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HomeMy WebLinkAbout2002 PINTORESCO CT; ; CB143161; Permit11-14-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB143161 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2002 PINTORESCO CT CBAD PME Status: ISSUED 11/14/2014 JMA 11/14/2014 11/14/2014 Parcel No: Reference #: PC#: Project Title: Applicant: ASI HASTINGS STE 200 2164830400 KNOX: REPLACE FURNACE 4870 VIEWRIDGE AV SAN DIEGO CA 92123 619-590-9300 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: KNOX FAMILY TRUST 12-29-93 2002 PINTORESCO CT CARLSBAD CA 92009 $0.00 $0.00 $160.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: FINAL/APP~OV~ Date· 0 J /, 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/exac i ns of which have reviou I been iven a N TICE similar to thi or as to whi h the statute f limitations ha r vious\ otherwi x ired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING Cl ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD (~' Building Permit Application Plan Check No. ffi (4 • 0101 "~, .. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value -~ CITY 0 F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. D9pos/t CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date l!/14'//'f lswPPP JOB ADDRESS 'l~o} (y c·/\toreS.l• c:\.-SUITE#/SPACE#/UNrT# IAPN --- CT/PROJECT# I LOT# 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) ~~DI"( I. I;. ¥t>1'~) -tv ""4 ct EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF} FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESO NoO YES0No0 YESONoO APPLICANT NAME Patti Ryan PROPERTY OWNER NAME Jt\1_ __ !<110" Prlnaru A ADDRESS 4870 viewridege ave ADDRESS~~O') p,-11hrt>l1> CJ-- CITY STATE ZIP CITY L j ST7,A ZIP san die!IO ca 92131 c,_,b V.:, Cl.I ti[:)..v.9 Q PHONE I FAX PH0"'1w, ci "'1'1-, un IFAX 619-590-9337 EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinas ADDRESS ADDRESS 4870 viewridge ave CITY STATE ZIP CITY STATE ZIP san dieao ca 92131 PHONE I FAX PHONE I FAX 619-590-9337 EMAIL EMAIL l STATE UC.# STATE LIC.# I CLASS lc,n,us/tuu 1ovt 513115 c20 (Sec, 7031.5 Business and P_rofess1ons Code: Any City or County which requires a permit to.construct, alter, improve, demolish or repair any structure, p_rior 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 LawjChapter 9, comme_nding with Section 7000 of OivIsion 3 of the B_usiness and Professions Code} or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the apphcant to a cIvII penalty of not more than five hundred dollars {$500)). ttfii¥1:ii4i·i 1¥1iii3ii·i 1 kb ,£ II Workers' Compensation Declaration: I hereby affirm 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 pro~ided 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 of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ____ ~ oak river Policy No 3300065233·131 Expiration Dale 9·15 This section need not be completed if the permit is for one hundred dollars ($1 ) less 0 Certificate of Exemption: I certify that in the performance of the work r w 1ch 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 co erag 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, damages as provided for in 706 of the Labor code, Interest and attorney's fees. JE5 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the fo owi reason D I, as owner of the property or my employees with wages as theirs I ompensation, 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 himse~ 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 constn.icl 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 cons\n.iction of the proposed property improvement. OYes ONo 2. I (have I have not) signed an application for a building permit for the proposed won( 3. I have contracted with the following person (firm) lo provide the proposed construction (include name address I phone I contractors' license number) 4. I plan to provide portions of the won(, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone/ contractors' license number)· 5. I will provide some of the work, but I have contracted (hired) the following persons lo provide the work indicated (include name I address/ phone I type of work) ~ PROPERTY OWNER SIGNATURE □AGENT DATE ' Is the applicant or future buildirig 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 Hat"drdous stfbstance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes □ No Is the facility to be constructed 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. li·iiiii i11%it,1 1ii11l'ii/i,i!i-i 1/111 I hereby affirm that there is a construction lending agency for the performance of the work this permlt is issued (Sec. 3097 (i} Civil Code). Lender's Name Lender's Address I certify that I have read the application and state that the above information Is correct and that the Information on the plans is accurate. I agree to comply with all City ordinances and State laws relatlngto building construction. \ hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for nspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF CARLSBAD AGAINST ALL LIABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA: An OSHA pem1it is required for excavations over 5'0' deep and demol" · construction of slrucbJres over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions this Code shall expire by frnitation and become null and void rt the building or work authorized by sucti pem1it is not commenced within 180 days from the date of sucti permit or rt the building or WOO( authorized bys permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Cooe). AS APPLICANT'S SIGNATURE DATE I' I 1, I • Inspection List Permit#: CB143161 Type: PME Date lnspecUon Item 01/07/2015 43 AirCond/Furnace Set 01/07/2015 43 AirCond/Furnace Set 01/07/2015 49 Final Mechanical 01/07/2015 49 Final Mechanical Tuesday, January 13, 2015 Inspector Act PD PD RI AP RI AP KNOX:REPLACEFURNACE Comments Page 1 of 1