HomeMy WebLinkAbout1822 MARRON RD; 100; CB133123; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
12-17-2013 Permit No: CB133123
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1822 MARRON RD CBAD St: 100
PME Status:
Parcel No: 1563011600 Lot #: 0 Applied:
Reference #:
PC#:
Project Title:
Applicant:
NO. CO. PLAZA: REPLACE 6 HVAC
UNITS ON ROOF I SAME=SAME
EAGLE FLEET MECHANICAL
1220 PINEHURST RD
CHULA VISTA CA 91915-1242
619-271-8712
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
P K I NORTH COUNTY PLAZA LP
C/0 KIMCO REAL TY CORP
3333 NEW HYDE PARK RD #100
NEW HYDE PARK NY 11042
ISSUED
12/17/2013
JMA
12/17/2013
12/17/2013
$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: /-ZJ~/f Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has r viousl otherwise ex ired.
THE FOLLOWING APPROVA~S REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BU1LD1NG OFIRE 0HEALTH 0HAZMAT/APCD
~ «!rl» ~ CITY OF
CARLSBAD
EXISTING USE
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEt/SPACEt/UNITI
PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF)
Plan Check No. CB (3.. 3 l 23
Est. Value
Plan Ck. Deposit
Date l 'Z t "7 ( e, SWPPP
APN
CONSTR. TYPE OCC. GROUP
w ,c crh-f-1-t-<-$ &<~c....
IA<..._,. I' <>oJ r /'~;-ie..f,.~ ,t~
FIREPLACE
YESO
AIR CONDITIONING
NcQ YES 0 No0
FIRE SPRINKLERS
YESO NoO
APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAA PHONE FAA
EMAIL EMAIL
FAA
ARCH/DESIGNER NAME & ADDRESS STATE UC.#
(Sec. 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 issua ce also requires 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 7 00 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)). -. ft, W O R K E R S ' C O M P E N S A T I O N
~:., -
Workers' Compensation Declaration: I hereby affirm under penalty of pe,jury one of the following declarations:
~. I 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 permit is issued.
~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance ot the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. l3rc:t ..... ""-~ fl.I' 12 Cw r'\.-Policy No. 5 7 W E'L O.S It/ 21:.... Expiration Date ( -'I -I '(
This section need not be completed tt the permit Is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Calttomia. WARNING: Failure to secure workers' 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, dam es as provided for in Section 3706 of the ode, Interest and attorney's fees .
.IS CONTRACTOR SIGNATURE !Liiiiii'lrll~
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D
D
D
I, as owner of the property or my employees with wages as their sole compensation, will do the worll and the structure 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 himsett 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 construct the project (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 wi1h contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes 0 No
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supeivise and provide the major work (include name I address I phone I contractors' license number):
5. I will provide some of the worll, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of worll):
,IS PROPERTY OWNER SIGNATURE 0AGENT DATE
Is the 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 Acri Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management districr/ Yes No
Is the facility to be constructed within 1,000 feet of the outer boundaty of a school s~e? 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 cenifythatl have read the application and state that the aboYe infonnatlon Is ronectand that the Information on the plans Is accurate. I agree 1D comply with all City ordinances and State laws relating ID building ronstruction.
I hereby au~ representative of the City of Carlsbad b enter UIX)fl the aoove mentioned property for insJ:ECfion purJX>SE!S. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST AIL 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 penntt is requred for excavations over 5'0' deep and demolilbn or construcoon of s1ruclures over 3 sklries il ~ht.
EXPIRATION: Every permit issued by the Buikling Offcial under the provisons of 1his Code shall expire by Imitation and bErone nu! and void ~ the buikling or m authorized by such permit is not commenred v.11hin
180days from the dale of such pennltorifthebuzikJ .orl'oOfka~ by such pennltis SUS al anytime aflerthel'oOfk isc:ommencedforaperiodof 180days (Sedoo 100.4.4 Unim BuialllQ Code).
~ APPLICANT'S SIGNATURE _ -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.
C E :1 1 ! F I C A T E OF OCCUPANCY ( C o m m e r c , ., I Proiect, 0 !1 I\' I
Fax (760) 602~560, Email building@car1sbadca.gov or Mail the completed fonm to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELMRY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1) NO CHANGE IN USE / NO CONSTRUCTION
MAIL/ FAX TO OTHER:
CHANGE OF USE/ NO CONSTRUCTION
,ES APPLICANT'S SIGNATURE DATE
I
..
0 List
Permit#: CB133123 Type: PME
Date Inspection Item
01/22/2014 43 AirCond/Furnace Set
01/22/2014 43 AirCond/Furnace Set
01/22/2014 49 Final Mechanical
01/22/2014 49 Final Mechanical
Wednesday, January 22, 2014
Inspector Act
PB
PB
RI
AP
RI
AP
NO. CO. PLAZA: REPLACE 6 HVAC
UNITS ON ROOF I SAME=SAME
Comments
AM PLS -NO CARD ON SITE WILL MEET
YOU THERE
Page 1 of 1