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HomeMy WebLinkAbout2020-22 - CAMINO SAN MIGUEL 43564, City of Palm Springs BUILDING PERMIT "�toe�w Building Address: 4356 Camino San Miguel Date 01 /06/2020 Case No. Submitted Owner Address Phone TGA Investments 4356 Camino San Miguel 760 238 8758 Palm Springs CA Contractor Address Phone TGA Investments 4356 Camino San Miguel 760 238 8758 Palm Springs CA Architect Address Phone Engineer Address Phone Lot # Block # Tract Parcel Number 38 + VALVISTA 680-083-008 Lot Size Zone Occupancy Building Sq. Ft. Garage/Carport Roofed Patio/Porch Addition Use of building Permit Type sfd New Pool/Spa Fire Sprinkler Units Valuation Permit Fees Paid 26000.00 648.19 Permit Rebeca McKeown Technician Lic. Number Remodeled Area Const. Type Fixture Units Describe work in detail: New pool, spa, firepit, 5' X 6 LF wood fencing with gate at return and 5' X 10 LF block wall to screen pool equipment. (Owner to contract a license pool contractor) Pursuant to Helath & Safety 115920-115929, whenever a building permit is issued for the remodel or modification of a single family home with an existing swimming pool or spa, the permit shall require that the suction outlet be upgraded so as to be equipped with an approved anti -entrapment cover. Overhead conductor clearances SHALL comply with NEC Table 680 Special Conditions: Compliance with Swimming Pool Safety �,;.. Article 7 required at encapsulation C�r'l inspection. 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 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 completed 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 read this application and state that the information is true and correct. ,f OWNER/CONTRACTOR/AGENT I DOE This is a building permit when properly filled out, signed and validated, and is not transferable. ISSUED Irr Finaled PERMITNUMBER 2020-22 0 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 lam to 7pm Saturdays 8am to 5pm Sundays & Holidays Not Permitted JOB NOTES: JOB CARD Project address: 4356 Camino San Miguel Permit #: 2020-22 Inspection hours 8AM - 4PM Monday - Thursday Inspection request line (760) 323-8243 Building Department (760) 323-8242 Building Department Fax (760) 322-8342 SWIMMING POOLS INSPECTIONS Steel, Bonding, Setbacks: ( W60- Underground Piping & Electric: po20M- Gas Pressure Test: 24 joltea, DO NOT GUNITE UNTIL THE ABOVE IS SIGNED Equipotential Bonding: 'L t` I %Ta+- Barriers/Alarms/Encap: z3 ZPtdK- DO NOT PLASTER UNTILABOVE IS SIGNED Final: 10$ 12OZ00" Compliance with Swimming Pool Safety Standard required at encapsulation inspection. Pursuant to Health & Safety's 115920-115929, whenever building permit is issued for the remodel or modification of a single family home with an existing swimming pool or spa, the permit shall require that the suction outlet be upgraded so as to be equipped with an approved anti -entrapment cover. Overhead conductor clearances shall comply with NEC Table 680-9 CiTY OF PALM SPRINGS BUILDING PERMIT APPLICATION Date : L Plan Check Deposit Feess: Building:, — Fire: Project AddressV ` T ��%1Se�jssoARarcel # Owner's Name ?�� 1�,-'� `�"J Phone #_-= Owner's Address Contractor's Nam4 Contractor's Addre; Architect's Name_ Architect's Address CONTACT PERSO PHONE Phone # Llc# Phone # Lic.# Business License. # Exp. Date Lot Size (sf.) Building Use Type of Const. Y' Occupancy Group(s) Sprinkled Project SO Ft:Building '_Garage _ Carport Patio (type) Project Description Total Value of Work to WHERE INDICATED BY A CHECK, SUBMIT 4 SETS (Minimum size of plans *18 x 24" Minimum scale'!."=1',Ma)dmum 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) ❑ 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 ❑ GasMater 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 approval / Engineering Approval ❑Fire Sprinkler plans (required at time of submittal) Submit the following directly to the Engineering Department: *ENGINEERING SERVICES: Min Requirements, proiect maybe sublect to additional conditions of approval {Submit 1 copy of the following 1. Z 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 RI FA (Red Imported Fire Ant Certificate) for export of soil from the site © 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) Bldg. Plan Check # d Planning Case # Signature OWNER / BUILDER DECLARATION 0 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: 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. License Class: State Lic. No.: Print Name on License: City Bus. Lic. No 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: 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 the worker's compensation laws of California, and agree that if I should become subject to the worker's compensation provisions of Section 3700 of the Labor Code, I shall for with comply with those provisions. Contractor or Agents Signature: Date: Disclosure Form City of Palm Springs, CA Page 1 City of Palm Springs 3200 East Tahquitz Canyon Way Palm Springs, CA 92262 ``FOR" Phone: Bldg: 760-323-8242 Eng: 760-323-8253 Fax: See Below ACCOUNT: TGA Investments 4356 Camino San Miguel Palm Springs CA Phone: 760 238 8758 Rid Receipt Summary rY Page 1 of 1 DATE 1/6/2020 PERMIT NUMBER 2020-22 Palm Springs, CA Y-a 5 Date Reference Number Invoice Number FeeCat Description Status Amount 1/6/2020 2020-22 20-0024 001-32201 POOLS/SPAS Paid (-) 458.32 1/6/2020 2020-22 20-0024 001-32204 PERMITPROCESSINGFEE Paid (-) 43.14 1/6/2020 2020-22 20-0024 001-32219 S.B. 1473 Paid (-) 2.00 1/6/2020 2020-22 20-0024 001-34301 INTERNAL PLAN REVIEW(IN-HOUSE) Paid (-) 48.24 1/6/2020 2020-22 20-0024 001-34308 Microfilm Paid () 5.74 1/6/2020 2020-22 20-0024 001-37111 SMIP1 Paid () 3.25 1/6/2020 2020-22 20-0024 261-32214 Engineering Technology Fee Paid (-) 23.50 1/6/2020 2020-22 20-0024 261-32214 Planning Technology Fee Paid (-) 23.50 1/6/2020 2020-22 20-0024 261-32214 Technology Fee Paid (-) 40.50 Date InvoiceNum Status Payment Amount 1/6/2020 20-0024 Original Due 648.19 1/6/2020 20-0024 Paid Check 10 (-) 648.19 Total Paid 648.19 Building Fax #: 760-322-8342 Engineering Fax #: 760-322-8325 i 0 S;Z- Ilk\ ■ i�m