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HomeMy WebLinkAbout1570 MARITIME DR; ; CB152689; Permit. . ' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 06-23-2016 Permit No: CB152689 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: ASI HASTINGS STE 200 1570 MARITIME DR CBAD PME 2150712900 OREILLY: ADD A/C 4870 VIEWRIDGE AV SAN DIEGO CA 92123 619-590-9300 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Owner: OREILLY 1570 MARITIME DR CARLSBAD CA 92011 Issued: Inspect Area: ISSUED 08/19/2015 JMA 08/19/2015 08/19/2015 $0.00 $0.00 $160.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: MK--Clearance: $0.00 t,,OTICE Aeale ui<e t,,OllCE !ta~ ct )OJ ptjed ird.-tte "lfllXBlia1' ct fees, dedcalicm, ""8Mmcm, cr cther e,a:licn, -crlledively referred to as 1eas'exa:liCJ'S" You n,,e 00 days fromtte-ttis pemit ws,; issued to prdest irrµ,sitia1 ct thesefeas'exa:liCJ'S If )OJ prdest Ihm )OJ rrust fdloothe prdest prooedres set forth in G:Mmrert Code Sedicn am'.J(a), !I'd file tte pittest !I'd a,y cther reci.Jred infarraicn wth tte aty Mroagerfcr processirg i,, axx,cta,u,,.tt, Ca1sboo MridJ>'i Code Sedicn 3.32.<m. FailL10totirrslyfdk>vthel ~WU Ila' a,ySLtsecµrt lega !Dien toata::l<, rEMew, SEi aside, \O'd. er aTU their ilT'Jll,iticn You aa raet,,, FlRIIER t,,OllFJEDthat )OJ rig! to prdest tte specified feas'exa:liCJ'S DCES NOT PPR-Y toWiJ.f!: !I'd set.er careclicn-!I'd CE4)00l)I c:h!rg3s, no: plmrg zmrg gairg cr cther srrila-applicaicn processirg a seivioe feas in careclicn wth ttis fl'Cied. 1'm DCES IT PPR-Y to a,y . . . -r -' . THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH D HAZMATIAPCD <,(~•j• Building Permit Application Plan Check No. CJ3 / ~-: 2-(,:;~°f 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. i;>eposlt CARLSBAD email: building@carlsbadca.gov Date R"I I~/(~ lsWPPP www.carlsbadca.gov JOB ADDRESS SUITEf/SPACE#/UNIT# rPN 1570 MARITIME DR --- CT/PROJECT# I LOT# I PHASE# l#OFUNITS !#BEDROOMS # BATHROOMS I TENANT BUSINESS NAME l CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) AC,COIL EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) lDECKS {SF} FIREPlACE IAIR CONDITIONING I FIRE SPRINKLERS YES[), Nc0 YES □No □ YES□No□ APPLICANT NAME ERIC BARNETT PROPERTY OWNER NAME TARA OREILLY Prtnarv Conh-* ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 1570 MARITIME DR CITY STATE ZIP CITY STATE ZIP san die110 ca 92123 CARLSBAD CA 92011 PHONE I FAX PHONE IFAX 619-590-9337 8587121487 EMAIL EMAIL ERIC(iilWEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinas ADDRESS ADDRESS 4870 viewridge ave CITY STATE ZIP CITY STATE ZIP san die110 ca 92131 PHONE I FAX PHONE I FAX 619-590-9337 EMAIL EMAIL ISTATEUC.# STATE UC.# I CLASS I CITY BUS. LIC.1200804 513115 c20 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to.construct, alter, improve, demolish or repair an:v-structure, prior to Its issuance, also requires the applicant for such per.mIt to file a signed statement triat he is licensed pursuant to the provisions of the Contractor's License LawJChapter 9, commending with Section 7000 of D1v1sion 3 of the Business and Professions Code} or that he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKER$' COMPENSATION Worken;' Compensation Deel a ration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self•lnsure tor workers' compensation as provided by Section 3700 of the Labor Code, fOr the performance of the work fOr which this permit is issued. [Z] I have and will maintain workers' compensation, as rooulred bv Section 3700 of the Labor Code, for the performar.ce of the work for which this permit is issued, My workers' compensation insurance carrier and polk:y number are: Insurance Co, oak river Policy No. 3300065233-131 Expiration Date 9-15 ~ section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' CompensaUon laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crimlnal penalties and civil fines up to one hundred thousand doll an; (&100,000), in addition to the cost of compensation, damages as provided fo[ In Section 3706 of the Labor code, interest and attomey"s fees. A$ CONTRACTOR SIGNATURE I hereby affirm that I Erl1 exempt from Contractor's Ucense Law for the fol/owing reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is oot 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 lntended or offered for sale. If, however, the building or improvement Is sokl within ooo 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 lk:ensed contractors to construct the project (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 contracts for such projects with contractor(s) licoosed 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 ma;'(lr labor and materials for construction of the proposed property improvement. Oves ONo 2. I (have/ have not) signed an applieation for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed constructon (include name address/ phone/ contractors' lieense number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the majOr 'Mlrk (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 'Mlrk indicated (include name/ address I phone/ type of work)· f#S PROPERTY OWNER SIGNATURE □AGENT DATE I I certify that I llal.te read the appAcation and state that the above infonnation Is correct and that the lnfonnatlon on the plans is accurate. I agree to comply with all Cify oldloaoces and State laws relating to buildlng oonstrudlon. I hereby authooze rep-esentative of the Cit:,' of Cl:llsbad benBrupon the alxlve mentona:I property for inspecron pu~. 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 CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pem,lt is required for excavations OV8f 5'0' deep and demolition or constructbn of slructures over 3 stories n heWJht. EXPIRATION: Every pennit issued by the Bulk:llng Official under the proW.bns of this Cede shaR expire by lfl'litatbn and become nul and ',okj If the buik:ling or work authorized by su::h 1)31'1lit is notrommenced within 180 days from the date of su::h permit or If the buik:ling or work authorized by sudl permit is suspended or abandoned at any brne after the work is commerced fof a pel'OO of 180 days {Section 106.4.4 Uniform &lik:lnQ Code). ~ APPLICANT'S SIGNATURE / DATE "6 /\ Inspection List Permit#: CB152689 Type: PME Date Inspection Item 06/24/2016 43 AirCond/Furnace Set 06/24/2016 43 AirCond/Furnace Set 06/24/2016 49 Final Mechanical 06/24/2016 49 Final Mechanical Monday, June 27, 2016 Inspector AEK AEK OREILLY: ADD A/C Act Comments ----------- RI PERMISSION TO ENTER YARD AP RI PERMISSION TO ENTER YARD Fl Page 1 of 1