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HomeMy WebLinkAbout2019-485i • VALM $'9 . a Date 02/05/2019 Submitted Owner Rasmus Blaesbjerg Contractor Pedro Briones Architect Engineer City of Palm Springs BUILDING PERMIT Building Address: 153 Santa Catalina Rd Case No. GM Address 163 W Santa Catalina Rd Palm Springs CA Address 16440 E Via Corto Ca Desert Hot Springs Address Address Phone Phone Lic. Number 760 902 1908 916622 Phone Phone Lot # Block # Tract Parcel Number 27 + VISDELMONTE 604-122-004 Lot Size Zone Occupancy R-3 Residential, one -and two-family Permit Kim Floyd Technician Building Sq. Ft. Garage/Carport Roofed Patio/Porch Remodeled Area Addition 340 0 0 0 Use of building Permit Type Const. Type Fixture Units Single FamRes Single Family Dwelling Additions/Alterations VB Fire Sprinkler Units Valuation Permit Fees Paid No 0 60000.00 1060.18 Describe work in detail: Convert addition to 2nd unit. Convert existing carport to bedroom. 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 IMPnPTANT 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 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 all 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 certify that I am familiar with all requirements of the City of Palm Springs as they apply to this permit and understand that these requirements must be co eted prior to final inspection and that no certification of occupancy will be issued until such time as these requirements are met. I certify that I have re is a licatio tatr; jhat the information is true and correct. o ri.' 6/13/IQ k4Q, OWNER/CONTR OR/AGENT DATE ISSUED BY Finaled 7 This is a building permit when properly filled out, signed and validated, and is not transferable. a 144 (6� PERMITNUMBER 2019-485 • 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: 54-c7 k lxi t/v com P4v-l" /)--I d j5�- f Sit 1l dew yas'f9 - SEWERSKETCH: 1,ppLM & JOB CARD Project address: 153 Santa Catalina Rd Permit #: 2019-485 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 Pole Setbacks Pad Certification Ground Plumbing DO NOT COVER UNTIL THE ABOVE IS SIGNED Footings DO NOT POUR CONCRETE UNTILABOVE IS SIGNED Sub Floor Roof Nail Outside Wrap DO NOT COVER UNTIL THE ABOVE IS SIGNED A.C./Htg Ducts Top -Out Plumbing Rough Electric Framing Rough Sprinklers DO NOT INSULATE UNTIL THE ABOVE IS SIGNED Insulation Drywall Lath Shower Pan Gas Pressure Sewer (Sketch on reverse side) Planning Release Fire Release Eng/Grade Encroach Final Electric Final Gas final 9 � L (y C/O Issued A/07 0 /V S l T f 0 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 i-permit to construct, alter, improve, demolish, or repair any Structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she =s licensed pursuant to the provisions of the Contractor's License Law (Chapter 8 commencing with Sec. 7000 of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a perm t subjects the applicant to a civil penalty of not more than five hundred dollars ($500),) Please check one of the rollowtng: ❑ 1, 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 offered for sale (Sec. 7044 of the business 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, tke building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sate.) ❑ 1, 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.) ❑ I am exempt under Sec. of the Business and Professions Code for this reason: Owner Signature: Date: LICENSE® CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under