HomeMy WebLinkAbout2825 VISTA MARIANA; ; CB122066; Permit-
10-16-2012
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB122066
Building Inspection Request Line (760) 602-2725
2825 VISTA MARIANA CBAD
PME
2164602100 Lot #: 0
KEPPLER RES-REPLACE FAU
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/10/2012
LSM
10/16/2012
10/16/2012
MHS HEATING AND AIR CONDITIONING INC. KEPPLER FAMILY TRUST 01-31-00
525 N ANDREASEN DR
ESCONDIDO CA 92029
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2825 VISTA MARIANA
CARLSBAD CA 92009
$0.00
$0.00
$154.00
$0.00
$154.00
Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due:
Inspector: rJ'l. to£.ti!,<
FINAL 1:-tOVAL
Date: l1 H-Clearance: _____ _
$0.00
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as 'fees/exactions.' 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
-~ «1~ ~ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 271812719
Fax 760-602-8558
www.carlsbadca.gov
Plan Check No.
Est. Value
TENANT BUSINE NI\M
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
(<ePJJJC£ Fuf2JJ1tcE
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF)
CONTACT NAME (If Different Fom App/leant)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
orli
SWPPP
CONSTR. TYPE . GR UP
(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 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)),
Worl<ers' Compensation Declaration: I hereby affirm under penalty of perjury one of the fol/owing declaraffons:
have and will maintain a certificate of consent to self-Insure for 1Wr1<ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the 1Wr1< for which this permit Is Issued.
have and will maintain worl<ers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the 1Wr1< for which this permit Is Issued. My 1Wr1<ers' compensallon I7urance carrier and policy
number are: Insurance eo Policy No. '7 ~ oD{U)5.3 VO I .:AL Expirallon Date ~ ,, /G
This section need not be completed tt the permll Is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I cerllfy that In the performance or the IWrk for wh
California. WARNING: Failure to secure wor1<ers' compensation coverage unla
addition to the cost of compensation, da s provld Sectio 706 oft
rmit Is Issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of
ul, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
Labor , Interest and attorney's lees.
Je5 CONTRACTOR SIGNATUR V
•
I hereby affirm that I 001 exempt from Contractor's t..iclJnse I.aw for the following reason:
□
□
D
I, as owner of the property or my employees with wages as their sole compensallon, will do the 1Wr1< and the struclllre Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Cootracto(s
License Law does not apply to an owner of property who builds or Improves thereon, and who does such 1Wr1< hlmsett or through his own employees, provided that such lmprovemenls are nol intended or offered for
sale. If, hOwever, the building or Improvement Is sold within one year of completion, the owner-builder win have the burden or proving that he did not build or Improve for the pUfpose or sale).
I, as owner or the property, am exclusively contracting v.ith licensed contractors to coostruct 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 projecls with contractor(s) licensed pursuant lo the Cootractor'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. Oves D o
2. I (have I have not) signed an application for a building permll for the proposed IWrk.
3. I have contracted with the following perscn (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 them~ IWr1< (Include name I address I phone/ contractors' license number):
5. I v.ill provide some of the 1Wr1<, but I have contracted (hired) the follmwlg perscns to provide the 1Wr1< indicated (Include name I address I phone I type of 1Wr1<):
.fl5 PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required to submit a buslne~, 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 No -~
Is the applicant or future building occupant required to obtain a pennll fro the air pollution control district or~" ly management district? Dves o
Is the facility to be constructed within 1,000 feet of the outer bolllda,y of a school site? O Yes IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED LESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
1 certify that I have read the application and state that the aboYe tnfonnatlon Is correct and that the Information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize reprasentalMl of the City a Gar1sbad to enter upa, the above mentioned ~ for inspecoon ptJIIXlS8S. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES 'M-IICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is requ~ed for excavations CM!( 5'0' deep and derrditioo or constnmJn a structures CM!( 3 stories in height
EXPIRATION: E...ery permit issued by the Building Official under the p!O',isions of ' Code shall expire by limitatoo and become nun and ,.oi(j w the building or work authorized by such pennlt is not commenced within
180 days from the date of sudl pennltorif the building or work authaized by • Is suspe,.,..;i,tl!l;ab~ at any time after the work is CXlfM'l800ld for a penoo of 180 days (Section 100.4.4 l.kliform Buiding Code).
£5 APPLICANT'S SIGNAT E DATE / (J c) ).__
. . .
Inspection List
Permit#: CB122066 Type: PME
Date Inspection Item
11/02/2012 43 AirCond/Furnace Set
11/02/2012 43 AirCond/Furnace Set
11/02/2012 49 Final Mechanical
11/02/2012 49 Final Mechanical
Monday, November 05, 2012
Inspector Act
MC
MC
RI
AP
RI
Fl
KEPPLER RES-REPLACE FAU
Comments
CALL W/ETA GATE CODE #6793
NEW FAU, EXISTING LOCATION
NEWT-STAT
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