HomeMy WebLinkAbout1728 CATALPA RD; ; CB132636; Permit10-25-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB 132636
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
1728 CATALPA RD CBAD
PME
2155111300
KINKEL RES- REPLACE FAU
Lot#
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
10/25/2013
RMA
10/25/2013
10/25/2013
Applicant
ATLAS HVAC, INC
16016 BABCOCK ST
#29
SAN DIEGO 92127
619-917-2003
Owner
KINKEL PAUL F&CYNTHIA L
1728 CATALPA RD
CARLSBADCA 92011
Plumbing Fees
Electncal Fees
Mechanical 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. $0 00 Balance Due: $158.00
Inspector
FINALAPPROVAL
Date//-^^-/^ Clearance
NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen-ed 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/exactions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERIVIIT ISSUANCE' nPLANNING nENGlNEERING IBUILDING OFIRE OHEALTH • HAZMAT/APCD
i
W CITY OF
CARLSBAD
Building Permit Appiication
1635 Faraday Ave , Carlsbad, CA 92008
Ph 760-602-2719 Fax 760-602-8558
email building@carlsbadca gov
www.carlsbadca.gov
Est. Value
/fr 1 Plan Ck. Deposit /
SWPPP
JOB ADDRESS
• I IHT a ' PUAC
SUITE#/SPACE#/UNIT#
CT/PROJECT # PHASE # I tl OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESfl* N0| I
AIR CONDITIONING
YES I INO I I
FIRE SPRINKLERS
YES I |NO| I
APPLICANT NAME (Primary Contact) APPLICANT NAIVIE (Secondary Contact;
ADDRESS
STATE, ZIP CITY ZIP
PHONE FAX
PROPERTY OWNER NAME CONTRACTOR BUS. NAIVIE
FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS S3 / \TlUd\a mi (Sec 7031 5 Business and Proressions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuahca, also requires the
applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License La'W (Chapter 9, commending-with Sectigh 7D00 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 applicant for a permitsubjects the applicant to a civil penalty of not more than five hundred dollars ($500))
Workers' Compensation Declaration / hereby affirm underpenalty ofpeijury one of the following declarations
Hi 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 pemiit is issued
I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the perfomiance of the work for which this permit is issued My workers' compensation insurance earner and policy
numberare InsuranceCo PolicyNo ExpiraticnDate
Il!]asection need not be completed if the permit is for one hundred dollars ($100) or less
[Yj Certificate of Exemption. 1 certify that in^ttfe/performance of the mrk 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
^lifomia WARNING. Failure to secure wtwers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for m Section 3706 of the Labor code, interest and attomey's fees
JS^ CONTIWCTOR SIGNATURE nAGENT DATE
/ hereby affirm that I am exempt froniphnfractor's License Law for the following reason
I I I, as owner of the property or my employees with wages as their sote compensation, will do the wo* and the stmcture is nol 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 buiids 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 I I, as owner of the property, am exclusively contracting with licensed contractors to construct the projecl (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 I I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement [^Yes I iNo
2 I (have / have not) signed an application for a building penrat for the proposed work
3 I have contracted with the foliowing person (fimi) to provide the proposed construction (include name address / phone / contractors' license number)
4 1 plan to provide portions of the work, but 1 have hired the following person to coordinate, supen/ise 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 wori< indicated (include name / address / phone / type of work)
PROPERTY OWNER SIGNATURE QAGENT DATE
Is the applicant or future building occupant required to submit a business pian, acuteiy hazardous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of tl
Presley-Tanner Hazardous Substance Account AcP , Yes •• No
is the appiicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncP ^ Yes ^ No
is the facility to be constmcted withm 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.
I hereby aflirm 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 i' Lender's Address
411 rf
I certifythati have read the application and state that the above infoimation is conect and that the infbnnation on the pians is accurate. I agree to comply with all City ordinances and State laws relating to building constmchon
I hereby authonze representatve of lhe City of Carisbad to enter upon the above mentioned property for mspecton purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAf!MLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA perniit is required for excavatonaover 5'0' deep and demolition cr constmction of sfructures over 3 stones in height
EXPIRATION Every pemnit ssued by the BuildinaOfficial under the provisions of friis Code shall expire by limitation and become null and vod if the building or wo* authonzed by such pemnit is not commenced within
180 days from frie date of such pennit or if the Jlyjuing or viak authonzed by such pemnit is suspended or abandoned at any tme after the vroik is commenced for a penod of 180 days (Section 106 4 4 Unifomi Building Code)
APPLICANT'S SIGNATURE DATE (0 2^/2^,'^
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 buildinQl5>carlsbadca gov or Mail the completed form to City of Carlsbad, Building Division 1635 FaradayAvenue, Carlsbad, California 92008
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP
Carlsbad CA
FAX
EIVIAIL OCCUPANT'S BUS LIC No
DELIVERY OPTIONS
PICKUP: CONTACT (Usted above) " OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
MAILTO: , 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
^ef APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB132636 Type: PME KINKEL RES-REPLACE FAU
Date [nspection Item Inspector Act Comments
11/22/2013 43 AirCond/Furnace Set - Rl EARLY AM PLS
11/22/2013 43 AirCond/Furnace Set PD AP
11/22/2013 49 Final Mectianical - Rl
11/22/2013 49 Final Mechianical PD AP
Friday, November 22, 2013 Page 1 of 1