HomeMy WebLinkAbout2018-193 signedRt YRIM xe%a • City of Palm Springs •
BUILDING PERMIT
ffvo.ex+ Building Address: 114 Palo Verde Ave
Dale 01/16/2016 Case No
Submitted
Owner
Address
Phil Green
114 E Palo Verde
Palm Springs CA
Contractor
Address
A 6 JIB General Contractors 69930 Hwy 111 She 211 A
Rancho Mirage CA
Architect
Address
Engineer Address
Phone
925 337 6996
Phone Lk. Number
760 2007485 1008097
Phone
Phone
Lot# Block# Tract Parcel Number
25,PGR.26 + PALOSVERDES 608-291-028
Lot Size Zone Occupancy
Penal Angela LaFrance
TeU nician
Building Sq. FL Garage/Carport Roofed Patio/Porch Remodeled Ame
Use of building Permit Type Const. Type Fixture Units
SFD WallafFences
Fire Sprinkler Units Valuation Permit Fees Paid
4000.00 259.67
Descdbe work In detail:
Construct 78 L.F. of W high block wall per city detail.
Special Condoons: NOTICE: Well and hands heights anfto bemeasured
thusly: in from yards or side yards that Out streets from
aoirn of street of top of curb, whichever is higher. Side or
rear yards not abutting streets hart surrounding grace
Adjacent properties wtth elevation differentials - from the
aerage midpoint of the elevation difference at the property
line, No exceptions unless prior approval is obtained from
the Planning Dept.
CO NOT CONCEAL OR COVER ANY CONSTRUCTION UNTIL THE WORK IS INSPECTED
IMPORTANT
The issuance of this permit shall not be held to be an approval of the violation 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 fob. Changes to plans are not to be made without permission of the Building am
Safety Divisions.
The owner and/or contractor a responsible for establishing all property lines. All utilities must be underground.
This permit will expire 9work is not started In 180 days or 8 more than 180 days elapses between
inspections.
I dandify that l an familiarwgh all requirements ofthe City of Palm Springs as they apply to this permit a understand that these requirements must be
completed poor to final inspection and that no certification of occupancy will be Issued until such time qulrements are met. I minify that I have
read this application and State a fo lion is We and correct.
l�az�i8 1 1 -
This Is a building permit when pro sf filled out, signed and validated, and is nmtrinferable.
PERMITNUMBER 2018-193
r
INSPECTION INFORMATION
No work shall be concealed without a signature by the
inspector.
The approved plan 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:
a I.LM to
•c4<r[OaY��
JOB CARD
Project address: 114 Palo Verde Ave
Petmit #: 2018-193
Inspection hours SAM - 4PM Monday - Thursday
Inspection request line(760)323-8243
Building Department (760) 323-8242
Building Department Fax (760) 322-8342
BLOCK WALL INSPECTIONS
. ••, L�lIL1/UV///1�7
WOF110AA
Final
BUILDING PERMIT APPLICATION
Date.O/ Z6-/B Plan Check Deposit Fees, Building: Fire
ProjectAddress / I4/ 4E QD¢L6 (/,F Assessors Parcel#
Owners Name 79A11- /P grA Phone#i. 9 9r
Owners Address a/ l `9 a !J PAL-" y � f/?w A/6 s
Contractors Name�-�Q_ ,, A Phone a %/ M 9M ZdA.f&S LOOIi'r71�7
Architect's Name Phone # Lic.#
Architect's Address
Engineers Name Phone
Engineers Address
CONTACT PERSON Address
Lic.#
PHONE FAX EMAIL
Business License. #., Expiration Date Lot Size (sf.) Building Use
Type of Const. Occupancy Group(s) Sprinkled
Project Square Footage: Building Garage Carport Patio (type)
Project Description r 6 C. 1 L C Wa,1 Total Value of Work $ 12C2
ofZrAll submittals of (Sinalf Family Resident and Addih sno with a 40,6 Increase In
building souare footage (including Casitasl are subiect to Public Works and Engineering Conditions of
Approval. All raguired Conditions of Approval for the oroiect must be submitted and/or addressed
directly to Engineering and Public Works by the Applicant for review, approval and Issuance of all
oradina and encroachment oennits.
WHERE INDICATED BY A CHECK, SUBMIT 4 SETS
(Minimum size of plans •1 S x 24" Minimum scale!/ =1';Maximum size of plans 40" x 36")
❑ Complete Application.
❑ 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 PlanlLoad Calculations
❑ Health Department approval
Bldg. Plan Check #
Planning Case #
❑ 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 I Duct Schematic, equipment location
❑ Fireplace Specifications, if applicable
❑ Planning I Fire I Engineering approval
❑ Fire Sprinkler plans (required at time of submittal)
�4
Signature
:heck A License - License Detail
0 •
Contractor's License Detail for License # 1008097
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.
