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Home My WebLink About2018-3802 (2)gr"`sp City of Palm Springs � BUILDING PERMIT "fro a Building Address: 3712 Camino San Simeon Date 10/30/2018 Case No. Permit Wes R. Submitted Technician Owner Address Phone Douglas Doering same 831 345 1323 Palm Springs CA Contractor Address Phone Lic. Number Douglas Doering same 831 345 1323 Palm Springs CA Architect Address Phone Engineer Address Phone Lot # Block # Tract Parcel Number 40 + VISTADELCIELO 680-061-010 Lot Size Zone Occupancy Building Sq. Ft. Garage/Carport Use of building Permit Type sfd Walls/Fences Fire Sprinkler Units Valuation 1000.00 Roofed Patio/Porch Describe work in detail: 56' of 6' block wall on side property per city standard detail Special Conditions: Permit Fees Paid , 194.11 Remodeled Area Const. Type Fixture Units NOTICE: Wall and fence heights are to be measured thusly: in front yards or side yards that abut streets from crown of street or top of curb, whichever is higher. Side or rear yards not abutting streets from surrounding grade Adjacent properties with elevation differentials - from the average midpoint of the elevation difference at the property line. No exceptions unless prior approval is obtained from the Planning Dept. 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. 1013o We— OWNER/CONTRACTOR/AGENT DATE ISSUED BY This is a building permit when properly filled out, signed and validated, and is not transferable. Finaled 1 10119 PERMITNUMBER 2018-3802 E INSPECTION INFORMATION No work shall be concealed without a signature by the inspector. The approved plan 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: JOB CARD Project address: 3712 Camino San Simeon Permit #: 2018-3802 Inspection hours 8AM - 4PM Monday - Thursday Inspection request line (760) 323-8243 Building Department (760) 323-8242 Building Department Fax (760) 322-8342 BLOCKWALL INSPECTIONS Masonry Wall Footings: 11,Wfft, ~ DO NOT POUR CONCRETE NTILTHE ABOVE ISSIGNED Masonry Wall BB: 12WIfil poiA- DO NOT POUR GROUT UNTILABOVE IS SIGNED Final: M /j«#,., t 0 0 BUILDING PERMIT APPLICATION Date 11-1-18 PhM Check QOM# F2NL Building: Fire: P Addrcu 3712 E Camino San Simeon Ags"s,s Pwcel # Owner's Name Douglas Doering Phone # 831-345-1323 owner's Addren Some Contractor's Name Same Phone Contrador's Adams Arc hleWs Narr� Phoraf # Uc.# Archited'a Ad�ess Engineer's Names , Phone # Lic.# Engineer's Ad�ess CONTACT PERSON Douglas Doering Address 3712 E Camino San Simeon PS Ca 92264 PHONE 831-345-1323 FAX EiYlAIL doerin2831@2mail.com Business License. # Expiration Date Lot Size (sf,) 10,000 Building Use R,�,.,, Type of Consf._ Ompancy Group(s)____sprinkWc Prcjct Square Footage: Buildingj�Garage`Catport—... _ Patio (type). Total vahm of Work S l000 WHERE INDICATED BY A CHECK SUBMIT 4 SETS (Minimum size of plans •1 8 x 24* Minimum sole Y,#" _1;MaxkM= size of plans 4(" x 31r) Q Complete �n. El Plot Plan withre footage. ❑ Drainage Plat: show lot corner ebvadions. 0 Structural Calxlations, if applicable (wed-stantpadl ancl sigma O Fbor Plan. dimensioned. Door S Window Schedule 13 Framing Plan with sections and elevations 13 Truss Cakndatltns and layout as appomble (wet -stamped and sited.) 0 Foundation Plan [3 Ebdrh l Plen/load Calculations I7 Heakh Department approval Bldg. Plan Check # ftming Casa # E3 Waste, Drain & Vent Isometric 0 G aNVater PIWV isometric (dimensioned layout) 0 Detafb showing compbnm with acceasWty. requirements O site Plan showing paticing for persons with disal0les and path of travel to b AWV entrance 13 Title 24 (Energy) — 2 sets/ Lightltg Compliam Forms O Manufadure's brochure for HVAC equipment ❑ Mech. Plan / Duct Schemadc, equ Ipmerd locekn C] Fimph= Speciftations, If applic" D P / Fire / Engineering approval 0 Fire Sprinkler plans (requk-ed at time of submittal) M0 KUH- PllMwNatM�M1' IWMFGR11EACCW ImNxdbiIEMacw wLoK O r-a r •� � r310bf00 a 107 0.9yw S FMG.;_ s!�VrM1 Q s O „Q I MOY10 Vas IM-tro Vert C.