HomeMy WebLinkAbout2239 CORTE CICUTA; ; CB131932; Permit08-12-2013
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No CBI31932
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
2239 CORTE CICUTA CBAD
PME
2552702700 Lot #
PROCTOR RES - NEW A/C UNIT
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
08/12/2013
SKS
08/12/2013
08/12/2013
Applicant
ASI HASTINGS
STE 200
4870 VIEWRIDGE AV
SAN DIEGO CA 92123
619-590-9300
Owner
PROCTOR FAMILY TRUST
2239 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
FINAL
Date 11 PPROVAL
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 lees/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 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 previously been oiven a NOTICE similar to this, or as to which the statute of limitations has previously othenvise expired
20-13-OS--10 03 03 2S (QMT) From Uwnnif«r dole
/I
• ^ CiTY OF
CARLSBAD
Building Permit Appiication
1635 Faraday Ave, Carlsbad, CA 92008
760-602-2717/2718/2719
Fax 760-602-8558
www carlsbadca.gov
Plan Check No.
Est Value
Plan Ok. Deposit
Date
2239 Corte Cicuta SUOEft/SPACEK/UNIlO APN
CT/PROJECT 1* LOTS PHASE« (* OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE occ GROUP
DESCRIPTION OF WORK fncbitte Sguare Feet ot Affected Areafs)
install New AC Unit
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPL6.CE AIR CONDITIONING FIRE SPRINKLERS
YESQ# VEsj |NO| 1 YES| 1 N0| 1
CONTACTNAME (If Different Fom Appricant) APPLICANT NAME Jennifer Cole
ADDRESS ADDRESS
9880 Maqnoiia Ave #119
CITY STATE ZIP CITY Santee STATE CA ZIP 92071
PHONE FAX PHONE 619-405-2648 FAX 619-330-4796
EMAIL EMAIL jennifer^.permitrunner.net
PROPERTV OWNER NAME Janice Proctor CONTRACTOR BUS NAME ASI HASTINGS INC
ADDRESS
2239 Corte Cicuta
AODRESS 4870 VIEWRIDGE AVENUE #200 ,
CITY
Carlsbad
STATE ZIP
CA 92009
CITY STATE
SAN DIEGO CA
ZIP
92123
PHONE
760-743-6561
FAX PHONE 619-590-9300 FAX
EMAIL EMAIL
ARCH/D£SIGNbR NAME & ADORESS STATE UC # SIATE LIC #
513115
CLASS
C20
CIT^ BUS UC tl
1200804
(Sec 70315 Business and Professions Codo Any City or County which requires a permit to construct alter, improve, demolish or repair any structure prior to its issuance, also reciuires the applicant for such permit to file a signed statement tnat he is licensed pursuant to the provisions of the Contractor s License Lavii (Chapter 9, commendingwith 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 S 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 peijury one ofthe following declarations
B l have and will maintain a certificate of consent to self Insure for workers compensabon as provided by Secaon 3700 of the Labor Code, tor the performance of the work for which tliis permit is issued
I have and will maintam workers' compensation as peouired by Section 3700 ol Ihe LatXJr CWIe for the performance of Bie work for which this permit is issusd My workers compensaton insurance earner and policy
numberare InsuranceCo ZENITH INSURANCE COMPANY Po^V* Z072279701 ExpirataDate 09/01/2013
This section need not be completed if the permit is for one hundred doBars (S1(X)) or less
I I Certficate of Exemption I certify that in die perfonnanca ofthe worfeft^Fi^ihich this permit is issued, I shall notempby any person in any manner so as to become subject to the Workers' Compensation Laws of
California WARNING Failure to secure workera' compensatioiye^v^age is unlawful and shall subject an employer to criminal penalties and cfvil fines up to one hundred ^otisand dollars (&10O,O0O}, m
addition to the cost of compensation, damagesjfcprovided for / a&tim3^ of the Labor code, interest aixl attorney's fees
/^S" CONTRACTOR SIGNATURE y^/c/t^'f4S^^-'€»^ nAGENT DATE 8/8/13
_
(hereby affirrtt ttiat I am exempi (rom Conlracfof's License Lent forthe Mowing reason
I, as owner ofthe propeity or my employees with wages as their sole compensation, ««ll do the work and the stmcture is not intended or offered for sale (Sec 7044 Business and Professions Code The Contractors
