HomeMy WebLinkAbout2723 WOODWIND RD; ; CB150994; Permit04-02-2015
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
ASI HASTINGS
STE 200
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB150994
Building Inspection Request Line (760) 602-2725
2723 WOODWIND RD CBAD
PME
1563311300
BARR: REPLACE AC & FURNACE
Lot #: 0
Owner:
DAVIS CAROL L
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
04/02/2015
JMA
04/02/2015
04/02/2015
4870 VIEWRIDGE AV
SAN DIEGO CA 92123
619-590-9300
2723 WOODWIND RD
CARLSBAD CA 92008
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
$0.00
$0.00
$160.00
$0.00
$160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due:
FINAL APPROVAL
Date: ,, ..-I~ 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
fees/exactions of which ou hav revi usl been iven a NOTICE similar to this or as t which the statute of limitati n has r vi usl therwi e ex ired.
.
THE FOlLOWING,APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH O HAZMAT/APCD
<<1 Building Permit Application Plan Check No. CB \S-· OSCl.i
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ C ITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date 'f,,z.,.-,J-lswPPP
JOB ADDRESS 272"3 l,loooWt,Jf) t]). SUllEI/SPACEf/UNITI
IAPN ---
CT/PROJECT # 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)
te~ A-<:. A"10 -~ff.Nit(£
EXISTING USE I PROPOSED USE I GARAGE (Sf) PATIOS (Sf) I DECKS (Sf) FIREPLACE
I
AIR CONDITIONING !FIRE SPRINKLERS
YES[}, NU YEs 0 No 0 YEs O NoD
APPLICANT NAME Patti Ryan PROPERTY OWNER NAME 01-~oL $AL.II... o,1narv"••••••
ADDRESS 4870 viewridege ave ADDRESS ~7)1 t,./OoJ>t-J/M~ ,Lf).
CITY STATE ZIP CITY e' AflLS&tt> s~i z1~~00~ san diei:io ca 92131
PHONE I FAX PHONE(76o/ B77-1U5" IFAX 619-590-9337
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinas
ADDRESS ADDRESS 4870 view.ridge ave
CITY STATE ZIP CITY STATE ZIP san diei:io ca 92131
PHONE I FAX PHONE I FAX 619-590-9337
EMAIL EMAIL
I STATE UC.# STATE UC.#
I
CLASS
ICITYi~8-o c/-513115 c20
(Sec. 7031.5 Business and Proress,ons Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to ,ts issuance, also requires Lt\b applicant for such permit to file a signed statement that he is licensed pursuant to the prov,s,ons of the Contractor's License Law !Chapter 9, commending with Section 7000 of D1vls10n 3 of the Business and Professions Code) or !hat he ,s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Sect10n 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: I hereby affirm under penaMy 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 worl< for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the labor Code, lor the perlonnance of the worl< for which this POOllrt is issued. My worl<ers' compensation insurance earner and pohcy
number are: Insurance Co. oak river Poley No. 3300065233-t 31 Expirabon Date 9-15
This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that In the perfonnance of the worl< for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worl<ers· Compensabon Laws of
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penatties and civil fines up to one hundred thousand dollars {&100,000), In
addition to the cost of compensation, damages as provided tor In Se Ion 3706 of the Labor code, interest and attorney's tees.
~ CONTRACTOR SIGNATURE E-
I hereby affirm that I am exempf from Contractor's License Law for the following reason:
□
□
□
I, as owner of the property or my employees with wages as lheir sole compensation, will do the work and the structure is not intended or offered lor 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 worl< himself or through his own employees, provided that such improvements are not intended or offered for
sale. tt, however, the building or improvement is sold within one year of completion, the owner-builder wiU have the burden of proving that he did not build or improve for ~e purpose of sale).
I, as owner of the property, am excklsively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Cootractor's License Law does not apply lo an owner of
property who builds or improves thereon, and contracts for such projects with contractor(•) 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 construction of the proposed property improvement O Yes O No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the fOIJowing persoo (firm) to provide the proposed constructioo (include name address / phooe / contractors' icense number):
4. I plan to provide portions of the wort<, but I have hired the following persoo to coordinate, supe<Vise and provide the major wor1< (include name/ address I phone/ contractors' locense number)
5. I w,n provide some of the wor1t, but I hava contracted (hired) the following persoos to prolllde the wax indicated Onclude name I address / phone/ type of work)·
~ PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required lo submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 01 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required lo obtain a pennit from the air pollution control district 01 air quality management dislnct? □ Yes □ No
Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? □ Yes □ 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the above infonnation Is correct and that the lnfonnation on the plans Is accurate. I agree to compfyl'Ath all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I Al.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
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: AA OSHA penntt is required for excavations over 5'0' deep and demofrtlon or construction of slluctures over 3 stories 11 height
EXPIRATION: Every penntt issued by the Building Official under the provisions of lhis Code sh al expire by imitation and become nul and void ff the building or wor1I authorized by such peonit is not commenced wi1hn
180 days from lhe date of such penntt or if lhe building or wor1I authorized by such penntt is suspended or abandoned at any tine after lhe wor1I is commenced for a period ol 180 days (Section 106.4.4 Uniform Buildng Code) .
.HS APPLICANT'S SIGNATURE £ -~ DATE 'I/:) I Is-
Inspection List
Permit#: CB150994 Type: PME
Date Inspection Item ____ _
06/30/2015 43 AirCond/Furnace Set
06/30/2015 43 AirCond/Furnace Set
06/30/2015 49 Final Mechanical
06/30/2015 49 Final Mechanical
Wednesday, July 01, 2015
Inspector Act
PB
PB
RI
AP
RI
AP
BARR: REPLACE AC & FURNACE
Comments
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