HomeMy WebLinkAbout1060 CHINQUAPIN AVE; ; CB130234; Permit01-28-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No CB130234
Building Inspection Request Line (760) 602-2725
Job Address 1060 CHINQUAPIN AV CBAD
Permit Type PME Status ISSUED
Parcel No 0000000000 Lot # 0 Applied 01/28/2013
Entered By SKS
Reference* Plan Approved 01/28/2013
PC# Issued 01/28/2013
Inspect Area
Project Title LIME GROVE APTS - REPLACE FAU
IN 9 UNITS #5,7,9,12,13,16,18,23,&24 SAME SIZE & LOCATION
Applicant
REM MECHANICAL
STE A
1075 LINDAVISTA DR
SAN MARCOS CA 92078
760 471-1755
Owner
Plumbing Fees
Electncal Fees
Mechanical Fees
Other PME Fees
$0 00
$0 00
$154 00
$248 00
TOTAL PERMIT FEES $402 00
Total Fees $402 00 Total Payments To Date $402 DO Balance Oue. $0 00
Inspector
FINAL APPROVAL
Date o'
\PPROyVAL
Clearance
NOTICE Please lake NOTICE that approvai of your project includes the "Imposition' of lees, dedications, reservations, or ottier exactions hereafter coilecliveiy
refen'ed to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you prolesl them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required infomiation with the City Ivianager for
processing in acconjance with Carisbad Municipal Code Section 3 32 030 Faiture to timely follow that pnDcedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition
You are hereby FURTHER NOTIFIED that your nght to protest the specified fees/exactions DOES NOT APPLY lo water and sewer conneelion fees and capacity
changes, nor pianning, zoning, grading or other similar application prtwessing or service fees in connection with this project NOR DOES IT APPLY to any
fggg/gxaptiqns of which vou have previousiv been given a NOTICE similar to this, or as to which the statute of limitations has previousiv otherwise expired
THv FOLLOWING APPROVALS REQUmEQ PRIORTO PERMiT ISSUANCE • PUHWIHG • ENGINEERING [BBUILDING • FIRE • HEALTH • HAZMAT/APCD
PlanCheckNo. ^ C)'^, 3^
CITY OF
Building Permit Application
1635 FaradayAve . Carisbad, CA92008
PIT 760-602-2719 Fax 760^602-8558
email buldllng@carl&badca gov
www carisbadca gov
Est. Value
Plan Ck. Deposit
Date j/2f//3 SWPP
JOBADDRESS SUITE#/SPACE«/UNIT# APN
CT/PROJECT fl » BATHROOMS TEIMNT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK (ncfude Sijuare Feet of Affected Areafs.)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESD # NO •
AIR CONDITIONING
YES • NOD
FIRE SPRINKLERS
VES D NO D
APPLICANT NAME (Primary Contact) APPUCANTNAME (Secondary Contact)
ADDRESS ADDRESS
CITY STATE ZiP CiTY STATE Zip
PHONE FAX PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS NAME
ADDRESS ADDRESS
CITY STATE CITY STATE Zl?
PHONE FAX PHONE FAX
EMAIL EMAfL
ARCH/DESIGNER NAME &ADDRESS CLftSS CITY BUS UCff
(Sec 7031 5 Business and Professions Code Any City or County wriicn requires a permit to construct alter, improve demolish or repair any structure pnor to its issuance, also requires ttie applicant for such permitto file a signed statement that he is licensed pursuant to the provisions ofthe Contractor s License Law (Chapter 9, commendmgwith Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt ttierefrom and the basis forthe 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 Declaration / herei)/ afm under penalty of perjury one ofthe following declarations
O 1 have and wiil maintain a cerUficats of consent to self insure for workers compensation as provided by Section 3700 of the Lalxir Code for perfonnance of lhe work for which this pennit is issued
! have and will maintain workers' compensation as required by Seclion 37(K)Df the LaborCode forthe perfomiance Cthe vrark for which this permit is issued Myworkers compensation insurance earner and policy
numberare InsuranceCo ^^^a/Z^lfy /U (t^f? OAJ/tL "^fJ^ ^ PolicyNo Si/^C / "5 3 ^ !7 Expiration Date ^/ f~?l/y
This section need not be completed if fhe permit is for one hundred doliars ($100) or less
O Certificate of Exemption 1 certify that in the performance of fhe vrork for which this permif is issued, 1 shall nof employ any person in any manner so as fo become subject fo the Workers' Compensation Laws of
California WARNING Failureto secure workers' compensation coverage is unlawful, snd shali subject an empioyerto criminal penalties and civil fines upto one hundred thousand dollars (&10D,000), m
addition to the cost of compensation, damages as provided for m Section 3706 ofthe Laborcode, interest and attomey's fees
^ CONTRACTOR SIGNATURE
I hereby affirm Ihat I am exempt from Conlractoi's License Law for Ihe lollowing reason
