HomeMy WebLinkAbout2017-1729 expiredpit rwLM a+
City of Palm Springs
BUILDING PERMIT
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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