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HomeMy WebLinkAbout2021-2792OigALMdp4` s City of Palm Springs BUILDING PERMIT i1F0'gat Building Address: 979 E San Lorenzo Rd Date 0611712021 Case No Submitted Owner Address Phone Gordon milnes 979 E San Lorenzo 313 520 7428 Palm Springs CA Contractor Address Phone I_ c Number E B Builders Inc 40101 Monterey Ave Ste B 442 300 6673 1063620 Rancho Mirage CA Architect Address Phone Permit Jennifer Aguilera Technician Engineer Address Phone Lot # Block # Tract Parcei Number 9 H TAHQRIVEREST 508-263-003 Lot Size Zone Occs,pancy R-3 Residential, one- and two-family Building Sq. Ft. Garage/Carport Roofed Pat D,Porch Remodeled Area Addition 0 0 0 0 Use of building Permit Type Const Type Fixture Units Single FamRes Single Family Dwelling Additions/Alterations VB Fire Sprinkler Units Valuator Permit Fees Paid 0 10000.00 Describe work in detail: Interior remodel to create 4th bedrooml4th bathroom within existing square footage. SFD now has 4 bedrooms, 4 baths, and power room. Special Conditions: Smoke and Carbon Monoxide detectors to be installed per 2016 California Residential Code. DO NOT CONCEAL OR COVER ANY CONSTRUCTION UNTIL THE WORK IS INSPECTED IMPORTANT The Issuance of this permit shall not be had to be an approval of the vio ation of any provisions of any city or county ordinance or state law Inspections of work are subject to an approved set of plans being on the job Changes to plans are not to be made without permission of the Building and Safety Divisions The owner and/or contractor is responsible for establishing a.' property lines All utilities must be underground This permit will expire if work is not started in 180 days or if more than 180 days elapses between inspections. I certdy that 1 a miliar with all require City of Pa rings as they apply to th.'s permit and understand that these requirements must be completed.p i to final g ec d !Pat no 'cation ccupancy will be issued until such time as these requirements are met I certify that I have read Iication d st at th of Ion is and correct, t UYYIVGr'/UUIV' 1%/As . I VM1Al7CIV I ---- I40A I C - t9Y Finaled This is a building permit when properly filled out, signed and validated, and is not transferab'e. PERMIT NUMBER 2021-2792 INSPECTION INFORMATION No work shall be concealed without a signature by the inspector. The approved plans and this card must always be available to the inspector. Preserve this record. Every permit issued shall become invalid after 180 days unless a required inspection has been approved. Furthermore, permits expire when more than 180 days has elapsed from the date of the last approved required inspection. CONSTRUCTION HOURS Weekdays 7am to 7pm Saturdays 8am to 5pm Sundays & Holidays Not Permitted JOB NOTES: SEWERSKETCH: {fitpptAtS yrdi CRLIFolt % JOB CARD Project address: 979 E San Lorenzo Rd Permit #: 2021-2792 Inspection hours 8AM - 4PM Monday - Thursday Inspection request line (760) 323-8243 Building Department (760) 323-8242 Building Department Fax (760) 322-8342 GENERAL BUILDING INSPECTIONS Temp Power Setbacks Pad 1 Location Certification _ Ground Plumbing -1r _ Mj DO NOT COVER UNTIL THE ABOVE IS SIGNED Footings DO NOT POUR CONCRETE UNTIL ABOVE IS SIGNED u oor Hoot Nail Shear/OK to Wrap DO NOT COVER UNTIL THE ABOVEJ8 SIGNED Rough Electric Framing—' - Rough Sprinklers DO NOT INSULATE UNTIL THE ABOVE IS SIGNED nsu ation Drywall Lath Shower Pan In Gas Pressure Sewer & Sketch Planning Release Fire Release EnglGrade Encroach Final Electric Final Gas Final CIO Issued yi F 4 � Il ,pplMs� City of Palm Springs Paid Receipt Summary 3200 East Tahquitz Canyon Way page 1 of 1 Palm Springs, CA 92262 •,� <IFORw' ` I DATE 11/24/2021 Phone: Bldg: 760-323-8242 Eng: 760-323-8253 Fax: See Below ACCOUNT: E B Builders Inc Ste B 226 Standing Bear Cathedral City CA 92234 Phone: 442 300 6673 PERMITNUMBER 2021-2792 979 E San Lorenzo Rd LOT 9 BLK H MB 022/069 TAHQUITZ RIVER ESTATES Palm Springs, CA 92264 Date ReferenceNumber InvoiceNumber FeeCat Description Status Amount 11/2412021 2021-2792 21-6994 100-32005 REINSPECTIONFEE Paid (-)90.03 Date InvoioeNum Status Payment Amount 11/24/2021 21-6994 Original Due 11 /24/2021 21-6994 Paid Check 1851 90.03 (-) 90.03 Total Paid 90.03 Building Fax #: 760-322-8342 Engineering Fax M 760-322-8325 FOpLMS City of Palm Springs �o op 3200 East Tahquitz Canyon Way Palm Springs, CA 92262 •c4`"°''��. Phone: Bldg: 760-323-8242 Eng-. 