HomeMy WebLinkAbout2021-315DocuSign Envelope ID:2CO24DDC-6D92-48D8-8 9FDE6E74AB1
uty of Palm Springs
fY BUILDING PERMIT
Building Address: 3472 Bogert Trl 19
Date 01/26/2021 Case No. Permit AlbertoGradilla
Submitted Technician
Owner Address Phone
John Tapp 3472 Bogert Trl 206 251 1444
Palm Springs CA
Contractor Address Phone Lic. Number
Desert Air Conditioning 590 Williams Rd 760 323 3383
Palm Springs CA
Architect Address Phone
Engineer Address Phone
Lot# Block# Tract Building Address Parcel Number
PORA 4145 3472 Bogert Trl 19 686-430-019
Lot Size Zone Occupancy
Building Sq. Ft. Garage/Carport Roofed Patio/Porch Remodeled Area
Use of building Permit Type Const.Type Fixture Units
SFD Mechanical Equipment Change-out
Fire Sprinkler Units Valuation Permit Fees Paid
8485.00 187.48
Describe work in detail:
Replace 3 ton split in the same location.
Smoke and Carbon Monoxide detectors must be HERS duct testing required prior to final
installed per 2016 C.R.C. and 2016 C.B.C. inspection. Setback thermostat required.
Rooftop mechanical equipment must be on
minimum six inch high sheet metal covered
Special Conditions: platforms or other approved support.Condensate
lines must be in hard copper.
Refrigerant Service Ports located outdoors shall be fitted with locking-type
tamper-resistant caps. C.M.C. 1105.11
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 365 days or if more than 180 days elapses between inspection per PSMC 8.04.015(#5)
1 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 requirerWe 8 e I,Ge.tif that l hay
lL L i_read this application and state that the information is true and correct. DS 1VU 1V l l tCIIV l H
DocuSigned by: 1/26/2021 PERMIT EXPIRED
FILE CLOSED
OWN QQPUZdTOR/AGENT DATE ISSUED BY Finaled
This is a Building Permit when properly filled out, signed and validated, and is not transferable.
PERMITNUMBER 2021 -315
1 p A LAt$A
INSPECTION INFORMATION
r t
No work shall be concealed without a signature b the9Y
inspector. q`IF°O R
The approved plans and this card must always be
available to the inspector. Preserve this record.
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: 3472 Bogert Trl 19
required inspection.
Permit #: 2021-315
Inspection hours 8AM -4PM Monday-Thursday
CONSTRUCTION HOURS
Inspection request line(760)323-8243
Building Department(760)323-8242
Weekdays 7am to 7pm Building Department Fax(760)322-8342
Saturdays 8am to 5pm
Sundays & Holidays Not Permitted
MECHANICAL CHANGEOUT INSPECTIONS
JOB NOTES: HERS forms/ Final:
NSPF_c'r10NS CA1 i.i.
re
FILL CL ISLU
0 1* ,Z 3
CITY OF PALM SPRINGS
01/14/21
BUILDING PERMIT APPLICATION
J4 FireDatePlanCheckDepositFees. Building,_Jq I
Project Address 3472 E, BOGERT TRAIL Assessor's Parcel#
JDMNTAPPOwner's Name Phone
3472E 8OGERTTT\L PAUNSPR|m(SOwner's Address CA 92264
Contractor's Name Desert Air Conditioning Phone#700323-3383 L|o# 276586
Contractor's Address 590 Williams Road, Palm Springs, CA 92284
Architect's Name Phone# Lic#
Architect's Address
CONTACT PERSON Meredith Palumbo Ad dress 5SO Williams Road, Palm Springs, CA 92264
PHONE 7603233383 FAX7GO-323'8883 EK8A|Lmpa|umbo@deserteirps.com
OOQ01213BusinessLicense, Exp. Date_________10/31/2021 Lot Size (sf.) Building Use
Type VfConst. OocupanoyGruup(s) Sprinkled_
Project SOFl:8ui|ding Garage Carport Patio (type)
Project Description Replace 3'1om split system«n ground like for like TVbg/ Value nfWork 848500
All submittals of New Construction (Single Family Residence), and Additions (includinci Casitas) are subiect to
Public Works and Engineering Conditions of Approval. All required Conditions of Approval for the project must be
submitted and/or addressed directly to Engineering and Public Works by the Applicant for review, approval and
issuance of all grading and encroachment permits.
WHERE INDICATED BYA CHECK, SUBMIT 4SETS
Minimum size nf plans°11lx 24" Minimum scale 4" =1':KXeximurn size of plans 4O" x 36'')
Complete Application K4och, Plan / Duct Schematic, Equipment Location
O Plot Plan with lot square footage. Fireplace Specifications, if applicable
Drainage Plan: show lot corner elevations, planning / Fire approval / Engineering Approval
Structural Calculations, if applicable Fine Sprinkler plans (required at time ufsubmittal)
wet-stamped and signed)
F|oorP|on. dimensioned. Door &Window Schedule Submit the following directly to the Engineering
Framing Plan with sections and elevations Department:
Truss Calculations and layout oVapplicable ENGINEERING SERVICES: Min Requirements,
wetstemped and signed) proiect maybe subiect to additional conditions of
U Foundation Plan approval (Submit I copy of the following ).
