HomeMy WebLinkAbout2777 VISTA DEL ORO; ; CB161128; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
03-23-2016 Permit No : CB161128
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2777 VISTA DEL ORO CBAD
PME Status:
Parcel No: 2153506308 Lot#: 0 Applied:
ISSUED
03/23/2016
RMA
03/23/2016
03/23/2016
Reference #:
PC#:
Project Title:
Applicant:
TANITSKY RES-REPLACE FAU & ADD
NEW NC UNIT-WITH ELECTRIC
COASTAL REFRIGERATION
APTI
6525 PASEO FRONTERA
CARLSBAD CA 92009-4534
760-683-5683
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
TANITSKY ALAN M&TASNITSKY ANN M
2777 VISTA DEL ORO
CARLSBAD CA 92009
$0.00
$38.00
$163.00
$0.00
$201 .00
Total Fees: $201.00 Total Payments To Date: $201 .00 Balance Due:
Inspector: ~ Clearance: ------
$0.00
NOTICE: Please ta<e NOTICE tt1ci W"CM:11 a your p-qed irdudes the "ln,:n,itim" ri fees, c:IErlcat.icrs, reseMiia,s, cr cther exocticrs hereafter roledively
referred to as "fees/exa::ticrs." Yoo have OOdays franthedate ths pemit v.es issued to prd.est in,:n,ilim a these fees/exa::ticrs. If~ prd.est tt-ar\ ~ mJSt
fcilOIV Ire prd.est rrcx:ectre, set forth in C?o.lemra,\ Qre Sedim 60020(a), crd file tt-e p-otest crd ant cther req..ired infooratim wth the Qty IVa1ager fcr
~FY:l in a:x:crda"u3 wth Ca1sboo Mndpa Qre Sedim 3.32 030. FailU"e to tirrely fcilON thct rro:ro.re w ll ta' ant Sl.bsa:µn legal octim to alta:k,
rel/iew, set aside, vcid, cr an, their in,:n,itim
Yoo cJ"e hereof F\.RTI-ER NOTIRED that yoJ ri(/1 to p-otest the specified fees/exa::ticrs IXES NOT APFL Y to v,,eter crd fSM!T cxmedim fees ard ~ty
~ ra plaY'irr:J, zoirg, g-adrr:J cr cther sirrila-~icatia, ~FY:l er savioo fees in COTiedim wth ths p-tjed. I'm IXES IT APFL Y to ant
fees/exa::ticrs llhdl have CE 'rrilGW"loths tollh I stati.te lirrilati has 'OJSI •
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH O HAZMAT/APCD
c ·cityof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No.
DESCRIPTION OF WORK: / :::z:-
EXISTING USE
APPLICANT NAME
Primary Contact
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
# BEDROOMS
PROPOSED USE GARAGE (SF)
STATE ZIP
FAX
STATE ZIP
FAX
STATE UC.#
Est. Value
SUITEf/SPACEf/UNITI
# BATHROOMS TENANT BUSINESS NAME
PATIOS (SF) DECKS (SF)
PROPERTY OWNER
C
SWPPP
CONSTR. TYPE OCC. GROUP
AIR CONDITIONING
YES □No □
CITY BUS. UC.#
FIRE SPRINKLERS
YES□No□
/~ /J,1_;>
(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 Chat 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:
OJ.nave and will maintain a certificate of consent to self-insure for workers' oompensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ I have and will maintain worke,ljmpe9sation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation in ranee mer and poliey
numberare:lnsuranceCo. I 'lf/l-/Drd PolieyNo. ?wai:u fl'/c/ ExpirationDate /~
~section need not be oompleted ~ the permit Is for one hundred dollars ($1CXJ) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shaU not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' c mpensation 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, dama es as rovided for in tion 3706 of the Labor code, interest and attorney's fees.
_g CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□
□
□
I, as owner of the property or my employees with wages as their sole oompensation, will do the work and the structure is not intended or offered for sale (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 who does such work himsett or through his own employees, provided that such Improvements are not intended or offered for
sate. If, however, the building or Improvement is sold within one year of oompletion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
I, as owner ot the property, am exclusively oontracting 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 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. O ves 0No
2. I (have / have not) signed an application for a building permit for the proposed work.
3. I have oontracted with the following person (firm) to provide the proposed construction (include name address/ phone / oontractors' license number):
4. 1 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 / oontractors' license number):
5. I will provide some of the work, but I have oontracted (hired) the following persons to provide the work indicated (include name I address/ phone I type of work):
_g 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-fanner Hazardous Substance Account Ac(? □ 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
I hereby affinm that there is a construction lending agency for the performance of the work this penmil is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lende(s Address
I certify that! have read the application and Slate that the above infonmation is correct and that the Information on the plans is accurate. t agree to comply with all City ordinances and State tav.s relating to building construction.
I hereby authorize representative of the City of cartsbad to enter upon the above menoooed property for inspection ~rposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD
AGIIINST 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 permrt is requred for excavations over 5'0' deep and demolition or construction of structures over 3 stories i1 height.
EXPIRATION: Every permn issued by the Building Offcial nder the ~visions of this Code shall expire by limnation and becorre null and void [ the building or \\Ork authorized by such permit is not commenced v.ilhin
180days fi'om the date of soch permrtor if the buildilg authorized by soch permn is suspended or abandoned at any time after the \\Ork is commenced for a period of 180days ( bn 100.4.4 Uniform Building Code).
,65 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.
.-: . LI CC. U? r ., / C c . 11 1~. c r c , ..-' J I) . 0 J C C t S 0 ,1 I i -.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed fonm to City of Carlsbad, Building Division 1635 Faraday Avenue. Carlsbad, California 92008.
r 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. LIC. No.
DELIVERY OPTIONS
PICK UP: o CONTACT (Listed above)
o CONTRACTOR (On Pg. 1)
o OCCUPANT (Listed above)
□ ASSOCIATED CB#
MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
□ CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER: □ CHANGE OF USE/ NO CONSTRUCTION
-f5 APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB161128 Type: PME
Date Inspection Item
08/08/2016 43 AirCond/Furnace Set
08/08/2016 43 AirCond/Furnace Set
08/08/2016 49 Final Mechanical
08/08/2016 49 Final Mechanical
Monday,AugustOB, 2016
Inspector Act
AEK
AEK
RI
AP
RI
Fl
TANITSKY RES-REPLACE FAU & ADD
NEW A/C UNIT-WITH ELECTRIC
Comments
8-10 PLEASE
8-10 PLEASE
Page 1 of 1