- AV!a Ir'N �k(s)rO Y a 77 ri rs �rer r, y eQy a 0 7Va ' y A C O a O t O A xg 00 � O O s O %A a J Iwvwrry 0 s! s _ R n x d !O 0 i4g) x x w40`V •a e n _�• /I 7 + Qt 8 Area of wall replacement City Of Palm Springs Department of Building & Code Enforcement 3200 East Tahquitz Canyon Way, Palm Springs CA 92262 PO Box 2743, Palm Springs CA 92263 Tel 760.323-8242 • Fax 760.322.8360 • TOO 760.864.9527 Owner — Builder Verification Dear Property Owner: Permit # An application for a building permit has been submitted In your name left yo urseg as the Wider of the property Ittfro enw is spWW at: 3712 E Camino San Simeon Palm Springs Ca 92264 We are providing you with an Owner4kAlder Acknowledgement acid Information Verification Form to make your aware of your responsibilities and possible risk you may Incur by having this permit issued in your name as the Owner -Builder (per Callornda Meth and Safety Code Section I MS). We will not issue a building permit until you have read. Wdeled you understanding of each provision, signed, and returned this form to us In person of at the address listed above. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and drdtiai each staternent below to s%p* you understand or verify this Information. x 1. 1 understand 8 frequent practice of unlicensed persons Is to have the pup" owner obtain an 'Owner -Su budtddng gem# that ertonearsty Implies that the property owner Is providing his or her own labor and material Penally. i, as an Owner, , may be held lime aid subject to serious financial risk for any rles stated by an unlicensed person and his or her employees while work ft on my pr 1. A y tromeownges irmra a may not provide coverage for those Injuries. i am wBfuNy acing as an Owner -Sum and am aware of flue tfs of my Insurance coverage for k*Aes to w orkem on my property. 2. 1 unuderst" bueting permits we not mq*W to be signed by property owners u nim they are re"Wetble for the consiruction and are not hkft a licensed Contractor to assume #6 responsibility. x 3. 1 understand as an "Owrw4Wk "I am the responsible party of pub record on the perri I undwstand that I may Pmtect myself from PofonWl tltenciel risk by Ming a licensed Contractor and having the permit tiled to his or her name instead of my own. x 4. 1 understand Contractors we required by dew to be licensed and bonded in California and to Not their Besse numbers on permits and contracts. X 5. I understand if I employ or othenuss engage any persons, otter than CW=la licensed Corubsaars, and the tonal value of my construction is at least ftve hundred dohs ($5M), Including labor and materials, I a" be considered an 'employer" under state mud tederel law. a. 1 understand NI am considered an 'ernes" under state or federal law. I must regisler with the stab and brad goverment, wrkbhold payroll taxes, provide workers, compensatiau dbablilly insunaoce, and contribute to unI-W 1Play11ueM mmpwadion for each "employee•. 18180 unldersland my fallure to allde by these laws may sweet me to serious risk. City of Palau Springer Oanuer Builder Form Page 1 7. 1 ssdasWnd under CaSfomie Cordtactor's &ate LIM" Law, an -BuN Who builds mky re"noW st Icku" carrot bgapy build dens with OW Intent to off them for a". unless al work Is pertomnsd try licensed subcrontraotors and the number of sbuckm doss not erased tax win any caiendat year, or all of to work is perft>rmed under matt with a tiwnned buffing Corr. 8. 1 csKWIWnd as an Ownw6BtdWw K I sell the property for which Fhb permit Is Issued,1 may be Feld bbie for any WWWW o< PWxOnSl in*eles wsbkW by any subsequent owregs) that rat f bm any Intent CMMMM= defects in the workmanship or mega. = 9. 1 understand 1 may obtain more k tonrwilan regwft pny Obligations es an "smi loW f m the k* rW Ra 4MA Service. the United Statse Smcq Business Adnnini b is , the C Rkmia Department of 8ereftt Payment, and the Ga onnbr I)Mhdan of Industrial Acckkoft. l abro undxatend 1 maycontactthe Cafioml@ ConiracWs Slade Lk:ernse Board (C%B) at 14800-3212752 orwww cWb.ce.aov for mom Information abosut Ocensed contractors. x 10. 