760-323-8253 Fax: See Below (ACCOUNT: E B Builders Inc Ste B 40101 Monterey Ave Rancho Mirage CA 92270 Phone: 442 300 6673 0 Paid Receipt Summary Page 1 of 1 DATE 6/17/2021 PERMIT NUMBER 1 2021-2792 979 E San Lorenzo Rd LOT 9 BLK H MB 022/069 TAHQUITZ RIVER ESTATES Palm Springs, CA 92264 Date ReferenceNumber InvoiceNumber FeeCat Descnphon Status Amount 6/17/2021 2021-2792 21-3572 001-32201 SINGLEFAMILYREMODELFEES(KITCHEN& Paid (-) 458 32 BATH) 6/17/2021 2021-2792 21-3572 001-32204 PERMfTPROCESSINGFEE Paid (-) 43.14 6/17/2021 2021-2792 21-3572 001-32219 S B 1473 Paid (-) 1.00 6/17/2021 2021-2792 21-3572 001-34301 INTERNALPLANREMEW(IN-HOUSE) Paid (-) 434.19 6/17/2021 2021-2792 21-3572 001-34308 Microfilm Paid (-) 20.05 6/17/2021 2021-2792 21-3572 001-37111 SMIP1 Paid (-) 1.30 6/17/2021 2021-2792 21-3572 261-32214 Technology Fee Paid (-) 1620 Date InvoiceNum Status Payment Amount 6/17/2021 21-3572 OriginalDue 974.20 6/17/2021 21-3572 Paid CreditCard (-) 974.20 Total Paid 974.20 Building Fax #: 760-322-8342 Engineering Fax #: 760-322-8325 CITY OF PALM SPRINGS BUILDING PERMIT APPLICATION Date : Plan Check Deposit Fe2 Building: Fire: Project Address 7�mme?s: f%�(� Assessor's Parse # Owner's Name Phone # , ��' Owners Address q I-) Contractor's Name V-n Phone # 'ecyltwL10 2� Contractors Address - Architect's Name Phone # Lie.# Architect's Address CONTACT PERSON Address PHONE FAX EMAIL Business License. # Exp. Date Lot Size (sf.) Building Use Type of Const. Occupancy Group(s) I Sprinkled Project SQ Ft:Building Garage Carport Patio (type) Project Description lAlmoed4 � 1_1 Total Value of Work $ Ad, 5jQ 'All sub ittal of New Constructs Sirr le FamIN Residence), and Additions tincludina Casitas) are subiect to i grading and encroachment ermits. I� (), i 201$ _ /6�t WHERE INDICATED BY A CHECK, SUBMIT 4 SETS (Minimum size of plans `18 x 24" Minimum scale'/."=1';Ma)dmum size of plans 44" x 36°) ❑ Complete Application ❑ Plot Plan with lot square footage. ❑ Drainage Plan: show lot comer elevations. © Structural Calculations, if applicable (wet -stamped and signed) ❑ FloorPlan, dimensioned. Door & Window Schedule ❑ Framing Plan with sections and elevations ❑ Truss Calculations and layout as applicable (wet -stamped and signed) ❑ Foundation Plan ❑ Electrical Plan/Load Calculations ❑ Health Department approval ❑ Waste, Draln & Vent Isometric ❑ GaslWater Piping Isometric (dimensioned layout) ❑ Details showing compliance with accessibility requirements ❑ Site Plan showing parking for persons with disabilities and path of travel to building entrance ❑Title 24 (Energy) - 2 sets/ Lighting Compliance Forms ❑ Manufacture's brochure for HVAC equipment dvleli Bidg. Plan Check # 29..t&r Planning Case # Signature ❑ Mech. Plan / Duct Schematic, Equipment Location ❑ Fireplace Specifications, if applicable ❑Planning / Fire approval I Engineering Approval OFire Sprinkler plans (required at time of submittal) Submit the following directly to the Engineering Department: *ENGINEERING SERVICES: Min Requirements, P-r-olect maybe subiect to additional conditions of aooroval (Submit 1 copy of the following ). m Site Plan with the following Finish Floor Elevations gL Existing, Proposed and Immediate Adjacent Homes © Title report or Grant Deed with a Tax Bill showing current ownership m RI FA (Red Imported Fire Ant Certificate) for any export of soil from the site © PM-10 (Dust Control) for projects of more than 5000 square feet of soil disturbance m Tribal Clearance Letter for all New Construction (not required for additions or Casitas) X X OWNER / BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason (Section 70 31 5, Business and Profess ons Code: Any city or county which requires.a-permit to construct, alter, improve, de•rctish, or repa•r any Structure prior to its issuance. also requires the applicant for such permit to late a s'gned statement that he or she s lice-sed p�-rsuant