HomeMy WebLinkAbout2311 MARCA PL; ; CB122369; PermitCity of Carlsbad
1636 Faraday A.v Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
11-09-2012 Permit No: CB122369
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
2311 MARCA PL CBAD
PME
2163523600
CARNOW RES-REMOVE AND
REPLACE FAU AND A/C
OAK ISLAND HEATING AND AIR
STE 103
1250 PACIFIC OAKS PL
ESCONDIDO CA 92029
760 839-8383
Plumbing fees
Electrical Fees
M~chanicel Fees
Other PME Fees
TOTAL PERMIT FEES
Lot#: 0
Owner:
Status·
Applied
Entered By:
Plan Approved:
lss1)ed:
Inspect Area:
CARNOW LANCE&STEPHANIE
2311 MARCA PL
CARLSBAD CA 92009
ISSUED
11/09/2012
LSM
11/09/2012
11/09/2012
$0.00
$0.00
$154.00
$000
$154.00
Total Fees $154.00 Total Payments To Date $154.00 Balance Due:
Inspector:
FINAL ~PRCVAL
Date: 19 1-Z... Clearance:
$0.00
f-~OTICf: Please tako NOTICE that approval of your proje<.1 includes lhe 'Imposition" of fees, dedications, reservations, or other l!lXacllons hsreafter collectively
referred to as 'teesle:.:act1ons." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. !f you protest them, you must
follow the ptote5t µroce1Jures set forth in Govemment Code Section 66020(a), and file the protest foi<.l any other required lnfc;:,rmalion with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure lo timely follow tnat procedure wl!! bar any subsequent !egal action to attack,
rev,ew, set aside, void. or a;inul their imposition
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOCS NOT APPLY to water and sewer connection fees and capacity
changes. nor planning, zoning, grading or other similar appUoaiion processing or service lees in connection with this project. NOR DOES IT APPLY to any
ThE FOLLOWING APPROVALS REqUIRED PRIOR TO PERMIT ISSUANCE: D PIAltNING D ENGINEERING □BUILDING □FIRE □HEALTH OHAZMAT/APCD
~~'» Building Permit Application
1635 Faraday Ave., carlsbad, CA 92b08
Ph: 76D-802-2719 Fax: 760:602-8558
email: bUldllng@carlsbadca.gov
www,carlsbadca,gov
Plan Check No. Q_8 f .;J. ~ ~(a 7
~ CITY OF
CARLSBAD
EXISTING USE PRO USE GARAGE (SF) PATIOS (SF)
ADDRESS
CITY
PHONE
ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.#
#/UNIT#
DECKS (SF)
s'-t oo
Est. Value
Plan Ck. Deposit
APN
FIREPLAC
YES □#_ NO □
STATE
FAX
SWPP
AIR CONDITIONING
YES □NO □
ZIP
FIRE SPRINKLERS
YES □NO □
IO
{Sec, 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or rttP8ir any struc:ture, prior to ltS issuance, also requires the applicant for such permit to file a slW1ed statement that he Is licensed pursuant to the prOVlslons of the Contractor's License Law fChaoter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exem_P.1: therefrom, and the baslS for the alleged exemption. Arr; v1orauon 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
w ...... • CompensltlCNI DedlrltlCNI: / heiebyBl/l,m under-ol/Jflf/11YOO&ollhe-,,g-,
□ I have and will maintain I criflcate of consent to setf.lnsure for WOiters' compensation as provided 1ft' Section 3700 of the Labor Code; for the performance of the work for which this permit is Issued.
~ave and wm maintain workers' comp•~on, as required by Sedlon 3700 of the Labor Code, for the performMCe of the WOO( for which this permit Is Issued. My work&ls' compensation Insurance carrier and policy
number are: Insurance Co. EV?:O cS:C: NA:DoN,A t Polley No. ::ZK' CO ODO Ca3''Sl1.I Expiration Date /-f -J?
This section need not be completed if lhe permit is.for one hundrld dollNs ($100) or less. □ Certificate of Exemption: 1 certify that In the performance of the work for which this permit is issued, I shall not employ any person ln any mariner so as to beQ;me su~ect ti the Workers' Compensation Laws of
Caiifomia. WARNING: Failure to Situ orbn' c:omptnatlon CCMll'agt lt unlawful, and ■hall suti;actan_emplciy,■rto criminal penaltln mid dvllflne■ upto one hundred thousand dollars (&100,000), in
addition to the cost of c:ompens■tion, d • Id for In Section 3706.oftht Labor code, intnst and lftome'l's fHt. ·
AS cONrRAcro•S1GNAruRE ,c;~,111,,'.l 1.u ...... v
I hereby amrm that I am exem,X from Conlractcr's License Law frx the folkMtng reason:
□ I, as owner of the property or my employees \Wh wages as their sole compensation, will do the v«>rk and the structure Is not Intended or offeled for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property who bulkis or Im~ thereon, a~ who does such _work f11tnsa1f or through his own employees, provided that such improvements are not intended or offered for
sale. lf, however, the building or improvement is sold within one year of comple1lon, theOMlel'-tulder~,have fhe'bll'den of proving 1hat he cfld riot build or Improve for the purpose of SH).
