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HomeMy WebLinkAbout2018-4308City of Palm Springs • BUILDING PERMIT 4000Building Address: 4011 E Camino San Simeon Date 12/13/2018 Case No.: Submitted Owner Address Phone Murad Eissa 4011 Camino San Simeon 310 863 6812 Palm Springs CA Contractor Address Phone GotVoltz?,Inc. 67-605 Tamara Rd 760 409 4679 Palm Springs CA Architect Address Phone Engineer Address Phone Lot # Block # Tract Parcel Number 42 + VISTADELCIEL03 680-064-002 Lot Size Zone Occupancy 12450 Building Sq. Ft. Garage/Carport Roofed Patio/Porch New Use of building Permit Type sfd Electric Service Upgrade Fire Sprinkler Units Valuation Permit Fees Paid 2200.00 133.36 Describe work in detail: Electrical panel upgrade 200A w/225 buss. Special Conditions: Permit Kim Floyd Technician Lic. Number 863927 Remodeled Area Const. Type Fixture Units 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. i"147-ta- ThisO R/CONTRACTO AGENT DA E ISSUED BY Finaled is a building permit when properly filled out, signed and validated, and is not transferable. PERMIT NUMBER 21�118-4308 • • 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: ?ALMS r '-10019t JOB CARD Project address: 4011 E Camino San Simeon Permit #: 2018-4308 Inspection hours 8AM - 4PM Monday - Thursday Inspection request line (760) 323-8243 Building Department (760) 323-8242 Building Department Fax (760) 322-8342 ELECTRIC SERVI E PPGRADE INSPECTIONS Meter Release 6 IKipe�+'� Final �/ '{ CITY OF PALM SPRINGS.4t BUILDING PERMIT APPLICATION:: zol� �ZI �31 Date : Plan Check Deposit Fees Building.Fire: Project Address 1 nl�ll,� ►�c� C ©i�� �J Assessor's Parcel # Owner's Name M u (Z lr - z S A Phone # 0 . Owner's Address Contractor's Name &Ot, 1101TV lkt, Phone # Contractor's Address % -- 6 andWoc Architect's Name Phone # . Lic.# Architect's Address - CONTACT PE SON Address . �� MIA PHONE 0 _ 6 Z2 FAX EMAIL Business license. # 000 q3 Exp.:Date Lot Size (sf.} Building Use Type of Const occupancy Groups) Sprinkled Project SQ Ft $ulldln9 Garage Carport _ Patio {type) Proect Descripbon F�rif cTll,� k j � M�1 #_ 1 t%w %l,/l _Total Value of Work &P © *Ail :submittals of New Construction (Single 'Family 'Residence)ari'd Additions (includina 'Casrtast are subiect to Public Works and Enalneerina Conditions of Mproval. All reuulred �Condlttons of Approval fo .the aroiect must be. submitted and/or addressed directly to Enaineerino and Public Works by the Applicant for- rcview' a0proval and issuance of ss aradino and encroachment Permits. WHERE INDICATED BY A CHECK: SUBMIT 4 SETS (Minimum size of plans *1 B x 24'0 Minimum scale.'/4°=1';Ma)dmum. size of plans 40" x 360. D Complete Application D:Mach. Plan 1 Duct SchernatiC, EquipmenfLocation O Plot Plan with lot square footage. 0 ;Fireplace Specifications, if applicable ZI Drainage Plan show. lot comer elevations. 13Planning 1 Fire approval 1 Engineering Approval D Structural Calculations, if cable.. QFire Sprinkler plans {required at time of -submittal):' (wet -stamped and signed) D FloorPlan,'dimensioned;' or 'a WindowSchedule Submit the following directly to the;Engfroeering: 13 Framing Plan with sections and'elevations Department: © Truss Calculations and layout as applicable *ENGINEERING SERVICE$: Min Requirements; (wet-stamped;and signed) : 0rolect maybe subiect to additional conditions of D Foundation Plan aatjroval (Submit 1 cflnv of the following . 0 Electrical Plan/Load Calculations , 0 Site Plan with the foilowina Finsh'P16or Elevations D Health De artment approval p pp gjs Existing. Proposed and Immediate Adjacent Homes p Waste, Drain & Vent Isometric 0 Title report or Grant Deed with a Tax Bill::showing O GaslWater Piping Isometric (dimensioned layout) current ownership D Details showing compliance with accessibility 0 RIFA (Red Imported Fire An Certificate) Fox , _requirements: export of soil from the site D Site Plan showing. -parking" for;persons entons with 0 PM-1 (Dust Control) far projects of more `than 5000 .disabilities and path of travel to building entrance square feet of soil disturbance ' .Diitie.24 Ene Compliance Forms 0 Tribal Clearance Letter for all New Construction( - 2 sets/ Li g Wing r9Y): D Manufacture's brochure for HVAC.equipment:: (not required for additions or Casitasy Bldg: Plan Check Planning Case :#: Signature OWNER I 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 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 rive hundred dollars (5500).) Please check one of the following: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, with 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.) ❑ 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: 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 fol'owing 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. t License Class: t ' o State Lic. No.: City Bus. Lic. No . Z 1900 � �3 Print Name on License: Phone: by Dg- Vb Address: % - 60 LA►uA& ad, tl AP4 6P11A T (14 9Zz3y Every county or city which requires the issuance of a permit as a condition precedent to the construction; alteration, improvement, demolition or reparof any Wilding 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 19525 of the Health and Safety Code, I, hereby affirm under penalty of perjury one ofthe 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 Califomia, 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: Je Date: �rG /3 119 flier nrrn Gnw.,, r;.,. -rn- C- oT A