HomeMy WebLinkAbout1702 CANNAS CT; ; CB120512; Permit03-22-2012
City of Carlsbad
1635 Faraday Av Carisbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No:CB120512
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
1702CANNASCT CBAD
PME
2155011300
HANSON: REPLACE HEATER
Lot#:
Status:
Appiied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/22/2012
JMA
03/22/2012
03/22/2012
Applicant:
MAJOR LEAGUE HEATING & AIR CONDITIONING
1356 BOBOLINK DRIVE
VISTA 92083
Owner:
HANSON FAMILY 2002 TRUST 12-17-02
1702 CANNAS CT
CARLSBADCA 92011
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$0.00
$0.00
$150.00
$0.00
TOTAL PERMIT FEES $150.00
Total Fees: $150.00 Total Payments To Date: $150.00 BalanceDue: $0.00
Inspector:
FINAL APPROVAL
Date: ^"^'/Z Clearance:
NOTICE: Please take NOTICE that approval of your project Includes the "Imposition' of fees, dedications, resen/ations, or other exactions hereafter collectively
referred to as "fees/exacfions." You have 90 days from the dafe this permit was issued to protest Imposition of these fees/exacfions. 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 Infonnation with the City Manager for
processing In accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will t)ar any subsequent legal action to attacit,
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 sewlce fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have previously been oiven a NOTICE similar to this, or as to whieh the statute of limitations has previously othenvise expired.
^ CITY OF
CARLSBAD
Builciing Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717/2718/2719
Fax 760-602-8558
www.carisbadca.gov
Plan Clieck No.
Est. Value
Plan Ck. Deposit
JO^DDRESS i
CT/PROJECT # L0T#
$UITE*/SPACE*/UNrr*
PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TVPE OCC. GROUP
DESCRIPTION OF WORK: /nclui/a Squars Feet of Affected Ana(%)
A-efUciL ejcisiv^ KpaW a^fpyvic. s^--?|. \eoo
EXISTINQ USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YEsQ* NOj I
AIR CONDmONING
YES I INO I I
FIRESPRINKLERS
YES I |NO| I
APPLICANT NAME (Primary Contact) APPUCANTNAME (Secondary Contact)
ADORESS
CITY , . _ STATE '
ADDRESS
Qr^oi»^s>dg-
^STATE CITY STATE ZIP
PHONE ^ FAX ,
7in0 -qvs- (999 S l7fepg -?-9s^- ^
PHONE FAX
EMAIL ^ EMAIL
PROPERTY OWNER NAME, | CONTRACTOR BUS. NAME
ADDRESS ADDRESS
STATE
"FAX
ZIP CITY STATE ZIP
PHONE FAX
EMAIL EMAIL
ARCH/DE^GNER NAME & ADDRESS STATE UC. # CITY BUS. LIC.#
U'Z.-Z-I
(See. 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, aiso requires the applicantfor suoh permittofileasigned statement that he is licensed pursuantto the provisions of the Contractor's Ucense Law (Chapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code) or fnat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fbr a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / fieraby affirm under penaHy ofpeijury one ofthe fbllowing declarations:
11 Iiave and will maintain a cartlfleata of consent to self-Insure for woriters' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit Is Issued.
11 have and will maintain workers' compensatian, as required by Secbon 3700 of the Labor Code, for the perfonnance of the work for whk:h this pemiff Is issued. Uy workers' compensatkin insurance canier and policy
number are: Insurance Co. PolicyNo. _ ExpirattonDate ejs section need not be completed If the perniit is for one hundred dollars ($100) or less.
J Certificate of Exemption: I certify that in the performance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Califomia WARNING: Failura to secure workers' compensatian coverage is unlawfiil, and shall subject an amployer to criminal penalties and cIvH fines up to one hundred thousand dollars (S100,000), In
addition to the cost of compensation, damages as provided for In Sacjion 3706 of the Labor code. Interest and attorney's fees.
