HomeMy WebLinkAbout1530 JEANNE PL; ; CB111171; Permit• City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-01-2011 Mechanical Permit Permit No: CB111171
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
Applicant:
1530 JEANNE PL CBAD
MECH
2071302100
$0.00
VIGIL RES-REPLACE FAU
LIKE FOR LIKE
GVK. MECHANICAL SERVICES
4043 50TH ST
SAN DIEGO CA 97105
619-271-6279
Mechanical Issue Fee
Install/Furn/Ducts/Heat Pumps Fee
Fireplace Installation Fee
Exhaust Fan Fee
Installation/Relocation Vent Fee
Hood Fee
Boiler/Compressor to 15HP Fee
Other
Additional Fees
TOTAL PERMIT FEES
Status:
Lot#: 0 Applied:
1
0
0
0
0
0
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
VIGIL JULIO T TRUST 04-25-07
1530 JEANNE PL
CARLSBAD CA 92008
ISSUED
06/01/2011
LSM
06/01/2011
06/01/2011
$15.00
$9.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$24.00
Total Fees: $24.00 Total Payments To Date: $24.0D Balance Due:
Inspector: V1'.1: ~ FINAL APPROVAL
Date: e>'6f-z..-zj, ll Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" 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 pro1est imposition of these fees/exactions. !f 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 se"-Ner connection fees and capacity
changes, nor planning, zoning, grading or other !'iimilar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
I fwhi I n i n N Tl E imil i h limi r vi I h rw·
«1'» Building Permit Application Plan Check No. (!A I I II, I
1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718/ 2719
CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit
www.carlsbadca.gov Date vi, I,, \swPP
JOB ADDRESS /S-30 ✓£0..-141'1.f, ,flL. SUITE# /SPACE#/UNIT # IAPN ---
CT/PROJECT# ILOT # I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ GROUP
DESCRIPTION OF WORK: Include Square Feet of Atrected Area(&)
/f'er'lt'.l e. e.. FA.ti. .f/•'Zn-7-e' L!t.7/( $,'9,n-? t2.
EXISTING USE I PROPOSED USE I GARAGE (Sf) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES □#_ NOD YES □ NO □ YES □ NOD
CONTACT NAME (If Different Fom Appl/cant) Get;>/'~ e %r/J/t:1.sAt<!V' APPLICANT NAME 6~4e, k,,,. /t/@ J, ev
ADDRESS V {7 ADDRESS ft?t/.5 (/ .so r-'-? &-c;;r-
CITY STATE ZIP CITY s. V. STATE a ZIP '12 /ex,-
PHONE
I 'AX PHONE
C Ill ,)JAX Z?:7-6Z7i
EMAIL EMAIL
PROPERTY OWNER NAME l/,-G/l-. i/2,, l /t? CONTRACTOR BUS. NAME ,;;;1/.,{J( H-, &?An ,,c A (
ADDRESS /c.,--Zt) ✓ee:l-J-1he /YI -ADDRESS 4-'t?~-S &~rt-.
CITY r;_ t"'a.d STATE Cl) ZIP PJ!d>) CITY S,I:? STATE ?/I ZIP '97/?$ 'A r'lS
PHONE:76/./ 7Zt/p2r/2· T'AX PHONE l'AX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS TSTATE LIC. # STATE UC.# t/J/t<,t, 'I l'e~.zol"?,;;-, 30,,
(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 pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 70_00 of Division 3 of the B_usiness and Professions Code) or fhat he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a
cIvII penalty of not more than five hundred dollars {$500}).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
□ 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 perfOfmance of the work for which this permit is issued.
□ I have and will maintain workers' compensation, as reqllired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insllrance carrier and policy
number are: Insurance Co. Policy No. ______________ Expiration Date _________ _
~ section need not be completed if the permit ls for one hundred dollars ($100) or less. ~ Certificate of Exemption: I certify that in the performance of the wori( for which this permit is issued, I shall not employ any person in any manner so as to become Sllbject to the Workers' Compensation Laws of
Callfornia. WARNING: Failure to secure workers' compensation coverage Is unLawful,-anlHlhall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provi~Of , inb.1 ut a II 11tomey's fees, •
,,1!$coNTRACTORSIGNATURE ~~"i!-=-~-~ □AGENT DATE t-/-//
I hereby affirm that I am exempt from Contractor's Ucense LBw for the following reason:
□ 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, Bllsiness and Professklns Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work him sell 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 Contractor's License Law does not apply lo 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 Sec!Kln _____ 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. □ Yes □ No
2. I (have/ 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/ phone/ contractors' license number}:
4. I plan to provide portions of the work, but I have hired the followif'lQ person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license nllmber):
5. I 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):
_65 PROPERTY OWNER SIGNATURE CIAGENT DATE
" 1 -~ 1 1 1 -~ ~
CQMPtlTll THU SECTION f'OII I\IOl\l•R£SIIJEN1'1AI. IIUltlflll\ll'I PERMU:l! QIIII.Y .
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? O Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes O 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
r certify that I have read the application and state that the above lnfonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all Chy ordinances and State laws 181ating ID buHdlng construction.
I hereby authorize representative of the Qty of Carlsbad to enter uixm the aoov8 mentioned p-operty for inspection purposes. I AL.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Cf CARLSBAD
AG'IINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG'IINST SAID CITY IN C~SEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA permit is required br excavations over 5'0' deep and dem(jition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Olocial under the provisions of this Code shall expire by limitation and become null and void if the buikling or oork authorized by such permit is noto::lll1menced 'Mlhin
180 days from the date of such perm rt or if the building or'M'.lM<. authorized by such permit is suspended or abandoned at anytime after the 'M'.lM<. is rommenced for a perbd of 180 days (&lction 100.4.4 Unfform Building Code).
~ APPLICANT'S SIGNATURE
/' / DATE ~/-//
m City of Carlsbad Bldg Inspection Request
Permit# CB111171
Title: VIGIL RES-REPLACE FAU
Description: LIKE FOR LIKE
For: 08/18/2011
Type:MECH Sub Type:
Job Address: 1530 JEANNE PL
Suite: Lot: 0
Location:
APPLICANT G.V.K. MECHANICAL SERVICES
Owner: VIGIL JULIO T TRUST 04-25-07
Remarks: anytime after 9am
Total Time:
CD Description Act Comments
Inspector Assignment:
Phone: 7607296276
Inspector: Ht-
Requested By: JULIO
Entered By: CHRISTINE
43 AirCond/Furnace Set k_ ~)(l~ Hb(.... ~:51eiJ.
Date
__ f=_i__ . Jh~.::.G6_ ~-~ St-iE~
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Description Act lnsp Comments
(
ft,~A 5~ ~O to-p'(
~114~ ll.@..~ -t""~
c£
+-1· o.