HomeMy WebLinkAbout1316 GULL CT; ; CB151013; Permit,.
04-06-2015
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB151013
Building Inspection Request Line (760) 602-2725
1316 GULL CT CBAD
PME
2156421100
PERCOPO: REPLACE AC
Lot#: 0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
04/06/2015
JMA
04/06/2015
04/06/2015
ECONOAIR PERCOPO MICHAEL J&CHRISTINE W FAMILY TRUST 09-24
4915 HUNTER AV
ANAHEIM CA 92807
800 503-2666
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
1316 GULL CT
CARLSBAD CA 92011
$0.00
$0.00
$160.00
$0.00
$160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due:
Inspector: Date: Clearance:
$0.00
a approval of your project includes the "lmpositi • of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If 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 Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that 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 fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
f I x ti n of which ou have revi I een iven a NOTICE similar to thi r as to which the stat f limitations has r vi I h rwise ex ired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING •ENGINEERING •BUILDING •FIRE •HEALTH 0HAZMATIAPCD
·ccityof Building Permit Application Plan Check No. (BIS, IOI~
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 '-{. lo· I~ lswPPP
/'1LL C(JU/2.7, C-1' £.L~, C//. Cl.
~TEf/SPACEf/UNITI
{/// IAPN ---JOBAOOn/6
CT/PROJt.CT # I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENA.KT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) A/4 (IA/Ly C,"/;f,N/,£ t?VT /4./.,1,!. G rCI/L L)JL 1
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
S/A16t,E T/1~/t..Y YES0, N,0 YES0No0 YESONoO
APPLICANT NAME e' A.//L/01/tf /l(/c-/2,,74 PROPERTY OWNER MIC/14Ei.. /£ l'L,o/.J{) Primary Contact
ADDRESS/ t. Is ,It. 57 /7-/,4. /'LOt?4-ADDRESS I J/,{ 6 VLL covL7
CITY 5 # C 4-/I /I E-/4170
STATE C.,,,. ZIP 95 Pl]"' CITY
C /!/2..L.5l3,1fl.tJ STATE C,,f ZIP f2 CJ//
PHON1/ f'71 I I FAX --00-012..3 PHONE7-/'tJ-f t1?-t'?I 3 IFAX
EMAIL /,, ./., EMAIL
t'/lr/~vt', v er " ,I) f'/Jt'r"'> vv. -
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME t:co-,vo/91 /L
ADDRESS ADDRESS L; f 1 5 iE /I tl/117£L /fl/£
CITY STATE ZIP CITY II ,v,tJ IJ tcl /-/ STATE C ,IJ ZIP 9'2.8t:Jl
PHONE IFAX PH~E JFAX po-503-11-lt ¥7.//9
EMAIL EMAi¥ /4 • $ tj'V '(Ve e-COJ1(ltl/Y. {.,(},., I STATE LIC. # STATELIC.#' 1/'152 J. 0 l'c: 2 D 1"7213 ~<10
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to.construct, a!ter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_m1t to file a signed statement that he is licensed pursuant to the prov1s1ons of the Contractor's License Law fCha'/'ter 9, comme_nd1ng 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 103 .5 by any applicant for a permit subJects the applicant to a
civil penalty of not more than five hundred dollars {$500)).
WORKERS' (:OMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
J have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perlormance of the work for which this permit is issued.
ave and will maintain workers' ~O.JTIP&nution, as required by Section 3700 of the Labor Code, for the perlonnance of the worll for which this P0:,('l)l J issued My workers' compensation Insu ce carr
numberare lnsuranceCo 5 [ou/lf7Y lv,17/0AJI/L /<):,(//l4:~0 S}J(,/t)2 l/tJ'7'6 &p,ratiOnDale () tll
~section need not be completed if the perm rt. Is for one hundred dollars ($100) or less €O/t/4h J'
LJ Certificate of Exemption: I certify that 111 the pertonnance of the work for wt11ch this permit Is issued, I shall not employ any person m any manner so as to become subJect to the Workers' Compensation Laws of
Califomia. WARNING: Failure to secure workers' compansatio erage is unlawful, and shall subject an employer to crimlnal penalties and civil fines up to one hundred sand lars (&100,000), in
addition to the cost of compensation, damages as provided f ction 3706 of the Labor code, Interest and attorney's fees.
_e, CONTRACTOR SIGNATURE ~-----~
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: •
• •
I, as owner of the property or my employees with wages as their sole compensaUon, will do the work and the structure is r.ot 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 excllJsively contracting with licensed co11tractors to construct the project (Sec, 7044, Busi11ess and Professions Code: The Contracto(s License Law does not apply to an owner of
property who builds or improves thereo11, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Lice11se Law).
I am exempt under Section ____ ,Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No
2, I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the followirig person (finn) 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 lhe work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
~ PROPERTY OWNER SIGNATURE DATE or
COMPLETE TIU$ 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? Yes No
Is the applicant or future building occupant required lo 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 AND THE AIR POLLUTION CONTROL DISTRICT.
co N s TR u c Tl Q"' I.END I Na A a E r..ic v
I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) Civil Code)
Lender's Name Lender's Address
APPLICANT Cll,R,TIFICAT!ON
I certify that I have read the application and state that the above Information is conectand that the infonnatlon on the plans Is accurate. I agl88 to comply~ all City oldinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad b enter up:m the above mentioned property br inspection purJX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMlESS THE CITY OF CARLSBAD
Ac.\lNST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AN'/ WAY ACCRUE Ac.\lNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA perm~ is requi'ed for excavations over 5'0' deep and demolioon or construCOOn of structures over 3 stories in h~ht
EXPIRATION: Every permit issued by the Buitling Olkial under the provisbns of this c.ode shall expire by lrflitation and become nuU and YOO ff the buitling orw:iri<. authorized by such permit is not commenced 'MIilin
180 days from the date ofsOO'I perm~ or ttthe buik;ing or v.o,k authorized by such permit is suspended or abanooned at any time aftef the WJrk is commenced for a period of 180 days {Section 100.4.4 Uniform Building c.ode).
AS 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.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. LIC. No.
· DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT {LISted above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER:~---------------
A$ APPLICANT'S SIGNATURE
ASSOCIATED CB#------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB151013 Type: PME
Date Inspection Item __
05/14/2015 43 AirCond/Furnace Set
05/14/2015 49 Final Mechanical
05/13/2015 43 AirCond/Furnace Set
05/13/2015 49 Final Mechanical
Thursday, May 14, 2015
Inspector Act
SP
SP
RI
RI
AP
Fl
PERCOPO: REPLACE AC
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