HomeMy WebLinkAbout2859 VIA CONQUISTADOR; ; CB122113; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
10-16-201 2 Permit No: CB122113
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
Applicant:
2859 VIA CONQUISTADOR CBAD
PME
2225920300 Lot#:
FINNEY:DD 2 NEW CONDENSORS &
COILS TO A/C READY HOME
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/16/2012
JMA
10/16/2012
10/16/2012
OAK ISLAND HEATING AND AIR
STE 103
FINNEY FAMILY 2002 TRUST 10-16-02
1250 PACIFIC OAKS PL
ESCONDIDO CA 92029
760 839-8383
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2859 VIA CONQU ISTADOR
CARLSBAD CA 92009
$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: /f-9,/v 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 ·tees/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
0 ENGINEERING □BUILDING □ARE □HEALTH 0HAZMAT/APCD TIIE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING ~._ ______ ...._ __________________________________ _,_ __________ ..,..... ____________ _.
Plan Check No. GB (2 · ? \ \ 2-«~~ ~ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: buldllng@carlsbadca.gov
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
Est. Value
Plan Ck. Deposit
Date lO (p ( l--Z..... SWPP
APN
BEDROOM # BATHR M TENANT BU INE NAME
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
A-00 TWo
HoMe,
A-/\lf) Co1LJ f(J A/c /7L)41Jy
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES □#_ NO □
AIR CONDITIONING
YES □ NO □
FIRE SPRINKLERS
YES □ NO 0
APPLICANT NAME ,secondary Contact)
ADDRESS
CITY STATE ZIP
PHONE FAX
0
ARCH/DESIGNER NAME & ADDRESS STATE UC.# CLASS c -~o CITY BUS. UC.#
.;>-I _;}-7 I 0
(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 {$500)).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-Insure for workers· compensation as provided by Section 3700 of the Labor Code, for lhe pertormance of the work for which this permit is issued.
~ have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. e Ve)'.1€ s-r N A-floA>,) '4-L Policy No. 7t, 0 1/0(I() (.p 1 £ I c'?-t Expiration Date l -/-I J
This section need not be completed if the permit is for one hundred dollars (S100} or less. 0 Certificate of Exemption: I certify that in the pertormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, dam g s a provided for in Section 3706 of the Labor code, Interest and attorney's fees.
_,6$ CONTRACTOR SIGNATURE □AGENT DATE
I hereby affirm that I am exempt from Contractor's Ucense 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 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 ot 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. □ Yes □ No
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 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 to provide the work indicated (include name I address / phone I type of work):
_,6$ 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 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 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
I certify that I have read the application and state that the above infonnation is correct and that the lnfonnation on the plans is accurate. I agree to comply with all City ordinances and State Jaw.; relating to building construction.
I hereby authorize re~lalive of the City of Carlsbad to enter upon the alxlve mentioned property for inspectioll pufJX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, CCSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pennrt is required for excavations over 5'0' deep and demolition or construction of slructures over 3 stories il height.
EXPIRATION: Every penmit issued by the Buikling ·aI under the provisions of this Code shall expire by limrtation and become nuU and voe ff the building or 'Mll1I authorized by such penmit is nol commenced v.ithn
180 days from the dale of such permit orif the bu authorized by such pennrt is suspended or abandoned at any time after the 0011< is commenced fora periJd of 180days (Section 106.4.4 Unifonn 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.
CERTIFICATE OF OCCUPANCY fCommcrc1al ProJCCtS on I y I
Fax (760) 602-8560, Email www.building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. l 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: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATED CB#
□ MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION
□MAIL/FAX TO OTHER: o CHANGE OF USE / NO CONSTRUCTION
,IS APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB122113 Type: PME
Date Inspection Item
11/08/2012 43 AirCond/Furnace Set
11/08/2012 43 AirCond/Furnace Set
11/08/2012 49 Final Mechanical
11/08/2012 49 Final Mechanical
Friday, November 09, 2012
Inspector Act
PB
PB
RI
AP
RI
AP
FINNEY:DD 2 NEW CONDENSORS &
COILS TO AJC READY HOME
Comments
8-10 PLS
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