HomeMy WebLinkAbout2809 VIA TOPACIO; ; CB160447; Permit◄
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
03-28-2016 Permit No: CB160447
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2809 VIA TOPACIO CBAD
PME Status:
Parcel No: 1673303400 Lot#: 0 Applied:
ISSUED
02/04/2016
RMA
02/04/2016
02/04/2016
Reference#:
PC#:
Project Title:
Applicant:
FRAZIER RES-REPLACE FAU-SAME
LOCATION & 3 DUCTS
ACTION AIR COND & HEATING-SD
2750 S SANTA FE AV
SAN MARCOS CA 92069
760 727 4152
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
SHALOM FRAZIER & BOB LLOYD
2809 VIA TOPACIO
CARLSBAD CA 92010
760 579-8573
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector: ~ FINA
Clearance: _____ _
$0.00
t-OTICE: Aea9e take t-OTICE thct ~ d }OJ' f:,ftjed irdLKES the "lrrµ:stiai' d fees, dedaiicos, re5efVcmlS, a ether exa:iioos t-er'IBler coledivay
referred to as "fees'exadicos." Ycu rave 00 days frcrn tte dale ttis J:BTl'll Yas i$Ul:ld to ~est i~ d these fees'exadicos. If~ ~ tt-a:n, ~ m.st
fdlON the ~est ~ set fath in ~ C.od3 Sedioo Ea:lZXa), a-d file the~ a-d any ether nq.ired irtCJTrOOO'l wth tte Qty~ fa
pcaissi~ in ac:mdacewth Ca1stm Mrid!B C.od3 Sedioo 3.32.CID. FaluetotirrelyfdloNthct pu::ectrewll ta" anySl.tseqJert legi cdion toatta::k,
review, set aside, \cid, a ~ tteir ifllXl,iti<n
Ycu ere herebf FtRTI-ER t-OTIFlEDtt-at }OJ' rigt to~ the specified fees'exa:ticrs c::x:::ES !\Of APPL Ytovaer a-d SEMEi' artYldicr'I fees a-d ~
dm!J9S, na ~l"G zxril"G gad~ a ether sirrila-Wicaion pcaissi~ a set'\1C8 fees in artYldicr'I wth ttis i:rqect. t-rn c::x:::ES IT APPLY to any t . wi • • ·ml • wi lini • • •
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING
(cicy of
Carlsbad
JOB ADDRESS -zaoq v,~ To
C. 70000
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/UNITf
# BEDROOMS #BATHR
□BUILDING □FIRE □HEALTH O HAZMATIAPCD
Plan Check No.
l;st. Value
SWPPP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES[]#_ No[J YES 0 N00 YES0 N00
APPLICANT NAME
Pr/mar Contact e::. ~o'c h°'--;i,ec
ADDRESS AD
3 \ 2.v;;;; Lo.. \?:.c;,. :\'r-2 \"':> 2209 V,""' \o O>.C)O
CITY STATE ZIP CITY STATE ZIP
t...)e!'..+\ o:..\<.e-e.. CA.. q \;,C.:,,z.. Co-.T\sh-.d. C--A. 92..010
PHONE FAX PHONE FAX
8\8-,~-787l.o , 1c, o-b 7 "I -'is' & 7
EMAIL EMAIL
DESIGN PROFESSIONAL
r
ADDRESS
a_ ..
CITY STATE ZIP STATE
ct'2.0<o
PHONE FAX FAX
I.Sc..
EMAIL
STATE UC.# STATE UC.# CLASS CHY BUS. UC.# sog<aos;-c....z..o 4,9-aoo
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ 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 w,th 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 ($5001).
have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of lhe Labor Code, for the performance of lhe work for which this permit is issued.
p-.J.ll;illlB and will maintain wor1<ers' compensation, as required by Section 3700 of the Labor Code, for lhe performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. ::c:;._$ Co ~ Tn"'-w~t Policy No. L) 4 D 50-Z..<i?'tC...S o, Expiration Date \:Z,~ I, L«
~section need not be completed W the permit is for one hundred dollars (S1CJO) or less. LJ 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
Cal~omla. WARNING: Failure to secure wor1<ers' 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.
85 CONTRACTOR SIGNATURE s;:-~ ~ DATE
I hereby affirm that I em exempt from Coofrllclo,'s License Law /or the following reaStJn:
□
□
□
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the sll\JClure is not intended or offered for sale (Sec 7044, Business and Professions Code: The Contractofs
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 buiden 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 Contracto(s License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractOljs) 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 construct.ion of the proposed property Improvement. O 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 I contractors' license number):
4. 1 plan to provide portions of the work, but I have hired the following person to cooidinate, supervise and provide the major work (include name I address I 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):
85 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 txilding 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 t have read the applicatlon and state that the above infonnation Is oonectand that the lnlonnatioo on the plans Is accurate. I agree to comply'Mth all City ordinances and State lal\S relating to bulldingconstructlon.
I hereby aulhorize rej)eSerltative of the City of Carlsbad to enter UIX)rl the above mentioood ~ b-inspecoon purp:ises. I ALSO AGREE TO SAVE, INDEMNIFY N-JO KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LI.ABILITIES, JUDGMENTS, COSTS..V.D EXPENSES WHICH MAY IN MN WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA penmk is requred for excavations O'Jef 5'(J deep and demolioon or oonstructioo of slrudures O'Jef 3 sklries il height.
EXPIRATION: Every permit issued by the Building Offcial under the provisons of this Code shall expire by linitalioo and beoome nun and voo ff the buik:ling or IIOrk authorized by such permit is not oommenood \Whin
180days from the date of such penmk or if the buildilg or\\Ork authorized by such permij is suspended or abandoned at anytime afk!r the \\Ork is CXlllV1'1enQ'ld b-a period of 100days (Sedbn 100.4.4 Unib-m Building Code).
Ji:S 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.
Fax (760) 602-8560, Email buildinq@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELNERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Llstod above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL / FAX TO OTHER: _________________ _
A$ APPLICANT'S SIGNATURE
ASSOCIATED CB#-------------
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
DATE
ZIP
. . .
Inspection List
Permit#: CB160447 Type: PME
Date Inspection Item
03/31/2016 43 AirCond/Furnace Set
03/31/2016 43 AirCond/Furnace Set
03/31/2016 49 Final Mechanical
03/31/2016 49 Final Mechanical
Thursday, March 31, 2016
Inspector Act
AEK
AEK
RI
AP
RI
Fl
FRAZIER RES-REPLACE FAU-SAME
LOCATION & 3 DUCTS
Comments
AM PLEASE
AM PLEASE
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