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HomeMy WebLinkAbout1614 BITTERN CT; ; CB153619; Permit10-26-2015 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB153619 Building Inspection Request Line (760) 602-2725 1614 BITTERN CT CBAD PME 2155907400 CONTE: ADD 2 A/C'S Applicant: STILLMAN HEATING AND AIR CONDITIONING SUITE A 7200 PONTO DR CARLSBAD CA 92011 760-431-3266 Status: ISSUED Lot #: 0 Applied: 10/26/2015 Entered By: JMA Plan Approved: 10/26/2015 Issued: 10/26/2015 Inspect Area: Owner: CONTEJAMES&ANDREA 1614 BITTERN CT CARLSBAD CA 92011 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: $163.00 Balance Due: $0.00 FINAL �P R DVAL Inspector: Date: ' �4 Clearance: NOTIDE Rease take NONCE that approval of your project includes the "Irrposition" fees, dedications, reservations, or other exactions hereafter odlectively referred to as "feestexactions." You have 90 days from the date this perrrit was issued to protest imposition of these feeslexactions. If you protest them, you m.st fdlov the protest prop xim set forth in Gbn ernr>ent Code Section 66020(a), and file the protest and any other requ red infomtation with the Oty Manager for prooessing in accordance with Carlsbad Municipal Cale Section 3.32.030. Failure to timely fdlouv that procedure will bar arty subsequent legal action to attack, review, set aside, void, or arrxl their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees(exactions DOES NOT APPLY to water and saw corriection fees and capacity c1henges, nor planing, zoning, grading or other sirrilar application processing or service fees in ownection with this project. NCR DOES IT APPLY to any fees(exactions of which you have orevici-isly been civen a NOTICE sirrilar to this or as to which the statute of limitations has previcuslycitherWseeared. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING DENGINEERING E BUILDING E:1FIRE E3HEALTH Cj HAZMATIAPCD �''' ((city(Jf Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph:760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carisbadca.gov Plan Check No. c j . Est. Value Plan Ck. Deposit Date (p • ISWPPP JOB ADDRESS/ SUITE!/SPACEI/UNIT�f APN CT/PROJECT # LOT # PHASE # # OF UNITS J#BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE 2-91/1671 1 PROPOSED USE '/A)G1 r 0 GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESN0 NO[:] AIR CONDITIONING YES ❑N0� IFIRESPRINKLERS YES[:] N0� �� APPLICANT NAME /( ) �Z- 1�11 Primary Contact �V%(/E / y PROPERTY OWNER ADDRESS le O&Z ADDRESS 6/ /3 /77E,4/✓ 66/ (,%2 CITY n q G STATE ZIP CITY / ) STATE ZIP p 7 Z VCR PHONE 7 0 12 3 FAX PHONE 91S _ 3z-b S U FAX EMAIL .w, el . P e/)eI., < v. cOA17 EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME sS.�T 7- r � ADDRESS ADDRESS ,91-*1,5- CITY STATE ZIP CITY STATE ZIP C'/1GSe, 9Lva PHONE FAX PHONE Wo _ C/ ` � (� ! �! �$�' Lai FAX EMAIL EMAIL 3,i3 Sh F uc k.Cd ATT . n e STATE LIC. # STATE LIC.# 0 30 (13 CLASS C - 2-10 CITY BUS. LIC.# 1 ( za qq 7 (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 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 ($500)). Workers' Compensation Declaration: 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and.ill 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 issue PI -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 in rance c ier and policy number are: Insurance Co. 5 7ATC C 0 11 I' J AJ5fE T (Q J (VJ F(r61(d 4. c1013 ( 2 1 Expiration Date f o This 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' compens io coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred ousand d tars (&100,000), in addition to the cost of compensation, damages as provide In {r�706 of the Llbor code, interest and attorney's fees. CONTRACTOR SIGNATURE DATE 1 hereby affirm that I am exempt from Contractor's License Law 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, 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 exclusively contracting with licensed 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) licensed pursuant to the Contractor's License Law). I am 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. [—]Yes❑No 2. 1 (have / have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone I contractors' license number): 4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / 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): A5PROPERTY OWNER SIGNATURE AGENT DATE I KKK'- 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(cDCaflSbadCa.gOv or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. 0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE / NO CONSTRUCTION MAIL / FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION A!SAPPLICANT'S SIGNATURE DATE Inspection List Permit#: CB153619 Type: PME Date Inspection Item 01/29/2016 43 AirCond/Furnace Set 01/29/2016 43 AirCond/Furnace Set 01/29/2016 49 Final Mechanical 01/29/2016 49 Final Mechanical 12/03/2015 43 AirCond/Furnace Set 12/03/2015 49 Final Mechanical Inspector Act - RI AEK AP - RI AEK FI MC PA MC CO CONTE: ADD 2 A/C'S Comments RECEIVED CAL-CERTS NOTICE Monday, February 01, 2016 Page 1 of 1