HomeMy WebLinkAbout1130 KNOWLES AVE; ; CB154533; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
12-22-2015 Permit No: CB154533
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
1130 KNOWLES AV CBAD
PME
1552521300
SOTO: CHANGE OUT FURNACE//
ADD AC W/ELECTRICAL
ANDERSON PLUMBING INC.WALTER
1150 N MARSHALL AVE
EL CAJON CA 92020-1831
619-449-7646
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Owner:
SOTO RUDYG
1130 KNOWLES AVE
CARLSBAD CA 92008
Issued:
Inspect Area:
ISSUED
12/22/2015
JMA
12/22/2015
12/22/2015
$0.00
$38.00
$163.00
$0.00
$201.00
Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due:
Inspector: Clearance:
$0.00
NOTICE: Rease ta<e NOTICE that WM ci )OJ ptjed indudes tte "IITjXllitiorl' ci fees, decicalicrs, reseovalicn,; ex ctha" e,ajja,s -ooledivay
re!ened toas 1a,sie,ajja,s." Yoo l>MlOOday.,fromtte-ths pa:nitv.es issued to p,ctest iITJX}li1i01 cittesefa,sie,ajja,s If )OJ p,ctest !ten\ )OJ rrust
fdlONtre Jroesl p-ocedres set forth in G'.>lerrm:rt Cooe Sedi01 68'.l2J(a), am file tte p,ctest am any ctha" req..ired infonrali01 wlh tte Oty Ml1ager fer
procassrg in aoocrda""cewlh Calsl:al M.ride<i Cooe Sedi013.32.0::0. Falu-etotirreyfdlONthal prcx:eci.rawll 1..-anysu:,;ecµrt lega a:tion to~
re,,ia,v, SEt. asiOO, \ad, CJ" clY'U treir irrp:l:lition.
Yoo ae reel>,, F\.RTl-ER NOTIFlED that )OJ ri[tt to p,ctest tte sped1ia:I fa,sie,ajjCJ1S CCES NOr IIPPI._ Y tov.et..-am .,._ QCJ1nedi01 f"'5 a-d ~
cra,g,s, ncx plmrg, 20"irg galrg ex ctha" srril,.-applicali01 procassrg crse,,,;oefees in OCJ1na:tionwlh ths ptjed. l'lRCCES IT IIPPI._Yto any
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THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD
«~~' Building Permit Application Plan Check No. CP:><S-4 S33
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
~ CITY 0 F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit
CARLSBAD email: building@carlsbadca.gov Date i-1) -z.,,-z,./, ( !SWPPP www.carlsbadca.gov
JOB ADDRESS SUITE#/SPACEI/UNITf IAPN 1130 KNOWLES AVE ---
CT/PROJECT# I LOT# I PHASE# T# OF UNITS I# BEDROOMS # BATHROOMS I TI:NANT BUSINESS NAME I CONSTR. TYPE l occ. GROUP
DESCRIPrtON OF WORK: Include Square Feet of Affected Area(•)
CHANGE OUT FURNACE. ADD AC,DUCTING, AND COIL. WITH ELECTRICAL
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES[]# Ne(] YES □No□ YES□No□
APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME RUDY SOTO p. -' ADDRESS ADDRESS
4540 KEARNY VILLA RD #213 1130 KNOWLES AVE
CITY STATE ZIP CITY STATE ZIP
San Die110 CA 92123 CARLSBAD CA 92008
PHONE l'AX PHONE l'AX 888-991-4377 7607297458
EMAIL JERMAINE@WEGREENINC.COM
EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ANDERSON PHA
ADDRESS ADDRESS 1150 N MARSHALL AVE
CITY STATE ZIP CITY STATE ZIP
EL CAJON CA 92020
PHONE l'AX PHONE I 'AX 8008301102
EMAIL EMAIL THERESA@,ANDERSONPHA.COM
ISTATELIC.# STATE LIC.# l'czo/C36 ICllYBUSt'\51 l\l\d) 493163
(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 requires the applicant for such per.mit to file a signed st1;1tement tnat he is licensed pursui3nt to the provisions of t~e Contraytor·~ License ~aw /Chapter 9, commending with Section 70:00 of D1vis1on 3 of the B_usiness and Professions Code} or [hat he Is exemP.t therefrom, and the basis for the alleged exemption. Any vIolatIon of Section 031.5 by any apphcant for a permit subJects the applicant to a
civil penalty of not more than five hundred dollars {$500)).
