HomeMy WebLinkAbout2200 CHESTNUT AVE; ; CB153914; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
11-12-2015 Permit No: CB153914
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
2200 CHESTNUT AV CBAD
PME
1670703200
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: KULCHAR:REPLACE A/C/ FURN/COIL
Applicant:
MAUZY MECHANICAL
1551 N CUY AMACA
EL CAJON CA 92020
619 583 9545
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
KULCHAR JOSEPH R&MARYAM
2200 CHESTNUT AVE
CARLSBAD CA 92008
ISSUED
11/12/2015
SLE
11/12(2015
11/12(2015
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector: Clearance:
$0.00
NOnCE: Please take NOllCE that approval of your project includes the "lrrpcsition" r:1 fees, dedicatiors, reservatims, or other exactiors hereafter rollectively
referred to as "feeslexactims." You have 00 days from the date this pemit IMlS issued to protest i rrpcsition of these feeslexactims. If you protest them, you rrust
fallON the protest prcx:;edures set forth in Governrrent Code Section 60020(a), and file the protest and any other required inforrrntion wth the Oty llt1anager for
processing in aca::rdanoe \1\ith Carlsbad M.Jnidpal Code Section 3.32.030. Failure to tirrely fallON that prcx:;edure \/'lA II bar anysul:sequent lezy~ action to attack,
review, set aside, void, or annul their irrpcsition.
You are hereiJy FLRTHER NOll RED that your right to protest the spediied feeslexactims OOES Nor APPLY to mer and seNer connection fees and capacity
changes, nor planning, zoning, grading or other sirrilar application processing or service fees in connection wth this project. NCR OOES IT APPL Yto any
feeslexactiors of IJ\hidl have viousl been ·vena NOnCE sirrilar to this or as to Wlidl the statute of lirritatims has e'liousl otherWse 'red.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING [] ENGINEERING 0BUILDING OFIRE 0HEALTH D HAZMATIAPCD
Building Permit Application Plan Check No. CJb \5 ~ 9 1'--\
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date \\I l'cJ 1c:::; lsWPPP ]
JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 2200 CHESTNUT AVE ---
CT/PROJECT # rOT# I PHASE# r OF UNITS
1
#BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
CHANGE OUT AC, FURNACE, AND COIL
EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) JDECKS (SF)
YESO
II AIR CONDITIONING I FIRE SPRINKLERS
No[] YES0No0 YESONoD
APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME MARYAM KULCHAR Prinarv Contact
ADDRESS ADDRESS
4540 KEARNY VILLARD #213 2200 CHESTNUT AVE
CITY STATE ZIP CITY STATE ZIP
SAN DIEGO CA 92123 CARLSBAD CA 92008
PHONE I FAX PHONE I FAX 888-991-4377 7605473041
EMAIL EMAIL
JERMAINE@WEGREEINC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME MAUZY HEATING & AIR
ADDRESS ADDRESS 9411 BOND AVE.
CITY STATE ZIP CITY STATE ZIP
ELCAJON C:A 92021
PHONE I FAX PHONE I FAX (619) 448-9545
EMAIL EMAIL
MA TT@MAUZY.COM I STATE LIC. # STATE LIC.# I CLASS C20 I CITY BUS. LIC.#
759171
(Sec. 7031.5 Busmess and Professtons Code: Any Ctty or County whtch requtres a permit to construct, alter, tmprove, demoltsh or repa1r any structure, pnor l.o 1ts tssuance, also requtres the applicant for such permit to file a signed statement tnat 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: I hereby affirm under penalty of petjwy one of the following declarations:
D I 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 workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workem' compensation insurance carrier and policy
number are: Insurance Co. OAK RIVER Policy No. 2200064445·141 Expiration Date 2128111
This section need not be completed if the permit is for one hundred dollars ($100) or tess. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as 3706 of the Labor code, interest and attorney's fees. 1 I \
H$ CONTRACTOR SIGNATURE \ I_
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 sate).
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. 1 will provide some of the work, but t have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
H$ PROPERTY OWNER SIGNATURE 0AGENT DATE
I certify that 1 have read the application and state that the above information is correct and that the information on the plans is accurate.! agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad 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 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 penn~ 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 Official7!nder provisions of this Code shall expire by limitation and become null and void ~the building or work authorized by su.· c. h permit. is not commenced within
180 days from the date of such permit or ~the building or work ori by such permit is suspended or abandoned at anytime after the work is commenced for a period o; 180 d~ys (Sect.iCl~ 106.4.4 Uniform Building Code).
A:$' APPLICANT'S SIGNATURE DATE I ,, \ ' I)
Permit#: CB153914 Type: PME
Date lnspec;ti~~ Item _______ _
04/11/2016 43 AirCond/Furnace Set
04/11/2016 43 AirCond/Furnace Set
04/11/2016 49 Final Mechanical
04/11/2016 49 Final Mechanical
Monday,ApMI 11,2016
KULCHAR:REPLACE A/C/ FURN/COIL
Inspector Act Comments
Rl AM PLEASE
AEK AP
Rl AM PLEASE
AEK Fl
Page 1 of 1