HomeMy WebLinkAbout1753 VESPER LN; ; CB131643; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
07-1 0-2013 Permit No: CB131643
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
1753 VESPER LN CBAD
PME
2158810804
EDMISTON RES-NEW A/C UNIT
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
HOME NC READY-NO NEW ELECTRIC
Applicant:
AMBIENT HEATING & AIR
3037 COLUMBIA ST
SAN DIEGO
92103
619-454-4975
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
EDMISTON L TRUST 12-19-08
1753 VESPER LN
CARLSBAD CA 92011
ISSUED
07/10/2013
RMA
07/10/2013
07/10/2013
$0.00
$0.00
$154.00
$0.00
$154.00
Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: 7-2 Z • I 3 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
f I x i n f w • h v r vi I n iv n N Tl E imil r hi r whi h h f l"mi i n h I h rwi
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH O HAZMATIAPC0
~ «-'~ ~ CITY OF
CARLSBAD
JOB ADDRESS
CT/PR JECT #
/tJ~
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITU/SPACEf/UNITI
# BEDROOMS # BATHR MS TENANT BUSINESS NAME
SWPPP
EXISTING USE PATIOS (SF) DECKS (SF) FIREPLACE
YESO N<Q
FIRE SPRINKLERS
YES□No□
APPLICANT NAME (Secondary Contact)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
PROPERTY OWNER NAM o.
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # CLASS c --
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its iss ance, a o requires th 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 Section 7000 of Division 3 o Business and Professions Code) or that 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: I hereby affirm under penalty of perjury one of the following declarations: D 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. D I have and will maintain wor1<ers' compensation, as required bv Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No._______________ Expiration Date _________ _
ion need not be completed tt th
·r.cate of Exemption: I •
. WARNING: Failur
to the cost of compe
y any person in any manner so as to become subject to the Workers' Compensation Laws of
yer to criminal penalties and civil fines up to one hundred thousand dollar.; (&100,000), in
mey's fees.
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 struclure is not intended or offered 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 himsett or through his 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 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 lhereon, 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 O No
2. I (have / have not) signed an application for a building permit for the proposed work.
3. I have contracted wilh the following person (firm) to provide the proposed construction (include name address I 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 /address/ phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the wort< indicated (include name/ address I phone / type of work):
2S PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or futura building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Prasley-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or futura building occupant required to obtain a permit from the air pollution control district or air Quality management district? Yes No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes No
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.
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
•
t ce11ify that I haw read the application and state that the above lnlonnation is correct and that the inlonnation on the plans is accurate. I agree to oornply~th all City ordinanoes and State laws relating to building construction.
I hereby aulhorize representative of the City of Gar1sbad to enter upon the above menooned property br ins • -=---. E TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUOOMENTS . .a,...,,-;;;-:;::>,coc ,..__.,., ... ...:::-::,,,... ONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA AA OSHA permn is required for
EXPIRATION: Every permit issued by voiJ d the buiKling or v.Ol1I authorized by such permit is not oornmenced v,;111in
180days from the date of such permn v.oril is oornmenced for a period of 180 da Seeton 100.4.4 Unifoon BuiKling Code).
~ APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CEI/TIFICAlE OF OCCUPANCY (Commcrc1ttl PrOJt'Ct~ on I y I
Fax (760) 602-8560, Email buildinq@cartsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office 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
PICK UP: CO NT ACT (Listed above I 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
~ APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB131643 Type: PME
Date lnspection~m
07/19/2013 43 AirCond/Furnace Set
07/19/2013 43 AirCond/Furnace Set
07/19/2013 49 Final Mechanical
07/19/2013 49 Final Mechanical
Monday, July 22, 2013
Inspector Act
PB
PB
RI
AP
RI
AP
EDMISTON RES-NEW A/C UNIT
HOME A/C READY-NO NEW ELECTRIC
Comments
GATE CODE 4273
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