HomeMy WebLinkAbout1140 CAPE AIRE LN; ; CB122079; Permit10-12-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No CB122079
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
1140 CAPE AIRE LN CBAD
PME
2061402400 Lot#
RHOADS RES- REPLACE FURNACE
(® SAME LOCATION UNDER STAIRS IN CRAWLS SPACE
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
10/12/2012
RMA
10/12/2012
10/12/2012
Applicant
AMY RHOADS
Owner
AMY RHOADS
1140 CAPE AIRE LN
CARLSBAD CA 92008
760 685-9491
1140 CAPE AIRE LN
CARLSBAD CA 92008
760 685-9491
Plumbing Fees
Electncal Fees
Mechanical Fees
Other PME Fees
$0 00
$0 00
$154 00
$0 00
TOTAL PERMIT FEES $154 00
Total Fees $154 00 Total Payments To Date $154 00 Balance Due $0 00
nspector j^' ^>^^\
FINAL APPR(
Date
KPPRO VAL
/3_ Clearance
NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees dedications, resen/ations, or other exactions hereafter collectively
refen-ed to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions It 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 fvlanager for
processing in accordance with Carlsbad [Municipal Code Section 3 32 030 Failure to timely follow thai 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 tees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning grading or other similar application processing or sen/ice fees in connection with this project NOR DOES IT APPLY to any
fees/gxactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenvig^ ?xpirei;l
THE FOLLOWiNG APPROVALS REQUIRED PRIORTO PERMtT ISSUANCE • PLANfilNG • ENGISEERING • BUILDING • FIRE • HEALTH • HAZ!lfiAT/APCD
CiTY OF
Building Permit Application
1635 Faraday Ave . Carlsbad, CA 92008
Ph 760-602-2719 Fax 760-602-8558
ennail buidling@carl5badca gov
wvw carlsbadca eov
Plan Check No
Est. Value
Plan Ck. Deposit
Date SWPP
JOB ADDRESS
TTnTH » -~ I PHASE # I # OF UNITS
SUITEB/SPACEW/UIWTS
CT/PROJEa# # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE
DESCRIPTION OF WORK Include Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS [SF]
2.
DECKS [SF] FIREPLACE
YES rX# ^ 1^0 •
AIR CONDITIONING
YES • NO^
FIRE SPRINKLERS
YES • N0X[
APPLICANT NAME (Pfrmary Contac() APPLICANT NAME (Secontfary Contact)
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE PHONE FAX
EMAIL
PROPERTY OWNER NAME_ i ^ > 1^1 CONTRACTOR BUS NAME
ADDRESS O
w^Q ("<^fe h^t Uivie-
ADDRESS
CITY _ 1 . , STATE ZIP CITY STATE ZIP
PHONE , FAX PHONE FAX
EMAIL , , ^ I
aw\\hx\/\oa-(X^\'L(^y^oc> rmn
EMAIL
ARCH/DESIGNER NAI^&ADDHESS STATE LIC # STATE Lie # CLASS CITY BUS Lies
(Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve demolish or repair any structure pnor to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor s License Law (Cnapter 9 commending with Section 7000 of Division 3 ofthe Busmess and Professions Code} or that he is exempt therefrom and the basis for the alleged exemption Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500]]
Workers' Compensation Declaration (hereby affirm under penalty of perjury one of Ihe following declarations
• 1 have and will mamtain a certificale of consent to self insure forworkers compensalion as provided by Section 3700 of Ihe Labor Code forthe performanceof the work (or which this permit is issued
d I have and wdl maintain workers' compensation as required bj'Secton 3700 of (he Labor Code for fte performanceof lhe work for which Ihis permit is issued My workers' compensation insurance earner and policy
number are Insurance Co _^ ^ PolicyNo Expiration Daie
This seclion need not be completed if the permit is for one hundred dollars ($100) or less
C3 Certiftcate of Exemption I certify thai m lhe perfomiance of the work for which Ihis permit is issued I shall not employ any person many manner so as to become subjecl lo lhe Workers Compensaton Laws of
California WARNING Failureto secure workers' compensation coverage is unlawful, and shall subject an employer to cnminal penalties and cwil fines up to one hundred thousand dollars (&100,000), in
addihon to the cost of compensation, damages as provided for in Section 3706 of the Labor code, mterest and attorney's fees
CONTRACTOR SIGNATURE •AGENT DATE
/ hereby affirm that I am exempt from Contractor s License Law for the following reason
1 I, as ownerof the properly or my employees with wages as their sole compensation, will do the work and the stmcture is not mtended or offered tor sale (Sec 7044, Business and Professions Code The Contractor's
