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