I have and will maintain a certificate of consent to self4naure 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 forwhich this permit issued. Initial Policy No. 1 have and will maintain workers' compensation insurance, as required by Section 0 of the Labor Code, forthe 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 forwhich this permit is issued, I shall not employ any person In any manner se as to become subject to the workers' compensation taws of California and agree that if I should become subject to the workers' compensation provision Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date_!'I_ Appliwn Initial City of Palm Desert Department of Building and Safety Building Permit Application (For Office Use Only) JOB ID: f Lee f D V PLANS FILED: Project Address: f ?7 Z L3 �" Suite #. Total Value of work: $ 14 0 O . d O Note: Plan Review Fees maybe adjusted after Plan Review Project Description (be specific): tz"^kL eVJaytT IN lASINekE W4L-L ei:PAq- t4 -ra co,.a4vLT TAT- QubaS taws _.PAYJFL_ -Co tsJt%c6—. w e4 Contractor Business Name Property Owner Name C (f— OWL4—IF''C Addre V. 0 . 13 dy. cl (3 Address ti lA4( City a 6T�u-r' Zip city t ,J Zip V! Z Phone r Q � Phone 1 Fax Fax E-mailG_t��y J � E-mail Contractor License o. ! DLO O ❑Architect Name ❑Designer -dame ' Engineer Name Address Address City Zip City ' Zip Phone Phone Fax e Fax E-mail E-mail Lic se No. Licen a No. Applicant Name Sig re Date Contact Telephone Number 0— 6.2g2 E-M PLEASE COMPLETE THE REVERSE SIDE 73-510 Fred Waring Drive, Palm Desert, CA 92260 • (760) 776-6420 • (760) 776-6392 fax • www.cityofpalmdesert.org 100-102-319 ]niao oanzzd aaV,k )qDVa IIVM N�OlB 3Nn AIH3dOHd VA 9-4 'JNi dROtiJ sn'dnouoNoagasaluego,3 9LOO-899-888'0 LabOGOZ-GbG d B5d9'OECM/ d 9L9ZG VO'goeeg uoaoupunH (3ONVH0 ON `9NIIlSIX9I 3-lv3S ,.Do/ c 9066-2Lz-6176 'NIOU00 VH13NVl ONV 131lOH J3aJ tl3NM03WOH Yalu ZEGg xag o'd 006�JEG# 'oui'dnouO Hoag NV-ld iold L aa6 iH3S30 N-lVd 'DAIHO oanzzd s � L :ssadppd