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HomeMy WebLinkAbout2017-1729 expiredpit rwLM a+ City of Palm Springs BUILDING PERMIT °+<,roan'• Building Address: 114 Palo Verde Ave Data 0511112017 Case No.: Perot Rim Floyd Submitted Technician Owner Address Phone Phil Green 11alo Verde 925337 6996 Palm Springs CA Contractor Address Phone Up Number Van Dyke Construciton 10 Orleans Rd 7602852004 737592 Palm Springs CA Architect Address Phone Engineer Address Phone Lot# Block Tract Parcel Number 25,POR.26 + PALOSVERDES 608-291-023 Lot Sae Zone Occupancy 10125 Building Sq. Ft. Garage/Carport Rooted PabO/Porch Remodeled Area New Use of bulking Permit Type Const. Type aid Plumbing Fire Sprinkler Units Valuation Permit Fees Paid 10000.00 296.93 Describe work in detail: Hot and cold water rapipe. Upgrade existing electrical. Bathroom remodel. Fixture Units SpeculConditions. Smoke and Carbon Monoxide detectors must be installed per 2016 Electrical to be installed per 2016 CEC. C.R.C. OO NOT CONCEAL OR COVER ANY CONSTRUCTION UNTIL TIE WORN IS INSPECTED IMPORTANT The issuance of this Came shall not be held to be an approval of the violation of any provisions of any City ar County ordinance or able law. Inspections of work are subject ban approved set of plans being on the job. Changes to plans are not to be made without permission of the Bulking and Safety Divisions. The owner and/or connector is responsible for establishing all property lines. All utilities must be underground. This permit will expire 9 work is not slaved In 180 days or 8 mom than 180 days elapses between inspections. I cludily that I am familiar with all requirements of the City of Palm Springs as they apply to this permit end understand that these requirements must be Completed priorto final inspection and that no cadMcation of occupancy will be Issued unfit such time as these requirements are met. I certify ma lyyve mad this application an tl east at the lnformatlonis trueandcorred. CA .r. � (� n 1.10 FIPIAL f%1.�� �tAatiyUf-eR�'`/l/l7 PF1RjECLO``L1s CNMER/C RACTOR/AGENT A ISSUED BY RnaleD Thu is a bulking peRM when property filbtl out. signed and VWWaled, Inds not transferable. PERMITNUMBER 2017-1729 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 Sam to 5pm Sundays & Holidays Not Permitted JOB NOTES: r/ �. SEWERSKETCH: JOB CARD Project address: 114 Pala Verde Ave Permit#: 2017-1729 Inspection hours SAM - 4PM Monday - Thursday Inspection request line (760) 323-8243 Building Department (760) 323-8242 Building Department Fax (760) 322-8342 GENERAL BUILDING INSPECTIONS Roof Nail UNTIL DO NOT INSULATE UNTIL THE ABOVE IS SIGNED Insulatron Drywall Lam Gas Pressure Sewer (Sketch on reverse side) Planning Release Fire Release Engineering Release Grading Eng Release Encroachment Final Electric Final Gas Final CAu.,- , C/O Issued BUDING PERMIT APPLICATION ILi1f�o Date 6 - 1 0 - \i Plan Check Deposit Fees: Building: Fire: 1\ Project Address 0 \i P>% Assessor's Parcel # Owner's Name e- eJy� Phone # `i -Is a b k Owner's Address Contractor's Nam Contractor's Addi Architect's Name Architect's Addre Phone#lob-XbS-jobtic# Engineer's Name Phone Engineers Address Lic.# Lic.# CONTACT PERSON ,�LN ¢� q� ,r11��,gddress \ b 6w q�z� PHONE '1lao 1R.5 - 100� FAX-tl.o 10 - .-rOZ EMA1Lgwv�O ke_� iw.\cry Business License. # , Expiration Date Lot Size (sf.) Q5 Building Use Type of Const. Occupancy Group(s) Sprinkled 'no Project Square Footage: Building Garage Carport Patio (type) Project Description�e..Ripa. �wC,a�ww� axv aeer.'WotalValueofWork$ 10,000, WHERE INDICATED BY A CHECK, SUBMIT 4 SETS (Minimum size of plans *18 x 24" Minimum scale'L=t';Maximum size of plans 40" x 360) ❑ Complete Application. O Plot Plan with lot square footage. ❑ Drainage Plan: show lot comer elevations. ❑ Structural Calculations, if applicable (wet -stamped and signed) ❑ Floor Plan, 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 Bldg. Plan Check # Planning Can # ❑ Waste, Drain & Vent Isometric ❑ Gas/Water 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 ❑ Mach. Plan / Duct Schematic, equipment location ❑ Fireplace Specifications, If applicable ❑ Planning / Fire / Engineering