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HomeMy WebLinkAbout2017-47_ExpiredCity of Palm Springs • BUILDING PERMIT r Building Address: 192 Ocotillo Ave Date 01 /05/2017 Case No.: Submitted Owner Address Sylvia Lugo 192 Ocotillo Ave Palm Springs CA Contractor Address Rescue Rooter 1520 W Linden St Riversidde CA Architect Address Engineer Address Phone 760)325-5006 Phone Lic. Number 951 341 9370 765155 Phone Phone Lot # Block # Tract Parcel Number 26 + PALOSVERDES2 608-292-018 Lot Size Zone Occupancy 10126 Building Sq. Ft. Garage/Carport Roofed Patio/Porch Use of building Permit Type SFD Water Heater Change -out Fire Sprinkler Units Valuation Permit Fees Paid 1600.00 123.10 Describe work in detail: Replace 40 gallon water heater in same location. Special Conditions: Permit Angela LaFrance Technician Remodeled Area Const. Type Fixture Units T&PR TO AN APPROVED LOCATION 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 i started in 180 days or if more than 180 days elapses between inspections. I certify that I am famili all requireme the City of Palm Springs as they apply to this permit and understand that these requirements must be completed prior to ' a ' spection and t n ertification of occupancy will be issued until such time as these requirements are met. I certify that I have read this applic to nd state tha a inf ation is true and correct. NO ,INSPECTIONS CALLED S r PER��tMS CLOSED O NER/CONTRACTOR/ ENT DATE ISSUED BY Fit>I�d This is a building permit when properly filled out, signed and validated, and is not transferable. PERMITNUMBER 2017-47 • • 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. A permit shall expire and become null and void if substanial work is not commenced within 180 days, or if the work is suspended or abandoned for a period of 180 days. If the work is progressing but approaching the end of the 180 day period from the last recorded day of a passed inspection, a progress inspection must be obtained to keep an active permit. CONSTRUCTION HOURS Weekdays 7am to 7pm Saturdays 8am to 5pm Sundays & Holidays Not Permitted JOB NOTES: JOB CARD Project address: 192 Ocotillo Ave Permit #: 2017-47 Inspection hours 8AM - 5PM Monday - Thursday Inspection request line (760) 323-8243 Building Department (760) 323-8242 Building Department Fax (760) 322-8342 WATER CHANGEOUT INSPECTIONS Final: T & PR TO AN APPROVED LOCATION NO INSppMONS CALLED PEFILE CLOSED Paid Rel t Summary City of Palm Springs p 3200 East Tahquitz Canyon Way Page 1 of 1 uw� Palm Springs, CA 92262 t�$row; - DATE 1/5/2017 Phone: Bldg: 760-323-8242 Eng: 760-323-8253 Fax: See Below ACCOUNT: Rescue Rooter 1520 W Linden St Rlversidde CA 92507 Phone: 951 341 9370 PERMIT NUMBER 2017-47 192 Ocotillo Ave Palm Springs, CA Date Reference Number Invoice Number FeeCat Description Status Amount 1/5/2017 2017-47 17-0063 001-32201 RESIDENTIALMEPFEES Paid (-) 81.12 1/5/2017 2017-47 17-0063 001-32204 PERMITPROCESSINGFEE Paid (-) 34.32 1/5/2017 2017-47 17-0063 001-32219 S.B. 1473 Paid (-) 1.00 1/5/2017 2017-47 17-0063 001-34308 Microfilm Paid (-) 3.74 1/5/2017 201747 17-0063 001-37111 SMIP1 Paid (-) 0.50 1/5/2017 2017-47 17-0063 261-32214 Technology Fee Paid (-) 2.42 Date InvoiceNum Status Payment Amount 1/5/2017 17-0063 OriginalDue 123.10 1/5/2017 17-0063 Paid CreditCard (-) 123.10 Total Paid 123.10 Building Fax #: 760-322-8342 Engineering Fax #: 760-322-8325 • �E FALM C A� h C U 0 « C4(IFOA��P+ Date 1-5-17 BUILDING PERMIT APPLICATION Project Address 192 E Ocotillo Ave Owner's Name Sylvia Lugo Owner's Address Same as jobsite Contractor's Name Rescue Rooter/ARS Plan Check Deposit Fees: Building: Fire: _ Assessor's Parcel #_ Phone # 760-325-5006 Phone #951-341-9371 Llc# 765155 Contractor's Address 1520 W Linden St Riverside CA 92507 Architect's Name Architect's Address Engineer's Name Engineer's Address CONTACT PERSON _Phone # Phone # Address PHONE FAX Business License. # 20000004 , Expiration Date EMAIL Lic.# Lic.# Lot Size (sf.) Building Use Type of Const. Occupancy Group(s) Sprinkled Project Square Footage: Building Garage Carport Patio (type) Project Description Replace 40 gallon gas water heater int. closet Total Value of Work $1600 WHERE INDICATED BY A CHECK, SUBMIT 4 SETS (Minimum size of plans *18 x 24" Minimum scale'/"=1';Maximum size of plans 40" x 36") ❑ Complete Application. ❑ Plot Plan with lot square footage. ❑ Drainage Plan: show lot corner 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 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 ❑ Mech. Plan / Duct Schematic, equipment location ❑ Fireplace Specifications, if applicable ❑ Planning / Fire / Engineering approval ❑ Fire Sprinkler plans (requi time of submittal) OWNER / BUILDER DECLARATION I hereby affirm under penalty of pedury that 1 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 q-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 Contractors 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 rive hundred dollars ($500).) Please check one of the following: I ❑ 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 Ucense 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 I 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. Z� License Class: State Lic. No.: �f City Bus. Lic. No . e7tp °©� Print Name on License: (/l: C. c, -Kf Phone: 3`f / q37/ Address: (N Lt vj 5 �" VCrGi( Every county or city which requires the issuance of a permit as a condition precedent to the construction; alteration, improvement, demolition or repak of any bglkling 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. 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. J 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: p ,, u�� Carrier: Policy Now GZ o r,50A6 V ❑ 1 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 cqmjo on s of California, and agree that if I shotiid become subject to the workef s compensation provisions of S abor Code, I shall for with comply with those provisions. Contractor or Agents Signature: Date: 4% 5 /