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HomeMy WebLinkAbout1024 LAGUNA DR; 11; CB162154; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 06-02-2016 Permit No: CB162154 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 1024 LAGUNA DR CBAD St: 11 PME 15521220n Lot#: CHAMBERLAIN PROPERTY MANAGEMEN 0 REPLACE HEAT PUMP CONDENSER & AIR HANDLER Applicant: ASPEN COOLING & HEATING INC STE 207 3720 OCEANIC WY OCEANSIDE CA 92054 760-754-2625 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/02/2016 RMA 06/02/2016 06/02/2016 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: FINAL APPROV~L Date: /,-2,/-/1, Clearance: $0.00 NOTICE Aease ta<e NOTICE that 'HJ"CMi ct )OS prtj<rl irdLX!as tt-e '"lrrµ:siliori' ci fees, declcaicrs, """"1/00cm, c, dl"a" em::ticrs -cdledively referred to as "f-em::ticrs"' Yoo t-a.e 00 da)s frcmtt-edatelhs pemit "85 iss.a:I toprctest ini:,ositioo ctthesef-em::ticrs If )00 prdest !tan )00 nu;t fcJIONtt-e prdest pra:eci.res set forth in GMrrmrt Code Sedioo 60020(a). ard file tt-e prdest ard a"o/ dl"a" reqjred infooratioo wth tt-e aty Wa-ager tc, prcx:essrgin =adamwth Qr1sta:l Mridpa Code Sedioo 3.32.03J. Falu-eta tirrelyfcJloott-a ;roca:t,ewll ba-a"o/Sl..tsecµrt lega a:tion to~ l"EMew, set aside, \Od, er aTU tteir irrpooitioo. Yoo ,.-e t-eet,,, F\RTI-ER NOTIRB)ttat)O..r ri!tl to prdest tt-esµ,dfied-em::ticrs DCES I\Qf AA'l.Ytol'Ber ard ,......,.0Cl1nedioofees ard "'l)a:ity cra,ges, rcr ~anrg, 2Dirg, ga:lrg a dl"a" srrila-~icaioo prcx:essrg a SEl'/ia, fees in 0Cl1nedioo wth ttis prtj<rl. I\CR DCES IT AA'!.. Y to a"o/ t · Wl · · 'nil ths crast vJi dlirri ia,s · dherVvi THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING 0BULDING □FIRE □HEALTH 0HAZMAT/APCD Ccityof Building Permit Application Plan Check No. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date SWPPP JOB ADDRESS / 0 (; '-I .:/11 I SUITEf/SPACEt/UNITf IAPN /.-.A C. II II II !)12, .~ --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEOROOMS # BATHROOMS I TENANT BUSINESS NAME rONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) t<~P/.,Alu< /-I /ell, /7 +V-t>f' ,,, . • 0"'1-J ~ J ,11, t2 /1_4 )v '1) LdZ-, EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF} FIREPLACE I IAIR CONDITIONING I FIRE SPRINKLERS YES[),_ No□ YES0No □ YES□No□ APPLICANT NAME A_5,pta,J 6'oL1..6 <; ,-/,-:71711-"- PROPERTY OWNER Primary Contact r, . ADDRESS . ADDRESS S? 2.J /)/"~IC VI-I','{ ,I Ze'7 CITY STATE ZIP CITY STATE ZIP 0 t-t.aJNf:1 !Jt.: ~ t;>-,' c-, PHONE IFAX PHONE FAX 7fAP 7S'-(-Z &ZS-?vi -7W-?3(/3 EMAIL EMAIL fo.s f 14-1 fl VP cR. ~ /_ .,,,, , L. . tv ....... DESIGN PROFESSIONAL CONTRACT.2 BUS. NAME1 A j l"<.i 0.t -" • ,..., I • Lil:J!::}711-tf ADDRESS ADDRESS I , 5"171, C) Ce,;. 7tA.) I t: <-<-A V :fr? c,,-;l CITY ~ ZIP CITY STATE tl ZIP /lr t£l/tS I ?t£ /f.,._ ZclSv PHONE ~ l'AX PHONE FAX 17/A,, -:,su-z<.,z< 7vv-751/ Z36Y EMAIL / EMAIL A.Sl't:l.)Hvllc.R.. _,. G!.1.411..-.,.., ·-I STATE LIC. # STATER7t;,SS-/ ~ i½,J.,a-l"7n'~6r Sec. 7031.5 Business and Professions Code: An Ci or Count which re uires a ermit to construct alter im rove demolish or re air an structure ofior to its Issuance also re uires the I . . y ty y q P . , , P , P y ,p . , q applicant for such per_m1t 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 that 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)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations· I ave and wHI maintain a certificate of consent to self-Insure for mrkers' 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 workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, My workers' compensation insurance carrier and policy numberare:lnsuranceCo. ~1;5-f PoUcyNo. 7{,t)t>r // :f7r-: ExpirationDate S-/-1'7 ~section need not be completed if 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 Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage 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, dama rovided for in Section 3706 of the Labor code, Interest and attorney's fees, I hereby affinn that I am exempt from Contractor's Lice □ □ □ 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself 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 with contractor(s) licensed pursuant to the Contractor's License Law), I am exempt under Section _____ Business and Professions Code for this reason: 1. I perso~ally plan to provide the major labor and materials for construction of the proposed property improvement. OYes 0No 2. I (have I have not) signed an applicatkln for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provkle 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 lo coordinate, supervise and provide the major work (include name/ address I phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name I address I phone I type of work): ,/1$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant 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? O 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 ANO THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construcl1on lendmg agency for the performance of the work this pem,1t Is issued (Sec 3097 (1) C1v1I Code) lender's Name lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the abcwe information is correct and that the lnfonnatlon on the plans is accurate. I agree to comply with all Cify ordinances and St:ite laY.S relating to building construction. I hereby authorize representative of the City of Carlsbad to enteru!X)fl the aOOve mentioned property br inspection rx,irposes. I ALSO AGREE TO SAVE, INDEMNIFY AI\ID KEEP HARMLESS THE CITY OF CAAL.SBA□ AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Aff/ WAY ACCRUE AGAINST SAID CITY IN CONSEQJENCE OF THE GRANTING Of THIS PERMIT OSHA: M OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every perm~ issued by the Building Ofl'K::ial under the provisions of this Code shall expire by liTlitalion and oorome null and voKI ~the tx.Jilding oroor1<. authorized by such permit is noto:immenced 'lvithin 180days from the date ofsudl i;ermit or if the building oroork authorized by suet, i;ermit is suspended or abandoned al any time after the v.ork is o:immenced for a i;eood of 180 days (Section 106.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE ./ DATE (p Z/ • 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 Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (listed above) □ CONTRACTOR (On Pg. 1) MAIL/ FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE o ASSOCIATED CB#------------ □ NO CHANGE IN USE/ NO CONSTRUCTION D CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Penni!#: CB162154 Type: PME Date _lnspec_ti_or,_l_tem 06/21/2016 43 AirCond/Furnace Set 06/21/2016 43 AirCond/Furnace Set 06/21/2016 49 Final Mechanical 06/21/2016 49 Final Mechanical Wednesday, June 22, 2016 Inspector Act PB PB RI AP RI AP CHAMBERLAIN PROPERTY MANAGEMEN REPLACE HEAT PUMP CONDENSER & Al Comments GC #9131 GC #9131 Page 1 of 1