to the provisions of the Contractor's License Law (Chapter 9 commencing with Sec. 7000 of Division 3 of the Business aid Professions Code, or that he or she is exempt therefrom and the basis (arthe alleged exemption. Any violation of Section 7031.5 by any applicant (ar a perm t subjects the applicant to a civil penalty of not more then five hundred dollars (5500).) Please check one of the following: ❑ 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 of for safe (Sec. 7044 of the Bus ness and Profession Code. The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder wi I have the burden of proving that he or she did not build or improve for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044 of the 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 contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec, of the Business and Professions Code for this reason: Owner Signature: Date: r LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that i am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Coda, and my license is in full force and effect The following applies to a contractors only I understand the limitations of Section 7057 related to my ability to take prime contracts or subcontracts involving specialty trades. License Class: State Lic. No - 3 �-2_Cl) Print Name on License: City Bus. Lic No z- �U �"/ Phone: —qVZ 30 0 66 7. Address: Every county or city which requires the issuance of a permit as a condition precedent to the construction, alteration, improvement, demolition or repa'r of any building or structure shalt require that each applicant for the permit sign a declaration under penalty of perjury verifying workers compensation coverage or exemption from coverage as required by Section 19625 of the Wealth and Safety Code I hereby affirm under penalty of perjury one of the following declarations., ❑ I HAVE AND WILL MAINTAIN A CERTIFICATE TO SELF INSURE for worker's compensation as provided for by Section 371O of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 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: Carrier: Policy No. ❑ 1 CERTIFY that in the performance of work for which this permit is issued, i SMALL NOT EMPLOY ANY PERSON, in any manner so as to become subject to the worker's compensatio f Calif la, and agree that if I should become subject to the worker's compensation provi ' ors 3700 a La C shall for with comply with those provisions. Contractor or Agents Signature: [late: G ilierinc.�re c.. . r.s--Cfl..i— c. _t. I -A . ', WRCONTRACTORS STATE LICENSE BOAR OContractor's License Detail for License # 1053520 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. t CSL9 complaint disclosure is restricted bylaw le&P 7124 6) If this entity is subject to public complaint disclosure dick on link that will appear betow for more information. Click here for a definition of disclosable actions. t Only construct -on related civlI lodgments reported to C5Ln a-e disclosed iB&P 7071.17) r Arbitrations are not listed unless the contractor tails to comply with the terms. r Due to workload.IheremayberelevantInformationthattiasnotyetbeenenteredintolhebo?re a licensedatatuse. This license is expired. Data current as of 6/17,120212;01:57 PM less E B BUILDERS INC 40101 MONTEREYAYE SUITE B PMB 375 RANCHO MIRAGE. CA 92270 Business Phone Number:(442) 300.6673 Issue Date 05/14/2019 Expire Date OS131/2021 ucense Status Additional status F The renewal application has been received but not yet processed B- GENERAL BUILDING CONTRACTOR Classif,eations iondlrtg ifltori-nalim Contractor's bond This license filed a Contractor's Bond with HUDSON INSURANCE COMPANY Bond Number.30035885 Bond Amount: S15.000 Effective Date: 05/13/2019 Bond of qualifying Individual The qualifying individual EARL MARSHALL B01KO certified that heishe owns 14 percent or more of the voting stock/membership interest of this company, therefore, the Bond of Qualifying individual Is not required. Effective Date:05/14/2019 Workers' Camp=nsalion T,C9kwnse has workers compensation insurance with the NORGUARD INSURANCE COMPANY Polity Number:EAWC164261 Effective Date:09/14/2020 Expire Date: 09/14/2021 Wnrkarc' fmmnvncatinn Hktnry