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HomeMy WebLinkAbout2731 YORK RD; ; CB161627; Permit04-28-2016 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: APPROVED AIR INC 561 SEAVIEW PL VISTA CA 92081 877-422-6531 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB161627 Building Inspection Request Line (760) 602-2725 2731 YORK RD CBAD PME Status: 1673912800 Lot #: 0 Applied: PICKARD:REPLACE FURN & ADD A/C Entered By: Plan Approved: Owner: PICKARD MICHAEL 2731 YORK RD CARLSBAD CA 92010 Issued: Inspect Area: ISSUED 04/28/2016 SLE 04/28/2016 04/28/2016 $0.00 $0.00 $163.00 $0.00 TOTAL PERMIT FEES $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: $0.00 FINAL Inspector: Date: -~..se....c....J~~ Clearance: _____ _ 11.0TlCE Rease ta<e 11.0TlCE thci ~ a your ptjed irdl.des tre "ln,mtion" a fees, de:licaions, reservations, or ether exactions rereafter collectively referred to as "fees/exactions." Yoo have oo days frcrn the date this pemit was issued to prctest in,mtion a trese fees/exactions. If you prctest then'\ you rrust follo.vtre prctest prrorlres set forth in G:,Jerm-ert Cede Section 00020(a), .rd file tre rroest .rd arry ether req..ired informtion wth the Oty ~ for pr=sirg in occorda-re 'Mth Car1stm M.nd~ Cede Section 3.32.030. Faih.re to tirrely follo.vtha ~ wll bar arr; slbsequert legal oction to attack, review, set asioo, void, or arru treir in,mtion. Yoo ere hereof FlRTl-ER 11.0TlRBJthat your rig1 to f:(ctest the specified fees/exactions c:x::ES I-OT .APA.. Ytowaer .n:1-aniedion fees ard ~ cta,ges, ra plmrg, zairg, ga:jrg or ether sirrilar ~icaion pooessirg or servire fees in cx:rrection wth tns ptjed. N:R c:x::ES IT .APA.. Yto arr; i i w • • ·mI n w lim i • • • THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD «~~ Building Permit Application Plan Check No. Q5 \ l.Dl Lo z_-={-- 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ C I TY OF Ph: 760-602-27 19 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date L\ -Z,~-1\ n lswPPP JOB ADDRESS SUITEI/SPACEI/UNITI 1 APN 2731 York road 167-39t-28-00 -- Cl/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) Replace furnace and add A/C EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE lAIR CONDITIONING I FIRE SPRINKLERS YESO N<O YES □No □ YES□ NO□ APPLICANT NAME (Primary Contact) APPROVED AIR INC APPLICANT NAME (Secondary Contact) Jennifer/Randy Cole ADDRESS ADDRESS 561 SEAVIEW PLACE 9880 Maqnolia Ave #119 CITY STATE ZIP CITY STATE ZIP VISTA CA 92081 Santee CA 92071 PHONE PHONE (877) 422-6531 IFAX 619-405-2648 I FAX 619-330-4796 EMAIL EMAIL jen n ifer@permitru n ner .net PROPERTY OWNER NAME Michael Pickard CONTRACTOR BUS. NAME APPROVED AIR INC ADDRESS ADDRESS 2731 York road 561 SEAVIEW PLACE CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92010 VISTA CA 92081 PHONE I FAX PHONE lFAX (949) 887-4987 (877) 422-6531 EMAIL EMAIL ARCH/DESIGNER NAME & AODRESS 'STATE UC.# STATE UC.# !CLASS 1 CITY BUS. ur 239380 904506 C20 ' ~ ~ '"' W O R K ER S ' COM P E NS A TIO N . .. • • Wo11<ers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: B I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain wol1<ers' compensation, as reQuired bv Section 3700 of the Labor Code, for the performance of the work for which this oermit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co .. ____________________ Policy No. _____________ Expiration Date ________ _ ~section need not be completed~ the permit is for one hu.-.Jred dollars ($100) or less. 1.: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 Workers' Compensation Laws of California. WARNING: Failure to secure wol1<ers' compensation cove e is unlawful, 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, damages as rovlded for I io,n 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ IZl I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License 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 soid 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 Contractors License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractors 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. 0 Yes 0 No 2. I (have I have not) signed an application for a building permit for the proposed work. 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 work, but I have hired the following person to coordinate, supervise and provide the major work (include name /address/ phone/ contractors' license number): 5. I will provide some of tile work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone I type of work): ~ PROPERTY OWNER SIGNATURE DATE .. ,COMPl.tETE Tti'IS SECsl'ION. Fo,R '.N 'ON•R·E;s;11'o"'iNT 0 1AL BUILDING PERMITS ON1t v " · -, _,,,,.,. ~, + »><c >~ ;; > " +:/ '-i" ~ ,_.,. « -.,,ofc'" '" ,..,. ,eo,,-,= :=¼->Tuw, K .,; " A' , \ " "' , 'AAr» ; Is the applicant or future building occupant required to submit a business plan, acutely hazardous matertals registration form or rtsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 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? □ Yes □ No Is the facility to be constructed within 1,000 feet 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 AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above infomnation is comactand that the infomnation on the plans is accurate. I agree to comply l>ith all City ordinances and State laws relating to building construction. I hereby aulhortze representative of the City of Carlsbad lo enler u~ the above mentioned property br nspection pul]))SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY CF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE CF THE GRANTING OF THIS PERMIT. OSHA An OSHA penmrt is required for excavations Ovef 5'0' deep and demolrtion or construction of structures Ovef 3 slories in height. EXPIRATION: Every pemnil issued by the Building Official under the provisions of this shall expre by imitation and become nul and void if the building orv.orl< aulhortzed by such penmit is not commenced 111thin 100days from the dateof sudl penmrt or if the buildng orv.orl< ulhorized bys , rt is suspended or abandoned at anytime after the v.oJ1< is commenced for a period of 100days (Section 106.4.4 Uniform Buildng Code). ~ APPLICANT'S SIGNATURE DATE 4/27 /16 Inspection List Penn it#: CB161627 Type: PME Date ~ection Item 06/22/2016 43 AirCond/Furnace Set 06/22/2016 43 AirCond/Furnace Set 06/22/2016 49 Final Mechanical 06/22/2016 49 Final Mechanical Thursday, June 23, 2016 Inspector Act AEK AEK RI AP RI Fl PICKARD:REPLACE FURN & ADD A/C Comments Page 1 of 1