Electrical Plan/Load Calculations GD Site Plan with the following Finish Floor Elevations
Health Department approval of: Existing, Proposed and Immediate Adjacent Homes
Waste, Drain & Vent Isometric ff Title report or Grant Deed with a Tax Bill showing
GooyN/ater Piping |mornek|c (dimensioned layout) ourrent ownership
Details showing compliance with accessibility GD R|FA (Red Imported Fire Ant Certificate) for any
requirements export of soil from the site
Site Plan showing parking for persons with GO PM-1O (Dust Control) for projects of more than 5000
disabilities and path of travel to building entrance square feet of soil disturbance
Tit|e24 (Energy) -2 sets/ Lighting Compliance Forms E] Tribal Clearance Letter for all New Construction
Manufacture's brochure for HVAC equipment not required for additions o/Cauitas)
Bldg. Plan Check
Planning Case#Signature__
Email Cover Sheet
590 Williams Rd.
Palm Springs, CA 92264
760-323-3383
760-318-1164
To: City of Palm springs- Building Department
Email: 0"FCPermitsLa.palmsprin s.Lt,_ v
Fax Number: 760-322-8342
Phone Number: 760-323-8259
Date: 1/14/2021
Re: Building permit request
Notes/ Comments:
Replace 3-ton split system on grOUnd like for like
Total valuation $8,485.00
Please call with questions
Thank You,
Meredith Palumbo
r^a+.trtisw*sr-awrsa.,r+
Email Cover Sheet
590 Williams Rd.
Palm Springs, CA 92264
760-323-3383
760-318-1164
To: City of Palm Springs- Building Department
Email: OTCPermitsCnalms rin sea ov
Fax Number: 760-322-8342
Phone Number: 760-323-8259
Date: 1/14/2021
Re: Building permit request
Notes/ Comments:
Replace 3-ton split system on ground like for like
Total valuation $8,485.00
Please call with questions
Thank You,
Meredith Palumbo
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OWNER I BUILDER DECLAI ATIQ
t h bit a€timt raider penalty of perturyinat t am ell from tore CGIVIT OM Licef Law for"foMwArq reason(Switin 70 31.5,Business and
Ptolessions,Code.,Any city or c oufdy which requires a permit to construct after,im pr owe.demok"t.or repair any Structure prior to its issuance.also
requires the applicant for such permit to so a signed statement that he of she is hoary"pursuant to ttaf provisions of this Contractor's License Low
Chattter g commencing with sec.T000 of Oh ton 3 of ft Business and Prolessions Code)or that he or she Is exempt thareham and the basis tot the
aitoged exarnplion.Any violation of Section 7031.6 by any applicant for a permit subjects the:a4licent to a civil penalty of not more than five hundred
doZars(000t•} ROM cheek one of the fotrow tolq,
El 1,as owner of the property,or my employees with wages as their sole compensation,*11 do ttul work,and the structure is not
intended or offered for sale(Sec. 7"of tote Eusrriess and Protessurn Code:The Contracbf^s License Law does not apply to
an owner of property who buiilds of improves thereon,and who does such work himself or herself or through his or her(twit
employees,provided that SUCn Improvements are not intended or offered for sate.If,however,the btildirtg or Improvement Is
sold within one year of completion,the owner-builder writ have the,burden of proving that he or she did riot bl.kld or Improve for
the purpose of sate.)
0 1,as owner of the property,am excr"usivety confrachini;with kcensed contractors to ccnsMj,;t the project(Sec.7044 of the
Business and Professions fie.The Contractor's License Law dues not apply to an owner of property who builds or improves
thereon.and whet contracts for such projects with a contractei(s)licensed pursuant to the Contractor's ilcense Law.)
I am exempt under Sac. of the Business and Professions Code for this reason'
Owner Signature: Date:
LJCENSE+0.=NTRACT0R5 f}ECLARA7`#QN
t hereby affirm under pertally cif perjury that I ash I=nW unoer the prcvislo is of Chaptar 0 tcominencinit vAth Section 7000)or€#:vision 3 of the
Buslillm and Profassiorss Code.Grid my rloense is in full force and effect.The following applies to B contractors only:
l un(tsrnitand fne tirrWations Of Section 7067 ra ated fo my ObAly to take prim nWtad c or suhcoratrads rtrKVvhV spedatry trades.
License Class. C20 State Lire No- 276586 City Bus.Luc.No,00001213
Print Naire on Lloartse, DESERT Atli CON€?(C)NfNG,(NC. Phone: 760-323-3383
Address: 590 WILLIAMS RD„PALM SPRINGS,CA 52264
Every courlty orcitYvAch requires the rocc are oetrnit es a condiif;i precedent to ate construction.alteration.improvement onion icon,or repam of
any auDding or Wuctwv sha3 mgmv that each appti nl tot the Penrdl 4n a derlaralio)under penrt3y of perjury verifyin workers,'oompensation
coverage or extroAw from Coverage as raeq;,lted by Section t9M of the Health and Safety Code,t,hercay affirm under pprialty of perjury one of ftse
folio"dedaratiana
I I HAVE AND)rMILL MAINTAIN A CERTIFICATE TO SELF tNSURE for worker's compensation as provided for by Section 37oo
of the Labor Cove,tor Ina pedorrmanoe of Me wm*for which this permit Is issued.
