HomeMy WebLinkAbout2003 AVENUE OF THE TREES; ; CB133041; Permit12-10-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/IVIechanical/Electrical (PME) Permit
Permit No: CB133041
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
2003 AVENUE OF THE TREES CBAD
,PME
1562801700 Lot#
FISCUS RES - REPLACE FURNACE
SAME LOCATION/HALL CLOSET
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
12/10/2013
SKS
12/10/2013
12/10/2013
Applicant
ASPEN COOLING & HEATING INC
STE 207
3720 OCEANIC WY
OCEANSIDE CA 92054
760-754-2625
Owner
FISCUS STEPHEN&BATSON CARRIE C
4721 31 ST STS
ARLINGTON VA 22206
Plumbing Fees
Electncal Fees
Mechanical Fees
Other PME Fees
$0 00
$0 00
$158 00
$0 00
TOTAL PERMIT FEES $158 00
Total Fees $158 00 Total Payments To Date $158 00 Balance Due: $0.00
Inspector
FINAL APPROVAL
Date 2^2/2-/H Clearance
NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively
refen'ed to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition ot these fees/exactions If you protest them, you must
follow the protest procedures set forth m 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 APPL'i' 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 vou have oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previousiv othenvise expired
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE OPLANNING nENGINEERlNG •BUILDING npIRE nHEALTH •HAZMAT/APCD
'4
^'^i.'-^Zy-
^ CITY OF
CARLSBAD
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.
Est. Value
Plan Ck. Deposit K._^Peposjt
Date l^f-^/O SWPPP
JOB ADDRESS /lvefjui2 of -ri^ ryzee-^ SUITE«/SPACE#/UNIT#
CT/PROJECT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK: fncfude Square Feet of kffectei Hreafs)
/Jo*J Pn^ -nitzi^'^7Ar/p\/^ r/."*^ ^ ^^^r^ V~^^^ cj(ogc^|-
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESr~|# NOj I
AIR CONDITIONING
YES I INO I I
FIRE SPRINKLERS
YES I |NO| I
APPLICANT NAME/nr/mary Contact;
/
APPLICANT NAME (Secondary Contact;
ADDRESS o - I I ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE
^6</- y^'/'Zoi^
FAX
76/
PHONE
PROPERTY OWNER NAME CONTRACTOR BUS NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY
//Ct^f^S<s>tS
STATE
PHONE FAX PHONE
75"/-
FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS ' / CITY BUS LIC#
ino/to Its issuance, also requires the (Sec 70315 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnorto 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 (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})
Workers' Compensation Declaration / hereby affinn under penalty of perjury one ofthe following declarations
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
"^^ihave and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My workers' compensation insurMte^rrier and policy
number are Insurance Go _
^T^^ji^erST /VAVft/^^^.— Policy No "7/. Jf g"/ 3 'f Expiration Date /^/^
This section need not be completed if the permit is for one hundred dollars ($100) or less
I I Certficate of Exemption • I certify lhat in the performance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Calfornia 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, damages as pjieuuledfor in Section 3706 of the Labor code, interest and attomey's fees.
JS^ CONTRACTOR SIGNATURE Z^ • AGENT DATE
/ hereby affirm that I am exempt from CnntnKtnm i menset-nm luv iim iiimwinn reason
I I 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
Ucense 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 the purpose of sale)
I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct the pnjjecl (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 contraclor(s) licensed pursuant to the Conlractor's Ucense Law)
• I am exempt under Section _ .Business and Professions Code for this reason
1 I personally plan to provide the major labor and malenals for construction of the proposed property improvement QYes I iNo
2 I (have / have not) signed an application for a building pemiil for the proposed work
3 I have contracted with the following person (firm) to provide the pnjposed constmction (include name address / phone / contractors' license number)
4 I plan lo provide portions of the work, but I have hired the following person lo coordinate, supen/ise and provide the major work (include name / address / phone / 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 / address / phone / type of work)
PROPERTY OWNER SIGNATURE •AGENT DATE
Is the applicant or fulure building occupant required to submit a business plan, acutely hazardous malenals registration form or nsk management and prevention program under Sections 25605,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account AcP Yes No
Is the applicant or future building occupant required lo obtain a permit from the air pollution control district or air quality management dislncP >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
I hereby affimi that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
I certif that I have read the application and state that the above infonnation is comect and that the infonnaton on the plans is accurate I agiee to comply with all City ordinances and State laws relating to building construction.
I hereby authonze representative ofthe City of Carisbad 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 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 permit is required lor excavations over 5'0' deep and demolition or constmction of stmctures over 3 stones in height
EXPIRATION Every pemiit issued by the Building Official under the pnjvisions of this Code shall expire by limitation and become null and void if the building or wort< authonzed by such pennit is not commenced wilhin
180 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any time after the wort< is commenced for a penal of 180 days (Section 106 4 4 Uniform Building 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.
TIFICATE CCUPANCY
Fax (760) 602-8560, Email buildinatSicarlsbadca gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE
OCCUPANT S BUS UC No
DELIVERY OPTIONS
~ PICKUP: , CONTACT (Listed above) .,'OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
IVIAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
IVIAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
^APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CBI 33041 Type: PME FISCUS RES - REPLACE FURNACE
SAME LOCATION/HALL CLOSET
Date Inspection Item Inspector Act Comments
02/25/2014 43 AirCond/Furnace Set - Rl FISCUS RES
02/25/2014 43 AirCond/Furnace Set PB AP
02/25/2014 49 Final Mechanical - Rl FISCUS RES
02/25/2014 49 Final Mechanical PB AP
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