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HomeMy WebLinkAbout1857 HIGH RIDGE AVE; ; CB161547; Permit' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 04-21-2016 Permit No: CB161547 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1857 HIGH RIDGE AV CBAD PME Status: Parcel No: 2073851500 Lot#: 0 Applied: ISSUED 04/21/2016 SLE 04/21/2016 04/21/2016 Reference #: PC#: Project Title: Applicant: CADIZ: REPLACE FAU / ADD A/C ADD 40 AMP CIRCUIT OAK ISLAND HEATING AND AIR STE 103 1250 PACIFIC OAKS PL ESCONDIDO CA 92029 760 839-8383 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: THEISS-AIRD FAMILY TRUST 05-12-11 1857 HIGH RIDGE AVE CARLSBAD CA 92008 $0.00 $38.00 $163.00 $0.00 $201.00 Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due: Inspector: tJtl/(.... Date: Clearance: $0.00 OOTICE: Rease tn OOTICE that-™' ci IOJI' prtjed irdudes tte "lrrpositiori' ci fees, dec:icaliors, resavaticns, cr dt-e' exa:liors -crlledively ra'erre:ltoas '1ees/exa:liors." You raveOOdays frcmtte-ttis pemitlMIS iss..ed to pretest irrpositioo cittesefees/e>micrs. If )00 pretest treon )00 rrust fdlootte ,mest l)OOld.res sel lath in 0'.M31"mri Cooe Sedioo 68nl(a), ardfilette,mest ard anydt-e'reqjred infcrrrl'iioov.ith tteatytvlmge,for ~rg in~-Ga'islm M.ridi,i Cooe Sedia, 3.32.COO. FalLJetobrrelyfdloolhal ~v.ill ba"anysctsecµrt l,ga ediontoaltlrl, rEMew, set aside, vcid, er aru treir irrp;sitioo. You ae herel7y FLRT1-ER i'OTIREDthal yo,., rig-I to prctesl tte specified fees/exa:liors DCES NOf !'PA. Y to""'-" ard !!eNef ooonedoo fees ard ~ &a-g,s, ncr Jja-rirg, zairg, galrg cr dt-e' sinila-,wicalion ~rg er 8"'Ace fees in ooonedon v.ith ttis prtjed. 1'-1'.R DCES IT !'PA. Yto any f . aNOTI ·m1 tH a wi Ii . i has THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD <-<~► Building Permit Application Plan Check No. 0 0i ll II I [;'.'.flt 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value -~ CITY Of Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date L\ -'ll-llo ISWPPP JOB ADDRESS SUffEf/SPACEf/UNIT# IAPN 1857 HIGH RIDGE AVE. --- CT/PROJECT # ILOT# I PHASE# I# OF UNIT::; I# BEDROOMS # BATHROOMS I TINANT BUSINESS NAME I CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Squant Feet of Affected Atea(s) REMOVE AND REPLACE 1 FAU AND ADD 1 NEW A/C UNIT & 1 NEW 40 AMP CIRCUIT EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YESO Ne(] v,s □NoO YESONoO APPLICANT NAME TOM WOOD PROPERTY OWNER NAME CHRISTINE CADIZ P"'"'•"' "A-••ct ADDRESS ADDRESS 1250 PACIFIC OAKS PL. #103 1857 HIGH RIDGE AVE CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 CARLSBAD CA 92008 PHONE I FAX PHONE I FAX 760 839-8383 760 839-8380 949-701-3488 EMAIL EMAIL INFO@OAKISLANDAC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AIR ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103 CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 PHONE PHONE l'AX 760 839-8383 l'AX 760 839-8380 EMAIL EMAIL INFO@OAKISLANDAC.COM I STATE UC.# STATE UC,# !"'ASS I crrvsus. uc.1212710 745400 C-20 (Sec. 7031.5 Bus mess 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 is licensed pursuant to the provisions of the Contractor's License Law {Cha'f.ter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code} or that he is exem~t therefrom, and the basis for the alleged exemption. Any violation of Section 703 .5 by any applicant for a permit subjects the applicant to a cwi1 penalty of not more than five hundred dollars {$5001). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby afflrm under penalty of perjury one of the following declarations: D 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. 0 I have and will maintain workers' corrc,ensation. as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and pdicy number are: Insurance Co. EVEREST NATIONAL INSURANCE Policy No. 7600000635141 Expiration Date 0110112011 ~section need oot be completed if the permit is for one hundred dollars {$100) or less. LJ Certificate of Exemption: I certify that in the perform.rice of the work for which this permit is issued, I shal not employ any person ln any manner so as to become subject to the Workers' Compensation Laws of Callfomia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to crtninal penattles and civil fines up to one hun<hd thousand doUan (&100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the labor code, inlerelt and attomey's fees. Ji5 CONTRACTOR SIGNATURE IZJAGENT DATE OWNER-BUILDER DECLARATION I hereby affirm tflat I am exempt from Contractor's license Law for th& following reason: D I, as owner of the property or my empbyees with wages as their sole compensation, wiH do the IM'.>rk. 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 ov.ner of pqierty who builds 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. Jf, however, the building or improvement is sold 'Mlhin one year of completion, the owner-builderwiM have lhe 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 with contractor(s) licensed pursuant to the Contractor's License Law). I am e>:empt uoder 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. □Yes []No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with lhe following person (firm) to provide the proposed construction (incktde name address/ phone/ contractors' lcense number): 4. I plan to provide portions of the work, but I have hired the folk:Ming person to coordinate, supervise and provide the major work (include name/ address/ phone I contractors' lk:ense number): 5. I will provide some of the work, but I have contracted (hired) the fohving persons to provide the work indicated (include name/ address I phone/ type of work): IS PROPERTY OWNER SIGNATURE GENT DATE /-2.1 16 ' 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 form or risk manarJement and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the ~icantor future building occupant required to obtain a pem,it from the air polution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No F ANY OF TI-IE ANSWERS ARE YES, A ANAL CERTIACATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AJR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there ts a consbuction lending agency for the perfonnance of the work this permit is issued (Sec. 3097 (1) Ctvil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have lead theapplicatk:Hl arw;t Slate that the above Information Is conecl:and that the Information on the plans Is accurate. I agiee 1X1 complylMlh al C11¥ordlnances and State laws relating to building construdlon. I hereby aulhori1B represenla.., of lhe Ci~of Gal'obad lo enter upon lhe allow menloned property ~r i1specfun purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP IW™LESS THE CITY OF CARLSBAD 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: AA OSHA permit is required br excavations over 50' deep and demootion or ronstrucoon of structures over 3 sk>ries in heght. EXPlRA TION: Every permit issued by the Buik:ling Official under the provisKlns of this Code shal expi'e by limitaoon and becoo1e nul and YOO if the buikti'lg or 'MXk aulhorilfld by such pem1it is not canmenced ~i'l 1 &l days from the date of suc::11 pem,it or if the bui::ling or YtOlk authorized by ~di permit is suspended oc abandoned at any time after the v.ork is COl111'lE!l'lOO bra period of 100 days (Secoon 106.4.4 Unibnn Buikiilg Code). ~APPllCANT'SSIGNAl\JRE ~ ~ DATE 'I Ju I, Inspection List Permit#: CB161547 Type: PME Date Inspection Item 07/15/2016 43 AirCond/Furnace Set 07115/2016 43 AirCond/Furnace Set 0711512016 49 Final Mechanical 07/15/2016 49 Final Mechanical Monday, July 18, 2016 Inspector Act AEK AEK RI AP RI Fl CADIZ: REPLACE FAU / ADD A/C ADD 40 AMP CIRCUIT Comments Page 1 of 1