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HomeMy WebLinkAbout2615 VIA ECO; ; CB160448; Permit02-04-201 6 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB 160448 Building Inspection Request Line (760) 602-2725 2615 VIA ECO CBAD PME 1673004100 Lot#: 0 CHAVEZ RES-ADD NEW NC UNIT WITH ELECTRIC, REPLACE FAU-SAME LOCATION Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/04/2016 RMA 02/04/2016 02/04/2016 ACTION AIR COND & HEATING-SD CHAVEZ REMY E 2750 S SANTA FE AV SAN MARCOS CA 92069 760 727 4152 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2615 VIA ECO CARLSBAD CA 92010 $0.00 $38.00 $163.00 $0.00 $201 .00 Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due: Inspector: Date: Clearance: $0.00 NOTlCE: Please take Cc ~ r:J yo.r ptjed irdudes the "I "tia1'' a fees, dedcaticrs, reservati01S, ex cttu exa:iiais l"ere3ter cdledivay re'ened to as "fees'exajjcrs." Yoo rave 00 days fran the date ths parrit v.as issued to prd.est in,:xisiti01 r:J tl1ese fees'exajja,s, If ,o.i prd.est It-en\ ,o.i rrust fci\ON the prd.est p,:iooo..res set forth in Q:,,,ar,rrot O:xJe Sedi01 amo(a), a"d file the JX(Jtest a"d ant dtu req_.ired infcxrrali01 wth the Oty ~ fcx p-a:essirJJ in a::xxrda"ce wth Ca1sboo M.ridpal O:xJe Sedi01 3.32.<m. Faih.re to tirre\y fcilo.,v that p-cx::edre wll ta-ant sutseq.a,t legal ooio, to attoo<, review, set aside, vcid, ex anJ tt-eir in,:xisitim Yoo cW'8 herecy Fl.Rn-ER NOTlAED that yo.r rigt to prd.est the specified fees'exajjcrs cx:ES NOf .APA.. Y to wi!i.er a"d seNer amedi01 fees ard ~ty ctmges, ra p\mrJJ, zairg, gairJJ ex cttu sirrila-~icatio, p-a:essirJJ cr service fees in amedi01 wth ths ptjed. !\CR cx:ES IT .APA... Y to ant f red. I THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE 0 HE~LTH 0 HAZMAT/APCD C_cityof Carlsbad JOB ADDRESS Zb l £"" V ,-c.. f: c..o Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEf/SPACEf/UNITI Plan Check No. Est. Value Plan Ck. o,posit {?,4-Date ~-/It/ ( h -APN CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) T"C""\,r.-\c::...\\ N -e.u 3·-\-o-r,... A/c....I ...... ~a.c.\L."Yo-."~, C..C;\, "Re.~\ 0.. Ce -;o I coo ~"'--' ~'-> '{"" '<' c-..c. c::.. ~ ---c.., O~C'"--\-- lswPPP I CONSTR. lYPE I occ. GROUP EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE YESO I AIR CONDITIONING IFIRE SPRINKLERS No[J YES ONO□ YES□ NO□ APPLICANT NAME ...--: PrlmaryContact ~C-"-C.""'-s;:;..\-.'°',~"e:r PHONE ~)'&-~-,871.,., EMAIL STATE CA 913ecz.. ZIP PRQ.PERTY OWNER ~ e.'IY\"" C'n.,.,,,r-z.... ADDRESS I Z.<c\S V,·c.. £c::...o CITY C ..o,.. r \-sb a...~ PHONE 1<.,0-t2C/'---Z.'8D) EMAIL STATE Cf-:2.010 ZIP DESIGN PROFESSIONAL CE NTR:xAqToR Bus. NltME W c:..Q.+-,"',. ' So\a.r ,,. 'o-,1 C. ~ ADDRESS ADDRESS I --z..,so s s-c..\--.~ .... k A.....,~ CITY STATE ZIP CITY STATE ZIP l<;.,,Y\. Mo..Y-C.OS CA q-z..oy:::; PHONE I FAX PHONE 1FAX 1<.o0-1'"2.r t+l 5'2- EMAIL EMAIL I STATE UC,# STATE UC.# I CLASS lc~;u~1~DO .£oq80S c.-z.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 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 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 ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations. D,i have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 or the Labor Code, tor the performance ot the work for which this permit is issued. _:!zg.u,ave and will maintain w~ compensation, as reouired by Section 3700 or the Labor Code. for the performance of the ~rk for which this ~rmit is issued. My workers' compensation ins:ran,e carrier and policy numberare:lnsuranceCo.~~-Co ofJ.. ~ \..Jz. PolicyNoWS.D ':;,(,?2.~1-·H~.,50) ExpirationDate \2 1:!.lJ-I\:) ~section need not be completed ~the permit is for one hundred dollars ($HJOJ or less. LJ Certificate of Exemption: I certffy that in the performance or 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 Cal~omia. WARNING: Failure to secure workers' compensatloo 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, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. H5coNTRACTORSIGNATURE ~~ ~~---- I hereby affirm that I am exempl 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 himseff 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 or 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. 0 Yes 0 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 I 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/ phone I 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 I phone I type of work): .K) 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 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 ISSUEO UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certifythatl have read the application and state that the above infom,ation 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 aulho!ize representative of the City of Carlsbad to enter upon the atxJve mentioned property i:>r inspection puf]X)SeS. I ALSO AGREE TO S<WE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBL\D ACJ\INST ALL LIABILfTIES, 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 demoltti::lo Of construction of structures over 3 stories in height. EXPIRATION: Every permtt issued by the Building Offx:;ial under the provisi::los of this Code shall expire by limitation and beco!re null and void ~ the building orv.or1< authorized by such permit is not oommenced within 100 days from the date of such permtt or if the build119 orv.or1< authorized by such permtt is suspended or abandoned at any time after the v.or1< is oommenced for a period of 100 days (Seeton 100.4.4 Uniform Building Code). ~APPLICANT'SSIGNATURE ~~ ~ 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. C l fl T l J I <. /\ 1 ::: OJ OCCUPANCY f C O nl rn C r C I ,l J r>ro1ccts on I y I Fax (760) 602-8560, Email buildinq@carlsbadca.gov or Mail the completed form to City of Cartsbad, Building Division 1635 Faraday Avenue, Cartsbad, 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 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 ,l!S APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB160448 Type: PME Date Inspection Item 04/21/2016 43 AirCond/Furnace Set 04/21/2016 43 AirCond/Furnace Set 04/21/2016 49 Final Mechanical 04/21/2016 49 Final Mechanical Monday, April 25, 2016 Inspector Act PY PY RI AP RI AP CHAVEZ RES-ADD NEW A/C UNIT WITH ELECTRIC, REPLACE FAU-SAME L Comments Page 1 of 1