HomeMy WebLinkAbout1580 JEANNE PL; ; CB142947; Permit•
10-30-2014
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB142947
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1580 JEANNE PL CBAD
PME Status: ISSUED
10/30/2014
JMA
10/30/2014
10/30/2014
Parcel No: 2071304600 Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#: Issued:
Inspect Area:
Project Title: STONE: REPLACE NC & FURNACE
Applicant:
ASI HASTINGS
STE 200
4870 VIEWRIDGE AV
SAN DIEGO CA 92123
619-590-9300
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
STONE FAMILY TRUST 07-16-10
1580 JEANNE PL
CARLSBAD CA 92008
$0.00
$0.00
$160.00
$0.00
$160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due:
Inspector:
FINAL APPROVA],.,.--
Date: {~[ k:~ I~ ' 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 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
fees/exaction f whi h ou have revi I been iven a NOTICE imilar to this or as t which the statute f imi ations has revi I otherwise ex i
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE
~ (~•:: -
'-. -~ CITY OF
CARLSBAD
JOB ADDRESS
CT/PROJECT# LOT#
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#
Plan Check No.
Est. Value
Plan Ck. Deposit
Date /0
APN
# BATHROOMS-TENANT BUSINESS NAME
SWPPP
CONSTR. TYPE OCC. GROUP
'DESCRIPTION OF WORK: Include Square Feet ol Affected A,ea(s) ~
I c fl( a. (__ I I,, I ?,-IC~ F 1J.r"'~CC
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YESD NoO YESONoO YESONoO
APPLICANT NAME Patti Ryan PROPERTY OWNER NAME l'-4 ll ~ },..) ; c l'.:v Sio1,i 1 Prlnarv Cont-....
'ADDRESS 4870 viewridege ave ADDRESS l s lD 3" {Q.1/1,, t (7\
CITY STATE ZIP
c1TY Curh \? I\.,} S?T:A ZIP
san diecio ca 92131 ,q.)o~Q
PHONE I FAX PHONE b . } q FAX
619-590-9337 / I:} -51:>~ -1,
EMAIL EMAIL
I
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastincis
ADDRESS ADDRESS 4870 viewridge ave
'CITY STATE ZIP CITY STATE ZIP
san dieao 92131 ca
PHONE I FAX PHONE FAX
619-590-9337
EMAIL EMAIL
I STATE LIC. II STATE LIC.11 CLASS
1 c,n ril'"Y\~ <1 513115 c20
(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 7000 of Division 3 of the Business and Professions Code) or that he 1s 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
civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Deel a ration: I hereby affirm under penalty of perjury one of the following declarations· 0 l 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 0 I have and will maintain worken' compensation, as required by Section 3700 f the Labor Code, for the performance of the work for which this permit is issued My workers' compensation insurance carrier and policy
number are· l11surance Co_____ _ ____ oak river 3300065233-131 Expiration Date 9-15
I hereby affirm that I am exempt from Contractor's License Law for the following re son·
□
□
□
I, as owner of the property or my employees with wages as their sole comp s on, will do the work and the structure is not intended or offered for sale (Sec. 7044, Busi11ess and Professions Code: The Contractor's
License Law does not apply to an owner of property who builds or improves reon, 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 provi119 that he did not build or improve for the purpose of sale).
I, as owner of the property, am exclusively co11tracting with licensed contractors lo 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) 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 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 following person (firm) to provide the proposed construction (include name address I phone/ contractors' lfeense number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provkle \he major work (include name/ address I phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons lo provide the work indicated (include name/ address I phone I type of work)
fi5 PROPERTY OWNER SIGNATURE □AGENT DATE
11·t1#iii @iiiiiiiili·iii#·fi/i❖i#·iiii·i iiiif:11 iiJ!i·hliil ii10il·ilii • I
Is the applicant or future buling occ~pant 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 to 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? O 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.
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I certify that I have read the apptlcatlon and state that the above Information Is correct and that the Information on the plans is accurate. I agree to comptywlth all City ordinances and State laws relating to bulldlng construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above menlio property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY ANY WAY ACCRUE AGAINST SAID CIT'/ IN CONSEQUENCE OF THE GRANTING OF THIS PERM~.
OSHA: An OSHA penTilt is required for excavatioos i:Ner 5'0' deep and demolition nstruction of structures i:Ner 3 stories in he'Jhl
EXPIRATION: Every pennit issued by the Building Official under the provisions o Code shall expire by limitation and become null and void n the building or work authorized by such permit is not commenced within
180 days from the date of such permit or if the building or worll authorized by rt is suspended or abandoned at any lime after the work is commenced for a period of 180 days {Section 106.4.4 Unifom, Building Code).
~ APPLICANT'S SIGNATURE DATE
-.
Inspection List
Permit#: CB142947 Type: PME
Date lnspec_tio_n_ Item_
01/13/2015 43 AirCond/Furnace Set
01/13/2015 49 Final Mechanical
01/12/2015 43 AirCond/Furnace Set
01/12/2015 49 Final Mechanical
12/22/2014 43 AirCond/Furnace Set
Wednesday, January 14, 2015
Inspector Act
PD AP
PD AP
PD
RI
RI
co
STONE: REPLACE A/C & FURNACE
Comments
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