CSLB complaint disclosure Is restricted by low (B&P 7124.6) If hale entity Is subject to pudic complaint disclosure, a link for complaint disclosure will appear below. Click on he
link or button to obtain complaint and/or most actlon inbrmation.
Per B&P 7071.17 , only consWctim related out judgments reported to are CSLB are disclosed.
;vthrations are flat listed unless me canbador falls to comply win he tam® afie arbitration.
Due to workload. there may W relevant inkmretion drat has not yet been entered onto are an d's license database.
Business Information
ABJB GENERAL CONTRACTOR'S INC
67134 SAN GABRIEL CIRCLE
CATHEDRAL CITY, CA 92234
Business Phone Number:(780) 200-7485
Entity Corporation
Issue Date 10/132015
Expire Date 1013112019
License Status
This license Is current and active.
All Information below should be reviewed.
Classifications
GENERAL BUILDING CONTRACTOR
Bonding Information
Contractors Bond
This license filed a Contractors Bond with SURETEC INDEMNITY COMPANY.
Bond Number. 227945
Bond Amount $15,000
Effective Date: 01/012016
Contractors Bond History
Bond of Qualifying Individual
The Qualifying Individual JUAN JOSE BASTIAS certified that he/she owns 10 percent or more of the voting stoddmemberili
interest of this company; therefore, the Bond of Qualifying Individual is not required.
Effective Dab: 10/132015
Workers' Compensation
This license is exempt from having workers compensation insurance; May certified that they have no employees at this time.
Effective Date: 10/19/2017
Expire Date: None
Workers Compensation History
4n
Personnel listed on this license (amml or dleassodsted) ere rested on other licenses.
ttps://www2.eslb.c gov/OnlineServices/CheckLicenseIIILicenseDetail.aspx7LieNum=1008097 122/201
Personnel List
Home I Online Services I License Detail I Personnel List
Contractor's License Detail (Personnel List)
Contractor License # 1008097
Contractor Name AUB GENERAL CONTRACTOR'S INC
Click on the person's name to see a more detailed page of information on that
person
with License
Title RMO / CEO / PRES
Date 10/13/2015
stion B /
Personnel No Longer Associated with License
Name
ADRIAN ALEJANDRO SALGADO
Title
OFFICER
Association Date
10/13/2015
Disassociation Date
08/04/2017
CSLB Email Loain
https://v 2.cslb.ca.gov/OnlineServices/CheckLicensell/PersomelList.wpx?LicNum-10... 1/22/2018
OWNER f BUILDER DECLARATION
I hereby afOrm Unti f Iaenaay of perjury Thal I am saampt from the Contractors Ltnrue Lsw tar We fasowing reason (Section 70 315. Business and
Prokaatons Cade. My city or county which required ePemrit to construct, alter. Improve, demolish, or repair any Structure prior to As issuance, east
requlree me applicant fur ouch Sao
70 to Of l khon 3 olaM Business he or she Is Profession
n C pureuant b me ft exempt
of the Contrrn and Unitas Law
(Chapters ca ltan. M g with Sn f Sea of 701.53 of any
applicant
area P 11714 s one Code) artlwt nt orate s sasmpt of no
more
and the basis brine
alleged e500).) l My violation of that ]llowi by any appllnM M a permII subjects ins applicant b a rnrll penally olnal rtMare man Ova hwbrrtl
tlallen (5500).) Please ehsek one of that fbilowlnp: ,
❑ I. as owner of the property, or my employees with wages as their sole compensation, will do the work, and me structure is rut
intended or offered for sale (Sec. 7044 of the Business and Profession Code. The Contractors License Law does not apply to
an Owner of property who builds or improves thereon, and who dues such work himself or herself or through his Or ha own
employees, provided that such Improvements arc not intended or offered for sale. If. however, Ike building or improvement is
sold within one year of completion, me owner -builder will have the burden of proving that hew she did hot build or improve for
the purpose of sets.)
Cl I, as owner of the property. am eztlusively Contracting with licensed contractors to construct the project (Sac. 7044 of Via
Business and Professions Code: The Contractors License Law does not apphy to an owner of property who builds or mproves
thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractors License Law.)
❑ I am exempt under Sec. of the Business and Professions Code for this reason:
Owner
Date:
LICENSED CONTRACTORS DECLARATION
I Notably aflm under penalty of perjury tirot I am licensed under me provisions of Chapter 9 (Congnentong with Section 70001 of
Division 3 of the Business and Professions Code, and my somas is in full torts and stout The following applies to B considers only.
I understand the 11n8addns of Section 7OS7 relabed to my ability to take prime contracts or subcontracts invdving specialty trades.
