HomeMy WebLinkAbout2360 MERWIN DR; ; CB161867; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
05-12-2016 Permit No: CB161867
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
EXCEL AIR CORP
STE 8
2360 MERWIN DR CBAD
PME
2081622300
MILLER RES-REPLACE AJC UNIT
NO NEW ELECTRIC
530 OPPER ST
ESCONDIDO CA 92029
760-7 41-5550
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Owner:
MILLER JOHN
2360 MERWIN DR
CARLSBAD CA 92008
Issued:
Inspect Area:
ISSUED
05/12/2016
RMA
05/12/2016
05/12/2016
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector: ~ Clearance:
$0.00
l'OllCE Aease ta<e l'OllCE that~ ci yo.r Jltjecl irdooes the "l~orl' ci fees, dedca:ians. reservaians, or ether eia>::lions l1eloofter cdledively
referred to as 'Toesle,a:,:lians." Yoo l&e 00 cla)s frcmthe dfte ths pemit""" isw,d to pictest in,:,ositioo ci these feesleia>::lians. If you pictest then'\ you rrust
fdlcwthe pictest pr=t.res set lath in Gc>.errreri Code Seclioo sooaJ(a), <rd file the pictest <rd en; ctrer requred infooraloo IMth the Qty Mr,ager for
proc:essirg in aroxdarre\Mlh Qrlsba:I M.ndpol Code Seclion 3.32.030. Failiretotim,yfdlcwthal proa,dl,el'oill bar e,r; SlbseqJert legal a:liontoattock,
raiiew, set aside, wid, rx clYU tt-eir irrposition.
Yoo ae hereby F\RTl-ER l'OllFIEDthal yo.r rigt to pictest the specified fees/eia>::lians IXE5 tOT l'H'l Y to witer <rd,,,,_ ooonedioo fees ard capacity
~ nor Jjarrirg, zcrirg, gra;:lrg or ether snilw ,wic,t;oo proc:essirg or se'Vloe fees in oooneclioo l<ith ttis JJtjecl. t-CR IXE5 IT l'H'\. Y to en; . 1 . . .
~ .. «1~ ~ CITY OF
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
CARLSBAD Fax 760-602-8558
www.cartsbadca.gov
JOB ADDRESS 2360 Merwin Dr
Plan Check No.
Est. Value
SWPPP
CT/ ROJEC # PHASE# # OF UNITS # BEDROOMS # BATHRO MS CONSTR PE DCC. GROUP
DESCRIPTION OF WORK: Include Squate Feet of Atfected Area(s)
AJC Replacement onto Existing Furnace-Like ~ff-ik~ ,
. 5 Ton Capcity 1,~ cJdc.1 jl,vv
EXISTING USE I PROPOSED USE 'GARAGE (SF) PATIOS (SF) I DECKS (SF) ,_FIREPLACE 'AIR CONDITIONING I FIRE SPRINKLERS
YESQ No[] vESONoO vESONoO
CONTACT NAME (If Dffferent Fom Applicant) Miller, Joanne APPLICANT NAME Excel Air Corp
ADDRESS ADDRESS 2360 Merwin Dr 530 Opper St, Ste B
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92008 Escondido CA 92029
PHONE PHONE
913-705-0358 I FAX 760-741-5550 IFAX 760-741-5560
EMAIL EMAIL
info@excelairca.com info@excelairca.com
PROPERTY OWNER NAME Miller, Joanne CONTRACTOR BUS. NAME Excel Air. Corp
ADDRESS ADDRESS
2360 Merwin Dr 530 Opper St, Ste B
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92008 Escondido CA 92029
PHONE PHONE
913-705-0358 I FAX 760-741-5550 /FAX 760-741-5560
EMAIL EMAIL
info@excelairca.com info@excelairca.com
ARCH/DESIGNER NAME & ADDRESS ! STATE UC.# STATE UC.# ICLASSC20 I CITY BUS. LIC.1219933 847334
(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 ttiat 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 1031.5 by any applicanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
WORl<ERS' COMPENSATION
Workers' Compensation Declaration: I hereby affrrm under penalty of perjury one of the following declarations: 0 I 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.
[l] I have and will maintain workers' compensation, as reQuired by Section 3700 of the Labor Code, for the performance of the work for which tlls permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co ACE Am&rican lnsuranc. Company Policy No. WLRC48TT1749 Expiration Date 0310112011
pii§,section need not be completed if the permit is for one hundred dollars {$100) or less. LJ Certificate of Exemption: I certify that in the performance 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
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to crinlnal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, d p vided for In S n 06 of the or code, interest and attorney's fees,
NS CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□ I, as owner of the property or my employees with 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 Contrac!Of'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 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). 0 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). 0 I am exempt under Section ___ ~,Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Oves []No
2. I (have I have not) signed an application for a building permit for the proposed work.
3. l have contrcK:ted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4, ! 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 I phone/ contractors' license number):
s. I will provide some of the work, but 1 have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
I
N$PROPERTY OWNERSIGNATU7 y ~ mcJiE ;E:l!gENT DATE
OMPLETE THIS SECTION FOR NON-RESIDENTIAi. BUILDING PERMITS ONLY
s the applicant or future building OCC1Jpant required to submit a business., acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
:>resley-Tanner Hazardous Substance Account Ac(? D Yes WNo
s the ~plicant or future building occupant required to obtain a permit from the air pollution control district or ai~ality management district? []ves O No
s the facility to be constructed within 1,000 feet of the outer boundary of a school site? Oves LJNo
F 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
:MERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
certify that I have read the application and state that the above information Is correct and that the lnfonnatlon on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
hereby aithorize ,_-of the Gil/ of Ca1sbal 10 enlert.l)Cll the-., merooned property for inspedion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD
\GAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AtNWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT.
)SHA: An OSHA pemit is required for excaialioos o.rer 5'0' deep i1K1 demolition or oonslruction of strudures OM 3 stories in height
:XPIRATION: Ewry pemjl issued by the Bui<ing under the prl>lisions of lhis Code sMI expi"' by IITTitation "1d become null and ,oid W lhe bui<lng or ->Jlhorized by such pe'1T1it • oot oonmenced v.ith•
80 days from lhe date of such pemt or Wthe ~ or-aJlhorized by such pemt is suspended or abandorled at any time after the-is comrneocedlor a period of 180 days (Section 106.4.4 Uniocm Buildilg Code).
_$$ APPLICANT'S SIGNATURE DATE
,, ,.
Inspection List
Permit#: CB161867 Type: PME
Date lnspe_ction Jt_em
07/08/2016 43 AirCond/Furnace Set
07/08/2016 43 AirCond/Furnace Set
07/08/2016 49 Final Mechanical
07/08/2016 49 Final Mechanical
Inspector Act
RI
AEK AP
RI
AEK Fl
MILLER RES-REPLACE A/C UNIT
NO NEW ELECTRIC
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