HomeMy WebLinkAbout2811 VIA CONQUISTADOR; ; CB130417; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
02-21 -2013 Permit No: CB130417
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2811 VIA CONQUISTADOR CBAD
PME Status:
Parcel No: 2225923900 Lot #: 0 Applied:
ISSUED
02/21 /2013
JMA
02/21/2013
02/21/2013
Reference #:
PC #:
Project Title: ZIVKOVIC: REPLACE FAU/SAME LOC
Applicant:
T H A HEATING & AIR, INC
STE 0
4888 RONSON CT
SAN DIEGO CA 92111
858 571 8865
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
ZIVKOVIC JOVAN&TINA
2811 VIA CONQUISTADOR
CARLSBAD CA 92009
$0.00
$0.00
$154.00
$0.00
$154.00
Total Fees: $154.00 Total Payments To Date: $1 54.00 Balance Due:
Inspector: r1:'\· ~< 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
,.
«~~ ,, . Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Plan Check No. C'B\ 3 ()Lf \
~ CITY OF
CARLSBAD Fax: 760-602-8558
www.carlsbadca.gov
Est. Value
Plan Ck. Deposit
Date SWPP
SUITE#/SPACE#/UNIT#
# BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE O . GROUP
EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES □ # __ NO □ YES □ NO □ YES □ NO □
APPLICANT NAME /Primary Contact) APPLICANT NAME (Secondary Contact)
ADDRESS
CITY STATE ZIP
PHONE FAA
ARCH/DESIGNER NAME & ADDRESS STATE UC.#
(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 0ivislon 3 of the 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 pe,jury one of the following declara#ons:
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 perto,mance of the work for which this permit is issued.
0 I have and will maintain worke ' co".'p satio as requl d by Section 3700 of the Labor C for the pertorma1W of thwrk for which this permit is issued. My workers' compensa::!!urancecarrier and policy
number are: Insurance Co._L..J--1..'-'-'=--"--"CL?=---"'=-=-'=~---,~_._=--"-----="'-.Policy No. bQ~ L \,8 q7 ~ Expiration Date ~0
This section need not be completed if the permit is for one hundred dollars (S 1 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 Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crtmlnal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages terest and attorney's fees.
□AGENT DATE
I hereby affirm that I am exempt from Contfactor'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 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. □ 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/ 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 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 / address /phone / type of work):
J#S PROPERTY OWNER SIGNATURE
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 lo 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? D 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.
e of the work this permit is issued (Sec. 3097 (i) Civil Code).
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 State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter u~ the above mentilned property br inspedion pufJXJSes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AG/IINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permrt is required br excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Buikling Ofocial under the provisions of this Code shall expire by timitation and become nul and void ij the buikling or m authorized by such permit is not commenced wthin
180days from the date of such permrt or if the buicJing orv.ork authorized by such permrt is suspended or abandoned at anytime after the v.ork is commenced for a peood of 180days (Section 106.4.4 Uniform Buikling Code).
.,1$ APPLICANT'S SIGNATURE DATE ~ 1-/
Inspection List
Permit#: CB130417 Type: PME
Date Inspection Item
07/18/2013 43 AirCond/F urnace Set
07/18/2013 43 AirCond/Furnace Set
07/18/2013 49 Final Mechanical
07/18/2013 49 Final Mechanical
Inspector
MC
MC
ZIVKOVIC: REPLACE FAU/SAME LOC
Act Comments
RI 10-12 PM PLS IN GRG
AP NEW FAU, EXISTING LOCATION
RI
Fl
Friday, July 19, 2013 Page 1 of 1