Ucense Law does nol apply to an owner of properly who builds or improves thereon, and who does such work himself or through his own emptoyees, provided that such improvements are not intended or offered for
sale If however, the bulding or innprovement is sold vwthin one year of comoielion the owner builder will have Ihe burden of proving that he did not buiW or improve lor the purpose of sale)
, as owner of the property am exclusively contracting with licensed contractors to construct the ptojacl (Sec 7044, Business and Profess ons Code Tlie Contractor's License Lam does not apply to an owner of
property who builds or improves thereon, and contracts for such proiects with contr3ctor{s) licensed pursuant to Ihe Contractor's License La*)
•
•
• am exempt under Section Business and Professions Code for this reason
1 Ipersonallyp'antoprovjdethemajorlaborandmatenaisforconstruclionoftheproposedpfopettyimpiDvement QYes I iNo
2 I (have / have nol) signed an application for a buikling permit tor the proposed *ork
3 I have contracted with the foliowing person I/m) to provide the proposed constniction (include name address / phone / contactors license number)
4 I f^an to provide portions of the work but I have hired the following person to coordsiate, supervise and provide the maior work (mclude name /address / phone"/ contractors license numtier)
5 I will provide some of the work, bul 1 have contracted (hired) the foitowing persons to provide Ihe work indicated (include name / address / phone /type of work)
^PROPERTY OWNER SIGNATURE • AGENT DATE
20-13-0S--10 03 03 <or«/i"r> From Jar»nifor Cc:
is the applicant or future building occupant requjed to submit a business plan, acutely hazardous matenals registration forai or nsk management and prevention program under Sections 25505, 25533 or 25534 ol
Presley Tanner Hazaidous Substance AccounI AcP ^^Yes ^3 No
Is the applicanf or future buSding occupant required to oblain a perniit from the air pollulion control disincf or ar oualitv management distncP Q'l'es Q No
Is the faaMylo be constfucled within i,000 feet of the outer boundary of a school site'' D^es I I No
IF ANY OF THE ANSWERS W?E YES, A FINAL CERTIRCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS HET OR IS I^EETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
m
1 hereby affiim that there is a constmchon lending agency for ttie performance of the work this perinit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender s Address
Icettiftithatl have readtteapplication and state that theabovemformationL _ ^ on the plans is accurate lagtee to oomptiwilfi all CHy ordinances and State laws relatirgtobuiUjigaxislnjction
I heieby authonze representative of the City of CartetMd to enter upon the above menlioned property for m^ton puiposes i ALSO AGREE TO SAVE INDEMNIFY AND KEEP HAIRLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AWDEXPENSES WHICH MATIN ANY WAY ACCRUE AGAINST SAIO CITY IN CON^QUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSH A pemut is required for excavalKfis over 5 C deep and demoitae^r construclion of stnictures over 3 stones in heighl
EXPIRATION Every pemut issued by Ihe BuildBg Ofiaal under the prgdf&s^lhis Code shal expre by limitaiion and beoome null and vod if the buldHig or wort authonzed by such penmt s not commenced withm
180 days from the date of such pemit orif the Mding or work aulhoi^ hy sucK^em^ suspended or abandoned at any ffine alier 8ie wo* is commenced tn a penod of 180 days (Section 106 4 4 Unifomi Suidsig Code)
APPUCANTSSIGNATURE DATE 8/8/13
Inspection List
Permit* CB131932 Type PME PROCTOR RES - NEW A/C UNIT
Date Inspection Item Inspector Act Comments
08/22/2013 43 AirCond/Furnace Set - Rl CALL W/ETA PLS
08/22/2013 43 AirCond/Furnace Set PD AP
08/22/2013 49 Final Mechanical - Rl
08/22/2013 49 Final Mechanical PD AP
Friday, August 23, 2013 Page 1 of 1