1 am aware of "consent to an Owfw4k f dsr b lA tg pew applied for in my name, and understand that I am the Party ill atnd *MCISIV MP for proposed cbnstruc tiara activity at the fotlowhng address: 3712 E Camino San Simeon I agree dent, as the parity Imo!► and tarn for this Ixopoaed ootnatuction activity I w8 abide byall spp b laws and nequirements that govern Owrret.Bugdms as weN as srr;kWars. x ,12. i agr+we b nof�jr tAe foam � tlds fiarm �tasdiately � wry sddbioss. �edons. or dssgss to any of ttw (M�annation have provided on thin form. Licensed cOf*MClOM �nseft Co hsota�s sWMWhe Ltc�a8oardlaws d*sW" � protect the' ttyou coniactwiEh sotnebodrwta doss not sustaNn as a result of a compbint. Your may be unable b assist you with any !k>tandad ioapr you may remedy gpMat urdcwmd Contrectora may be to ON court. It is echo Important tar you Jo tandetsWW that N an unNcensed Cattrectot Or OMPICIAMS Of that ira3vidrel Or Ilan In injured while wwkbV an yaw property, you may be held liable for ftne . if you obtain a permit as and wish to hire Conirectors, you will be ramie for ven"g whether or not those Contac tm ate properly Owned and the Stalin of their workers' compensation cover&e. Before a bWMMg pmW can be b wnd, ttnb form must ba CMM*W SIM aigred by the property owaaer, earl returned to the SuNdtng Deperbiwat at the Um of permit batnunce. l+bte: Sane Pop" ow iterwill not be present at pesrnnit bsuance to provide proof Of ident8y, the ply owner's skneture awd be n otarimd. w Property OWW Name (p"). Douglas Doering Property ow noes Sionatrre: Dab: i1-1-18 City of Patin Spriup Owner Bullder Form page 2 I N"Qby affirm under penaey of perjury that I am exempt from the Contractors License Law for thereason (Sedion 31 S. Rusinges and PrObssrone Cc", Any city or county which repseul,e•penmh to construct, attar, improve, demdM.f or re � a Structure prior ►o its issuance. also npuim the applicant for such pertcit to fee a sW4d statement that he or she is owns" purslom to the provisions of the Contractor's License Law (Chapter 9 comneerrdnp with Sac. 70g0 of Division 3 of the euslness and Professions Code) orthat he at She is exempt "Wq om and the bests for the alleged exemption. Any viostion of Section 7031.6 by ar►y applicant for a peanit subjects the a�cant to a civil penalty of not more than On hundred dollars (115W) Phase check one of the fottowrng. 13 t, 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 offend for sale (Sec. 7044 of the Business and Profession Code. The Contractor's Wense Law does not apply to an owner of property who builds or Improves thereon, and v fto does such work himself or hers4k or through his or her own employees, provided that such Improvements are not intended or offered for sale. If, howwer, 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 otnflsr of the property, am exduslveiy contracting with licensed contractors to construct the pn*d (Sec. 7044 of tits Business and Professions Code. The Contractors 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 Contractors License Law.) t am exempt under Sec of the Business and Professions Code for this reason: Owner Signature: �,. 11-1-18 1 hereby aOm under penalty Of parjuty that 1 am wed under the provisions of Chapter 9 (convnenckug with Sec*M MW) of Owision 3 of the Bashes andProfessions Code, end my license is in full force and affect The farowinp applies to 9 corwaators only 1 understand the &r tatlons of Section 7067 related to my ability to take prime contracts or subcontracts involving specialty Vbdes. License Class: State Lic. No.: City an. Lic No. Print Nam on License: Phone: Address: Every county or city which requires the iswanoa of a permit as a eonditn precedent to the construction. alteration. Improvemem dernoom or roparcof any bell or Structure shall raqutre that each appkant for the permit sign a declaration under perls#y of perjury vsriryirrg warkery oontpsnsteon coverage Of etdtmPdt n km coverage