HomeMy WebLinkAbout2826 VISTA MARIANA; ; CB153664; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
10-27-2015 Permit No: CB 153664
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference#:
PC#:
Proiect Title:
Applicant:
2826 VISTA MARIANA CBAD
PME
2164603200
HASENAUER: A/C, COIL, 50 AMP
CIRCUIT
ACTION AIR COND & HEATING-SD
2750 S SANTA FE AV
SAN MARCOS CA 92069
7607274152
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Lot#: o
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/27/2015
SLE
10/27/2015
10/27/2015
HASENAUER JOSEPH E&KATHLEEN S
2826 VISTA MARIANA
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: ML Clearance:
$0.00
NOTICE: Flease ta<e NOTICE that~ d ',OJ!' ~ED. irdu:les u-e "l~tiai' d fees, dedcalia-s, lll5El!Vctia-s, ex ctta-exa:iia-s ~er cnledivay
referred to as "fees'exa:iia-s" Yoo rave 9'.) day.; frcm the date ths pemit v.es issued to prctest i~tim d these fees'exroia-s. If ',OJ prctest ti-en, ',OJ nu;t
fdlo.v tre prctest l7(Xl3CU8S se1 fath in ColaTiralt O:xle Sed.im ml20(a), and file tre prctest a-'ld ;n,; cther ra:,...ire:J infetmiim wth the Oty ~ fcx
rro::e,sirg in ac:ccrda-u:l wth Coosboo lvlriai:a O:xle Sed.im 3.32. 030. Falu-e to tirray fdlo.v that p-oo:rlre wll ta' ;n,; ~ le;ia cdim to a\tclX
re,ie,v, sel aside, l.tid, ex .nu trar i~tim.
Yoo ere hereby FI.Rll-ER I\OTIFIED that ~ rigt to 17dest tJ-e spocified fees'exa:iia-s IXES NOT />PR. Y to mer and 'f:eM!J: aJTIEdia, fees and ~ty
cta,g:s, ncx pla-nrg, zairg, g,nrg ex dta' sirnlar wication ~rg ex service fees in c:ur,ectim wt/1 ttis ~a:1. ~ IXES IT />PR. Y to ;n,;
fees'era::tia-s d wid1 have ·ws1 ·va, a NOTICE sirnlar to ttis a: to wid1 the stattte d lirntati INiwsl ctherwse
!THE FOLLOWING'APPROV/ILS REQUIRED PRIOR TO PERMIT ISSUANCE: , ~ :PLANNING -::ENGINEERING r =BUILDING I ~FIRE __:HEALTH l~HAZMAT/APCD
~
( City of Building Permit Application Plan Check No.~ \ 5 3 Ul.04
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: bu1lding@carlsbadca.gov
www.carlsbadca.gov Date \0(7;-r /~ lswPPP
JOB ADDRESS SUITEf/SPACEI/UNITI I •\PN ---282-Co V, s tc__ fY') 0-.,·, o.. Y"\ c;_
"T /l'OQJfCT rl I LOT. I Pi-11\SE . , • OF UNITS I " BEDROOMS # flAlHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GllOUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
l'"' s -\-c... \ \ N~ l.jtc,v--._ Ajc.. i Coi\c.,.Ji-t-\-... 8.:> ArnP C,("'c.u,-:1--
EXISTING USE I PROPOSED USE I GARAGE (SF) PA nos (SF) I DECKS 1sF1 FIREPLACE l AIR CONDITIONING I FIRE SPRINKLERS
YESD NOD YES □No D YEsO No□
APPLICANT NAME
~
ERTYOWNiR ~ c-.se\'""\o,.ue.r Primary Contact (")e.. z;. < o.+\.-\ee.Y"\
ADDRESS ADDRESS z .f:J-z.<.a V, 5.-\ a. M o-"('"~o.."""'c:..
CITY STATE ZIP CITY STATE ZIP
Ca.-.\.-,, \::.o.d. CA. C\ ""2.CX:) °'
PHONE j F~.x PHONE I FAX 7<oD-q~n-,...._7 ('\,
EMAIL EMAIL
DESIGN PROFESSIONAL C01i~~~~:s. N~n~ i-l eA+.,....--..~ + c_ \a.....-
/IDDRESS ADDRESS I I ....,
7750 C C::-~-:\-a. ~e. Ave..
CITY STATE ZIP CITY STATE ZIP
S"o..Y"\ M c...,c os C A 9 -z. O<o "t
PHONE I FAX PHONE I FAX 7foO-72,-l .. j.lS Z-
EMAIL EMAIL
I STATE UC. II STATE LIC.• I CLASS I CITY BUS. l IC.#
5 D9~()S-C--z-u '-1 l 9 o DO
(Sec. 7031.5 Business and Professions Code: Any City or County which reQulres 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 70DO of Division 3 of the Business and Professions Code} or (hat 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
c1v1I penalty of not more than five hU11dred dollars [$500}).
