HomeMy WebLinkAbout2227 CORTE CICUTA; ; CB132104; Permit08-30-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Piumbing/Mechanical/Electrical (PME) Permit
Permit No: CBI32104
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No'
Reference #
PC#
Project Title
2227 CORTE CICUTA CBAD
PME
2552624500 Lot#
CORPUS RES=INSTALL NEW A/C
PRE PLUMBED
Status
Applied
Entered By
Plan Approved
Issued.
Inspect Area
ISSUED
08/30/2013
LSM
08/30/2013
08/30/2013
Applicant
EXCEL AIR CORP
STE B
530 OPPER ST
ESCONDIDO CA 92029
760-741-5550
Owner
CORPUS LOLITA U LIVING TRUST 06-05-98
2227 CORTE CICUTA
CARLSBAD CA 92009
Plumbing Fees
Electncal 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
FINAL APPROVAL
Date 'i • / 3 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
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 m 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 given a NOTICE similar to this, or as to which the statute of limitations has previously othenivise expired.
THE FOLLOWING APPROVALS REQUIREO PRIORTO PERMIT ISSUANCE: • PUNNING • ENGINEERING • BUILDING • RRE • HEALTH • HAZMAT/APCD
^ CITY OF
CARLSBAD
Building Perinit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax 760-602-8558
email: buldllng@carlsbadca.gov
wvtfw carlsbadca.gov
Plan Check No.(2fi» f •ito^
Est. Value
Plan Ck. Deposit
Date^ / 11 3 SWPP
JOB ADDRESS 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 • # NO •
AIR CONDITIONING
YES •NOD
FIRE SPRINKLERS
YES • NOO
APPUCANT NAIVIE (Prin 'macy Contact) * ^ . APPLICANT NAME (Secondary Contact)
ADDRESS
Vj /SJATE rV^P^.
ADDRESS
CITY STATE ZIP
EMAii: : - r —
PHONE FAX
EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS. NAME
EMAIL
ARCH/DESIGNER NAME & ADDRESS
(Sec 70315 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, priorto its issuance, also requires 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 forthe 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 / hereby affirm under penalty of perjury one of the following declarations
have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, forthe performance ofthe work for which this permit is issued
L£iave and will maintain workeis! compensationj asjpquireclto Section 370ttcf tbe^-abor Code forthe performance ofthe work for which this permit is issued My wor1(ers' compensati^jj^ina
numberare InsuranceCo. ^ Policy No I . , Expiration Date _ • f oiicy m I . . , txpiraiion uaie t
;sued, I shall not employ any person in any manner so as to become subject to the Workers'
itiqn insurance earner anelp policy
This section need not be completed if the permit is for one hundred dollars ($100) or less
• Certificate of Exemption. I certify that in the performance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workirs' Compensation Laws of
California WARNING. Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to cnminal penalties and civil fines up to one hundred thousand dollars (&100,000), m
addition to the cost of compensation^_ja||ages as provided form Section 3706 of the Labor code, interest and attomey's fe§g
JS^ CONTRACTOR SIGNATIJ
ection 3706 ofthe Labor code, interest and attomey s feeg
mmi.
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason
O I, as owner of ihe property or my employees with wages as their sole compensation, will do the work and the structure is nol 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 withm 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 matenals for construction of the proposed property improvement O Yes • No
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 construction (include name address / phone / contractors' license number)
4 I plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise 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 / address / phone / type of work)
PROPERTY OWNER SIGNATUI
Is the applicant or future building occupant 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 Acf • Yes n No
Is the applicant or future bu.lding occupant required to obtain a permit from the air pollution control district or air quality management distncP • Yes • No
Is the facility to be constructed within 1 ,CDO feet of the outer boundary of a school site'' O 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 constaiction (ending agency for fhe performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
I rertjfy that 1 tiave read Hie application and state thatthe above infoimaton is conectand thatthe infoimalion on the plans is accurate. 1 agree to compty wth all City oidinances and State laws relating to building construction
I hereby authorize representative ofthe City of Carisbad 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 peimit is required for excavations over 5'0' deep and demolition or constaiction of stmctures over 3 stones in heght
EXPIRATION Every pemiit issued by the Building Otiaal under the provisions of this Code shall expire by limitation and become null and void if the building or mik authorized by such pennit is not commenced within
180 days from the date of such permit or if the building or v«rk authonzed by such pennit is suspended or abandoned at any time after the work is commenced fbr a penod of 180 days (Section 106 4 4 Uniform Building Code)
ygf APPLICANT'S SIGNATURE /T/N.«ft, i VY^/W // I V DATE rg-3o-13
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the foilowing ONLY if a Certificate of Occupancy will be requested at final inspection.
C E rM C E rj T I - I C A T E OF O C C J !' A N C V j C o rrri- r f . i i P r o ]f t t i On:-..
fax (760) 602-8560, Email www buildina(S>carlsbadca gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, California 92008
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carisbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS LIC No
DEUVERY OPTIONS
• PICK UP: - CONTACT (Listed above) • OCCUPANT (Listed above)
11 CONTRACTOR (On Pg 1)
• MAILTO: o CONTACT (Listed above) o OCCUPANT (Listed above)
• CONTRACTOR (On Pg 1)
• IVIAIL/FAX TO OTHER: „
• ASSOCIATED CB#
• NO CHANGE IN USE / NO CONSTRUCTION
n CHANGE OF USE / NO CONSTRUCTION
>§$• APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB132104 Type: PME
Date Inspection Item
10/03/2013 43 AirCond/Furnace Set
Final Mechanical
Final Mechanical
Inspector Act
10/03/2013 49
10/03/2013 49
09/27/2013 43
09/27/2013 43
09/27/2013 49
AirCond/Furnace Set
AirCond/Furnace Set
Final Mechanical
PD
PD
PD
AP
Rl
AP
Rl
CO
Rl
CORPUS RES=INSTALL NEW A/C
PRE PLUMBED
Comments
8-10 AM PLS
8-10 AM PLS
Friday, October 04, 2013 Page 1 of 1