HomeMy WebLinkAbout1804 COTTONWOOD AVE; ; CB133115; Permit12-16-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No CB133115
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
1804 COTTONWOOD AV CBAD
PME
2155033716
PAKULA REPLACE FURNACE
Lot#
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
12/16/2013
JMA
12/16/2013
12/16/2013
Applicant
ASI HASTINGS
STE 200
4870 VIEWRIDGE AV
SAN DIEGO CA 92123
619-590-9300
Owner
PAKULA FAMILY TRUST 06-19-90
1804 COTTONWOOD AVE
CARLSBAD CA 92011
Plumbing Fees
Electrical 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 $158 00 Balance Due $0.00
Inspector
FINALAPPROV/
Date r 5/'/^ Clearance
NOTICE Please take NOTICE that approval of your project includes the "imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred 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 oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
F>atg« 1 of 2 201 3-1 2-1 3 13 OO ST" (Olvn") From Jartnirar Oole
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE •PLANNING •ENGINEERING •BUILDING QFIRE • HEALTH • HAZMAT/APCD1
CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
Ph 760-602-2719 Fax 760-602-8558
email building@cartsbadca gov
www carlsbadca. gov
Plan Check NO. 08^13-.:^ I i 5"
Est Value
Plan Ck. Deposit
Date SWPPP
JOB AOMESS SUITE>/SPACE</UNrn>
CT/PROJECT » LOT» f* OF UNITS DBEDf^OOMS « BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK //iclvtf* Square Fast Of XffiBctedAraafsJ
Replace Furnace
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES|~|# NO] I
AIR CONDITIONING
YES I I NO I I
FIRE SPRINKLERS
YESQ NOj I
APPUCAHTMAME (Primary ContaoO Jennifer & Randy Cole APPLICANT NAME (Uooadary Ctntaat)
ADDRESS 9880 Magnolia Ave #119 ADDRESS
Santee STATE CA ZIP
92071
STATE ZIP
PHONE 619-405-2648
FAX PHONE FAX
EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS NAME ASI Hastinqs
ADDRESS
CITY STATE
Carlsbad CA
4870 VIEWRIDGE AVENUE #200
ZIP
92009 SAN DIEGO
STATE
CA 92123
PHONE (619) 590-9300
ARCHA>ESIGNER NAME & ADDRESS STATE LICK
513115
CLASS
C20
QTY BUS UC #
1200804
(Sec 70315 Business and Professions Code- Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure pnor to its issuance, also requires the applicant for such permit to file a signed statement that he islicensed pursuant to the provisions of the Contractor s Ucense Law (Chapter 9, commending with Seeton 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
Workars' Compenutfon Dttclaration (tienby affirm penalty of perjury ona of the Iblkmtng dsdaraffons
S I haw and will maintain a certificate of conteitt to sei^lnsin« lor workers compensabon as provided by SsctKm 3700 the L^r Code, for the perfonnance of the woitt for which Ihs permt is issued
I have and will maintain workera' compeniition, as reoulred by Section 3700 of the Labor Code for the perfonnance of the work for which this permit B ssiied My workers cocnpensahon nswancs earner and policy
nun*erare Insurance Co OAK RIVER INSURANCE COMPANY PoScy No 3300065233131 Expiration Date 09/01 /2014
Ths section need nnt be oomoleted it the permt B tar ona feimdw) ifctos ISiOIRor lass.
I I Ceitlflcato of Exemptiaa I certify Diet in dia parformancs of the imhc for iiihich Ain Btfini^is issued, I shaS not empby any person in any manner so as to become subject to the Woctars Compensation Laws of
Calilomia WARNING Fiilura to lecure workcca' conpemation coverage vOnMM, ,and shall subject an employer to criminal penaltiei and civil finea up to one hundred Siousand dollars (&100,000)^ m
ad<Btion to the cost of compenaation, daraajges as priHjM ^ i" Secbon VKif the Laboufede, interest and attorney's fees
CONTRACTOR SIGNATURE ^ yiji^ hJ,J^fyf ^ ^ H AGENT DATE 12/13/13
/ hereby afflm ttwil am exempt tarn Cot
•
•
•
ig reason
I, as owner of the property or my eafloyees «* wages asSiSrsblii amipensaton, wil do the wot* and the stnicture is not attended or offered for sale (Sec 7044, Business and Professions Code The Contractor's
Lk»ise Law does not ^>ply to an owner of property who builds or improves thereon, aid who does such work timset or through his own employess, provided that such mpiovemenls are not ntended or offered for
sab if, however, the bukf ng or improvement is sok] within one year of completion the owner buiUer wifi have the burden of proving that he did not buld or improve for the purpose of sale).