I
I t 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'compensationompensation insuranrae carrier and policy numberare,
Carrier
r C'OMPWEST INSURANCE CO
Pcytdo. WGV5543699
El I CERTIFY that in the performance+of work for which this permit is issued.f SHALL NOT EMPLOY ANY PERSON,In arty
manner so as to become subject to the workers compensation laws of Catifoxniar,and agree that if I siould become suNect to
the worker`s compensation'provisions of Section 3700 of the Labor Code,I stroll for with comply with those provisions.
CcntmotororAtlants Signature:t'd pare: 02/0712020
Disclosure Form City of Palm Springs,GA Page 1
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OWNER I BUILDER DECLARATION
I hmbvsftm under pttnaNy of pertuN Utah I am O"ffQt from the CGW2Mr`s,LiCeM Law W the WOMM reason(Section 70 31.5,Business and
PfofesstDris Code.,Any city or courtly which requires a Permit to construct. cc repair any Stfumn prior to its issuance.also
reqtAres the sWicam,for such pemvt to fie a signed statement Mat he or she is fiCe"Sed pursuant to ft provisions of the Contractor's License Law
Chapter 2 commencing wWvSer—7000 Of DtvW0n 3 Of the SUSUMS and PrOteSSIOnS Code}Or mat he Of she is exempt theretom and the basis tot the
alleged exemption.Any violation of Section 7031.6 by any OPPlicsilt W 8 permit subjectli the apOcant to a civil penalty of not more than five hundred0oftra(SSW).) Pima check one of am floftowing-
1.as owner of the property,or my employees with wages as their sole compensation,will do the work,and the sVucttre is not
mIendedordWed for sale(Ser—7&4 of the Business and Protswan Code The Contractor's License L8wdoes not apply to
an owner of propeny who builds or improves thereon,and who does such work himself or herself or through his or her own
employees,provided that SUCK Improvements are riot intended or offered for sale.If,however,the b0dirig or Improvement is
sold within one year of complationi,the owner-bLilder Ulf have the burden of proving that he or she did W build or Improve for
the purpose of sale.)
0 1.as owner Of the P(WeftY,sm exclusively Contracting%%fth iicensed contractors to ccnrsMrzt the project(Sec. 7044 of the
Business and Priofessici'm Code:The Contractor's License Law does not apply to an owner of property who Wilds or improves
thereon.and who contracts for such projects with a contractor(s)licensed pursuant to the conlractor's License Law.)
El I am exempt under sec. of the Business and Professions Code for this reascn:
Owner Signature: Date:
LICENSED-CONTRACTORS D#MARAT)ON
I hereby affirm under penally of paju.7 triat I am ICA-nW4 under its provisions of Ctlaptef 9 tCOWMenclng vAth Section 7000)or D:vWon 3 of theBusinessandProfessiomCode,mad my 4oen3a is in fun force and effect.The following appr*s to a contractors CMVIAJAOF313ndOWLnetationsofSection7067re*ed!o my abAly 10 lake plwm wdjads at SL& rails lmdWng specially, trades
License Class. 020
State Ur. No.; 276586 Ay Bus,Lid.No,00001213
Print Name on License: DESERT AIR CONDMONtING,INC. phone: 760-V3-3383
Address., 590 WILLIAMS RD,,PALM SPRINGS.CA 92264
am but"or strum"&bart raqtmv that each DPP4=nl for the Perm"Jign a decramtten under Penalty of PeA*Y veri"wookers'cempermatian
COMW Of eze"PAtion from coverage as req,*W by section ISM of the Hearth W Safety Code,1,heftoy Wan under V#n&JtY Of Pertury 00e of thefozw"dedmuonz:
1 HAVE AND)rALL MAINTAIN A CERTIFICATE TO SELF INSURE rot worker's cornpensa tiori as provided for by Section 3700oftheLaborCode.for the perfurnance,of the work tot Which this permit is issued,
I HAVE AND WILL MAINTAIN WORKER-T COMPENSATION INSURANCE,as required by Section 3700 of the Labor Code,
for the performance of the work for which this Petinit is issued.My workers'compensatian insurance carrier policy numberare:
ins er and ber
Carder I C'OMPWEST INSURANCE CO
pc icvt4o. WCV5503699
1 CERTIFY that in t*WIDI'manCe of work for which this Permit is issued,I WLL NOT EMPLOY ANY PERSON,in any
manner so as to become sut ect to the worker's compensation ISM Of California,and agree that if I should become subiect totheworker's compensation provisions Of Section 3700 of the Labor Code.I shelf for with comply with those provisions.
CcritractorcrAgerift
7 ! i
02/07/2020Date
Dlsdo i ure Form City of Pairri Springs,—CA
Page 1