HomeMy WebLinkAbout1265 CYNTHIA LN; ; CB162231; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME} Permit
06-08-2016 Permit No: CB162231
Buildin~~ Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
1265 CYNTHIA LN CBAD
PME
1562311200
ANDERSON RES-NEW A/C UNIT
NO NEW ELECTRIC
MOOR CO SERVICE INC
STEA
3239 ROYMAR RD
OCEANSIDE CA 92058
(760) 722-1541
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
MCALLISTER RYAN&ANGELIQUE
1265 CYNTHIA LN
CARLSBAD CA 92008
ISSUED
06/08/2016
RMA
06/08/2016
06/08/2016
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector:
FINAL
Date: Clearance:
$0.00
NOllCE: Please take NOTlCE that approval of your prqect includes the "lrrpcsition" a' fees, dedications, reservations, or other exactions hereafter mllectively
referred to as "fees' exactions." You have 00 days from the date this perrrit was issued to protest irrpcsition of these fees' exactions. If you protest them, you rrust
fallON the protest prcx;eclures set forth in Govermllfll: Code Section 60020(a), and file the protest and any other required infonration wth the Oty l\i1anager for
processing in aaxrdance wth Carlsbad M.inidpal Code Section 3.32.030. Failure to tirrely fallON that prcx;eclurewll bar any subsequent legal action to attack,
re.ileN, set aside, void, or annul their irrpcsition.
You are hereby RRTHER 1\XJllRED that your right to protest the specified fees' exactions I:DES Nar APR.. Y to water and seNer oonnection fees and capacity
changes, mr planning, zoning, grading or other sirrilar application processing or service fees in oonnedion wth this prqect. NOR.I:DESIT APR.. Y to any
fees' exactions of W"lich have eviousl been 1 "vena NOTlCE sirrilar to ths or as to vhch the statute of !irritations has ·ousl otherWse "red.
(_ Cicyof
Carlstiad
CT/PROJECT #
EXISTING USE
APPLICANT NAME
Primary Contact
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
0PLANNING 0ENGINEERING
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITE#/SPACE#/UNIT
#BATHROOMS
PROPOSED USE GARAGE (SF) PATIOS (SF)
STATE ZIP
FAX
STATE ZIP
FAX
STATE LIC. #
0BUILDING OFIRE
Plan Check No.
Est. Value
SWPPP
OCC. GROUP
FIRE SPRINKLERS
YEsONoD
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, impro , demolish or repair any structure, prior to its issuan e; also req ~res the applicant for such permit 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}).
I have and will maintain a certificate of consent to self·insum 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 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
number are: Insurance Co. Policy No. Expiration Date _________ _
This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 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, of the Labor code, interest and attorney's fees.
25 CONTRACTOR
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D
D
D
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 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 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 Contractor's License Law).
I am exempt under Section Business and Professions Code for this reason:
1. I personally plan to provide the major labor and material~ for construction of the proposed property improvement DYes 0No
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 I phone I 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 I address I phone I 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):
25 PROPERTY OWNER SIGNATURE 0AGENT DATE
I certify that I have read the application and state that the above infonnation is correct and thatthe infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon tl1e above mentioned properly for inspection purposes. 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 CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA penn it is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every penn it issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such penni! is not commenced V>ithin
180 days rrom the date of such penn it or if the building or work authorized by such penn it is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code).
~APPLICANT'S SIGNATURE DATE
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.govor Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER:-----------------
_a5 APPLICANT'S SIGNATURE
(Office Use Only)
CA
ASSOCIATED CB#·------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
I .
0 I
Permit#: CB162231 Type: PME
Date Inspection Item .
06/23/2016 43 AirCond/Furnace Set
06/23/2016 49 Final Mechanical
06/22/2016 43 AirCond/Furnace Set
06/22/2016 49 Final Mechanical
lnsp~ctor Act
Rl
Rl
AEK AP
AEK Fl
ANDERSON RES-NEW A/C UNIT
NO NEW ELECTRIC
Comments
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