HomeMy WebLinkAbout2031 MAR AZUL WAY; ; CB150843; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
03-20-2015 Permit No: CB150843
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2031 MAR AZUL WY CBAD
PME Status:
Parcel No: 2151305100 Lot#: 0 Applied:
Reference #:
PC#:
Project Title:
Applicant:
LARSON RES-REPLACE FAU & A/C
SAME LOCATIONS
WEST COAST APPLIANCE SERVICES INC
DBA WEST COAST SOLAR
1282 FAYETTE ST
EL CAJON CA 92020
619-557-0446
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
LARSON KAARE D & ANNA K
2031 MARAZUL WAY
CARLSBAD CA 92009
ISSUED
03/20/2015
LSM
03/20/2015
03/20/2015
$0.00
$0.00
$160.00
$0.00
$160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due:
Inspector: fl'\. ~f
FINAL APP OVAL
Date: b I'> 1£ Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, 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.
♦CITY OF
CARLSBAD
JOB ADDRESS d031
/PROJ #
Building Permit Application
1635 Faraday Ave., carlsbad, CA 92008
Ph: 760-602-2717 Fax: 760-602-8558
email: bulldlng@carlsbadca.gov
www.cartsbadca,gov
SUITE#/SPACS#/UNl1W
Plan Check No. {]B J6f) ~_3
Est. Value
Plan Ck. Deposit
GROUP
EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) AREPtACE
YES □#_ NOD
AIR CONDITIONING ARE SPRINKLERS
YES D NOD YES D NO □
APPUCANT NAME (S.CO.dary Con-,
ADDR
CITY ZIP
PHONE
EMAJL
CONTRACTOR BUS. NAME
Cl
ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE'S•, di:3
(Sec. 7031.5 Business and Professions Code: Any City or Coum, which requires a ~It to eonstruc:t. alter, improve, demolish orJiir a~ structure, prior to Its Issuance,. alSo ~uiree the applicant for such permit to flle a signed statement tl'lat he Is licensed pursuant to the provisions of the Contractor's License Law 1oter 9, commending with Section 1000 of DMsion 3 of the ~•J!>lness and Professions Code} or that he Is exem_m therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any appllcantfor a permit subjects the applicant to 8 CMI penalt;y of not more than five hundred dollars ($500}).
WORf<ERS COMPENSATION
Workon' Compenllllon _, hereby atrirm underpenaltyripetjll)'one rilhe fo/lowing--.
□ I hm and wll maln!Bln a -of -lo salf.insure for workers' compensation as provided by Section 3700 of the Labor Code, for th,, pe,forn"'.e J lhe -for which tt,U; pem,ll is Issued. '¥' I have and wHI maintain wotk__• compenution: a_aqul~ the Labor Code, for the performaice: the work for which this pem!lp _sued. My workers' compensation insu~· and policy
number a:e: Insurance Co.~ it'\ J,Y),\ ~ ~ P<,Jicy No(~ ~on, ·rYf-C.i~ Expiration Dale __ ~-~-----1 This · n need not be completed If the permit Is for one hundred dollars ($100) or le&$.
Certificate of Exemption: I certify that in the pe,k:.11.a.llC8 of lhe work for which this permit is issued, I shall not employ any person In aiy ma1ner so as to become subject to the Workers' Compensation Laws of
ifcmla. WARNING: Failure to aecure worken:' c:ompen and shall 111bject an employer to cdainal penllaes and civil fines up to one hundred thousand dollars (&100,000~ in
addlion to the c:ott of compen eode, lntanst and attorney's fees. /
. ,l!5 CONTRACTORSIGNATIJRE c..._~:.-c::::::::__ ",IZll!BENT I ti If
I hereby llllftm lhet I am exempt from Comn!cfor's Ucense LBw for lhe following,....,,,,
o I, as owner at the property or my employees with wages as their sole compensation, wiU do the work a1d the structure is not Intended or offered for sae (Sec. 7044, Business Md Professions Q:lde: The Contrw:tor's
License Law does not apply to si owner of Jr0P8l'IY who builds or improves thereon, and who does such work himself 01' through his own employees, pro¥ided that such improvements n not intended or off'eted b'
,ae. tt, _,, lhe buUding or improvement is sad wilhln one year of completion, the owner-bonder wil ha,e lhe burden of proving lhal he d~ not buDd or improve for lhe purpose of ""8).