approval ❑ Fire Sprinkler plans (required at time of submittal) Signature I hsteby coon utda Penaty of penurymat I am exmpt from Me Contractors Liee,ue Lew hnr the fapowlrs ieseon (section 70 31,3. Swarm and Preariens Cade: My city or county which reauer e;sWme a cm I peer. Improve, dampen, or repek any shodsom prsr s r. isuanor, Alas noluk" We apyemm for such pamit ldae a WnsO eedemen[ that he oe afro is licensed pursuers s Me provisions of as Conbadors Llmnee Law (Cheerer a mtemndng v sec. 7V0a d DIv alm 3 done eusiner end Professions Code) or Net he w she b asempt ttan mom and tip ba W Mtly Alleged esmplbn. MY V1018 ian Of smash 7031.e by any applicant fora pert suh)eds We rplimm to a OvI panty of not mote Man flue nodded doeare (9900).1 Plrse cheek uns of We following: ❑ I, as owner of the property, or my employees with wages as nmirsols mmpanaaaon, will do the work, and the aaudure is clot Intended or offered for "Is (Sao 7044 of the Business and Profession Cade. The Contractors "nse Law does not apply to an owner of property who builds Of Improves Woman, and who does such work himself or harm!err through his or her own employer, provided that ouch Improvements are not Intended Or Offered for Eck. If. however, tin building Or improvement Is soap within one year of completion, the Owner -builder will have the burden of proving that he or she did not build Or Improve for We purpose of sale.) ❑ I, as cwnar Of the Property, am exclusively contracting with licensed conaadom to construct the project (Sec. 70" of the Bu Moll and Profusion$ Code: The Can[ndors License Law does not apply to an owner of property who builds or improves thereon, and who rnrrhada for such projects with a canbactor(s) licensed pursuant to the Contractors License Law.) ❑ 1 em exempt under Sec. of the Business and Prafes ilcut Code for this mason: Owner Signature: Date: LICENSED CONTRACTORS DECLARATION I hetebY Gahm under parity of perjury that I am stoned under me wom ons dchapho 9 (commencing with Sector 700o) of DMalon 3 Of en SuAreas and Praksodr a Code, and my license Is In full form end effect The fd6wog app9r lo B mmbodism play; I understand Ma 5meuena of Sedlon 7057 related to my alley to late prime mnitecs or subcdnbae s iwdvng spodaRytredes. 4 License Class: `J' 1 Prim Name on License: Address:.113 City shy Wants afagmaa anal require mat each oppbrt for the Permit sign a decoration car covedepe m e Ptlm huh cevel lga as moulded by Section 19e25 of the Health all Be" faowlnp dedarstIms. ❑. 'I. HAVE AND WILL MAINTAIN A CERTIFICATE TO SELF INSURE for workers compensation as provided lcr by Section 3700 of the Labor Code, for the perlormarKe of the work for which this permit is issued. i ❑ 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 carder and policy number are: Canter. Policy No. Ifs I CERTiFY�that in. the performilms ofwofk forwhich this permit is Issued, i SHALL NOT EMPLOY ANY PERSON, in any manner an as to became subject to fine workers compensation laws of CalifomW, and agree that it I shddld became sL#ect b the Workers compensation provisions of SG�an 3700 of the Labor Code, I shall for with comply with those provisions. rl"'Arn.l_ c__:__ ra City of Palm Springs Paid Recopt Summary 3200 East Tahquitz Canyon Way Page +. or 1 Palm Springs, CA 92262 o,.: DATE 5/11/2017 Phone: Bldg: 760-323-8242 Eng: 760-323-8253 Fax: See Below IACCOUNT: Van Dyke Construciton 10 Orleans Rd Palm Springs CA Phone: 760 286 2004 PERMIT NUMBER 2017-1729 114 Palo Verde Ave Palm Springs, CA Dale Reference Number Invoice Number FeeCM Description Status Amount 5/112017 2017.1729 17AU9 001-WW1 BaNmamremodel Paid (-)156.00 51112017 M17-1729 17-IM 001-32201 PHiMRPROCESSINOFEE pad (-)34.32 v112017 2017-1729 17-1829 00132201 RESIDENMLhFPFFES Pad 081.12 Y112017 2017-1729 17-1829 001.32219 S.B. 1473 Pad (.) 1.W 5/112017 2017A729 17.1829 001343DB Wrath pad (-) 8.09 51112017 2017A729 17-1829 00137111 SMP1 Pad (-) 1.30 5112017 2017-1729 17-1329 261 V214 Technodgy Fee Pad (-)15.10 Dab InwiwNm Status paprefa Amount 5/112017 17-1829 Original Due 57112017 17-1829 pad Chetlt11486 IR Total Paid 298.93 Building Fax #: 760-322-8342 Engineering Fax #: 760-322-8325