HomeMy WebLinkAbout2165 CHESTNUT AVE; ; CB160446; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME} Permit
02-04-2016 Permit No: CB 160446
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
2165 CHESTNUT AV CBAD
PME
1670804400
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: KAFADER RES-ADD NEW A/C UNIT
WITH ELECTRIC, REPLACE FAU-SAME LOCATION-IN ATTIC
Applicant:
ACTION AIR COND & HEATING-SO
2750 S SANTA FE AV
SAN MARCOS CA 92069
760 727 4152
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
LYLE KAFADER
2165 CHESTNUT AV
CARLSBAD CA 92008
619 992-7236
ISSUED
02/04/2016
RMA
02/04/2016
02/04/2016
$0.00
$38.00
$163.00
$0.00
$201.00
Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due:
Inspector: Clearance:
$0.00
NOTlCE: Please take NOllCE that approval ci your prqect includes the "l~itiori' ci fees, dOOicatiors, reservatiors, or other exoctiors hereafter oollectively
referred to as "fees' exactions." You have 9J days from the date this pemit WclS issued to protest i trfXlSition of these fees'exroions. If you protest them, you rrust
folloothe putest proaldures set forth in G:lvemrrent 0x:1e Section 66020(a), ard file the protest ard any other required inforrration wth the Oty Manager for
procESSing in aax.rdance wth carlsbad MJnidpal Qx:le Section 3.32.030. Failure to timely fdloothal proaldure wll bar any subsequent legal action to attack,
revievv, set aside, void, or annul treir i~ition.
You are hereby FURTHER f\011RED that your right to protest the specified fees'exactiors DOES Nor .APPLY to water ard reNer oonnection fees ard capacity
dlanges, nor planning, zoning, grading or other sirrilar application pucessing or service fees in oonnection wth this prqect. f\JOR OCES IT AA"L Yto any
fees'exactiors ci Wlich have · ousl been ·ven a NOllCE sirrilar to this or as to Wlich the statute of !irritations has eviousl otherwse e red.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: QPLANNING 0ENGINEERING 0BUILDING OF IRE OHEALTH 0HAZMAT/APCD
Plan Check No. ()); / b {:' lf {(/ ,..,
Est. Value (_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 I
I ~ .. ,'.·.~A~P_I_an __ C=k.~D_e~p~o~h.ii~t,_~-----------, tf1r Date ,2_/Li /lb lswPPP
JOB ADDRESS
'Z\b.S
SUITE#/SPACE#/UNIT# I APN
CT/PROJECT # I LOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
:.:i:'""s\-a..\\ Ne-W 31-oh A)c.. Ceo\\ ....? :3oA\Y"\f"
EXIli'HNG' USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) 'DECKS (SF) FIREPLACE ,,~IR CONDITIONING 'FIRE SPRINKLERS
YEsO __ NoD YES0No0 YESONoD
APPLICANT NAME .,...-
Primary Contact ,_:_<1--.:>~e "-' s;:'~J, '"'' el' e_r
ADDRESS
3\zzs L.a.. ];,o.'~ c.. hr ~' '!:>
CITY STATE ZIP
t )e s~\o..ke 'Vl' \\ 01 -,e._ CA Cf1'3~L.
PHONE
S''C-73S--787C
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY STATE ZIP
PROPE~TY OWNER ~
L"l \c \<"~o..de-r-
ADDRESS
"'Z)I.,S Ch.c::;;h-v\ Ave-
CA
EMAIL
STATE
q~oo·~
ADDRESS -
2.750 ~ -S:"a..~.'tc.. <t="'~ A.., C-
CITY STATE
ZIP
ZIP
5c-'V'"' t'\CA\C...O~ CA Ci(Z.C(,.q
PHONE I FAX PHONE r
I FAX 7~ .... 72.7-4 152.....
EMAIL EMAIL
I STATE LIC. # STATE LIC.# 'CLASS I~B~u~~co soq-!S'CtS C."Zr,
(Sec. 7031.5 Busmess and Professions Code: Any C1ty or County wh1ch requ1res a permit to construct, alter, 1m prove, demolish or repa1r any structure, pnor to 1ts Issuance, also requ1res 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 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 Ior a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
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.
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 ipsura e carrier and policy
number are: Insurance Co. T~ c:o oe ~t..-~e.~t-Policy No. (,J:s.'D \5'tJZ...l!1.9 ~s Expiration Date 1?...1'~\ \
This section need not be completed if the permit is for one hundred dollars ($1 00) 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 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 Section 3706 of the Labor code, interest and attorney's fees.
_N5 CONTRACTOR SIGNATURE ~
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D
D
D
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
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).
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).
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 0No
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 I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I 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 I phone I type of work):
_N5 PROPERTY OWNER SIGNATURE 0AGENT DATE
I certify thatl have read the application and state that the above information is conectand thatthe information on the plans is accurate. I agree to comply with all City ordinances and State law.; relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly for inspection purposes. I ALSO 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 5'0' deep and demolition or construction of structures over 3 stories in 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 v.ork authorized by :;uch permitis not commenced Vvithin
180 days fiom the date of such permit or if the building orv.ork authorized by such permit is suspended or abandoned at any time after the v.ork is commenced for a period of 180 c!lays (Section 106.4.4 Uniform Building Code).
A$ APPLICANT'S SIGNATURE ~ c:;;;-~ DATE ·-z--1 \\a
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 building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER:-----------------
.H5 APPLICANT'S SIGNATURE
(Office Use Only)
CA
ASSOCIATED CB#------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
Inspection List
Permit#: CB160446 Type: PME
Date Inspection Item
04/08/2016 43 AirCond/Furnace Set
04/08/2016 43 AirCond/Furnace Set
04/08/2016 49 Final Mechanical
04/08/2016 49 Final Mechanical
Monday, April 18, 2016
Inspector Act
Rl
AEK AP
Rl
AEK Fl
KAFADER RES-ADD NEW A/C UNIT
WITH ELECTRIC, REPLACE FAU-SAME L
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