the provisions of Chapter 9(commencing with Section Division 3 of the Business and Professions Code, and my license is in full force and effect. he foi''owing apples to Bcontractors only- I understand the limitations of Section 7057 related to my ability to take prime contracts or subcontracts Involving specialty trades. License Class: State Lie—.,No.:C� C� { City Bus. Lic. No . Print Name on License: utD `QbVCcy_�Phone: _ I� O % Address: - (� Cf0 �i ��JY s — �( G Every county or city which requires the issuance of a permit as a condition precedent to the construction; alteration, improvement, demolition or repair of any building or structure shall 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 Health and Safety Code 1, 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 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 carrier and policy number are. Carrier: Policy No. El I CERTIFY that in the performance of work for which this permit is issued, I SHALL NOT EMPLOY ANY PERSON, in any manner so as to become subject to the worker's compensation laws of Califomia, and agree that if I shod€d become subject to the worker's compensation pTisions of Section 3700 of the Labor Code, I shall for with comply w#h those, provisions. t�J i J Contractor or Agents Signature: «sue rcrineurr� Gnr... r",trt.,t. r t Cate: 6 / ( B�CITY OF PALM SPRINGS LDING PERMIT APPLICATION � 11 Date : Plan Check Deposit Fees: Building: Fire: Project Address 153 West Santa Catalina Rd. Palm Springs, Ca. 92262 Assessor's Parcel #504-122-004 Owner's Name Rasmus Blaesbjerg Phone # Owner's Address Same as above Contractor's Name Pedro Briones Electric Phone #760-902-1908 Llc# 916622 Contractor's Address 16640 Via Corto,Desert Hot Springs, CA. 92240 Architect's Name Phone # Lic.# CONTACT PERSON Ivonne Martinez Address 74130 Primrose Dr. Palm Desert, Ca 92260 PHONE 760-409-6289 FAX EMAIL solarpermitds@gmail.com Business License. # Exp. Date Lot Size (sf.) Building Use Residential Type of Const. Occupancy Group(s) Sprinkled HO Project SQ Ft:Building 340 Garage Carport Patio (type) Project Description REMODEL Total Value of Wont $50,000 issuance of all grading and encroachment permits. WHERE INDICATED BY A CHECK, SUBMIT 4 SETS (Minimum size of plans *18 x 24' Minimum scale '/: ;Maximum size of plans 4(" x 360) 0 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, Drain & 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 Bldg. Plan Check #2-b I q - VL Planning Case # A- 1 Signature P. V-, ❑ Mech. Plan / Duct Schematic, Equipment Location ❑ Fireplace Specifications, if applicable ❑Planning / Fire approval / Engineering Approval ❑Fire Sprinkler plans (required at time of submittal) Submit the following directly to the Engineering Department: "ENGINEERING_ SERVICES: Min Reauirements. protect maybe subiect to additional conditions of approval (Submit 1 copy of the following). EZ Site Plan with the following Finish Floor Elevations of: Existing, Proposed and Immediate Adjacent Homes ®Title report or Grant Deed with a Tax Bill showing current ownership 0 RIFA (Red Imported Fire Ant Certificate) for I export of soil from the site EI PM-10 (Dust Control) for projects of more than 5000 square feet of soil disturbance 0 Tribal Clearance Letter for all New Construction (not required for additions or Casitas) t VAIAt s City of Palm Springs 2019-485 TENTATIVE BUILDING PERMIT ♦tlF0let Building Address: 153 Santa Catalina Rd Date 02/06/2019 