• I, asownerolthe property or my employees wifh wages as their sole compensation will do Ihe work and fhe structure is not intended or offered for saie (Sec 7044, Business and Professions Code The Contractor's
License Law does nof apply lo an owner of property who builds or improves thereon, and who does such work himself or through his own emtfoyees, provided that such improvements are nol mtended or offered for
sale li however, the building or improvement is sold wilhm one year of completion, the owner builder will have the burden of proving that he did not build or improve for fhe purpose of sale)
• 1, as owner of the properly, am exclusively contracting with licensed contractors to construct fhe praject (Sec 7044 Business and Professions Code The Contractor s License Law does not apply fo an owner of
property who builds or improves Ihereon, and contracts for such projects with contractor(s) licensed pursuant fo lhe Contractor's Ucense Law)
• I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for constnjction of the proposed properly improvement • Yes • No
2 1 (have / have not) signed an application for a building pemiit for the proposed work
3 I have contracted with Ihe toilov/ing person (frm) to provide the proposed construcfion (include name address / phone / contrxlors license number)
4 I plan to provide portions of lhe work, but 1 have hired the following person to coordinate, supervise and provide Uie major work [include name / address / phone / contractors' license number)
5 I will provide some of the work, but I have contracled (hired) the following persons to provide Ihe work indicated (include name / address / phone / fype ol work)
ygf PROPERTY OWNER SiGNATURE •AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration lorm or nsk management and prevention program under Sections 25505 25533 or 25534 of the
Presley Tanner Hazardous Substance Account AcP • Yes • No
Is the applicant or future buikfmg occupant required to obtain a permit from ttie air pollutton control distnct or air quality managemeni cJistncP • Yes • No
is the facility fo be constructed within 1 000 feet of the outer boundary of a school site'' • Yes • No
IF ANY OF THE ANSWERS ARE YES, A RNAL 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 hereby affirm that there is a construction lending agency for 6ie perfonnance of the work this permit is issued (Sec 3097 (i) CM! Code)
Lender's Name fUONi^ Lender's Address
I certifythati have read the application andstatethatthe above infonnalionisconQCtandttiatt^ lagreetDComplywithallCi^onjinancesandStateiawrelatinglDbuilcfingcotistrtictnn
I hereby authonze represenlative of the City of Cartsbad to enter upon the above menlxjned property for inspectnn purposes I ALSO AGREE TO SAVE, INOEMNII^ AND KEEP HAf^MLESS THE CfTY OF CARLSBAD
AGAINST ALL UABIimES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMn
OSHA An OSHA permil is required for excavatons over S'O deep and demolition or construction of stmctures over 3 stones in heght
EXPIRATION Every pemiil issued by the Building Official under the provisons of thts Code shall expire by Iniilation and become null and void if the buildmg or work authonzed by such pennit is not commenced within
180 days fitxii 8ie date of such pemit or if the buPdng or voik authonzed by such permit is suspended or abandoned at any time after the vwrk ts commenced for a penod of 180 days (Secton 106 4 4 Unifcum Building Code)
APPLICANT'S SIGNATURE DATE /s
STOP- THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Compiete the following ONLY If a Certificate of Occupancy will be requested at final inspectton
CERTIFICATE OF OCCUPANCY { C o m m e r c Projects Only
Fax (760) 602-8560, Email vww buildinqtacarisbadca qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008
C0#. (Office Use Only)
CONTACT NAIVIE OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAiL OCCUPANTS BUS LIC No
DELIVERY OPTIONS
• PICKUP • CONTACT (Usted above) • OCCUPANT (Usted above)
n CONTRACTOR (On Pg 1}
• MAILTO • CONTACT (Listed above) a OCCUPANT (Listed above)
• CONTRACTOR (On Pg 1)
• MAIL/FAXTOOTHER
• ASSOCIATED CB#
• NO CHANGE IN USE / NO CONSTRUCTION
• CHANGE OF USE/NO CONSTRUCTION
• ASSOCIATED CB#
• NO CHANGE IN USE / NO CONSTRUCTION
• CHANGE OF USE/NO CONSTRUCTION
^APPLICANT'S SIGNATURE DATE
Inspection List
Permitt CB130234 Type PME LIME GROVE APTS - REPLACE FAU
IN 9 UNITS #5,7,9,12,13,16,18,23,&24 SAM
Date Inspection Item Inspector Act Comments
03/04/2013 43 AirCond/Furnace Set MC AP UNITS, 5,7,9,12,13,16,18,23,24
EXISTING FAU CLOSETS
03/04/2013 49 Final Mechantcal - Rl 9FAUs
03/04/2013 49 Final Mechanical MC Fl
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