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HomeMy WebLinkAbout1953 CASSIA RD; 102 | 202; CB141205; Permit04-20-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB141205 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1953 CASSIA RD CBAD PME 2150202500 Lot#: TRADITIONS APTS: REPLACE 2 A/C DUE TO POINSETTIA FIRE: UNITS #102 & 202 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/02/2014 JMA 06/02/2014 06/02/2014 PB Applicant: GEORGE'S HEATING AND AIR CONDITIONING Owner: MANZANITA PARTNERS LLC 6070 HOWELL DR LA MESA CA 91942 619-741-3600 3990 RUFFIN RD#100 SAN DIEGO CA 92123 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $0.00 Total Fees: $0.00 Total Payments To Date: $0.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: ^' j' ff 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 pemiit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Cartsbad 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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previously othenvise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMrr ISSUANCE: nPLANNING •ENGINEERING •BUILDING • FIRE • HEALTH OHAZMAT/APCD CARLSBAD CITY OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. Cg^t^. jZOS Est. Value Plan Ck. Deposit Date SWPPP JOB ADDRESS |LOT# I # OF UNITS I # BEDROOfiis' SUITE</5PACE*/UNIT* CT/PROJECT # # BATHROOMS TENArn BUSINESS NAIVIE CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: fncfude Square Feet of Affetted Aieafs) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~|* AIR CONDITIONING YEsj |NO| 1 FIRE SPRINKLERS YESj |NO| 1 APPLICANT NAME Primary Contact PROPERTY DM /NER ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL STATE LIC. tt STATE LIC.# CLASS CITY BUS. LIC.# (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 issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempttherefrom, 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 Woriters' Compensation Declaration: / hereby affimi under penalty of perjury one ofthe foltowing declarations: HI have and will maintain a certificale of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the worit for which this permit is Issued. I have and will maintain woriters' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the worit for which this permit is issued. My workers' compensation insurance carrier and policy number ate: Insurance Co. Policy No. Expiration Date gctton need not be completed if the permit is for one hundred dollars ($100) or less. I Certificate of Exemption: I certify that in the perfonnance of the worit for which this pernilt is issued, I shalUistsmptoy any person in any manner so as to become subject to the Workers' Compensation Laws of *!^lif9qjia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shal^^ubjeStan employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as pto^i3\ fy in Sectior)J706 of the Labp»<(S3e^interest and attomey's fees. yfiT CONTRACTOR SIGNATURE / y/y^/^y^.^''''^'^ QAGENT DATE ) / H OWNER-BtliLOSR DECLARATION / hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: I I I, as owner of the property or my employees with wages as their sole compensatton, will do the worit and the structure is not intended or offered for sale (Sec. 7044, Business and Professtons 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 completton, the owner-builder will have the burden of proving that he did not buiW or improve for the purpose of sale). I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professions Code: The Contractors 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 I I am exempt under Sectton Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement • Yes I INO 2.1 (have / have not) signed an applicatton for a building pemiit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed constmction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the worit, but I have hired the following person to coordinate, supervise and provide the major worit (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the worit indicated (include name / address / phone / type of worit): / PROPERTY OWNER SIGNATURE QAGENT DATE OMi»LETE THIS SECTiON FOR N O N - R E S I D E H T I A L BUILDING PERMITS ONLY 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 Secttons 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acf? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollutton control district or air quality management district? Yes No Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? 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 CONSTR U C TION LENDING A (i f N C Y f I hereby affimi that there is a construction lending agency for the perfomiance of the work this pemiit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address (•4£;i?J:|;|:,..0,^.,|!l,: T CERTIFICATI ON., I certif that I have read the appltoatton and state that the above inlbnnatlon is conect and that the Infbnnation on the plans is accurate. I agree to complywlth all City ordinances and State laws relating to building constniction. I hereby authorize representative ofthe City of Carlsbad to enter upon the above mentioned property for inspectton purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennit is required for excavations over 5'0' deep and demoliton or constmction of stnjctures over 3 stories in height. EXPIRATION: Every pennit issued by the Building Oflicial under the provisons of this Code shall expire by limitatton and become null and void if the building or vwrit authorized by such pemit is not commenced within 180 days from the date of such perinit or if the buikling or viorit authorized by such pennit is suspended or abandoned at any time after the vrortt is commenced for a period of 180 days (Section 106.4.4 Unifbriri Building (Me). 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. Fax (760) 602-8560, Email buildina(S)carlsbadca.aov or Mall the completed fomi to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. 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