HomeMy WebLinkAbout2813 VIA TOPACIO; ; CBR2017-0122; PermitPrint Date: 01/31/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
2813 Via Topacio
BLDG-Residential
1673303600
$0.00
MONCK: REPLACE FURNACE
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www.carlsbadca.gov
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Owner:
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
Permit No: CBR2017-0122
Closed -Finaled
01/18/2017
01/18/2017
TRUST MONCK LIVING TRUST 07-28-11
2813 Via Topacio
THOMPSON HEATING AND AIR
CARLSBAD,CA 92010
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $166.00 Total Payments To Date: $166.00
1980 Peacock Blvd, Ste C
Oceanside, CA 92056-3581
760-842-7630
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
$166.00
$0.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
( Cicyof
Building Permit Application Plan Check No.C,BR2Q11-0/2,L
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date \-\ ~ -\ 7 lswPPP
JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 2813 VIA TOPACIO ---
CT/PROJECT H I LOT# I PHASE# I# OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. 1YPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
REPLACE FURNACE, SAME LOCATION
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES O NoCJ YES □No□ YES□No□
APPLICANT NAME MARY-ANNE MONCK P•'"•-r •• ,.-
PROPERTY OWNER NAME MARY-ANNE MONCK
ADDRESS ADDRESS
2813 VIA TOPACIO 2813 VIA TOPACIO
CITY STATE ZIP CITY STATE ZIP
CARLSBAD CA 92010 CARLSBAD CA 92010
PHONE YAX PHONE IFAX 760-415-5987 760-415-5987
EMAIL MAEMAIL@XPOADCO.COM
EMAIL
MAEMAIL@XPOADCO.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Thompson Heatina and Air Conditionina
ADDRESS ADDRESS 1980 Peacock Blvd. Ste. C -
CITY
-~ STATE ZIP CITY STATE ZIP
Oceanside CA 92056
PHONE -
~FAX
-PHONE I FAX 760-842-7630 -EMAIL EMAIL contact@,thacc.net
~ --ISTATELIC # STATE UC.# I CLASSC20 I CITY BUS LIC 1240618 974400
(Sec. 7031.5 Business and Professions Code: Any City or County wh,ch requires a permit lo.construct. alter, improve, demolish or repair any structure, prior to ,ts issuance. also requires the applicant for such permit to file a signed statement thal he Is licensed pursuant to the provIsIons of the Contractor's License Law !Chapter 9. commending with Section 7000 of D1v1s1on 3 of the Business and Professions Code) or [hat he Is exempt therefrom, and the basis for the alleged exemption. Any v1olatIon of Section 7031.5 by any applicant for a perm,t subJects the applicant to a
c,v,I penally of not more than five hundred dollars ($500)).
Workers' Compensation Declaration. I hereby affirm under penahy or perjury one of the following declararions: D I have and will maintain a certificate of consent to self-insure tor workers· compensatKJn as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued
[Z] I have and will maintain workers' compensation, as reQuired bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatKJn insurance carrier and policy
number are: Insurance Co. NORGUARD INSURNACE COMPANY Policy No. THWC700341 Expiration Date 4/7/2017
J:M,section need not be completed if lhe permit Is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify thal 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 lhe 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, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees •
.f!:S CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Conrracror's License Law for rhe fol/ow1i1g reason:
I, as owner of the property or my employees with wages as their sole compensation, will do the work and lhe structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself 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).
□
0
□
I, as owner of the property, am exclusively contracting with licensed contractors to construct lhe 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 malerials for construction of the proposed property improvement. 0 Yes 0 No
2. I (have I 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 / 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 lhe work indicaled (include name I address / phone / type of work) •
.f!:S PROPERTY OWNER SIGNATURE (2]AGENT DATE 1 /16/17
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? D Yes D No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management d1stnct? D Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 ha...e read the application and state that the above information is conect and that the information on the plans is aOCtJrate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authonz.e representative of the City of Carlsbad to enter upon the above mentioned property f0< inspection 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 penntt is required f0< excavations over 5'0' deep and demolition 0< construction of structures over 3 stories in height.
EXPIRATION: Every pennit issued by the Building Official under the provisions of this Code shall expire by limttation and become null and void ff the building 0< wOl1( authorized by such pennit is not commenced v.ithin
180 days from the date of such pennit 0< if the building 0< wOl1( authorized by such penmtt is suspended 0< abandoned at any time after the wOl1( is commenced fO< a period of 180 days (Section 106.4.4 Uniform Building Code).
l ,1#5 APPLICANT'S SIGNATURE DATE 1/16/17
PERMIT INSPECTION HISTORY REPORT (CBR2017-0122)
Permit Type: BLDG-Residential Application Date: 01/18/2017 Owner: TRUST MONCK LIVING TRUST
07-28-11
Work Class: P/M/E Issue Date: 01/18/2017 Subdivision:
Status: Closed -Finaled Expiration Date: 07/31/2017 Address: 2813 Via Topacio
Carlsbad, CA 92010-1358
IVR Number: 1496
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete
01/31/2017 01/31/2017 BLDG-43 Air 011985-2017 Passed Andy Krogh Complete
Cond./Fumace Set
BLDG-Final 011986-2017 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Mechanical Final Yes
January 31, 2017 Page 1 of 1