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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. Page 1 of 1