HomeMy WebLinkAbout2803 VISTA MARIANA; ; CB162370; Permit06-16-2016
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB 162370
Building Inspection Request Line (760) 602-2725
2803 VISTA MARIANA CBAD
PME
2164603000 Lot#: 0
LEMKEY:REPLACE FAUi/ ADD AC
W/ELECTRIC
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
06/16/2016
JMA
06/16/2016
06/16/2016
Applicant:
OAK ISLAND HEATING AND AIR
STE 103
LEMKEY JOHN C&ELIZABETH AS FAMILY TRUST0S-25-79
1250 PACIFIC OAKS PL
ESCONDIDO CA 92029
760 839-8383
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2803 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: ~ Clearance: ------
$0.00
NOTICE: A9c9l ta<e NOTICE that~ d yar ptject irduoos the "ln,xsition'' d fees, dedcaicns, resavatims, ex dher exa::ticns hlra:ila" cdlroively
referred to as "fees'exa::tims." You~ 00 days fran the elate ths perrrit v.as isst.e:J to prctest irrp:)Sitirn d these fees'exa:::tials. If %1 prctest thErn, %1 m.5l
fdlo,vthe prctest ~ set forth in QMsrrrrert C.cxle Sedirn Gffial(a), a--d file the prctest a--d any dher r-Eq.ired infcnrairn wth the Oty ~ fex
p-oc.essirg in axx:rdcrre wth Ca1sbad M.rid~ C.cxle Sedirn 3.32.030. Failu-e to tirrely fdlo,v trat l)"OCSCire 'Aili bcr" any Slh,eq.Jert legal octirn to attock.
re.iieN, set aside, \Cid, ex anJ treir in,:xisitim
You ere herebf FLRTI-ER NOTIFIED trat yar rigt to prctest the spocified fees'exalicns IXES NOr .APPLY to v..ater a--d f!l3Ner romedirn fees crd ~
c:hcrgls. ra pmrg, :zairg, gatrg ex cther sirrila-appicairn p-oc.essirg ex savire fees in cxmectirn wth lhs ptjed. t-.CR IXES IT .APPLY to any
fees'exa::ticns d v.hch ra.13 ·c:us1 been ·ven a NOTICE sirrila-to ths ex as to v.hc:h the statue I irritations tas ·c:us1 ctl"l€1v.1se ·red.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
·4. «~ Building Permit Application Plan Check No. CE>l lo ---z3 r:fo
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. ,Depqslt CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date tof //.,., I /J.... lswPPP
JOB ADDRESS SUITEt/SPACEt/UNITt rPN 2803 VISTA MARIANA ---
C 1/PRuJECT # 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(s)
REMOVE AND REPLACE 1 FAU, ADD 1 NEW A/C UNIT,
AND 1 NEW 50 AMP CIRCUIT
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE
I
AIR CONDITIONING IFIRE SPRINKLERS
YESO . NcQ YES □No□ YES□ NO□
APPLICANT NAME TOM WOOD PROPERTY OWNER NAME JOHN LEMKEY Prln•rv Con••"'
ADDRESS ADDRESS 1250 PACIFIC OAKS PL. #103 2803 VISTA MARIANA
CITY STATE ZJP CITY STATE ZIP ESCONDIDO CA 92029 CARLSBAD CA 92009
PHONE I FAX PHONE I FAX 760 839-8383 760 839-8380 760-845-5184
EMAIL EMAIL
INFO@OAKISLANDAC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AIR
ADDRESS ADDRESS
1250 PACIFIC OAKS PL #103
CITY STATE ZIP CITY STATE ZIP
ESCONDIDO CA 92029
PHONE PHONE I FAX 760 839-8383 I FAX 760 839-8380
EMAIL EMAIL
INFO@OAKISLANDAC.COM I STATE LIC. # STATE UC.# !CLASS I CITY BUS. LIC.1212710 745400 C-20
(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 ,ts 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 !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 civil penalty of not more than five hundred dollars ($500)).
Wor1<ers' Compensation Declaration: I hereby affirm under penalty of pe,jury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for WO!l(ers' compensation as provided by Section 3700 of the Labor Code, for the performance of Ille W0!1( for which lhis permit is issued.
[Z] I have and will maintain worlcers' co111)811sation, as reciuired by Section 3700 of the Labor Code, for the performance of the work for which lhis permit is issued. My WO!l(ers' compensation insur.vice carrier and policy
number are: Insurance Co. EVEREST NATIONAL INSURANCE Policy No. 7600000635141 Expiration Date 01/01/2017
~section need nol be compleled rt the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfOITTiance of the W0!1( for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
addition to the cost of compensation, damages as~lded for in Sectlon 3706 of the bor code, Interest and attorney's fees.
Galrtomla. WARNING: Failure to secure wor1<ers' compensation coverage is unlaw~and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
2S CONTRACTOR SIGNATURE .r ~---a IZ)AGENT DATE {::) /{)
I hereby affirm that I am exempt from Contractor's License Law for the following reason: D I, as owner of the property or my employees wilh wages as their sole compensation, will do the work and Ille slruclure 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 wor1< himseW 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 lhat he did not build or improve for the purpose of sale).
□
□
I, as owner of the property, am exclusively contracting with lioensed contractors to construct Ille 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 C011tractor(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 C011StllJClion of Ille proposed property improvement DY es 0 No
2. I (have I have not) signed an application for a building perrnij for the proposed work.
3. I have C011tracted with the following person (firm) to provide the proposed construction (include name address/ phone/ C011tractors' license number):
4. I plan to provide portions of the WO!I(, but I have hired the following person to coordinate, supervise and provide the major W0!1( (include name/ address/ phone/ C011tractors' license number):
5. I will provide some of the WO!I(, but I have contracted (hired) the following persons to provide the wor1< indicated (include name/ address I phone I type of work):
2$ PROPERTY OWNER SIGNATURE □AGENT DATE
Is the a~icant 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 building occupant required to obtain a permit from the air pollution control district or air quality management district? a Yes □ No
Is the facility to be constructed within 1,000 feel of the ouler boundary of a school site? a Yes a 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 worll this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I certifythatl have read the application and stale that the above information Is conectand that the infonnation on the plans ls acawate. I ag,eeto comply with aH Cil)'ordlnances and State laws relating to buildingcons1ruclion.
I hereby authorize represeotative of the City of Car1sbad to enter urxin the above mentioned property br inspection purfX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLS8'\D
AGAINST 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 pem1i is required b-excavations over 5'0' deep and demolttoo or construction of structures over 3 stories in height.
EXPIRATION: Every pem1it issued by the &ik:ling Offcial under the provisons of this Code sh al expi'e by Imitation and beCXJme nul and void ~ the buik:ling or Y,00( authorized by such peimt is not commenred \\ilhr1
180days from the date of such permit or if the burling orv.olk authorized by such pem1tt is sus or abandoned at anytime after the Y,00( is oommenred bra period of 100days (Secoon 100.4.4 Unrorm &rling Code).
,/IS APPucANT's sIGNAruRE ,-...... """" oATE 0 / / b /t (a
Inspection List
Permit#: CB162370 Type: PME
Date Inspection Item
08/09/2016 43 AirCond/Furnace Set
08/09/2016 43 AirCond/Furnace Set
08/09/2016 49 Final Mechanical
08/09/2016 49 Final Mechanical
Tuesday.August 09, 2016
Inspector Act
RI
AEK AP
RI
AEK Fl
LEMKEY:REPLACE FAUi/ ADD AC
W/ELECTRIC
Comments
GC-#3420
GC-#3420
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