HomeMy WebLinkAbout1684 AMANTE CT; ; CB141248; Permit06-05-2014
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CBI41248
Building Inspection Request Line (760) 602-2725
Job Address: 1684 AMANTE CT CBAD
Permit Type: PME Status:
Parcel No; 2159004800 Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#: Issued:
Inspect Area:
Project Title: DELGASINO RES- NEW A/C UNIT
IN SIDE YARD- PRE-PLUMBED & PRE-WIRED- NO NEW ELECTRIC OR
DUCTWORK
ISSUED
06/05/2014
RMA
06/05/2014
06/05/2014
Applicant:
DELCASINO MICHAEL F&CLAUDIA
Owner:
DELCASINO MICHAEL F&CLAUDIA
1684 AMANTE CT
CARLSBAD CA 92011
760 814-2095
1684 AMANTE CT
CARLSBAD CA 92011
Plumbing Fees
Electrical Fees
Meciianical Fees
Other PME Fees
$0.00
$0.00
$158.00
$0.00
TOTAL PERMIT FEES $158.00
Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: $0.00
Inspector:
FINAL
Date Clearance:
NOTICE: Please take NOTICE tiiat approval of your project includes the "Imposition" of fees, dedications, reservations, or otiier exactions hereafter collectively
refen-ed to as "fees/exactions." You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required infomiation with the City Manager for
processing in accordance with Carfsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attacl<,
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/exactions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: QPLANNING nENGINEERING • BUiLDING •FIRE • HAZMAT/APCD
CARLSBAD
Building Permit Application
CITY OF
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: building@carlsbadca.gov
www.carisbadca.gov
Plan Check No. I A/ ^ /I ^
Est. Value
Plan Ck. Deposit
Date SWPPP
JOB ADDRESS 7^ T^w SUITE*/SPACE*/UNIT*'
# OF UNrrS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Inc/ude Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESr> N(3| I
AIR CONDITIONING
YES I I NO I I
FIRE SPRINKLERS
YES I |NO| I
APPLICANT NAME
Primary Co 'nTact MicHAiEL DEL CAS'JAJO PROPERTY OWNER
ADDRESS
/G^'/AHAUTF CT.
^ _ ^ SIATE
ADDRESS
CITY ZIP
?;?o// PHONE FAX PHONE , _ FAX
DESIGN PROFESSIONAL CONTRACTOR BUS. NAM
ADDRESS ADDRESS
CAMtiJo \/iVA 'RoBLB
CITY STATE ZIP :ij\ ^STATE ZIP
=HONE [FAX PHONE FAX
EI^AIL
CLASS CITY BUS. LIC.#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, priorto its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Lawichapter 9, commending with Section 7000 of Division 3 ofthe 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 applicantfor a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500)).
'OR. KIRS' COmt^EMSATtO —™
1^
Workers' Compensation Declaration: / herefcy affimi uncfer penalty of perjury one of the following declarations: alJtave and will maintain a certificate of consent to seif-insure for woriters' compensatton as provided by Section 3700 of the Labor Code, for the performance of the woht for which this pemiit is issued.
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. My workers' compensation jnsuran^ earner and policy
number are: Insurance Co. ^«>/«»K»-'Y ^^y^^ ^J/^an.»^A• Policy No. ^ ^ ^ S Expiration Date. 2/'
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 wort for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Califomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil flnes up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, dairy^es asjmvtdeinorTn SectjsgJ^e of the Labor code, interest and attomey's fees.
JSS CONTRACTOR SIGNATURE
ition insurant cam
•AGENT DATE ^/(///e-/
OWNER-B Ult DIR D 1 C I. A R A T i O N
/ hereby affirm that I am exempt from Confractor's Ucense Law for the following reason:
I I I, as owner of the property or my employees with wages as their sole compensation, willdotheworkandthe stnjcture 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 constnict the project (Sec. 7044, Business and Professions Code: The Contractor's Ucense 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 I lYes I iNo
2.1 (have / have not) signed an application for a building pennit for the proposed work.
3.1 have contracted with the following person (fimi) to provide the proposed constmction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the vrork, 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 worts);
,,T H I S SBC T.-i O H . f GM'^^.H Cl H,r W fS.S I D 1 i TIAt BUILDING PERMITS ONLY
Is the appicant 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? Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management districf? Yes No
Is the facility to be constracted within 1,000 feet of the outer boundary of a school site? Yes No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
I hereby affimi tliat there is a construction lending agency for ttie perfonnance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
•APMiiC ANT ,C e R T I F 1 C A T I O N
I certify that I have read the appiteatkin and state thatthe above information is conectand thatthe infonnation on the plans is accurate. I agree to comply wHti all City oidinances and State laws relating to building construction.
I hereby authorize representative ofthe City of Carisbad to enter upon the above mentbned property for inspection purposes. I ALSO AGI^E TO SAVE, INDEMNIFY AND KEEP HAF!MLESS THE CITi^ OF CARLSBAD
AGAINST Aa LIABILfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pennit Is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPII^TION: Every permit issued by the Building Cfficial under the provisions of tfiis Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced witfiin
180 days from the date of such pennit or if the buiWinaor wjrkauthorized bvguch permit is suspended or abandoned at any time after the vrork is commenced for a period of 180 days {Section 106.4.4 Uniform Building Code).
^eTAPPUCANT'S SIGNATURE AK v \)iVL^Hx)M \ I k ^ ^ ' DATE
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 buildina(5)carlsbadca.gov or IMail ttie completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Cartsbad, Califomia 92008.
C0#: (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)
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
IVIAIL/FAX TO OTHER:
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
,ef APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB141248 Type: PME DELCASINO RES-NEW A/C UNIT
IN SIDE YARD- PRE-PLUMBED & PRE-WI
Date Inspection Item Inspector Act Comments
06/16/2014 43 AirCond/Furnace Set - Rl
06/16/2014 43 AirCond/Furnace Set PD AP
06/16/2014 49 Final Mechanical - Rl
06/16/2014 49 Final Mechanical PD AP
IVIonday, June 16, 2014 Page 1 of 1