HomeMy WebLinkAbout2253 MASTERS RD; ; CB131255; Permit05-16-2013
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB131255
Building Inspection Request Line (760) 602-2725
2253 MASTERS RD CBAD
PME
2121400600 Lot#: 0
BURKLAND RES-REPLACE FAU &
INSTALL NEW A/C UNIT
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
05/16/2013
RMA
05/16/2013
05/16/2013
BURKLAND BRUCE D&ROSALIE J BURKLAND BRUCE D&ROSALIE J
2253 MASTERS RD
CARLSBAD CA 92008
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2253 MASTERS RD
CARLSBAD CA 92008
$0.00
$0.00
$154.00
$0.00
$154.00
Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due:
Inspector:
FINAL APPROVAL
Date k-i-0 Clearance:
$0.00
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 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 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
x i n f whi h I N Tl E imil rt hi whi h h f limi i n h rwi
THE-FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING □BUILDING □FIRE □HEALTH D HAZMA TIAPCD I
Building Permit Application Plan Check No. { ;A / ~ / ,2 t;' ~
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value -'
Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposljt email: building@cartsbadca.gov (R~ www.carlsbadca.gov --te c.; I I b , / ') ISWPPP
JOB ADDRESS 2253 Masters Road, Carlsbad, CA 92008 SURO/SPACE•/\l'IIITI 1-212 -140 -06 -00
CT/PRuJECT # ILOT# I PHASE# I# OF UNITS I# Bi:DNVUMS #BATHROOMS ITSWff_,_,_..NMJE I CONSTR. 1YPE I occ. GROUP
DESCRIPTION OF WORK: Include Sqva,e Feet of Affected ANta(s)
1. Install new air conditioning system using existing electrical, refrigeration lines, thermostat, and ducting.
2. Replace existing 16 year old gas forced-air furnace with new gas furnace.
EXISTING USE PATIOS(SF) DECKS (SF) FIREPLACE I PROPOSED USE I GARAGE (SF) YESO
I AIR coNomoNING I FIRE SPRINKLERS
N<CJ YES □NO□ YES□No□
APPLICANT NAME (Primary Contact) Bruce Burkland APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
2253 Masters Road
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92008
PHONE !FAX PHONE IFAX 805-415-5839
EMAIL EMAIL
bburkland@roadrunner.corn
PROPERTY OWNER NAME Bruce Burkland CONTRACTOR BUS. NAME
ADDRESS ADDRESS
2253 Masters Road
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92008
PHONE IFAX PHONE l'AX 805-415-5839
EMAIL EMAIL
bburkland@lroadrunner.corn
ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATI.UC.# 1= I CITY BUS. UC.#
(Sec. 7031.5 Business and ProfesslOfls Code: Any City or County which requires a permlt to construct, alter, Improve, demollsh or repair any structure, pnor to its 1SSUance, also ~u1res the
applicant for such ~it to file a siffled statement ttiat he is licensed pursuant to the provisions of the Contractor's License Law {ChaDtef' 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 703f.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollar.. {$500)).
WORKERS' COMPENSATION
Workers' Compensation Oedandlon: I her8by almn under penalty of perjury one of the following dec-.laraoons: D I have and will maintain a certffk:ate of consent to self,insure for workers' compensation as provided by Secti:>n 3700 of the labor Code, tll' the perbrmooce of the work for which this permit is issued. D I have and Mh maintain WOIMIS' ~. as required by Section 3700 of the lalxw' c.ode, for the perfommce of the work for which this pemil is issued. My workers' compensation ilsurance canier and policy
number are: Insurance Co. _________________ ~ Policy No. ____________ Expiration Date _______ ~
~ secoon need not be corflllsted if the pemit is t,r one hundred dollars ($100) or less. LJ Certfflcale of Exemption: l certify that in the pertonnance of the work for which this permit is issued, I shall not employ a,y person in any manner so as to become subiect to the Workers' Compensakm Laws of
California. WARNING: Failure to secure workers' compensation covnge Is unlawful, and shall subject an employwto crininal penalties and civil fines up to one hundred lhouund dollars (&100,000~ in
addfflon to tht cost of c:ornpenulion, damages u provided for in Section 3706 of the Labor code, internt and attorney's ,...