License Law does not apply to an owner of properly who builds or improves thereon, and who does such work himself or through his own employees, provided lhal such improvements are not intended or offered for
sale It, however, the building or improvement is sold within one year of complelion, the owner builder will have lhe burden of proving lhat he did not build or improve for the purpose of sale]
I, as owner of lhe property, am exclusively contracting with licensed confractors lo construct the pro|ect (Sec 7044, Business and Professions Code The Conlraclor s License Law does nol apply to an owner of
property who builds or improves thereon, and contracts for such proiecls with contractor(s] licensed pursuanl lo the Contractor s License Law)
I am exempt under Section ^ Business and Professions Code for this reason
1 Ipers^ally planlo provide the major labor and materials for construction ofthe proposed property improvement )^Yes O No
2 ^(havei have not) signed an application for a building permit for lhe proposed work
3 rhflTC conlracted with the following person (firm) lo provide the proposed construction (include name address/phone/contractors license number)
4 1 plan lo provide portions of the work bull have hired the following person lo coordmate supervise and provide Uie major work {include name / address / phone / contractors' license number)
5 I will provide some of the work, but I have contracted (hired] the following persons to provide Ihe work indicated (include name / address / phone / type of vjork)
PROPERTY OWNER SIGNATURE •AGENT DATE Ih od
Is the applicant or future building occupant required to submit a business plan aculely hazardous materials registration former nsk management and prevention program under Sections 25505 25533 or 25534 ofthe
Presley Tanner Hazardous Substance Account Act' • Yes • No
Is the applicant or fulure building occupant required to obtain a pennit from the air polluton control dislnct or air qualify managemenl distncf • Yes • No
Is the facility lo 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 hereby affirm that there is a construction lending agency for the performance of &ie work this pemiit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
I cerflfythati have read the application and state thatlhe above inforniattonistMnectandthatthe infomiation on the pla^^ I agree to comply wlh all Cityordinancesand State laws relabngto building construction
I heretiy authonze i^piBsentative ofthe Cily of Carfsbad to enter upoi} the above menlioned property (or inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAIfJST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA permit is required for excavations over 5'0' deep and demolition or conslmction of stniclures over 3 slones in heght
EXPIRATION Every permit issued by Hie Building (Metal under ihe provsions ol this Code sfiall expire by Imtaten and beawne nu9 and vod if the buildmg or work aultonzed by such pennit is not commenced wifhir
180 days from Ihe dale of such permitonfthe building or wik authonzed by such pemiit is suspended or abandoned at any time after the vmrk is commenced forapenod otISOdays (Section 106 4 4 Uniform Building Code)
ygS*APPLICANT'S SIGNATURE DATE /3 dc4rc>h^2oi7-.
STOP- THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection
CERTIFICATE OF OCCUPANCY ( C o m m e r c i a I Projects Oniy|
Fax (760)602-8560, Email wv^-w buiidinaiScarlsbadca gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue Carlsbad, Cahfomia 92008
C0# (Office Use Only)
CONTACT ^AIVIE OCCUPANT NAIVIE
ADDRESS BUILDING ADDRESS
STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANTS BUS LIC No
DEUVERY OPTIONS
• PICKUP • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg 1)
• MAILTO • CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg 1)
• MAIL/FAX TO OTHER
• ASSOCIATED CB#.
• ND CHANGE IN USE/NO CONSTRUCTION
• CHANGE OF USE/NO CONSTRUCTION
^APPLICANT'S SIGNATURE DATE
Inspection List
Permits CB122079 Type PME RHOADS RES-REPLACE FURNACE
@ SAME LOCATION UNDER STAIRS IN C
- Inspection Item Inspector Act Comments
01/28/2013 43 AirCond/Furnace Set - Rl 12-2 PLS
01/28/2013 43 AirCond/Furnace Set MC AP EXISTING LOCATION
01/28/2013 49 Final Mechanical - Rl
01/28/2013 49 Final Mechanical MC Fl NEWT-STAT
Monday. January 28, 2013 Page 1 of 1