CONTRACTOR SIGNATUREt^ ^•^ZCA^^J^ - • AGENT DATE
OWNER-BUILOER DECLARATION
/ hereliy alfinn that I am exempt from Contractor's Ucense Law fbr the foitowing reason:
I I I, as owner of the property or my emptoyees with wages as their sole compensation, will do the work and the structure Is not intended or offered for sale (Sec. 7044, Business and Professtons Code: The Contractors
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 emptoyees, provtoed that such Improvements are not intended or offered (or
sale. If, however, the building or improvement is soto within one year ot completion, the owner-buiWer will have the burden of proving that he did not buito or improve for the puipose of sale).
I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professtons Code: The Contractor's Ltoense 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 I I am exempt under Section Business and Professtons Code for this reason:
1.1 personally plan to provtoe the major labor and materiate for construction of the proposed propeity improvement QYes I INO
2.1 (have / have not) signed an appltoatton for a buitoing perniit for the proposed work.
3.1 have contracted with the foitowing person (firni) to provide the proposed constnjction (Include name address / phone / 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 provtoe the work indtoated (include name / address / phone / type of work):
jgfpROPERTY OWNER SIGNATURE QAGENT DATE
COMPLETE THiS SECTION FOR NON-RESIDENTiAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the appitoant or future buitoing occupant required to obtain a pemiit from the air pollution control district or air quality management district? Yes No
Is the facility to be constiucted 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 APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affinn that there Is a constmction lending agency fbr the perfomiance of the work this pennit is Issued (Sec. 3097 (i) Civil Code).
Lender's Nam Lender's Addres
APPLiCANT CERTIFICATION
I ceitify that I have lead the appllcatfon and state that the abovelnfbmiaUon Is conect and thatthe infbmiation
I hereby authoiize lepresentative ofthe Dty of Carfsbad to enter upon lhe above mentioned pnoperty for inspection puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrTY OF (ARLSBAD
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 pemilt is required for excavattons over 5'0' deep and demolition or constructton of stnictures over 3 stones In heighL
EXPII^TION: Every perniit Issued by the Building Ofltoial under the provistons of this Code shaH expire by limitatton and beconne nul and void If the building or woik authonzed by such pemilt Is not commenced within
180 days Irom the date of such pemilt or If Ihe building or woik authorized by such pemilt Is suspended or abandoned at any time after the work is commehced for a pertod of 180 days (Sectton 106.4.4 Unifomi Buitoing Code).
APPUCANT'S SIGNATURI R'J^-FJ}7l_
STOP: THIS SECTION NOT REQUIi^ED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final [nspection.
CERTIFICATE OF OCCUPANCY (Commercial Projecti Only
Fax (760) 602-8560, Email www.buildinq(acarlsbadca.aov or Mall the completed form to City of Cailsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CtTY STATE ZIP
Carlsbad CA
PHONE
EMAIL OCCUPANT'S BUS. UC. NO.
QMAILTO Ofi Q] FAX TO: CONTACT (Listed above)
QMAILTO Ofi []FAXT0:( >
n BUSINESS ADDRESS [[] CONTRACTOR (Listed on page 1 of application.)
I I ASSOCIATED CB#
[~] NO CHANGE IN USE / NO CONSTRUCTION
[ I CHANGE OF USE / NO CONSTRUCTION
vCTAPPLICANT'S SIGNATURE DATE
City ofCarlsbad BIdg Inspection Request
For: 05/02/2012
Permit* CB120512
Title: HANSON: REPLACE HEATER
Description:
Inspector Assignment:
1702 CANNAS CT
Lot:
Type: PIWE Sub Type:
Job Address:
Suite:
Location:
OWNER HANSON FAiVliLY 2002 TRUST 12-17-02
Owner: HANSON FAMILY 2002 TRUST 12-17-02
Remarks: AM PLEASE UNIT IN GRG
Phone: 7604385318
Inspector: ^
Total Time:
CD Description
44 Rough/Ducts/Dampers
49 Final Mechanical
Act Comments
Requested By: MARTHA
Entered By: JANEAN
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Originai PC#
Inspection Historv
Date Description Act Insp Comments