k5 CONTRACTOR SIGNATURE □AGENT DATE
OWNER-BUILDER DECLARATION
I heteby aff,m that I am exempt horn Conttacfols Lkense Law for the following reason: D I, as owner of the property or my e"l)loyees with wages as their sole C0111)81lsation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business aid Professions Code: The Contractor's
License Law does not apply tom owner of property who builds or improves thereon, Md who does such work himself or through his own employees, provided that Slx:t1 improvements ae not intended or offered for
sale. If, however, the building or improvement is sold within one ye..-of completion, the owner-builder will have the burden of proving that he did not build or il'll)fOV8 for the purpose of sale). IZJ l, as CM"ner of the property, an exclusively contra:ting with licensed contra:tols to construct the proiect (Sec. 7044, Busiless 111d Professions Code: The Contractor's License Law does not <WIY to an owner of
property who builds or improves theleon, and contracts for such projecls with contraclor(s) licensed pursuant to the Contra:tor's License law).
□ I am exempt under Section ____ ,Business and Professions Code for this reason:
1. I personafty plan to provide the ma,ior labor and materials for construction of the proposed property improvement []v es Do
2. I {have/ have not) signed 111 application for a building pennit for the proposed work.
3. I have oontracted 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, supervise and provide the major work {include name I address/ phone/ contra::tors' l~nse number):
5. I will provide some of the work, but I have conlracted (hired) the following persons to provide the work indicated (IOOude name/ address/ phone I type of work):
k5 PROPERTY OWNER SIGNATURE DATE 5 (I:, '2,0('3
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
ls the applicant or future building occupant required to submll a business pian, a::utefy haza'dous materias registration bm or risk management and prevention progran under Sections 25505, 25533 or 25534 of lhe
Presley-Tanner tiaza'dous Substance Account Acri □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality mmagement district? □ Yes □ No
Is the facility to be constructed within 1,00CI feet of the outer boundary of a school site? □ Yes □ No
IF -OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY IIAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS IEETING THE REQUIREIIENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
la,rtlffthatl hN> n,ad11le-and-that1hea-lnfoonatlon lsmnociand1hat111elnfoonatlon oo1heplansls"""""1e.1-IDCIJl!qjywllha11Cllr-.....Sand Sblte --IDbuildlng-
1 hereby aJltaim,..,esallallwcilhe Cilyclcatsbadt>enl!r-llealxM!-prnpe,lyror i,spedloo puposes. I ALSO AGREE TO SAVE, INllEl,flFY /WO KEEP IWM.ESS TIE CIIY OF CARLSBAD
AGAINST ALL LlABIUTIES, JLOGIENTS, COSTS AND EXPENSES WHICH MI\Y IN ANYWAY ACCRUE AGAINST SAID COY IN CONSEQUENCE OF THE GRAIITtlGOF THIS PERMT.
OSHA:lvl OSHApennl:is,...iratu_,.a,ersu· deepand-r,:arislnMmicisliu<Ul!sover3-~heiitt
EXPIRATION: Ewiy penrit Issued by111e aildr,g Official underlhepnMsilnscltis Code shallexpte by lnilalioo and become llJI and wid lllellalr,g r,:-atloozed bysudl penrito notw111e1Cl8d oilhi1
180 da!S Ian 111e dalecisudl pennl:dllebuildllg r,:--i,y sudl pennl:issuspended oc aba1doned ata,yline a11er111e-1soo1111e1Cl8dua period cl 180 da!S (Section 106.4.4 Lnronn aD,g Code,
~ APPLICANT'S SIGNATURE ·~ €> ~ DATE
, .
Inspection List
Permit#: CB131255 Type: PME
Date lnspe<:_tion Item
05/31/2013 43 AirCond/Furnace Set
05/31/2013 43 AirCond/Furnace Set
05/31/2013 49 Final Mechanical
05/31/2013 49 Final Mechanical
05/28/2013 43 AirCond/Furnace Set
05/28/2013 43 AirCond/Furnace Set
05/28/2013 49 Final Mechanical
Tuesday, June 04, 2013
Inspector Act
RI
PB AP
RI
PB AP
RI
PD co
RI
BURKLAND RES-REPLACE FAU &
INSTALL NEW A/C UNIT
Comments
8-10 AM PLS
8-10AM PLS HAS LADDER FOR FAU IN
ATTIC
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