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HomeMy WebLinkAbout2188 CORTE LIMON; ; CB151001; Permit04-03-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB151001 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2188 CORTE LIMON CBAD PME 2552514600 Lot#: HAUSER RES=ADD A/C TO PRE PLUMBED HOME Status Applied Entered By: Plan Approved: Issued Inspect Area ISSUED 04/03/2015 LSM 04/03/2015 04/03/2015 Applicant: BREEZE POINT HEATING & AIR Owner: HAUSER ERNEST A&DANA 1518SEABROOK LN SAN DIEGO CA 92139 858 864-3780 2188 CORTE LIMON CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $160.00 $0.00 TOTAL PERMIT FEES $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00 Inspector: ^/ FINAL APPROVAL Clearance: 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 pemiit 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 Carisbad 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 previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previously othenvise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING nENGINEERING OBUILDING OFIRE OHEALTH QHAZMAT/APCD ^ _ Building Permit Application v^ltV Ol 1635 Faraday Ave., Carlsbad, CA 92008 1/' 1 Ph: 760-602-2719 Fax:760-602-8558 1 j3.ri^l)3^Cl email: building(gcarlsbadca.gov www.carlsbadca.gov Plan Check No. Cfe (1 OO ( ^ _ Building Permit Application v^ltV Ol 1635 Faraday Ave., Carlsbad, CA 92008 1/' 1 Ph: 760-602-2719 Fax:760-602-8558 1 j3.ri^l)3^Cl email: building(gcarlsbadca.gov www.carlsbadca.gov Est. Value ^ _ Building Permit Application v^ltV Ol 1635 Faraday Ave., Carlsbad, CA 92008 1/' 1 Ph: 760-602-2719 Fax:760-602-8558 1 j3.ri^l)3^Cl email: building(gcarlsbadca.gov www.carlsbadca.gov Plan Ck. Deposit ^ _ Building Permit Application v^ltV Ol 1635 Faraday Ave., Carlsbad, CA 92008 1/' 1 Ph: 760-602-2719 Fax:760-602-8558 1 j3.ri^l)3^Cl email: building(gcarlsbadca.gov www.carlsbadca.gov Date 3 \ SWPPP JOB ADDRESS. , , SUITE#/SPACE#/UNIT# APN ^ ... CT/PROJECT # LOT # PtHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet OfAtfected Areafs) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIRCONDITIONING FIRESPRINKLERS YESPk N0| 1 YES CS?^IO j I YES| | N0| | PROPERTVOWNER ^^^^ ADDRESS , ^ ^ .—-ADDRESS^ ^/AX^AJ CITY cx \ ^•l ^ STATE , ZIP^ CITY ^ ., ^ STATE . ZIP ^ „ ^ PHONE FAX EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME.^ . , ^ . , ^ , „ ADDRESS ADDRESS^^^ ^^^^ CITY STATE ZIP CITY STATE , ZIP ^ „^ PHONE FAX EMAIL STATE LIC. # STATE LIC.# ^ CLASS CIPlT BUS. LIC.# (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 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' COIMPENSATION WorVers' Compensation Declaration: / hereby affirm under penalty ofpeijuiy one ofthe foliowing declarations: [yi Bl have and will maintain a certificate of consent to self-insure for workers'compensation as provided bySection 3700 of the Labor Code, for the perfonnanceof the work forwhich this pemiit is issued. ^ 1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the work for which this permit is issued. My workers' compensation insurance earner and policy Policy No. number are: Insurance Co.. Expiration Date _ Thissection need not be completed if the permit is for one hundred dollars ($100) or less. ^^jCertificate of Exemption: I certify that in the perfomiance of the wori( for which this pemiit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Lawsof 'Caltfornia. WARNING: Failure to secure worket^|_csii!eensation coverage Is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, danjassfasprovided for in Section 3706 of the Labor code, Interest and attomey's fees. / / =^ . • AGENT DATE ^ / JS^ CONTRACTOR SIGNATURE , O WNER-laiUiLDER DECLARATION / hereby affinn that I am exempt fmm Contractoi's Ucense Law for the following reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the woric and the stmcture 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 viho builds or improves thereon, and who does such work himself or through his own employees, pravided 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 bunJen of proving that he did not build or improve for the purpose of sale). I I 1, as owner of the property, am exclusively contracting with licensed contraclors to constmct 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 wilh contraclor(s) licensed pursuant to the Contractor's License Law). • 1 am exempt under Section _ eBusiness and Professions Code for this reason: 1.1 personally plan to provide the major labor and maierials for constniction of the proposed property improvement. •Yes CDNO 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed constmction (include name address / phone / contractors' license number): 4,1 plan to pravide portions of the wort(, but I have hired the following person to coordinate, supereise and provide the major work (include name / address / phone / contractors' license number): 5.1 will pravide some of the work, but I have contracted (hired) the following persons to pravide the woris indicated (include name / address / phone / type of wort<): ^PROPERTY OWNER SIGNATURE QAGENT DATE COMPtETE THIS SECTiON FOR NON-RESIOENTIAL BUiLDING P E R M I T S O N L Y Is the applicant or future building occupant required to submit a business plan, acutely hazanlous matenals registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acr? Yes No y—n Is the applicant or future building occupant required to obtain a permit fram the air pollution control district or air quality management district? Yes / No") Isthefacility to be constmcted within 1,000 feet ofthe outer boundary ofa 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 CONSTRUCTION L E N D I N G A <3 E N C Y I hereby affirm that there is a construction lending agency for the performance of the work this pennit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certif that I have read tlie applnatkin and state that the above inlbnnation Is correct and thatthe Infonnation on the plans Is accurate. I agtee to comply witti all City ordinances and State laws relating to building constmctkin. I hereby auihorize representative of the City of Caiisbad to enter upon the above mentioned ptoperty for inspeclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST Aa 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 SU deep and demolitbn or construction of stnjctunss over 3 stories in height. EXPIRATION: Every pennit issued by the BuildinjLOffieiahinder Ihe provisions of this Code shall expire by limitation and become null and void if the building or viork authorized by such pemiit is not commenced within 180 days from the date of such pemiit or if)he™iding or vwlf authorized by such pemiit is suspended or abandoned at any time afler the »ori< is commenced for a period q| 180 days (Sectkin 106.4.4 Unfomn Building Code). 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. Fax (760) 602-8560, Email buildinq(5)carlsbadca.aov or Mail the completed fonn to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAIVIE OCCUPANT NAIME ADDRESS BUILDING ADDRESS CITY STATE ZIP STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ygf APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB151001 Type: PME HAUSER RES=ADD A/C TO PRE PLUMBED HOME Date Inspection Item Inspector Act Comments 08/20/2015 43 AirCond/Furnace Set - Rl 08/20/2015 43 AirCond/Furnace Set AEK AP 08/20/2015 49 FinalMechanical - Rl 08/20/2015 49 FinalMechanical AEK Fl Thursday, August 20, 2015 Page 1 of 1