Ir 1 I, p
License Class: J4L4$ii-9-7 State Lic. No.: 1 00 60 97 City Bus. Uc. No. 20O it 21 4
Print Name on Ucense: A RJ75 GF)%Vt!AgL \ r✓C Phone: 'l b0-2 a.p 711&
Address 07 1 -Sr,J 4A7a e( ct0 GAIN CITyO r'-S. 4223Y
Every county or city which requires the Iedueres of a pernal as a condition brocades to the construction, allocation, knProvers nt demands; m mpaka
any bonding or structure shall require that each applinM for the permit sign a dedsretion uMerpenalty of perjury verifying workers compensation
coverage or exemption from onstage as required by Section 19825 of the Health air Safety Code. I, hereby affirm under penery of perjury one of the
followins dedao0ons:
❑ 1 HAVE AND WILL MAINTAIN A CERTIFICATE TO SELF INSURE for workers comper aajian as Provided for by Section 3700
of the Labor Code, for the performance of the work for which this permit is issued.
❑ I 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 tamer and policy number
are:
Cartier.
Policy No.
CJ I CERTIFY that in the performance of work for which this permit Is issued, I SHALL NOT EMPLOY ANY PERSON, in any
metal sa as to become subject to the workers compensation laws of Califomia, and agree that if I shotild become subject to
the workers compensation provisions ofPal 3700 of the Labor Code, I shall for with comply wfth those provisions.
Contractorar Agents
Date:
0 •
C4Y Of Pa),v SP-ri,4e1Lgy
Pepa.rfn+en,hof BwitAi,ng & coet0Egoraeae..,f-
3200 Easf T&k4v Lfz Ca". Way, Pa.tc Spr"k aA
92262
PO Soy ;Z743, Pats SpringP OA 92263
Tel 760.323-8242 P Fay. 760.322.8360 P T00 760.864.9527
wwurpo-Lµ • P.r�.v, yU-cn.aov
Property Line Wall Agreement
2017
In consideration by the City of Palm Springs for allowing a wall / fence to be constructed on or
adjacent to said property line, we do hereby agree to allow the placement of said wall(s) adjacent to
or on the shared property line without requiring a survey of said wall(s). Furthermore, if the wall /
fence is placed on the property line, all property owners shall share the responsibility of maintenance
of the common property wall sections adjacent to their respective properties.
This Agreement shall run with all the below described land and shall be binding upon ourselves, and
future owners, their successors, heirs or assignees.
These properties are located andknownas the following ADDRESES:
114 �^OV&-&e^ d e -/lLci 2&y (PARCEL OF WALL / FENCE PERMIT)
134 1 A16 uQf"k I IU'. "1RQCOV (ADJACENT PARCEL NO. 1)
(ADJACENT PARCEL NO. 2)
(ADJACENT PARCEL NO. 3)
This agreement by the following property owners, gives permission to construct a wall or fence
on of adjacent to the common property line without restrictions and maintain as described above:
By signing, the parties represent under penalty of perjury that they are in fact the owners
r_ of said properties:
PNt�tPH. rl.� I—LQ-2LJ1,$
L�ol (OWNER OF PERMIT)
(Print Name) ignature ofn Property Own
(PI� »ems Uc�K (_,� I")q"�`ofg )
"" OWNER OF PARCELI
(Print Name) I (Signature of Property
(OWNER OF PARCEL 2)
(Print Name) I (Signature of Property Owner)
(OWNER OF PARCEL 3)
(Print Name) I (Signature of Property Omer)
10, City of Palm Springs
d Receipt Summary
40 v' ~ ��U 3200 East Tahquitr Canyon Way
Palm Springs, CA 92262 Page 1 of 1
•• DATE 1222018
Phone: Bldg: 760-323-8242 Eng:760-323-8253
Fax: See Below
ACCOUNT:
A & JB General Contractors
Ste 211 A
89930 Hwy 111
Rancho Mirage CA 92234
Phone: 760 200 7485
PERMIT NUMBER 1 2018-193
114 Palo Verde Ave
Palm Springs, CA
D2e
Reference Number
Invoke Number
FeeCA
Descripbon
Status
Mount
W2018
2018-193
18-0247
001.'i3201
MASONRYWALLS
Paid
(-)211.85
12=18
201&193
18-0247
001-32204
Pail
(-)38.04
POWITPROCESS11,13FEE
1222018
2018-193
1&0247
001-32219
S.B. 1473
Paid
(-) 1.00
1=018
2018-193
18-0247
001-34308
Microftlm
Paid
(-) 3.94
1==18
2018.193
18-0247
001-37111
SMIP1
Paid
(-) 0.52
14=018
2018-193
1&0247
261-32214
Technology Fee
Paid
(-)6.32
Dab
ImaiceNum
Status
Paymere
Amount
1118=18
1&0247
CNInalDue
259.67
1222018
180247
Pau
Check1216
(-)259.67
Total Paid 259.67
Building Fax #: 760-322-8342
Engineering Fax #: 760-322-8325