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Home My WebLink About2021-3403 signedCity of Palm Springs BUILDING PERMIT r44FOR Building Address: 175 Avenida Elenora Date 08/02/2021 Case No.: Permit Reynaldo Bermudez Submitted Technician Owner Address Phone Jeri Pistolesi 175 S Avenida Elenora 760 641 6069 Palm Springs CA Contractor Address Phone Lic.Number 1stAtrium 760)880-6606 83608 Palm Desert CA Architect Address Phone Engineer Address Phone Lot# Block# Tract Parcel Number 32 SANJACINTOEST 502-174-006 Lot Size Zone Occupancy 11675 Building Sq.Ft. Garage/Carport Roofed Patio/Porch Remodeled Area New Use of building Permit Type Const.Type Fixture Units sfd Photovoltaic Fire Sprinkler Units Valuation Permit Fees Paid 26000.00 530.46 Describe work in detail: PV 26 panel array (9.23kW) Special Conditions: Paper Submittal DO 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 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 nobformatio days or if more than 180 days elapses between inspections. 1 certify that I am familia with all ree ity of Palm Springs as they apply to this permit and understand that these requirements must be completed prior to final i spection tion of occupancy wi be issue until such time as these regL ements are met. I certify that I have read this application and tate thats ue and correct. OWNER/CONTRACT R/ ENT D E I UE Finaled 1 G1(2-1 This is a building permit when properly filled out,signed and validated,and is not transferable. PERMITNUMBER 20 - 403 t p PLM a INSPECTION INFORMATION No work shall be concealed without a signature by the inspector.10: IRt The approved plans and this card must always be SEPARATE PERMIT IS REQUIRED FOR MAIN SERVICE available to the inspector. Preserve this record. PANEL UPGRADES OR CHANGE OUTS. Every permit issued shall become invalid after 180 JOB CARD 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 Project address:175 Avenida Elenora reqiured inspection. Permit#: 2021-3403 Inspection hours 8AM-4PM Monday-Thursday CONSTRUCTION HOURS Inspection request line(760)323-8243 Weekdays 7am to 7pm Building Department(760)323-8242 Saturdays 8am to 5pm Building Department Fax(760)322-8342 Sundays & Holidays Not Permitted PHOTOVOLT C INSPECTIONS JOB NOTES: Final: 4 / 2t City of Palm Springs Permit Application Solar Photovoltaic Systems Date o J02Permit 01 o3 Project Address: s AvE Cec4 orq C- Owners Name: rr^ Phone: Owners Address: Sc Contractor: l -G Phone: Address: - l + r Lic. #: Engineer: I Phone: 73 Contact Email: s C Contact Phone: Total KW: Panels: String or Micro: Valuation: Description: Pec-t/ )6 2 6- 6 b4 Expedited Submittal Packages In Person Electronic Submittal Three Complete sets of plans 11 x 17 Single PDF Plan file Cut sheets on inverters, combiner boxes Cut sheets on inverters, combiner boxes and disconnects and disconnects. Worksheet (only for String systems) Worksheet (only for String systems) Complete submittal requirements listed on www.paimsprinqsca.gov under Building I certify that the information supplied on this application is true a d C ntra gnat e 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 Professions Code:Any city or county which requires a 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 is licensed pursuant to the provisions of the Contractor's License Law Chapter 9 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).) 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 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,the 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 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.) I am exempt under Sec. of the Business and Professions Code for this reason: Owner Signature: Date: LICENSED CONTRACTORS DECLARATION 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 Code,and my license is in full force and effect.The following applies to B contractors only: I understand the limitations of Section 7057 related to my ability to take prime contracts or subcontracts involving specialty trades. License Class: (rip) State ILic. No.: 0City Bus. Lic. No. Print Name on License: r Yt ii %i Phone: Address: 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 19825 of the Health 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 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: `- ' C Policy No. 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 th orker's mpensation laws of California, and agree that if I should become subject to the worker's compensation rovisi of ction 700 of the Labor Code, I shall for with comply with those provisions. Contractor or Agents Signature: Date: Disclosure Form City of Palm Spri Page 1