HomeMy WebLinkAbout2507 VIA ASTUTO; ; CB132501; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
10-11-2013 Permit No: CB132501
Building Inspection Req uest Line (760) 602-2725
Job Address:
Permit Type:
2507 VIA ASTUTO CBAD
PME Status:
Parcel No: 1673601300 Lot #: 0 Applied:
Reference #:
PC#:
Project Title:
Applicant:
POWERS RES-REPLACE EXISTING
FURNACE
ASPEN COOLING & HEATING INC
STE 207
3720 OCEANIC WY
OCEANSIDE CA 92054
760-754-2625
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Owner:
POWERS JEFFREY D
2507 VIA ASTUTO
CARLSBAD CA 92010
Issued:
Inspect Area:
ISSUED
10/11/2013
LSM
10/11/2013
10/11/2013
$0.00
$0.00
$158.00
$0.00
$158.00
Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due:
Inspector: f".\. ~,. 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 / X i n whi h h V r vi I n iv n N T E imi r hi h' h h I imi i r vi I
l'" THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD
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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. Q..B f ':, :::l-SO /
~ CITY OF
CARLSBAD
Est. Value
Plan Ck. Deposit
Date 10 1 \ I 3 SWPPP
SUITEI/SPACEf/UNITf APN JOB ADDRESS 2 • SD
CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES[)!
AIR CONDITIONING
NO□ YES□No□
FIRE SPRINKLERS
YESO NoD
APPLICANT NAM APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
Z1u
CITY STATE ZIP
PHONE FAX
EMAIL
PROPERTY OWNE 4
ADDRESS ADDRESS
AS 7V7i> 5
CITY STATE ZIP CITY
Ix.
FAX PHONE
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.#
-g-,(1)5:5}
CLASS CITY BUS. UC.#
I;,..;>. 3 1 eo
(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 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)).
Wor1<ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q
have and will maintain a certificate of consent to self-insure for woil<ers' compensation as provided by Section 3700 of the Labor Code, for the performance of lhe woil< for which this permit is issued.
I have and will maintain workers' compensation, as reQuired by Section 3700 of the Labor Code. for the performance of lhe woil< for which this penrit is issued. My woil<ers' compensation i~rance .cap;er and policy
number are: Insurance Co. @ l;;(Zl!:!57 /V'll-71 II /vl1"'l..-Policy No. 7 u O 00 11 37 :!f I 3 I Expiration Date _---'~=-+/_I_Y~---
This section need not be completed rt the penrit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance 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 Woil<ers' Compensation Laws of
Calrtomia. WARNING: Failure to secure workers' mpensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
□
□
OWioili.l~~~~lli,..pl:QXll!' ~•d!!._f~o!:,r 'ill Section 3706 of the Labor code, interest and attorney's fees.
n ce
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 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 himse~ 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 conslruct 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:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes 0 No
2. I (have/ have not) signed an application for a building permit for the proposed woil<.
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 woil<, but I have hired the following person to coordinate, supervise and provide the major woil< (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 woil< indicated (include name / address I phone I type of woil<):
_KS 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 program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acri Yes No
Is the applicant or future 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 affinm that there is a construction lending agency for the perfonmance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I certify thatl have read the application and state that the above Information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and S1ate law.. relating 10 building cons11'Uction.
I hereby authorize representative of the City of Carlsbad to enter UIX)fl the above mentioned property for ilspecfun purposes. 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 permtt is requred for excavations over 5'0' deep and demolttion or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the BJilding Official under the provisbns of this Code shall expire by lmttation and become null and void rt the building or v.ork authorized by such permit is not commenced v.ithil
180 days from the date of such permit or if the bulding or authorized by such permtt is suspended or abandoned at any time after the v.ork is oommenced for a peri:Jd of 180 days (Seeton 106.4.4 Unoorm BJilding Code} .
.NS APPLICANT'S SIGNATURE DATE /J JI /3
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE Of OCCUPANCY (Commerc1,1I Pro1ect, on 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, 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. UC. 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
_A! APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB132501 Type: PME
Date Inspection Item __ _
10/17/2013 43 AirCond/Furnace Set
10/17/2013 43 AirCond/Furnace Set
10/17/2013 49 Final Mechanical
10/17/2013 49 Final Mechanical
Friday, October 18, 2013
Inspector Act
RI
MC AP
RI
MC Fl
POWERS RES-REPLACE EXISTING
FURNACE
Comments
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