Case No GM Pew Kim Floyd Submitted Technic=an Owner Address Phone Rasmus Blaesbjerg 153 W Santa Catalina Rd �� O y� 9 �a Palm Springs CA Contractor Pedro Briones Address Phone Lie Number 16440 E Via Corto Ca 760 902 1908 916622 Desert Not Springs Architect Address Phone Engineer Address Phone Lot # Block # Tract Parcel Number 27 + VISDELMONTE 504-122-004 Lot Size Zone Occupancy 26600 R-3 Residential, one- and two-family, Building Sq Ft. Garage/Carport Roofed Patio/Porch Remodeled Area Addition 340 0 0 0 Use of building Single FamRes Permit Type Const Type Fixture Units SingleFamiiyDwelling Additions/Alterations VB Fire Sprinkler Units Valuation Permit Fees Due No 0 50000.00 4050.18 Describe work in detail Convert addition to 2nd unit. Convert existing carport to bedroom. Specia?Conditions r J �o` VALAII s'♦ -y 2019-485 City of Palm Springs TENTATIVE BUILDING PERMIT .c�trfoa�`' Building Address: 153 Santa Catalina Rd Date 0210612019 Case No GM Permit Kim Floyd Submitted Technic=an Owner Address Phone Rasmus Blaesbjerg 153 W Santa Catalina Rd `?�o q09 (')QF5 Palm Springs CA Contractor Pedro Briones Address Phone Lic Number 16440 E Via Corto Ca 760 902 1908 916622 Desert Hot Springs Architect Address Phone Engineer Address Phone Lot # Block # Tract Parcel Number 27 + VISDELMONTE 504-122-004 Lot Size Zone Occupancy 26600 R-3 Residential, one- and two-family Building Sq Ft Garage/Carport Roofed Patio/Porch Remodeled Area Addition 340 0 0 0 Use of building Single FamRes Permit Type Const Type Fixture Units Single Family Dwelling Additions/Alterations VB Fire Sprinkler Units Valuation Permit Fees Due No 0 60000.00 4050.18 Describe work in detail Convert addition to 2nd unit. Convert existing carport to bedroom. SpecialConditions V i OF PALM Sq P O U ' C441FORK\P Certificate of Implementation Construction and Demolition Waste Management Plan The 2016 California Green Building Standards Code sections 4.408.1 and 5.408.1 and AB 939 requires that a minimum of 65 percent of the nonhazardous construction waste is either recycled or salvaged for reuse. / S2 C) Scx-., �(a C (( 0'1 Ct �'e- c� �- 0 V Y-c c)y;' to Address ❑ New Construction El Other Owner / Contractor Name Type of Project ❑ Demolition Tenant Improvement Recycling Method ❑ Separated on Site (Multiple Containers) ❑ Mixed (Separated remotely) Note: Trip and weight tickets are required to verify prior to C.O. Issuance. Palm Springs has a contract with Palm Springs Disposal. You must use their containers. If you self - haul, it must be your own personal vehicles and containers. This is to certify that a Construction and Demolition Waste Management Program for the above reverenced address will be implemented to divert a minimum of 65% of the construction debris for salvage or recycling, and that a Construction and Waste Management Worksheet (detailing how the diversion was met) shall be submitted to the City of Palm Springs Department of Building and Code Enforcement upon project completion, prior to obtaining a Certificate of Occupancy. I declare that I have read and understand these requirements and that the foregoing is true and correct. ISO41WA 'm Signature Printed Name Date Building Demolition Permit Requirements City of Palm Springs P.O. BOX 2743 PdIM Springs, CA 92263 Section 19827.5 Health and Safety code. 19827.5 A demolition permit shall not be issued by any city, county, city and county or state or local agency which is authorized to issue demolition permits