HomeMy WebLinkAbout2743 WOODWIND RD; ; CB163199; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
08-18-2016 Permit No: CB163199
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
2743 WOODWIND RD CBAD
PME
1563310800
JADHAV: REPLACE FAU & AC
GUTHRIE AND SONS INC
3914 HICOCK ST
SAN DIEGO CA 92110
619 269-3013
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Owner:
FERENCE JANICE C
7507 BRAVA ST
CARLSBAD CA 92009
Issued:
Inspect Area:
ISSUED
08/18/2016
JMA
08/18/2016
08/18/2016
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
FINAL APPROVAL
Inspector: Date: //;-I ?-lb Clearance:
$0.00
NOTICE: Please take NOT E 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 Carts bad 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
x i n f w • h v r vi I T ·mil r hi r w i h limi i n h r vi I h rwi
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMA TIAPCD
·~ . ~ City of 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. C.B (::, -3 q '1
Carlsbad
EXISTING USE
APPLICANT NAME
Primary Contact
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
PROPOSED USE GARAGE (SF)
STATE ZIP
FAX
STATE ZIP
FAX
STATE UC.#
Est. Value
SUITEt/SPACEt/UNITf
# BATHROOMS TENANT BUSINESS NAME
PATIOS (SF)
CONTRA
PHONE ~l°l U>
EMAIL
FIREPLACE
YESQ _NcQ
STATE
C (lr
FAX
CLASS
CONSTR. TYPE OCC. GROUP
AIR CONDITIONING
YES□No □
ZIP
FIRE SPRINKLERS
YESO N0O
2.o-z,~
ZIP
-Z..ll'D
STATE Lr 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 its Issuance, also reQulres the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Charter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom. and the bas,s for the alleged exemption. Any violation of Section 703 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001).
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-insure for wor1<ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wor1< for which this permit is issued. □ I have and will maintain workers' compe_ns_aticm, ~ require<! fY Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My wor1<ers' compensation ins:rance carrier and policy
numberare:lnsuranceeo:1-¼e-B~ PolicyNo. '1'.LJ,.}€~409,'L-ExpirationDate ~, u Ir
~section need not be completed~ the permit is for one hundred dollars ($100) or less.
LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Wor1<ers· Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage Is un awl I, 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, d m s s pr vided or In Section 3706 the abor code, interest and attorney's fees.
85 CONTRACTOR SIGNATURE □AGENT DATE ~ J f \ lo
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 compensation. will do the work and the struciure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
Lioense Law does not apply to an owner of property who builds or improves thereon, and who does such work himse~ 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 wi1h contractor(s) licensed pursuant to the Contractor's Lioense 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. □Yes O No
2. I (have/ have not) signed an application for a building permit for the proposed wor1<.
3. I have contracted with the following person (firm} to provide the proposed construction (include name address / phone/ contractors' license number):
4. I plan to provide portions of the wor1<, but I have hired the following person to coordinate, supervise and provide the major wor1< Onctude name/ address / phone/ contractors' license number}:
5. I will provide some of the worx, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of wor1<):
85 PROPERTY OWNER SIGNATURE DATE
Is the applicant 0< future bulding occupant required to submit a business plan, acutely hazardous materials registration form 0< risk management and prevention program under Sections 25505, 25533 0< 25534 of the
Presley-Tanner Hazardous Substance Account Adi O Yes O No
Is the applicant 0< future blilding occupant required to obtain a permit from the air pollution control district 0< air qualily management distlict? O Yes o No
Is the facility to be constructed within 1,000 feet of the outer bounda,y of a school site? O Yes O 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 certify that I have read the application and state that the above information iscorractand that the information onlhe plans ls accurate. I agree to complywilh all City ordinances and State laYoS relating to building construction.
I hereby au1horize representatiwof the Cityof CMsbad to enter upon the above mentioned iropet1y br iispeda1 IXJIJX)Sl!S. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CARLSB>\D
AGAINST ALL l..W31LJTIES, JUDGMENTS, COSTS.AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEOOENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA pem1l is requi'ed br excavations <JVef SCJ deep and derrditiJn ex <XlllStrucoon of struciures ove< 3 sbries il height
EXPIRATK)N: Every pem1it issued by the Offcial under the J)'OVisbnsof this shallexpie by linitaron and beCXJme nul and voo W the ooikJilg exv.ork authorized by sud1 pemit is notOOl1'lllellald 'Mthil
100days rom the dateof sudl pem1it exif exv.ork • by sud1 it · sus ex abandoned at any tine m the IIOl1< is CXll1'llleOOld bra ~ood of 100days (Sediln 100.4.4 Unibrm ~ikfng c.ode).
,Ji$ 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.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELNERY OPTIONS
PICK UP; □ CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATED CB#-------------MAIL TO: □ CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE / NO CONSTRUCTION
MAIL/ FAX TO OTHER: _________________ _
o CHANGE OF USE / NO CONSTRUCTION
,I$ APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB163199 Type: PME
Date Inspection Item
10/18/2016 43 AirCond/Furnace Set
10/18/2016 43 AirCond/Furnace Set
10/18/2016 49 Final Mechanical
10/18/2016 49 Final Mechanical
10/12/2016 43 AirCond/Furnace Set
10/12/2016 49 Final Mechanical
10/12/2016 49 Final Mechanical
Tuesday, October 18, 2016
JADHAV: REPLACE FAU & AC
Inspector Act Comments
RI 1ST INSPECTION PLEASE
JW AP
RI 1 ST INSPECTION PLEASE
JW AP
JW
RI
RI
co Vent combo with exist water heater had
crack in it. Left correction for contractor to
replace.
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