HomeMy WebLinkAbout1890 CANYON PL; ; CB154318; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
12-08-2015 Permit No: CB154318
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1890 CANYON PL CBAD
PME Status:
Parcel No: 2050808200 Lot#: 0 Applied:
Reference #:
PC#:
Project Title:
Applicant:
DEED:NEW A/C W/ 50 AMP CIRCUIT
REPLACE FURNACE
ACTION AIR COND & HEATING-SO
2750 S SANTA FE AV
SAN MARCOS CA 92069
760 727 4152
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
DEED FAMILY TRUST 04-29-91
1890 CANYON PL
CARLSBAD CA 92008
ISSUED
12/08/2015
SLE
12/08/2015
12/08/2015
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector:
FINAL f'~FROVA~
Date: c.//7/~J-. Clearance:
$0.00
NOTlCE: Please take NmlCE that awoval of your project includes the "lrrpcsition'' r:i fees, dedicatims, reservations, or other exoctims hereafter oollectively
referred to as "fees! exactions." You have 00 days from the date this perrrit 'M3S issued to protest irrpcsitim of these fees! exactions. If you protest them, you rrust
fdiCM'the protest procedures set forth in <?overnrrent Ccx:le Sectim66020(a), and file the protest and any other required informatim wth the City llt1anagerfor
proo:lSSing in ao:adancewth Carlsbad rvl.Jnidpa Ccx:le Sectim3.32.030. FailuretotirrelyfdiCM'that procedure-Mil bar anysul:Gequent legal actim to attack,
review, set aside, void, or annul their irrpcsition.
You are hereby FURTl-IER 1\011 A ED that your right to protest the sr,ecified fees! exactions CDES NOT APPLY to v.ater and reNer CXlllnecticn fees and capacity
dlanges, nor planning, zoning, grading or other sirrilar applicatim proo:lSSing or service fees in CXlllnectim wth this project. NOR r::x::ES IT Affi.. Y to any
feeslexad:ims of W'lich vou have oreviouslv been qiven a NOTlCE sirrilar to this or as to IA.hch the statute of !irritations has ore1iouslv otherl'lise exnired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING DFIRE DHEALTH DHAZMATIAPCD
City of Building Permit Application Plan Check No.Qfb I o+~ \ r
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Datef2-8-IS lsWPPP
JOB ADDRESS SUITE#/SPACE#/UNIT# APN
18Cf0 Cc..:n'\.iO\'\ P\ c....c-c::..... - --
CT/PROJECT # rLOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. 1YPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
_l '1'\$. "''a...\' Ne\.0 '-1· h.,"'"' A}c... l..J,<\-'h St' .. l.\rnP C\rc..u)+
R~\t;ce-qofeol::> . \3'\u F~ c ~'"\CI,.( C:,
EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF)
YES[}#
lAIR CONDITIONING I FIRE SPRINKLERS
NoD YEsONoD vESONoO
APPLICANT NAME r~!'ERTY OWNER -hee-~ Primary Contact .hOi.-r\cs
ADDRESS ADDRESS
18qo C..-:c...n,; Ov"'\ 1>\ 0\..Le..
CITY STATE ZIP CITY STATE ZIP
CcA.r· \s b c A c_...._J\ gz.coE
PHONE I FAX PHONE I FAX ·7c, o-asecJ.-7:::. fSO
EMAIL EMAIL
DESIGN PROFESSIONAL A.:~~CTOR BUS., '~ME f.1 eO<::\-I"<\ c• ' SC,\a:r i'DI""'\ A C-&;:
ADDRESS ADDRESS _,
5-l"' *~ Fe.. Av~ Z75;'o .::-· _;;;,
CITY STATE ZIP CITY STATE ZIP
~c._:'"'-{V) CA. \COS CA CiZO(oO,
PHONE I FAX PHONE I FAX -lfo Qi-/2:"J· L\·1 $ 2.
EMAIL EMAIL
I STATE LIC. # STATE LIC.# .I CLASS I CI1Y BUS. LIC.#
soqBo.S~ C2..0 L-J I q?,C{)
(Sec. 7031.5 Bus1ness and Profess1ons Code: Any C1ty or County which requ1res a permit to construct, alter, 1mprove, demoliSh or repa1r any structure, pnor to 1ts 1ssuance, also requ1res 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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
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.
'1:"'-1-1-lla,,e and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insura ce carrier and policy
number are: Insurance Co. ~ S Co ()C ~,.--he. Ue-s+ Policy Nol0S.})5 (.)22L./-Co S Expiration Date ll. 3.'1 15'-
This section need not be completed if the permit is for one hundred dollars ($1 00) 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
California. 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, ~~vided for in Section 3706-?f the Labor code, interest and attorney's fees.
J¥5 CONTRACTOR SIGNATURE '::::::,~ ~-----
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 work 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 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 thn 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 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 DYes DNa
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, supervise and provide the major work (include name I address I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
J¥5 PROPERTY OWNER SIGNATURE 0AGENT DATE
I certify thatl have read the application and state that the above information is conect and thatthe information on the plans is accurate. I agree to comply with all City ordinances and State lam relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or oork authorized by 1;uch permit is not commenced within
180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the oork is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
/1!5 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.
CERTIFICATE OF OCCUPANCY (Commercial Projects 0 nl y I
Fax (760) 602-8560, Email building@carlsbadca.govor Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
I 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.
DELIVERY OPTIONS
PICKUP: 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
.85 APPLICANT'S SIGNATURE DATE
n
Permit#: CB154318 Type: PME
Date ____ Inspection Item ___________ _
04/07/2016 43 AirCond/Furnace Set
04/07/2016 43 AirCond/Furnace Set
04/07/2016 49 Final Mechanical
04/07/2016 49 Final Mechanical
Monday, April 11, 2016
Inspector Act
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DEED:NEW AJC WI 50 AMP CIRCUIT
REPLACE FURNACE
Comments
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