HomeMy WebLinkAbout2504 VIA SORBETE; ; CB162005; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
05-20-2016 Permit No: CB162005
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
2504 VIA SORBETE CBAD
PME
1674001600
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: BAUER RES-REPLACE FURNACE
Applicant:
ASI HASTINGS
STE 200
4870 VIEWRIDGE AV
SAN DIEGO CA 92123
619-590-9300
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
BAUER ZACHARY T&REBECCA M A
2504 VIA SORBETE
CARLSBAD CA 92010
ISSUED
05/20/2016
LSM
05/20/2016
05/20/2016
$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: /b-17...-/t Clearance:
$0 .00
NOTICE Rease ta<e that <W'CMll r:/ yar ~ect irdudes the "lrrpootiai' r:/ fees, da:icalions, resavaticns, a-cther exactions h:rei:iter cdlectivay
referred to as "fees'ex.:x:tions." Yoo rave 00 dat,, fran tre date tlis pemit = issued to pretest in,::ositioo r:/ these fees'exactions. If )-0-J pretest then, )-0-J rrust
fdlo.v tre pretest p-credres set forth in <?olemnrt Cooe Soctioo 60020(a), and file the pretest and any cther req.iroo infarretioo wth the Oty lv'a1ager fa-
puressirg in ~ wth Ca1sboo M.ridpal Cooe Soctio, 3.32.m:J. Failu-e to tirrely fdlON tta ~ wll ta any sul:EeqJent legal octioo to atta::i<,
review, set aside, -.tid, a-crnJ trer in,::ositim
Yoo ere hereo; Fl.RTl-ER NOTIRED that yar riift to pretest the sp:idfied fees'ex.:x:tions IXES NOT .APPLY to ....ater and seNer cx:ma:iioo fees and~
c:hrgas. na-planrg, 2Xrirg, ga:lrg a-cther sirrila-wicatio, puressirg a-savire fees in cx:ma:ii01 wth tlis ~ect. ~ IXES IT .APPl Y to any
fees' tre statute r:/ !irritations res
THE FOLLO_WING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD
«~ Building Permit Application Plan Check No. ce, l~MJO~
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date ~ /eJ.0{1s., lswPPP
JOB ADDRESS SUITEf/SPACEf/UNITI IAPN 2504 via _j>rbete carlsbad 92010 ---
CT/PROJECT# I LOT# I PHASE# I # OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area/sj
CHANGEOUTFURNACE
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE lAIR CONDITIONING IFIRE SPRINKLERS
YES[]# No[] YES□No□ YES□No□
APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME ZACHARY BAUER Prfnarv Contact ADDRESS ADDRESS 3645 RUFFIN ROAD# 330-335 2504 via zorbete carlsbad 92010
CITY STATE ZIP CITY STATE ZIP
san dieQo ca 92123 CARLSBAD CA
PHONE I FAX PHONE I FAX 619-590-9337 (661) 547-9007
EMAIL EMAIL
JERMAINE@WEGREENINC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinQs
ADDRESS ADDRESS
4870 viewridge ave
CITY STATE ZIP CITY STATE ZIP
san dieao ca 92131
PHONE IFAX PHONE 1FAX 619-590-9337
EMAIL EMAIL
I STATE UC.# STATE LIC.# ICLASS I CITY BUS. LIC.1200804 513115 c20
(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 uooer 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 of the Labor Code, for the performance of the work tor which this permit is issued.
[Z] I have and will maintain workers' compensation, as required by Sectio 700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy
number are: Insurance Co. CYPRESS INSURANCE OMPANY Policy No. ASWC605204 Expiration Date 9/112016
This section need not be completed ~ the permit is for one hundred dollars 00) or less. 0 Certificate of Exemption: I certify that in the performance of the or 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 v rage i un wful, 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 e ion 06 oft
Ji5 CONTRACTOR SIGNATURE IZJ AGENT
I hereby affirm that I am exempt from Contractor's License Law tor 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 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).
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 pro 'de the proposed construction (include name address/ phone/ contractors' license number):
4. I plan to provide portions of the work, but I have hired t e following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number):
5. I will provide some of the work, but I have contracted ( red) the following persons to provide the work indicated (include name/ address/ phone I type of work):
Ji5 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
Pi'esley-l'anner 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 ISSUED 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 penmit is issued {Sec. 3097 {i) Civil Code).
Lender's Address
I oertifythat I 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>Mth all City ordinances and State laws relating to building construction.
I hereby authorize rep:esentative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY Cf CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CO'JSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: An OSHA permit is required for excavations over 5'0' deep and demolrtion or construction of structures over 3 stories in height.
EXPIRATION: Every penmit issued by the Building Official under th provisions of this Code shall expire by limitation and become null and 1,1'.Jid ff the building or v.011< aulhorized by such permit is not commenced >Mthin
180days from the date of such perrnrt or if the building or v.011< au • such permrt is suspe or abandoned at any time afterthev.011< is cornmenred for a period of 180 days (Section 106.4.4 Uniform Building Code).
~ APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB162005 Type: PME
Date Inspection Item
10/12/2016 43 AirCond/Furnace Set
10/12/2016 43 AirCond/Furnace Set
10/12/2016 49 Final Mechanical
10/12/2016 49 Final Mechanical
Wednesday, October 12, 2016
BAUER RES-REPLACE FURNACE
Inspector Act Comments
RI
JW AP
RI
JW AP
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