HomeMy WebLinkAbout1394 NIGHTSHADE RD; ; CB153194; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
09-29-2015 Permit No: CB153194
Building Inspection Request Line (760) 602-2725
Job Address: 1394 NIGHTSHADE RD CBAD
Permit Type: PME Status: ISSUED
Parcel No: 2156413800 Lot #: 0 Applied: 09/29/2015
Entered By: SLE
Reference #: Plan Approved: 09/29/2015
PC #: Issued: 09/29/2015
Inspect Area:
Project Title: HEMPY: REPLACE NC
Applicant: Owner:
THOMPSON HEATING & AIR HEMPY DAVID&ANNE FAMILY TRUST 03-09-09
2531 BRADLEY ST 1394 NIGHTSHADE RD
OCEANSIDE CA 92056 CARLSBAD CA 92011
760-471-5800
Plumbing Fees . $0.00
Electrical Fees $0.00
Mechanical Fees $163.00
Other PME Fees $0.00
TOTAL PERMIT FEES $163.00
Total Fees: $163.00 Total Payments To Date: $0.00 Balance Due: $163.00
I FINAL APPROVAL
lnspector'' Date: It' /T Clearance:
NOTICE Flee take NOTICE that 2icwva1 dczir pqed inducs the xori dfees decfratiais, reservations, or ether sections hereeftoolleetivety
iened toes feesfes ior' You h3ve 90 days from the date this pemit vm issued to protest irrçxtiai ci View fe iaia If you protest them you rftet
fdloN the protest Oroceckim set forth in Q,arrrent Coda Section 662)(a), ad file the protest and any other mqurod infanai Wth the City Wager for
1z.t5sing in daE wth Caisbori tvthdpel Cede Sedim 332.030. Faikreto tirry fdlaw that pxrduiwll bar any sutsequal lecjal action to attack
reAew, set eside, vdd, or arrul their irrpcsition.
You are hore' FURTHER NOTIFIED that your right to protest the spealled feestecactions DOES NOT.APRYtoeta and sew emrdim fees ad capacity
da ru plarnr, zciing, gredng or other sinitarpiba, ng a-serwe fees in connection wth this project. NCR DOES lTARYto any
fees/eon dAhth vou have amiav been dai a NOTICE sirnilw to this. or as to With the statute of liffMions hes a-ev1orjv otherWseacared.
ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE [:]HEALTH 0 HAZMATIAPCD
Building Permit Application Plan Check No. Qj gg
Est. Value (City f 1635 Faraday Ave., Carlsbad, CA 92008
760-602-2719 Fax: 760-602-8558
Carlsbad.email:
Ph: Plan Ck. Deposit building@carlsbadca.gov
Date\ -3- i IswPPP . I www.carlsbadca.gov
JOB ADDRESS 1394 Nightshade Rd I SUITE#/SPACE#/UNITØ I I - - - CT/PROJECT # LOT A PHASE A 41 OF UN1S 1#BEOROOWS7____T§-ATHROOMS
-
1TENANT BUSINESS NAME CONSTR. TYPE CCC, GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Replace air conditioner, same location
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
I'D#.. NOD YES [-]NO El I YESD NOD
APPLICANT NAME David Hempy PROPERTY OWNER NAME David Hempy Anaiy Contact
ADDRESS 1394 Nightshade Rd
ADDRESS
1394 Nightshade Rd
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92011 Carlsbad CA 92011
PHONE FAX PHONE FAX
760-691.9834 760.691-9834
EMAIL EMAIL
d23hempyverizon.net d23hempyverizon.net
DESIGN PROFESSIONAL
ICITY
CONTRACTOR BUS. NAME ThomDson Heatinq & Air Conditioning
ADDRESS ADDRESS 1980 PeacockBI.,Ste C
CITY STATE ZIP STATE ZIP
Oceanside CA 92056
PHONE FAX PHONE FAX
760-842-7630
EMAIL EMAIL
_________ contact(thacc.net
STATE UC. A STATE UC.# I CLASS I CITY BUS. LIC.#
974400 I C20 I 1240618
(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 permit to file a signed Statement that he is licensed pursuantto the provisions of the Contractor's License LawfChapter 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 ($500fl.
e(il1:urno 3®1?Døa
Workers' Compensation Declaration: thereby affirm under penalty of pe4wy one of the following dedarations
I 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 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. Guard Insurance Group Policy No._GAWCS487II Expiration Date 05/0112016
T Is section need not be completed if the permit is for one hundred dollars ($100) or less.
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 cover ge is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (5100,000), in
addition to the cost of compensation, damages as provided for in S I 37 of the Labor code, interest and attorney's fees,
AK CONTRACTOR SIGNATURE DAGENT DATE 912412015
®oiDoa ®G 0®()
I hereby affirm that lam exempt from Contractor's License Low for the following reason:
[J 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 Contractor's
License Law does not apply loan owner of properly 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).
[Z] I, as owner of the properly, an exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Confractofs License Law does not apply loan owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Conlractor's License Law).
[J lam exempt under Section -Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement DYes [:]No
2.1 (have /have not) signed an application fora building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address/phone/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 / phone! contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/address / phone !type of work):
..PROPERTY OWNER SIGNATURE IZIAGENT DATE 912412015
09&1 O3 600900() (NDID 00000(380@0070aa,UWOGJ)O(K IDoo?a ®S7
Is the applicant o future buiIdinocciant required to submit a business plan, acutely hazardous natérials registration fonn &rrisk managiment and prvenUon program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? DYes 0 No .' - -
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air qUality management district? 13 Yes 0 No •
Is the facility tobe constructed within 1,000 feet of the outer boundary ofa school site? DYes 0 No -1 • I -. -
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOTBE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. . - -•" -. -
C®X1?000 M900M @&?
I hereby affirm that there is construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code)"
Lenders Name Lenders Address
(30G)VOG1013aV0010
I cerftft I have read lheapplication and statethatthe above Information Is conectand Wthe information on the plans is aocurdte- I agreeto camp" all City ordinances and State him relatingto buildingoonstructlon.
-, ,..'1. .UU • .1.. :1, ;I
I hereby authorize representative of the City of Carlsbad to enter upon the above mentinned property for thspectbn perpeses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEJENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permit is required for excavations over 5 deep and demolition orconshuction of structures over 3stories in height
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall e)#febylimilallonandbecomenullandvold if the building or voik authorized by such permit isnot commenced Wthiri
180 days from the date of such permit or if the building or mark autho by such permit is suspended or abandoned at any time after the workis commenced fora period of 180 days (Section 106.4.4 Uniform Building Code).
.gAPPLICANT'SSIGNATURE . DATE 912412015
r
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Inspection List
Permit#: CB153194 Type: PME HEMPY: REPLACE NC
Date Inspection Item Inspector Act Comments
11/18/2015 43- AirCond/Furnace Set - RI
11/18/201543 AirCond/Furnace Set PB AP
-
11/18/201549 Final Mechanical - RI
11/18/2015 49 Final Mechanical PB - AP
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