o 1. as 01M1er of the propg,ty, am exclu$Milly contracting~ lloansed oontracton; to ~lrut:t the project (Sec. 7044, Buslnes; and Prof1681ona Coda: The COrl1racta(s Uoenee Law does not tipply to an ownor of
property who builds or improves thereon, ald contracts for such projects with c:omractor(s) 1loensed pursuant to the Connclo(s Lx:ense law). '
□ I am exempt under Section ~---uslness and Professions Code for this reaion:
1. I personally plan to provide the map' labor and materials for construcllon of the: poposed property lmpn,vtmeflt □ Yes □ No
2. I (have t have not) signed an appUcation for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed constndon (include ncrne addr8is /phone/ contra:tors· llcense number):
4. I plan to provide portions Of the 'Mlrk, but I have hired the following person to coordinate, supervise end provide the major work 0nclude nan&/ id:lress /phone/ contract>rs' Ucense number):
5. I MIi provide some of lhe 'MJFk, but J have contracted (hired) the following persons to provide the v.ork·lndk:ated Onell.Ide name J address/ pbone / type of'Mlrk):
,IS PROPERTY OWNER SIGNATURE
.. ► ...
COMPLETE THIS SECTION FOR NON-f?ESIDENTfAL BUILDING PERMITS ONLY
Is the applicant or Mute building occupant requi1'8d to submit a business pis,, acutely hazardous materials"regisb'ation torm or risk mngement and pr&Vento,i-progrmn under Sections 25505, 25533 or 25534 of the
Presley;.TannerHazardousSLbstanceAccount /Jd/ CJ Yea O No
Is the applicant or future building occupant requl1'8d lo obtain a permit from the air pollution control dlstnct Or' air quality management dlstric;t? o:ves O No
Is the facirrty to be constructed MIilin 1,000feet afthe outer bounday of aschool sila? CJ Yes O No
IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UIUSS THE APl'UCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND TiiE AIR POLLUTION CONTROL DISTRICT.
lca1ifylllatl hMreadlheapplicalkmand-lllatlhe--~oo,mllld1hatlhe-.,c,it1,tp1ans~-l-mCOfflllyi,iu,alC11f-llldSlalola,o""""" boilcl,c""1llrucli>n.
I hereby aulhorize ,_la!Neof lhe Cllyof callsbadlo-upon lhe i!boYemenlilned l'l)l)8!1yilrmpedion pll!l)OSeS. I ALSO AGREE TO SA~ ~FY 00 KEEPHAIMESSTHE CITY OF CAAI.SBAIJ
AGAINSfALLLIABILJTIES,JUDGMENTS,COSTSANDEXPENSESWHICHl,IAYINANYWAYACCRIJEAGAINSTSAIDCIIYINCONSEQUENCEOFlliEGRANTlNGOFTHISPERMIT.
OSHA AA OSHA pennl is requ&ed ilr=valions """5'!1 deep anddetroltioocrOlflSlrudlonofslu<tm..,,3stiries,h heiihl
EXPIRATION: E"'Y pennlt ""-"d bylie . Ofidalunderlhe l'ovisilns of1hls Codeshale,cpie by tnllalb1 and lieoJme nul and ,cij ilhe IIJr«ihg crmaullori2ad bySLdl permills noloomnena,d """
100dai, from Ille dale olsuch pemiilorWlhe,/,,ili...,,<rkaulhorized bystJCh pennl lssuspeooedcr-allll)'lme allerlhe\\Olk isCXlllllllll'ald ilra perod of 18lda)S (Seclon 11U4 llnltlml EIJii1g Code)
A$ APPLICANT'S SIGNATURE DATE I-
• STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the followlng ONLY If a Certificate of Occupancy wtll be re.q~ested at final inspection.
Fax (760) 602-8560, Emall www buiklng@cartsbadca gov or Mal 11ie oomplelBd form tobifyotc:adsbad, BIJlldlng OMsiol1~s Fa,jiday Ava11111, Carlsbad, Cailtlmia 92008.
CM: 1om. Uae Only)
CONTACT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANTS-BUS. UC. No.
DELIVERY OPTIONS □ ~ICK UP: □ CONTACT (Listed above) □ OCCUPANT (usted above}
□ CONTRACTOR (On P' 1)
□ MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Usted above)
□ CONTRACTOR (On Pg. 1)
Cl MAIL/ FAX TO OTHER: ______________ _
,15 APPLICANT'S SIGNATURE
o ASSOCIATEDCBf, __________ _
0 NO CHANGE IN USE/ NO CONSTRUCTION
o CHANGE OF USE/ NO C01$1RucnoN
DATE
ZIP
Inspection List
Penni!#: CB122369
Date lnspe_ction Item
12/17/2012 49 Final Mechanical
12/17/2012 49 Final Mechanical
Tuesday, December 18, 2012
Type: PME
Inspector Act
RI
MC Fl
CARNOW RES-REMOVE AND
REPLACE FAU AND A/C
Comments
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