HomeMy WebLinkAbout1807 PALISADES DR; ; CB140146; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
01-21-2014 Permit No: CB140146
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
1807 PALISADES DR CBAD
PME
2073821500 Lot#: 0
IWASAKI RES-REPLACE FAU-SAME
LOCATION
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
01/21/2014
RMA
01/21/2014
01/21/2014
OAK ISLAND HEATING AND AIR
STE 103
IWASAKI S&K FAMILY TRUST 09-15-03
1250 PACIFIC OAKS PL
ESCONDIDO CA 92029
760 839-8383
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
1807 PALISADES DR
CARLSBAD CA 92008
$0.00
$0.00
$158.00
$0.00
$158.00
Total Fees: $158. 00 Total Payments To Date: $158.00 Balance Due:
Inspector:
FINAL APPROVAL . }... Date: Clearance:
$0.00
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. lf 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
f hi I ivnNTIEiilr wih fliii vii
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
\<~ Building Permit Application Plan Check No. ( J 14 ! lf. n J l/ £.
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value -~ ' -. ~
~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. ~posit , CARLSBAD email: building@carlsbadca.gov (j\,fr www.cartsbadca.gov Date / ,< I I I L/ ISWPPP
JOiWiESS 0 l~lllEfiaOAKI .u • 1~ .. 17 '/rU r, VJe 5 -. .
CT/PROJECT# LOU IP,v-.,E# I# OF UNITS I# BEDROOMS #BATHRvvMS I '""""'' ·~"-NAME I 1.NNSlR. TYPE I occ. GROUP
DESCRIPTION uf WORK: lncludlt.,..,. Feet of AffiM:htd Al'N(s)
REMOVE AND REPLACE EXISTING FURNACE LIKE FOR LIKE
EXISTING USE FIREPlACE I PRO~ED USE !GARAGE (SF) PATIOS (SF) I DECKS (SF)
YESO
I AIR CONDITIONING I FIRE SPRINKLERS "'° YESQNo □ YES□No□
APPLICANT NAME (Primary ContactJ LES YOUNG APPLICANT NAME (Secondary Contact}
ADDRESS ADDRESS
1250 PACIFIC OAKS PL #103
CITY STATE ZIP CITY STATE ZIP
ESCONDIDO CA 92029
PHONE I FAX PHONE IFAX 760 839-8383 760 839-8380
EMAIL EMAIL
PROPERTY OWNER NAME KIMIWASAKI CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AIR
ADDRESS ADDRESS
1807 PALISADES 1250 PACIFIC OAKS PL #103
CITY STATE ZIP CITY STATE ZIP
CARLSBAD CA 92008 ESCONDIDO CA 92029
PHONE !FAX PHONE /FAX 760 434-2537 760 839-8383 760 839-8380
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS !STATE LIC. # STATE UC.# I CLASS /°'TY BUS. LIC1212710 745400 C-20
(Sec. 7031.5 Bus mess and Professions Code: Any Oty or County which reQuires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also r~uIres 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 applicanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Wortun' Compensation Declaration: I hereby afflnn under penalty of pe,jufy one cl the follcNling dedaratfons:
0 I have and will maintain I certificate of conlMl to setf-insure for workers' compensation as provided by Section 3700 of the labor Code, for the pertoonaoce of the work for which this permit is issued IZJ I have and wlll maintain workers' compenution, as reQuired by Section 3700 of the Labor Cale, for the performance of the 'Mlrk for which this permit Is issued. My WClkers' compensation insurance carrier and policy
number are: Insurance Co. EVEREST NATIONAL Policy No. 7600000635141 Expiration Date 111/2015
lbi§.se::tion need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that In the nnance of the wol1< for which this permit is issued, I shall not employ any person In any manner so as to bec:Ome subjeet to the Workers:' Compensation Laws of
Calllomia. WARNING: Failure to HCUrew ~satlon coverage Is unlawful, and shall subject an employer to crtmlnal penalties and dvll fines up to one hundred thousand donars (&100,000), In
addition to the cost of compensation, ded for In Section 3706 of the labOr code, Interest and attorney's fees,
RS CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractcls License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, wlll do the work arid the structure is not Intended or offered for sale {Se;. 7044, Business and Professions Code: The Controotor's
License Law does not apply to an CM08f of ptCflelty who lxlilds or improves thereon, arid who does such work himself or throogh his own employees, provided that such improvements are not intended or offered for
sale. II, lnNever, the building or improvement is sold within one year of completion, the owner-build«wlll have the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively cootractlng 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 WOO builds or improves thefeon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Ucense UM). 0 I am exempt under Section ____ Q.Jslness and Professions Cede for this reason:
1. I petSOnatly plan to provide the major labor aOO materials for construction of the prq,osed property improvement. 0Yes Do
2. I {have/ have no!) signed an application for a bulking pefmil for theprot,o5ed WOfk.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone I contractors' licensa number):
4. I plan to provide portionS of the 'MJl1(, but I have hired the following person k> COO!tllnate, supervise aoo provide the major wort (Include name/ address/ phone/ contractors' Hcense number):
5. I will provide some of the wort, but I have contracted (hired) the following persons to provide the wor1t indicated {Include name/ address/ phone/ type of work):
85 PROPERTY OWNER SIGNATURE DATE
I
COMP LET F T H,I S SECTION FOR NON• RESIDENTIAL BU IL DING PERMITS ONLY
Is lhe applicant 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 conlrol district or air quality management disbict? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the ou'8r boundary of a school site? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY IIAY NOT BE ISSUED UNLESS THE APPllCANT 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 !hat !here is a construction lend!~ agency for !he pertonnooce of !he w0!1< Ihm pennil Is Issued (Sec, 3097 (1) CMI Code),
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I oerttfythatl have read the applk:a11on and statettlat.the above lnfonnatlon Is OOIMCtandthatthe klfollnation on the plans Is accum1B. I &gl981D comply with all CIIJOldlnancesand State law& ietatfneto blildlng cons1nQ!olL
I hereby au~ori1B -taliveof ~e Cilyol Carlsboo kl enlerupon ~-menlimed -1Yfor <spedi:)(J PJ,poses, I ALSO AGREE TOSAVI; INDEMNIFY AND KEEP HARMLESS THE CITY OF C/>RLSllAD
AGAINST ALL UAB~ITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT,
OSHA: AA OSWi. penni: is required br excavations over 5'0' deep and demoloon or construcoon of sfruciJres tNf!I 3 stories in heij,L
EXPIRATION: E.,~ penntt ssued by ~ Bu' · Ollclal under~ l)l<MSlons of ~is Code shall expie by imitation and become nuR aoo IIOiJ , ~ buftj11g or v."'1< au1oori2ed by such penni1 is oo1 oommenced v.ffllil
100days lorn~ dale of such penntt or if~ 11Q orv."'1< aullorl2edbysuch penntt • suspended or abal!doned al any line afler~v."'1< is oommenced l:lf a "'riod of 100 days (Secloo 100,44 Unil:lfm Buik1ir\j Code).
,t!5 APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB140146 Type: PME
Date Inspection Item
01/22/2014 43 AirCond/Furnace Set
01/22/2014 49 Final Mechanical
Thursday, January 23, 2014
Inspector Act
RI
RI
IWASAKIRES-REPLACEFAU-SAME
LOCATION
Comments
8-10 AM PLS NOT IN ATTIC
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