HomeMy WebLinkAbout2813 VIA DIEGO; ; CB153648; Permit09-21 -2016
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB153648
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2813 VIA DIEGO CBAD
PME Status: ISSUED
10/27/2015
RMA
10/27/2015
10/27/2015
Parcel No: 1673003200 Lot #: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#:
Project Title:
Applicant:
PELZ RES-NEW NC UNIT-NO NEW
ELECTRIC
R & R HEATING & NC
STE 398
1804 GARNET AV
SAN DIEGO CA 92109
866 7 40-2999
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
PELZ CYNTHIA
2813 VIA DIEGO
CARLSBAD CA 92010
Issued:
Inspect Area:
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: 1-21..-l t Clearance: _____ _
$0.00
NOTICE: Please take NO ICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refenred 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 f i h I hi f imi i n h I
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
□BUILDING □FIRE
Plan Check No. · C_cicyof
Carlsbad www.carlsbadca.gov SWPPP
JOB ADD~.f \ ~ SUITEt/SPACEt/UNIT
CT/PROJECT# LOT# PHASE# # OF UNITS # BATHROOMS CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Afrected Area(s) , ;r "-~ I( A-/c... Jti, 1+
EXISTING USE
APPLICANT NAME
Primary Contact
ADDRESS
PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES[) NcQ
ADDRESS
28-1"3 //,'~ Dir c
AIR CONDITIONING
YES □No □
FIRE SPRINKLERS
YES□No□
CITY STATE ZIP ATE
('l,f
ZIP (Jzc,; I c)
PHONE FAX PHONE FAX 7vu-&P7-,~o,
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME f2a.
ADDRESS
CITY STATE ZIP STATE
(' J.f-
ZIP
(}2109
PHONE FAX PHONE FAX
7&0 -0
EMAIL EMAIL
1-+ vAc 12
STATE LIC. # CLASS C.2-o
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair ant structure. prior to its iss applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Cha'fter 9, commending with Sec Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 703 .5 by any applicant for a permi civil penalty of not more than five hundred dollars ($500)). . . .
WORKERS ' COMPENSATION ,,,, ~ ' ~ "~~ ,. "' "' . "' ,._ .. "" ~ «~ ,.,, _,_ -"
Workers' Compensation Declaration: I hereby affi1171 under penalty of perjury one of the following dec/araffons:
~ I have and will maintain a certificate of consent to self-insure for workers' compensatkln as provided by Sectkln 3700 of the Labor Code, for the perfonnance of the work for which this penn~ is issued.
~ I have and will maintain workers' compensation, as reQuired by Section 3700 of the Labor Code, for the perfonnance of the work for which this permil is issued. My workers' compensation insurance ca • rand policy
number are: Insurance Co. /v'/ ~ I' /( e. PolK:y No. .n1 W C " 0 1 9 $'."(p Y Expiration Date I O O b
~section need nol be compleled rt lhe permitls for one h red dol ($100) or less. LJ Certificate of Exemption: I certify that in the pe ance of work for which this pennit is issued, I shaD not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Calrtomia. WARNING: Failure to secure work compe ation 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, damage ed for in Section 3706 of the Labor code, Interest and attorney's fees.
,€f CONTRACTOR SIGNATURE
I hereby affi1171 that I am exempt from Contractor's Ucense Law. or the following reason:
□
□
□
I, as owner of the property or my employees with wag as their sole compensation, will do the work and the structure is not inlended or offered for sale (Sec. 7044, Business and Professklns Code: The Contractor's
License Law does not apply to an owner of property o builds or improves thereon, and who does such work himse~ or through his own employees, provided thal 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 lor 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 !hereon, and contracts for such projects with conlractor(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 0No
2. I (have I have not} signed an application for a building pennit for the proposed work.
3. I have contracted with the following person (finn) to provide the proposed construction (include name address I 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 / 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 / phone I type of work):
,€f PROPERTY OWNER SIGNATURE □AGENT DATE Oc +-2 7 2 c),;
Inspection List
Permit#: CB153648 Type: PME
Date Inspection Item
09/22/2016 43 AirCond/Furnace Set
09/22/2016 43 AirCond/Furnace Set
09/22/2016 49 Final Mechanical
09/22/2016 49 Final Mechanical
Friday, September 23, 2016
PELZ RES-NEW A/C UNIT-NO NEW
ELECTRIC
Inspector Act Comments
RI EARLY AM/SEE RACHEL
JW AP
JW
RI
AP
EARLY AM/SEE RACHEL
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