WORl<ERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of {)6,jury one of the fol/owing declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Sect!or:i 3700 of tha Labor Code, for the perfonnance of the v.ork for which this permit Is Issued.
[Z] I have and will maintain workers' compensation, as reciulred by Section 3700 of lhe Labof Code, for the performance of the work for 'MIich this permit Is Issued. My workers' compensation Insurance carrier and policy
number are: Insurance Co. ACE AMERICAN INSURANCE Policy No. WLRC48578238 Expiration Date 3/212018
Ul§_sectlon need not be completed If the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that In the performance of the wont for lch this permit Is Issued, I shall not employ any person In any manner so as to become subject to the Wor1<.ers' Compensation Laws of
Csllfomla. WARNING: Failure to secure workers' compensation coven s unlawfu subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for In Sectl 3 Labor code, Interest and attorney"s fees.
,6$ CONTRACTOR SIGNATURE
I hereby affirm that I irn exempt from Contractor's Ucense Law for tha following reason:
□
□
□
r, as O'M18r of the property or my employees with wages as their sole compensation, will do the work and the structure ~ 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 bu lids or improves thereon, and who does such work himself or through his own employees, provided that su::h 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 O'Mler 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 v.tlo bulids or Improves thereon, and contracts fof such projeCtS with contractor(s) licensed pursuant to tha Contractor's License Law).
I am ex.empt under Section ____ Business and Professions Code for this reason:
1, I personally plan to provide the major labor and matarlals for construction of the proposed property Improvement. Oves ONo
2. I (have I have not) signed an appllcatlon for a bulidlng permit for the proposed work.
3. I have contracted with the following person (firm) to provkte the proposed conslrUcUon (Include name address/ phone/ contractors' license number):
4. I plan to provide portions of the work, but I h8Y8 hired the follow rson to coordinate, supervise and provide the major work (Include name I address I phone I contractors' license number):
5. I will provlda some of the wor1<., but I have ntra::ted h following persons to provide the work lndk::ated (Include name I address I phone/ type of work):
,N5 PROPERTY OWNER SIGNATURE □AGENT DATE
, C:OMIHl!Ti! TIii$ $1!¢TION FOR NON•Rl!Sll)i!NTJAL 111:IJLl>JNG PERMITS ONLY
Is the,pplicant or Mure building occupant required to submit a business plan, a::utely hazardous materials registration fOrm or risk mcl'lagement and prevention progran under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant reqlired to obtain a permit from the air pollutlon control district or air quality management district? □ Yes □ No
Is the facility to be constructed 'Mthin 1,000 feet of the outer boundary of a schOOI site? D Yes D No
JF 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 O&rtlfythat I have read the aPPlicatlon and state that the above lnfonnatlon Is oorrect and that the lnfonnation on the plans Is accura1B. I agree to comptywttll all Cttyortllnances and state laws relating to building construdion.
I hereby authorize rwesentative cf the CityofCaisbad benterupon the at:ove mentbn8:l property for inspectbn purix>S9S. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY 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 permit Is 1'8:lulred for excavatioos rNef 5'0' deep and derrolitioo or coostructtm ctu'es over 3 stories il he"Jht.
EXPIRATION: Every permit Issued by the Buildir,'J CXl'dal under the provlsbns of !his Cooe shall ·re by Imitation il'ld 1:8::orne nul arK1 wld W the tx.Jildlr,'J or work aultxlriZe:I by SLdl 1)31'Tlit is not oornmenced within
180days from the elate of such 1)3mlt or Wthe buiiir,"J orwak authorlzs:I by such i:ermlt is su at any lime after the WOO: lsccmrneo::Ed bra 1)3rbd of 180days (Seclk:ln 100.4.4 Unitxm Buildl'lQ C-ode) .
..f:S' APPLICANT'S SIGNATURE DATE l__,, ,---z_,1.--...._
Inspection List
Permit#: CB154533 Type: PME
Date ___ lnseection Item
01/12/2016 43 AirCond/Furnace Set
01/12/2016 43 AirCond/Furnace Set
01/12/2016 49 Final Mechanical
01/12/2016 49 Final Mechanical
Tuesday, January 12, 2016
Inspector
AEK
AEK
Act
RI
AP
RI
Fl
SOTO: CHANGE OUT FURNACE//
ADD AC W/ELECTRICAL
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