HomeMy WebLinkAbout1891 VALENCIA AVE; ; CB152093; Permit07-07-2015
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB 152093
Building Inspection Request Line (760) 602-2725
1891 VALENCIA AV CBAD
PME
2072740900 Lot#: 0
STRANDBERG RES-REPLACE FAU
& NC UNITS-SAME LOCATION
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/07/2015
RMA
07/07/2015
07/07/2015
ERUDITE COMFORT SOLUTIONS STRANDBERG CRAIG E&ANNIELAINE E
772 CORONA DR
OCEANSIDE CA 92057
760 231-8631
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
1891 VALENCIA AVE
CARLSBAD CA 92008
$0.00
$0.00
$160.00
$0.00
$160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due:
Inspector:
FINALAtPPROVfil.
Date: !{ • Z 1 ·(J Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition· of fees, dedications, reservations, or other exactions hereafter collectively
referred to as 'fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/ xa lions of which ou have r viou I een iven a NOTI E imilar t this or as t whi h th tatute of limitati n h s r viousl th rwi x ired.
I
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING
{ City of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
□BUILDING □FIRE
Plan Check No.
Est. Value
Plan Ck. Deposit
PHASE# # F UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME
3 J
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
R.e. f f '-.c.e -h!>~e l. h e(A._ k~ +-;A-c... 0~~
EXISTING USE
APPLICANT NAME
Primary Contact
ADORE~? l.
PHONE 7
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
PROPOSED USE
FAX
STATE
FAX
PATIOS (SF) DECKS (SF)
ADORES
7 CITY
PH
EMAIL
ZIP CITY (!)
PHONE
EMAIL
STATE LIC. # STATE LIC.#
'3 '
STATE
(A--
FAX
CLASS
SWPPP
ONSTR. TYPE OCC. GROUP
FIRE SPRINKLERS
vesO NoD
ZIP )._QS 7
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, prior to its iss e, also requi s the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Sectio 7000 of Division 3 of the Business and Professions Code} or !hat he 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)).
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declaraffons:
□ I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued.
~ I have and will maintain work 'c mpensation, as roouired bv Section 3700 of the Latp Code. for the pertormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
numberare:tnsuranceCo. • , h ..I PolicyNo. q//~3~ ExpirationDate /o/21,//S-
~section need not be completed tt the permit is for o hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pertormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Cairtomia. WARNING: Failure to secure workers' compensatio unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as d 3706 of the Labor code, Interest and attorney's fees.
_8S CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□
□
□
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 ottered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himseH or through his own employees, provided that such improvements are not intended or ottered 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 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, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section _____ ,Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes
2. I (have / have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone / contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons lo provide the work indicated (include name I address I phone I type of work):
_8S PROPERTY OWNER SIGNATURE DATE
' Is the applicant or future building occupant required to submit a business pla~ely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acr? Yes C? ,r.--..,
Is the applicant or future building occupant required to obtain a permit from t~e air pollution control district or air ~nagement district? Yes ~
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes ~ IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
ce of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Address
I certify lhatl have read 1he application and slate that 1he above lnfonnation ls conect and lhat1he lnfonnation on the plans ls aa:urate. I agree ID complyv.ith all City ordinances and Sta1B laws relating ID building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above menooned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS TI-IE CITY OF CAALSBAD
AGAINST ALL LIAflllfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SIIID CITY IN CONSEQUENCE OF TI-IE GRANTING OF THIS PERMIT.
OSHA: An OSHA penntt is requred for excavations over 5'0' deep and demolitoo 0< structon of structures over 3 stolies in height.
EXPIRATION: Every pennrt issued by the Building Offcial under the provisoos f th' shall expire by limi1aoon and berome null and voo J the building 0<'M'.lf1< aulholized by such permit is not oommenced v.ilhin
180 days from the date of such permrt or if the building or • it is suspended 0< abandoned at any time after the \\Ork is oommenced bra per'oo of 180days (Secfun 106.4.4 Unoorm Building Code).
~ APPLICANT'S SIGNATURE DATE &7 7 / ~
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CEflTIFICATE OF OCCUPANCY fCommcrc,;il Pr0JCCt~ 0 11 I y I
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, ~alifomia 92008.
I CO#: (Offlce Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICKUP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB#
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION
,IS APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB152093 Type: PME
Date Inspection Item
08/27/2015 43 AirCond/Furnace Set
08/27/2015 43 AirCond/Furnace Set
08/27/2015 49 Final Mechanical
08/27/2015 49 Final Mechanical
Thursday, August 27, 2015
Inspector Act
RI
PD AP
RI
PD AP
STRANDBERG RES-REPLACE FAU
& A/C UNITS-SAME LOCATION
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