I, as owner of the property am axdusively contracting w«i licensed contractors ID construct the ptoiect (Sec. 7C>44, Business and Profe^^ The Contiacta's license Law does not apply to an owner of
pmperty who txiiUs or improves theison, and contracts for such projects wth oantiaclor(s) Bcsnsed pursuant to the Contractor's Licensa Law)
i am exempt under Section Business and Professions Code lor this reason
1 i personally plan 63 provide the major labor and matena/s for construction of the proposed prt^ity improvement I lYes I INO
2 i (have/have not) signed an applcatnn for a budding pemitt for the proposed work
3 1 have contracted with the foSowing person (rrm) to provide the proposed construction (include name address / phone / oonkactors' lioonsa niunbar)
4 I plan to provide portions of the nor* MI hawe hired the fbHowBig person to cootdmale, supervise and provkte the major work (nclude name / addness / phone / contractors' license number):
5 I wffl provide some of the wjrk, but I have contracted (hired) the foltowmg persons to provide the work indicated (oBiude name / address / phone / type of work)
yfiTpRGPERTY OWNER SIGNATURE •AGENT DATE
201 3-1 3 T O OO ST <C3IV1X>
COMPtETE THIS SECTION FOR NO N - RESiOENTI AL BUILDING PERMITS ONLV
Is the applicant or future buSding occupant requasd to submit a busness plan, acutely hazardous matenate registration form or nsk management and prevention program under Sections 2S50S 25533 or 25534 of the
Presley Tannar Hazadous Sulslance Account Act? a Yes O No
Is the applicait or future buiMmg occupant leguiied to obtan a pemrt from the wpdtutnn control district or air quaEtyn^ 1^ Yes C3 No
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site'' C] Yes ^No
IF ANY OF THE ANSWERS ARE YES, A HNAL CERTIFICATE OF OCCUPA NCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT
. CO MSTBUCTION LENDIMQ ACENCY
I hef«by aflirni that th«8 Is a coristructKNi leridliig ageiicy tor the pe^^
Lender's Name Lender's Address
I ceitiy that I ham lead the applicatni and state that the abcM inftntuliin B conNt and tM
I her^ authorize tepiGsenl^ of the i:ity of CaitstBil to enter uptn Ihe atove inenti^
AGAINST ALL UABIUTES, ,WDGMENT!^ COSTS ANDfXPBJSES mOi MAY IN ANY WAY ACXRE AGAINST SAID CfTY IN CONSEQUBCE OF THE GRANTWG OF THIS PERMIT
OSHA An OSHA permt is lequred br excavations over i 0' deep and demoilian or ccMSfi^ton of slnictiies over 3 stcnes in haghl
EXPIRATION Eye!ype(^lit5StledbytleBtlldln^OfUundertlspraMslor1y^hB^
180 days tioni the dale of such paiidcr if the buldin^wrii aulhoimd by/ijchjj&^
^CTAPPUCANT'S SIGNAT\jRE DATE 12/13/13
Inspection List
Permits CB133115 Type PME PAKULA REPLACE FURNACE
Date Inspection Item Inspector Act Comments
01/30/2014 43 AirCond/Furnace Set - Rl 10-12 PM GATE CODE KEY KEY4746
01/30/2014 43 AirCond/Furnace Set PD AP
01/30/2014 49 Final Mechanical - Rl
01/30/2014 49 Final Mechanical PD AP
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