as to any building or other structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency (SCAQMD), pursuant to Part 61 of Title 40 of the Code of Federal Regulations. The permit may be issued without the applicant submitted a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project, I (we) declare that notification to the US Environmental Protection Agency or to a designed state agency such as South Coast Air Quality Management District, pursuant to Part 61, Title 40 of the Code of Federal Regulations or the successor to that part is not applicable to the demolition project for which building permit application is made. CZ 4 c- Ca .4 it 611 IJ Cbb Signature I Printed Name C v- o- r- � J � Official Capacity (owner, contractor, etc.) (e Company —ZC26 Address -7 Phone number C©-i-i , 4f L/CC L/ / 0 r0V-10 C' e—. t- -/ 2- /9c,-)N Ccl2?c( 6 ?ALAI City of Palm Springs �A Y '. 3200 East Tahquitz Canyon Way Palm Springs, CA 92262 Phone: Bldg: 760-323-8242 Eng: 760-323-8253 Fax: See Below ACCOUNT: Pedro Briones 16440 E Via Corto Ca Desert Hot Springs 92240 Phone: 760 902 1908 Rid Receipt Summary rY Page 1 of 1 DATE 5/23/2019 PERMIT NUMBER 1 2019-485 153 Santa Catalina Rd Palm Springs, CA Date Reference Number Invoice Number FeeCat Description Status Amount 5/23/2019 2019-485 19-2235 001-31601 Construction Tax by SQFT (N/A if valuation Paid (-) 136.00 <$3500) 5/23/2019 2019-485 19-2235 001-32201 SINGLEFAMILY REMODELFEES (KITCHEN& Paid (-) 884.54 BATH) 5/23/2019 2019-485 19-2235 001-32204 PERMITPROCESSINGFEE Paid (-) 36.94 5/23/2019 2019-485 19-2235 001-32219 S.B. 1473 Paid (-) 3.00 5/23/2019 2019-485 19-2235 001-34210 Fire Dept. Plan Check and Construction Paid (-)-170.00 Inspection Fees 5/23/2019 2019-485 19-2235 001-34301 Plan Check Fee Paid ()-500.00 5/23/2019 2019-485 19-2235 001-34301 Plan Check Fee Esgil Paid (-) 500.00 5/23/2019 2019-485 19-2235 001-34308 Microfilm Paid (-) 25.20 5/23/2019 2019-485 19-2235 001-37111 SMIP1 Paid (-) 6.50 5/23/2019 2019-485 19-2235 261-32214 Planning Technology Fee Paid (-)47.00 5/23/2019 2019-485 19-2235 261-32214 Technology Fee Paid (-) 81.00 Date InvoiceNum Status Payment Amount 5/16/2019 19-2235 Original Due 1050.18 5/23/2019 19-2235 Paid Check 1090 () 1050.18 Total Paid 1,050.18 V� Building Fax #: 760-322-8342 Engineering Fax #: 760-322-8325 o'�'LMtw+i City of Palm, Springs Due Invoice Summary s 3200 East Tahquitz Canyon Way Page 1 of 1 Palm Springs, CA 92262 DATE 8/10/2017 Phone: Bldg: 760-323-8242 Eng: 760-323-8253 Fax: See Below ACCOUNT: David Etter FI 9 8687 Melrose Ave Los Angeles CA 90069 Phone: 310 713 3000 PERMIT NUMBER 2017-1253 153 Santa Catalina Rd Palm Springs, CA Date Reference Number Invoice Number FeeCat Description Status Amount 8/10/2017 2017-1253 17-3222 001-31601 Construction Tax Due 136.00 8/8/2017 2017-1253 17-3222 001-32201 PA110LATTICE Due 162.24 8/812017 2017-1253 17-3222 001-32201 slNGLEFAMILYREMODELFEES(KITCHENB Due 933.32 BATH) 8/8/2017 2017-1253 17-3222 001-32204 pERmFPROCESSINGFF-E Due 36.04 81812017 2017-1253 17-3222 001-32219 S.B.1473 Due 1,00 8/8/2017 2017-1253 17-3222 001-34210 Fire Dept. Plan Check Due 290,00 802017 2017-1253 17-3222 001-34301 Plan Check Fee Due -293.00 818/2017 2017-1253 17.3222 001-34301 PlanCheckFee Due 337.50 8/8/2017 2017-1253 .17-3222 001-34308 Microfilm Due 29.66 818/2017 2017-1253 17-3222 001-37111 SMIP1 Due 1.04 8/812017 2017-1253 17-3222 261-32214 Planning Technology Fee Due 7.36 8/812017 2017-1253 17-3222 261-32214 