as required by Section 19625 of the Health and Safety Code 1, hereby affirm under penalty of perjury one of the k1lowing ilftbraears: ❑ 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 periiamim a of the work for which this permit is issued. e ❑ I HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, as Required by Section 3700 of the tabor Code, for the perlonra ce of the work for which idle permit is Issued. My workers' compensation insurance trier and policy mrn1w are: Carrier. Policy No. ❑ I CERTIFY that to the performance of work forwhtch this permit is issued, I SHALL NOT EMPLOY ANY PERSON, In any mamer so as to becalms subject to the walker's tompensation laws of Catifomia, and agree that if I shocitd become stibject 10 1110 WO*Ws exxnpensadOn provisions of Section 3700 of the Labor Code, I shah for with comply with #mse provi:pons. I Property Line 111.50- r—A7,— — — — — — — — — — — — — -- - — — — — — — - 5. 8'Wide Utility Easement ------------------------------- ------- -- --------- 7. 9XIO Stwd CL .9 (Setbadcs a. orninne flow (Dimension) (Dimension) ■ 1% m1n. slope away from structure 6. ■ SITE PLAN (Sample Only) Existing Dwelling Meters Existing Porch 18, x 6' Existing Garage 161 x 20' (Setback to P.L.) Driveway N ► SCAJ,j L- - - --- - - - --- - - - - - - -- Street C/L- Property Owner's Nam Property Address and Phone No. A.P.N. (Assessor Parcel Number) Scope of Work Designer's Nonc & Signature Site Area and Lot Coverage JIC4mmunity DevaIopnvnNIu#dinq InspwAion12011 poldeskCapy of Site Plan Sarn*.doc ------- --- Page 2 of 2 City of Palm Springs Property Line Wall Agreement 2017 In consideration by the City of Palm Springs for allowing a wall / fence to be constructed on or adjacent to said property line, we do hereby agree to allow the placement of said wall(s) adjacent to or on the shared property line without requiring a survey of said wall(s). Furthermore, if the wail / fence is placed on the property line, all property owners shall share the responsibility of maintenance of the common property wall sections adjacent to their respective properties. This Agreement shall run with all the below described land and shall be binding upon ourselves, and future owners, their successors, heirs or assignees. These properties are located and known as the following ADDRESES: 3712 E Comino Son Simeon, Palm Sprirgs Ca 92264 (PARCEL OF WALL / FENCE PERMIT) 376o E C'�rr�,niv SR^1 51�rFo,� (ADJACENT PARCEL N0. 1) c,k. (ADJACENT PARCEL NO.2) (ADJACENT PARCEL NO.3) This agreement by the following property owners, gives permission to construct a wall or fence on of adjacent to the common property line without restrictions and maintain as described above: By signing, the parties represent under penalty of perjury that they are In fact the owners of said properties; (OWNER OF PERMIT) (OWNER OF PARCEL1) (Print Name) I (Signature of P (OWNER OF PARCEL 2) roperty Owner) (Print Name) i (Signature of Property Owner) (OWNER OF PARCEL 3) City of Palm Springs 3200 East Tahquitz Canyon Way Palm Springs, CA 92262 Phone: Bldg: 760-323-8242 Eng: 760-323-8253 Fax: See Below ACCOUNT: Douglas Doering same Palm Springs CA Phone: 831 345 1323 Okid Receipt Summary rY Page 1 of 1 DATE 10/30/2018 PERMIT NUMBER 1 2018-3802 3712 Camino San Simeon LOT 40 MB 020/086 VISTA DEL CIELO Palm Springs, CA 92264 Date Reference Number Invoice Number FeeCat Description Status Amount 10/30/2018 2018-3802 18-4506 001-32201 Masonry Walls Paid (-) 150.00 10/30/2018 2018-3802 18-4506 001-32204 PERMITPROCESSINGFEE Paid (-) 36.94 10/30/2018 2018-3802 18-4506 001-32219 S.B. 1473 Paid (-) 1.00 10/30/2018 2018-3802 18-4506 001-34308 Microfilm Paid (-) 4.05 10/30/2018 2018-3802 18-4506 001-37111 SMIP1 Paid (-) 0.50 10/30/2018 2018-3802 18-4506 261-32214 Technology Fee Paid (-) 1.62 Date InvoiceNum Status Payment Amount 10/30/2018 18-4506 Original Due 194.11 10/30/2018 18-4506 Paid CreditCard (-) 194.11 Total Paid 194.11 Building Fax #: 760-322-8342 Engineering Fax #: 760-322-8325