HomeMy WebLinkAbout2100 COSTA DEL MAR RD; ; CB163556; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
09-16-2016 Permit No: CB163556
Building Inspection Request Line (760) 602-2725
Job Address:2100 COSTA DEL MAR RD CBAD
Permit Type:PME Status:ISSUED
Parcel No:2165900100 Lot #:0 Applied:09/16/2016
Entered By:SLE
Reference #:Plan Approved:09/16/2016
PC #:Issued:09/16/2016
Inspect Area:
Project Title:LA COSTA RESORT: REPLACE WATER
HEATER
Applicant:Owner:
LCD HVAC INC L C INVESTMENT 2010 L L C
UNIT #3
2114 ABBOTT ST 1601 ELM ST
SAN DIEGO CA 92107 DALLAS TX 75201
619 312-3426
Plumbing Fees $38.00
Electrical Fees $0.00
Mechanical Fees $0.00
Other PME Fees $60.00
TOTAL PERMIT FEES $98.00
Total Fees:$98.00 Total Payments To Date:$98.00 Balance Due:$0.00
FINAL APPRO1ALInspector:Date:t Clearance:
NOTICE:Please take NOTI 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/exactions of which vou have previously been aiven a NOTICE similar to this. or as to which the statute of limitations has previously otherwise expired.
_...__
t
t THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:EjPLANMNG DENGINEERING OBUILDING OFIRE DHEALTH DHAZMATAPCD
k0 .-Building Permit Application Plan Check No.C..F51to 5(...10r
_CitY of 1635 Faraday Ave.. Carlsbad, CA 92008 Est. Value
Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail: builo1ng@carlsbadca.gov Plan Ck. Deposit
www.-•••,,,,.,.gov Date •-•a. I $SWPPP
,.SUITE#/-'1.'r APNe•
JOB ADDRESS
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C566 4 1 °
CT/PROJECT #LOT #PHASE ## OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
LCA—00.51-0\$16250A
DESCRIPTION OF WORK:Include Square Feetof Affected Area(s)
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EX/STING USE
If
USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESOlt____NOEI YES DINO El YES0 NOE
APPLICANT NAME l PROPERTY OWNER tPrimary Contact CL -'S a -)NA-A-CV6\-a 1..._ek-C05(-ce_P--e50(4—
ADDRESS ADDRESS
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CITY STATE ZIP CITY STATE ZIP
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643.t -2161EMAILEMAIL
L..CD ia..)1 Ith-6‘0. e &Ak0A .G3
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME t_ C C)ik.ukc .
ADDRESS ADDRESS
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CITY STATE ZIP CITY,.
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PHONE FAX PHONE FAX
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EMAIL EMAIL
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STATE LIT. #STATE LIC.#CLASS CITY BUS. LLC.#_
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‘i.us 124.°KALI(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 theapplicant 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 Division3 of theBusiness 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 toacivil penalty of not more than five hundred dollars ($5001).
WORKERS'COMPENSATION
Workers' Compensation Declaration:I hereby affirm under penalty of perjury one of the following declarations:
RI 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.
I have and will maintain wo compensation, avec:wired 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.0 ria f...A.S V 65OrCA17 Policy No.I—CW(1734 9 0 Expiration Datelpg." 01-201'7
This section need not be completed if the permit is for one hundred dollars ($100) 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 subjectan employer to criminal penalties and civil fines up to one hundred thousand dollars (8400,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
AS CONTRACTOR SIGNATURE 0 AGENT DATE
OWNER -BUILDER DECLARATION....:..
I hereby affirm that lam exempt from Contractor's License Law for the following reason:ElI,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 the purpose of sale).0 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).0 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 DNo
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 / phoneI contractors' license number):
4.I plan to provide portions of the work, butI have hired the following person to coordinate, supervise 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 I address / phone I type of work):
RSPROPERTY OWNER SIGNATURE ['AGENT DATE
COMPLETE THIS SECTION FOR NON -RESIDENTIAL 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 Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act?n Yes 0 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 II No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 Yes 0 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm 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
APPLICANT CERTIFICATION
Icertify thatI have read the application and state that the above information is collect and that the information on the plans is accurate.Iagree to comply vitth all City ordinances and State laws relating to building construction.
I hereby authorize representativeofthe CityofCarlsbad to enter upon the above mentioned property for inspection purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, 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 for excavations over SO' deep and demolition or construction of structures over 3 storiesin 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 work authorized by such 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 workiscommenced fora period of 180days (Section 106.4.4 Uniform Building Code).
AcAPPLICANT'S SIGNATURE DATE
S P
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 buildingecarlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#:(Office Use Only)
C•ONTACT NAME OCCUPANT NAME
A•DDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
E•MAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP:o CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. I.)
o ASSOCIATED CB#MAIL TO:El CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On P.1.)o NO CHANGE IN USE /NO CONSTRUCTION
MAIL/FAX TO OTHER:o CHANGE OF USE/NO CONSTRUCTION
..e.APPLICANT'S SIGNATURE DATE
Inspection List
Permit#:CB163556 Type:PME LA COSTA RESORT: REPLACE WATER
HEATER
Date Inspection Item Inspector Act Comments
09/21/2016 25 Water HeaterNents RI CALL FOR DIRECTIONS
09/21/2016 25 Water HeaterNents JW AP
09/21/2016 29 Final Plumbing JW AP
Thursday, September 22, 2016 Page 1 of 1