HomeMy WebLinkAbout2227 CORTE CICUTA; ; CB130191; Permit01-24-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No;CB130191
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
2227 CORTE CICUTA CBAD
PME
2552624500
CORPUS RES- REPLACE FAU
Lot#
status
Applied
Entered By
Plan Approved
Issued
Inspect Area.
ISSUED
01/24/2013
LSM
01/24/2013
01/24/2013
Applicant
ASI HASTINGS
STE 200
4870 VIEWRIDGE AV
SAN DIEGO CA 92123
619-590-9300
Owner
CORPUS LOLITA U LIVING TRUST 06-05-98
2227 CORTE CICUTA
CARLSBAD CA 92009
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$0 00
$0 00
$154 00
$0 00
TOTAL PERMIT FEES $154.00
Total Fees $154 00 Total Payments To Date $154 00 Balance Due: $0.00
Inspector t^' ^^>^'
FINAL APPROVAL
Date 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 permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follovi/ 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 nght 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 othenivise expired
ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE- • PLANNING •ENGINEERING • BUILDING DFIRE •HEALTH •HAZMAT/APCO
^ 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
Plan Check No. (tfe l^O I ^ I
Est. Value
Plan Ck. Deposit
Date [ \2i SWPPP
JOBADDRESS SUITE#/SPACE#/UNIT#
CT/PROJECT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK- Include Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES riff N0| I
AIR CONDITIONING
YES I |NO| I
FIRE SPRINKLERS
YEsQ N0| I
APPLICANT NAME (Pnmary Contact) Betty Gomez APPLICANT NAME (Secondary Contact) Holly Jacques
ADDRESS 4870 Viewridge Ave #200 ADDRESS 4715 60th St.
San Diego STATE
CA
ZIP
92123
CITY San Diego STATE
CA 92115
PHONE
619-590-9300
FAX
619-590-9363
PHONE
619-961-3630
FAX
EMAIL bgomez@asiheatlngandair.com EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS. NAME ASI Hastings
ADDRESS ADDRESS 4870 Viewridge Ave #200
San Dieqo
STATE
CA
ZIP
92123
FAX PHONE
619-590-9300 619-590-9363
EMAIL EMAIL bgomez@asiheatingandair.com
ARCH/DESIGNER NAME & ADDRESS
513115 10,C20,C-
CITY BUS L1C#
1200804
(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 70315 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500))
....Mi
Workers' Compensation Declaration / hereby affirm underpenalty of perjury one ofthe folloviing declarations
I 1 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
1*^11 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 workers' compensation insurance earner and
numberare InsuranceCo Policy No """"" Expiration Date
policy
Bsection need not be completed if the permit is for one hundred dollars ($100) or less
Certificate of Exemption-1 certify that in the perfomiance 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
Califomia WARNING. Failure to secure workers' compensation coverage is unlawful, and shall subj'ect an employer to cnminal penalties and civil fines up to one hundred thousand dollars (&100,000),
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees
^gT CONTRACTOR SIGNATURE ^y^.^^-y^ QAGENT DATE
/ hereby affinn that I am exempt from Contractor's License Law for the foiiowing reason
I I I, as owner of Ihe properly or my employees wilh 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, Ihe 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 I I, as owner cf Ihe 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 lo 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 I I am exempi under Section Busmess and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for constmction of the proposed property improvement QYCS I j^o
2 I (have / 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 constnjction (include name address / phone / contractors' license number)
4 I plan lo provide portions of Ihe work, bul I have hired Ihe following person to coordinate, supen/ise and provide the major woik (inolude name / address / phone / contractors' license number)
5 I will provide some of the work, but I have contracted (hired) Ihe following persons lo provide the work indicated (include name / address / phone / lype of work)
>€S'pROPERTY OWNER SIGNATURE QAGENT DATE
.4E?L?!t:wPdJ5^Ss^^ &&L3f^ ESIDENTi'AL BUILDING PERMITS ONLY
Is the applicant or future building occupani required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act' • Yes • No
Is the applicant or future building occupant required to obtain a permit from Ihe air polluton control distnct or air quality management distncf • Yes • No
Is lhe facility to be constnjcted within 1,000 feet of Ihe outer boundary of a 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
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
1 certify that 1 have read the application and state thatthe above infonnation is conect and thatthe infonnation on the plans is accurate 1 agree to comply with all City ordinances and State laws lelating to building constmction
I hereby aulhonze representative of the City of Cailsbad to enter upon ttie 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 /\n OSHA pennit is required for excavations over 5'0' deep and demolition or construcion of staictures over 3 stones in height
EXPIRATION Every pemiit issued by the BuMing Official under the provisions of this Code shall expire by limitation and become null and void if the building or wort( authonzed by such pennit is not commenced withm
180 days from the date of such pennit or if the building or wo* authonzed by such pemnit is suspended or abandoned atanytimeafterihe work is commenced for a penod of 180 days (Sectxin 106 4 4 Uniform Building Code)
APPLICANT'S SIGNATURE DATE
Inspection List
Permlt#: CB130191 Type: PME CORPUS RES-REPLACE FAU
Date Inspection Item Inspector Act Comments
06/13/2013 43 AirCond/Furnace Set - Rl
06/13/2013 43 AirCond/Furnace Set MC AP EXISTING LOCATION
06/13/2013 49 FinalMechanical - Rl
06/13/2013 49 Final Mectianical MC Fl
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