HomeMy WebLinkAbout1254 VERONICA CT; ; CB141226; Permit06-04-2014
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
PRO AIR CITY WIDE
STE 502
2514 JAMACHA RD
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB141226
Building Inspection Request Line (760) 602-2725
1254 VERONICA CT CBAD
PME
2145511000
MAVRITTE RES= CHANGE OUT
NC CONDENSER SAME LOC
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
MAVRITTE FAMILY TRUST 06-18-99
1254 VERONICA CT
ISSUED
06/04/2014
LSM
06/04/2014
06/04/2014
EL CAJON CA 92019
858 277 -3048
CARLSBAD CA 92011
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Total Fees: $158.00 Total Payments To Date:
Inspector:
$0.00
$0.00
$158.00
$0.00
$158.00
$158.00 Balance Due:
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/exactions of which ou hav reviousl been iven a NOTICE similar to this or as to which the statute of limitation has reviousl therwise ex ired.
THE FOLLOWING APPR'WALS Rf:QUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATJAPCO
~ «.~::1» Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. CB 14 { r~
~ C I TY OF
Est. Value
Plan Ck. Deposit CARLSBAD Date ~ s ( SWPPP
JOB ADDRESS SUITEf/SPACEf/UNIU APN
CT/PR JECT # . LOT# # OF UNITS # BEDROOMS # BATHROOM TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Pr/ C!. C!. O"-P€/'I s €/"" ~ e ou... r
~~ COQ.A--'TlO~
EXISTING USE PATIOS (SF)
APPLICANT NAME PROPERTY OWNER
ADDRESS
1)/ CITY STATE ZIP
FAX PHONE FAX
EMAIL EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY STATE ZIP
PHONE
EMAIL
STATE UC.#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair an1 structure, prior to its issuance, also requires 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 Section 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}}.
Wor11ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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 wor1< tor which this permit is issued. 0 I have and will maintain wor11ers' compensation, as reQuired by Section 3700 of the Labor Code, for the pertormance of the wor1< for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co .. ______________________ Policy No. ______________ _ Expiration Date _________ _
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 wor1< and the structure 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 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:
f. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 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 I contractors' license number}:
4. I plan to provide portions of the wor1<, but I have hired the following person to coordinate, supervise and provide the major wor1< (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 to provide the wor1< indicated (include name / address/ phone I type of wor1<}:
~ PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention p,ogram under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or future building occupant required to obtain a penmit 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 boundaty 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).
Lenders Name Lenders Address
I certify that I have read the application and s1ate that the above infonnation Is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby aulhorize rep-esentative of the City of Carlsbad lo enter upon the aoove mentioned property for inspection pulJX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA penmn is required for excavations over 5'0' deep and demolni:>n or constructi:>n of structures over 3 stories in height.
EXPIRATION: Every penmil issued by the Buikling Offcial under the provisi:>ns of this Code shall expire by Im nation and become null and 'loi:l W the buikling or l'.O!k authorized by such penmil is not commenood v.ithin
180 days from the dale of such penmn or if the buikl' or authorized by such penmn is suspended or abandoned al any time after the 1\1'.lfk is commenoed for a period of 180 da (Section 100.4.4 Unifonm Buikling Code).
,/iS APPLICANT'S SIGNATURE DATE -4-/
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CEf?TIFICATE OF OCCUPANCY /Commcrc,al Proiects on r 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, 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: 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
kS APPLICANT'S SIGNATURE DATE
. . .
Inspection List
Permit#: CB141226 Type: PME
Date Inspection Item
09/18/2014 43 AirCond/Furnace Set
09/18/2014 43 AirCond/Furnace Set
09/18/2014 49 Final Mechanical
09/18/2014 49 Final Mechanical
Thursday, September 18, 2014
Inspector Act
SP
SP
RI
AP
RI
Fl
MAVRITTE RES= CHANGE OUT
A/C CONDENSER SAME LOC
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