Technology Fee Due 12.64 8110/2017 2017-1253 17-3222 420-38703 Sewer Connection, Due 1500.00 Total Due, 3,153.80 Building Fax #: 760-322-8342 Engineering Fax #: 760-322-8325 ��a�Map City of Palm Springs Due Invoice Summary ' 3200 East Tahquitz Canyon Way Palm Springs, CA 92262 Page 1 of 1 c'"•"'°•�+� Phone: Bldg: 760-323-8242 Eng: 760-323-8253 DATE 5/13/2019 Fax: See Below ACCOUNT: Pedro Briones 16440 E Via Corto Ca Desert Hot Springs 92240 Phone: 760 902 1908 PERMIT NUMBER 2019-485 153 Santa Catalina Rd Palm Springs, CA Date Reference Number Invoice Number FeeCat Description Status Amount 5/13/2019 2019-485 19-2167 001-31601 Construction Tax by SQFT (N/A if valuation Due 136.00 <$3500) 5/13/2019 2019-485 19-2167 001-32201 SINGLE FAMILY REMODEL FEES(KITCHEN& Due 884.54 BATH) 5/13/2019 2019-485 19-2167 001-32204 PERMITPROCESSINGFEE Due 36.94 5/13/2019 2019-485 19-2167 001-32219 S.B.1473 Due 3.00 5/13/2019 2019-485 19-2167 001-34210 Fire Dept. Plan Check and Construction Due -170.00 Inspection Fees 5/13/2019 2019-485 19-2167 001-34301 Plan Check Fee Due -500.00 5/13/2019 2019-485 19-2167 001-34301 Plan Check Fee Esgil Due 500.00 5/13/2019 2019-485 19-2167 001-34308 Microfilm Due 25.20 5/13/2019 2019-485 19-2167 001-37111 SMIP1 Due 6.50 5/13/2019 2019-485 19-2167 261-32214 Planning Technology Fee Due 47.00 5/13/2019 2019-485 19-2167 261-32214 Technology Fee Due 81.00 5/13/2019 2019-485 19-2167 420-38703 Sewer Connection Due 3000.00 Total Due 4,050.18 Building Fax #: 760-322-8342 Engineering Fax #: 760-322-8325 P,SUSOPALM SPRINGS UNIFIED SCHOOL DISTRICT COC NUMBFR 2019-00137 PAL" SPOMS 150 District Center Drive COC DATE 5/16/2019 UN1111Irsli ti a ADDITION Palm Springs, CA 92264 760.883.2710 DEVELOPER / OWNER CERTIFICATE OF BUILDING FEE COMPLIANCE INFORMATION 153 Santa Catalina Rd. Palm Springs CA 92264 Developer%Owner Name Address RaenNla (760) 409$289 Development Name contact ContactNurnber 153 Santa Catalina Rd., Palm Springs California 92264 504222004 340 Exempt $0.00 AMOUNT DUE $0.00 AMOUNT PAID CHANGE DO,. 0 0 PAYMENT METH'Ob CHEClS NUMBER; SCHOOL DISTRICT CERTIFICATION The person executing this declaration ("Applicant") certifies under penalty of perjury that (1) the information provided is true and correct to the best of the Applicant's knowledge and that Applicant will file an amended certificate of compliance and pay the additional amounts due if Applicant increases the amount of square footage after the building permit is issued, or if the initial determination square footage is found to be incorrect, and that (2) the Applicant is authorized to sign on the owner/developer of the property. All requests for refunds must be accompanied by documentation verifying basis for refund. Y I \41 ,Rasm/us►-. asmusBlaesblar�g/� T„'le Da,e €' G Accoun"Clerk 0511612019,E Cassand,•a Heredia - Pa Springs Unified School Distriri Title Date DEVELOPER/OWNER/DESIGNEE CERTIFICATION Section 66020 of the Government Code enacted by Assembly Bill 3081, effective January 1, 1997, requires that School District provide a written notice to the project applicant at the time of payment of school fees, mitigation payments or other exactions ("Fees"), of (1) the 90-day period to protest the imposition of these Fees and (2) the amount of the Fees. Therefore, in accordance with Section 66020 of the Government Code and other applicable law, this Notice shall serve to advise you that the 90-day protest period in regard to such Fees or the