Workers' Compensation Declaration: I hereby allirm under penally of perjury one of the following declarations:
I have and will maintain a certificate of consent to self-Insure for workers' compensalion as provided by Section 3700 of lhe Labor Code, for lhe perlormance of the work for which this permit 1s issued.
have and will maintain w_~rs' compensation, as reQuired by Section 3700 ol lhe Labor Code. for the perfom,ance o~lhe work ~or which lhis perm~ is issued. My workers' compensal~n ·rsurT:-°arrier and policy
number are· Insurance Co.-1.os . Ca D~ \ h.c I. >e:-± Policy No. C.) -.> t:::i s O Z.~4 Cos Exp.ration Date l 2 -a-..il....,.
~section need nol be compteled if the permit is for one hundred dollars {$100) orless. LJ Certlncata of Exemption: I certify thal in the perlormance of !he work for whieh this permit is issued, I shall not employ any person in any manner so as lo become subject lo t~.e Workers' Compensation Laws of
Ci!lifornia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvil flnas up to one hundred thousand doll•~ (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 ofthe labor code, interest and attorney's fees.
£5 CONTRACTOR SIGNATURE ~'2.-~ .. /)~NT OATE /o 2...7 / S-
I hereby allirm that I am exempt from Contractor's Ucense Law for the following reason:
□
□
□
I, as owner of lhe property or my employees wt!h wages as their sole compensation, will do the work and lhe slructure is nol intended or offered for sale (Sec. 7044. Business and Professions Code: The Conlraclor's
License Law does nol apply to an owner or property who builds or improves !hereon, and who does such "Nork himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, lhe building or Imprnvement is sold wilhin one year of completion, the owner-builder wil have lhe burden of proving lhal he did not build or improve 1or lhe purpose of sale).
I. as owner of the property, am exclusively conlracling with licensed contraclors lo construcl !he project (Sec. 7044, Business and Pro1essioris Code: The Conlractor's license Law does_ not apply 10 an owner al
property who builds or improves thereon, and contracts for such projects with conlraclor(s) licensed pursuant lo lhe Conlractor·s License Law).
I am exempt under SecJion _____ Business and Profei;sions Code for this reason:
1. I personally plan to provide lhe maIor labor and materials for construction of the proposed property improvement 0 Yes 0No
2. I (ha,e I have not) signed an apphcal1on for a building perm1l for lhe proposed work
3. I have contracted wilh the following person (firm) lo provide the proposed construclion (include name address I phone / contractors' license number):
4. I plan to provide portions of the work, but I have hired lhe following person to coordinale, supervise and provide !he maJor work (include name I address I phone I contraclors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (inclode name I address/ phone I type of work):
Z PROPERTY OWNER SIGNATURE DATE
I
I
I
> I ' .
Is the applican, 0,,-fulure building occupa11I required lo submit a business plan, aculely hazanJous rna,enals re91slration form or nsk management and prcvcnt,an program under Sect,ans 25505. 25533 or 25534 of the
Presley-Tanner Hazardous Substanq1 Accounl Ac!? Yes No
Is the •POlicant 0,,-fulure burlding accupanl required lo oblain a permit from !he air polluhon conlral d1slricl or air Qualily management d1slnct? ves Mo
Is the !ac,hly to be cons1ruc1ed w,thrn 1 .000 feet of the outer boundary of a school s110? "es 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 SE,RVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performance of the work this permit ,s issued (Sec. 3097 (i) Civil Code).
lender's Name Lender's Address
r:
lcertitythat I have read the application and state that the aba;e infomnation is conectand that the infomnationon the plans is accurate. I agree 10 comply with all City ordinances and Sr.ate laws relating to building construetion.
I hereby aulhonze representative of t11e City of Carlsbad to enter upon the above mentioned l)Operty br inspecoon pulJX)ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAALSBAO
AG-\INST ALL UABIUTIES, JUIX,MENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
CSHA M OSHA perm! Is requioo lor excavat,ons over 5'0' deep and demohtoo Of OJOstruction of structures over 3 stones 11 height.
EXPIRATION Every penTiit issued by the 8u1k:ling Ofk1al under the prov,si:lns ol lhis Code shal expre by 1im1tatoo and OO(Oll1e nuU and vorj ~ the bu1k:ling or mill authorized by such penm,t ,snot commencro wlh,n
180days from the da\:! of such penmIt Of 1f the bu,ld,ng a, •.-.or!\ authonzed by such penmrt is suspended or aoondonedat any t,me after the mrl< ,s commenced for a penod of 180days (Secb::m 1C6.4.4 Un1foon Bu1kl1ng Code).
Ji5APPLtCAHT'SSIGNAT\IRE ~ ~-----DATE Jo{:.z,/ /~
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE OF OCCUPANCY jCommerci a l Projects 0 n ly I
Fax (760) 602~560. Email building@carlsbadca.gov or Mail the completed fOfm to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
I 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: CONTACT (Listed above) OCCUPANT (listed above)
CONTRACTOR (On Pg. l)
ASSOCIATED CB#
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR {On Pg. l) NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION
_LS' APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB153664 Type: PME
Date Inspection Item
03/15/2016 43 AirCond/Furnace Set
03/15/2016 43 AirCond/Furnace Set
03/15/2016 49 Final Mechanical
03/15/2016 49 Final Mechanical
Tuesday, March 15, 2016
Inspector
AEK
AEK
Act
RI
AP
RI
Fl
HASENAUER: A/C, COIL, 50 AMP
CIRCUIT
Comments
GC #5678/AM PLEASE
GC #5678/AM PLEASE
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