0 J, as owner of the property, am exclusfvely contracting with lieensed contra:tors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of
prope,1y who builds or mpro,es lhereon, 111d conlracls for such Pf0iecls wl1h contracto!{s) licensed pu1&uant ID the Con_, License law).
c::i I an exempt under Section ___ ~,ustnesa and Professions Code for this reason:
1. I puraonally ~an ID provide lhe major-llld malellals for cons1rucllon of the proposed prope,ty improvement □ Yes □ No
2 I {have / have nol) s~ned an ap~icalion for a building permit for lhe propo,ed work.
3. I have contracted with the following person (finn) to provide the proposed construction (include nane address/ phone I oontractors' license number):
4. t plan to provide portion& of the work, but I have hired lhe f'ollowlng person to coon:linate, supervise .-id provide the major work flllClude mrne I address / phone / contractxs' license number):
5. I will provide some of lhe work. but I have conlracled (hired) the folklwing pe,son, ID provide the work indicated f mclude nirne / edd""' I phone / lype of work):
,f!5 PROPERTY OWNER SIGNATIJRE □AGENT DATE
C O M P L-E T E' 'f H I 5 5 E C T I O N F O R N O N -R E 5 I D E N T I A L B U I L D I N G P E R M I T S O N L Y
. b the appica,t or Mure builjlng occi,;,ant requh<d lo submit a business plan, acutely hazadous -regls1ration mm, or risk m111agement and prevention progl8TI under Sections 25605, 25533 or 25534 of Ille
Presley-Tanner Hazri>us Substance Account Act? □ YO$ □ No
Is the applicant or future building occupant required to obtain a permit from lhe air pollution control district ot air quality management district? Cl Yes Cl No
~ lhe facility lo be cons1ructsd within 1,000 feel of the oufor boundary of aschool site? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY IIAY NOT BE ISSUEO UNLESS THE APPLICANT HAS MET OR IS IIEET1NG THE REQUIREIIENTS OF THE OFFICE OF
EMERGEIICY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT,
CONSTRUCTION LENDING AGENCY
APPLICANT <:ERTiFICATION
IC0111fy111atlhlr.eieadtheappllc:atiolland-lbattheaba.e-lscona:tandlbatthelnbmatiootontheplanslsac:cura18.l-1Da,mplywilhallCHr-andSlale....,relsllng1Dbulldlng-.
I hereoy au11oria, 1llP'esenlaMoflheCityof ~loenmrupon lheabow mentioned proper\'larilspecbl l)Ull)OSOS. I ALSO AGREE TO SAVE, INDStllFY AND KEEP HARM..ESSTI-IE CITY OF CARI.SBAD
AGAINSTALLLIABIUTlES,JUDGI.ENTS,COSTSANDEXl'ENSESWHICHMAYINANYWAYACCR!JEAGAINSTSAIOCITYINCONSEQlENCEOFTHEGRANTINGOFTHISPERMIT.
OSHA:MOSfl'\pemils requiedl0r-CMr5'0'deep . OM3sbiesilheighl
EXPIRATION: Everypemtlssued by'tle llclali-'11i pttMSionsof tis Codeshal -and becane rd and voi1 flhe bl.till a-1M11X IIJlhaiz!d 17f such penritisr.Ao..111eud r.ilhil
180 drr/S m,m the dale of such perl)Jj1GP!f11! IIJlhaiz!d 17( such pemit. a-almloned ata,y line afllrlhe IMIIX b o.. Ilia ud b a period of 180 dlr/S (Section 1116.4A lkibm ~ Code>
..@S° APPLICANT'S SIGNATU DATE
Inspection List
Permit#: CB150843 Type: PME
Date Inspection Item
04/14/2015 43 AirCond/Furnace Set
04/14/2015 43 AirCond/Furnace Set
04/14/2015 43 AirCond/Furnace Set
04/14/2015 49 Final Mechanical
04/14/2015 49 Final Mechanical
Wednesday, April 15, 2015
Inspector Act
MC
MC
RI
RI
AP
RI
Fl
LARSON RES-REPLACE FAU & A/C
SAME LOCATIONS
Comments
Page 1 of 1