validity thereof commences with such payment of performance of any other requirement as described in Section 66020 of the Government Code. 1. SCHOOL DISTRICT 2. AGENCY 3. CUSTOMER RECEIPT PAGE 1 OF 2 t) PALM SPRINGS UNIFIED SCHOOL DISTRICT IIhRI $00WAS 150 District Center Drive unow XMM DISFMT Palm Springs, CA 92264 760.883.2710 DEVELOPER / OWNER CERTIFICATE OF BUILDING FEE DETAILS • 2019-00137 5/16/2019 ADDITION 1. SCHOOL DISTRICT 2. AGENCY 3. CUSTOMER RECEIPT PAGE 2 OF 2 r C. PSUSC> PALM SPRINGS UNIFIED SCHOOL DISTRICT •�2019-00137 PAL"150 District Center Drive 5/16/2019 UNI RED Palm Springs, CA 92264 ADDITION 760.883.2710 DEVELOPER / OWNER CERTIFICATE OF BUILDING FEE COMPLIANCE DEVELOPER/OWNER INFORMATION Resml� '. 159 $onto Catalina Rd. PahSpiihvCA92h1.. Developer/Owner Name Address Awnin (760) 40MM Development Nan e Contact Contact Number' PROPERTY ADDRESS 153 Santa Catalina Rd., Palm Springs California 92264 504122004 340 Exempt $0.00 $0.00 $0.00 F� w j l'a $0.00 The person executing this declaration ("Applicant") certifies under penalty of perjury that (1) the information provided is true and correct to the best of the Applicant's knowledge and that Applicant will file an amended certificate of compliance and pay the additional amounts due if Applicant increases the amount of square footage after the building permit is issued, or if the initial determination square footage is found to be incorrect, and that (2) the Applicant is authorized to sign on the owner/developer of the property. All requests for refunds must be accompanied by documentation verifying basis for refund. c�YYLX' Rasmus - R smu> ,aeabjarq Titre Da,e �� � •. Accounting Clerk 05Hff1Z019 ': Cassarrd eredra - Palm Springs U,%AeaSc&W Dks&ct TiI/a Oa!e DEVELOPER/OWNER/DESIGNEE CERTIFICATION Section 66020 of the Government Code enacted by Assembly Bill 3081, effective January 1, 1997, requires that School District provide a written notice to the project applicant at the time of payment of school fees, mitigation payments or other exactions ("Fees"), of (1) the 90-day period to protest the imposition of these Fees and (2) the amount of the Fees. Therefore, in accordance with Section 66020 of the Government Code and other applicable law, this Notice shall serve to advise you that the 90-day protest period in regard to such Fees or the validity thereof commences with such payment of performance of any other requirement as described in Section 66020 of the Government Code. 1. SCHOOL DISTRICT 2. AGENCY 3. CUSTOMER RECEIPT PAGE 1 OF 2 PALM SPRINGS UNIFIED SCHOOL DISTRICT 150 District Center Drive SCHOM t"S' cI Palm Springs, CA 92264 760.883.2710 DEVELOPER / OWNER CERTIFICATE OF BUILDING FEE DETAILS • 2019-00137 _._ . r° S/16/2019 ... * e ADDITION 1. SCHOOL DISTRICT 2. AGENCY 3. CUSTOMER RECEIPT PAGE 2 OF 2 L P602, 07 TOPOGRAPHICAL EXhIBIT LOTC� ��` �i� A DEL `V TLE SU71! tSnV LOCATED IN THE CITY Or DAL.M SPRAGS A?N: 504-' 22-u04 'P599,05 Catalina Rd --� w uyAft + d trw. - CA24L:.v: Rt CJRB _ �Iv Fn �f x,s:TV, E.rtrRAr.; TED TO, f kt ELi Tip of ');A-nw E 1 IE lea - �- p¢bi kiT. � /L 'kz �. .j .... ............ -.s `--CCRD vVNER/S` PAS M S'RlNGS, CA 92262 PHONE: (76L409-6289 ASSESS0R'S rA CE IN UMBE'R S), �04-1122- BLNCHM jARK 1 J OP OF E�ISTIN� F HYDRANT #i, OLA. i Ev AT r��?EYD THC "N R i H AE 5T V sO, N „I OF DEP-AZA RQAU ANU SEl U L1 ED AL, SC'A: t ELE fA : ON: '5130.934 r)A -. U'M NGVD 29 MAY 992019 PALM JILDIH W '."1EFARED a - yk. 'A —E, 3 1! I'S