HomeMy WebLinkAbout2409 LA MACARENA AVE; ; CB131854; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
08-05-2013 Permit No: CB131854
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2409 LA MACERENA AV CBAD
PME Status:
Parcel No: 2550704800 Lot#: 0 Applied:
Reference#:
Entered By:
Plan Approved:
PC#: Issued:
Inspect Area:
Project Title: MONDERO RES -REPLACE NC UNIT
SAME SIZE AND LOCATION IN CLOSET, NO LADDER REQ.
Applicant:
MHS HEATING AND AIR CONDITIONING INC.
STEN
525 N ANDREASEN DR
ESCONDIDO CA 92029
760-744-9450
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
MONDERO PETER G&DAWN B
2409 LA MACARENA AVE
CARLSBAD CA 92009
ISSUED
08/05/2013
SKS
08/05/2013
08/05/2013
$0.00
$0.00
$154.00
$0.00
$154.00
Total Fees: $154.00 Total Payments To Date: $0.00 Balance Due:
FINAL APPROVAL
Date: 0 t+ Clearance:
$154.00
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
f x i n f h' h h N Tl imil rt i r whi f limi
THE FOLLOWING APPRQVALS ROOUIREO PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCO
Building Permit Application Plan Check No.(_):j / :S [ ):(j L/
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Ph: 760-602-2719 Fax: 760-602-8558 Plane ~ >epo~it email: building@carlsbadca.gov ~U) www.carlsbadca.gov Date \ I I J lswPPP
SUITE#/SPACE#/UNIT# I APN ---JOB ADDRESS :1 L/ {) q /.. II-ff} I} C.JU! 1:;.-yJI}
CT/PROJECT# ILOTJf I PHASE'# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
/J-DI] I+~ [' {<_ IS p )JJCG" r::-u R.JJ Ace frND I . c,JJJY;,' -0/J ~
EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (Sf) PATIOS (SF) I DECKS (SF)
YES[]#
I AIR CONDITIONING I FIRE SPRINKLERS
No0 YES □,o □ YES□No□
APPLICANT NAME (Pdm"y Contaot) MHS HEATING & AIR COND., INC. APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
525 N. ANDREASEN DRIVE, SUITE "N"
CITY STATE ZIP CITY STATE ZIP
ESCONDIDO, CA 92029
PHONE I FAX PHONE I FAX 760-7 44-9450 760-510-9734
EMAIL EMAIL
SWATERMAN@MHSHEATING.COM
PROPERTY OWNER NAM~A-1, rn. ~--o 0 CONTRACTOR BUS. NAME MHS HEATING & AIR COND., INC . . ,,1 ""
ADDRESS ADDRESS ~L/(JC/ 1 D m Af' L),.£1 Pl ') /.), 525 N. ANDREASEN DRIVE, SUITE "N"
CITY (' .ll. I? I <: AA-fl STATE(' A-ZIP CITY STATE ZIP q,:i1v>l:; ESCONDIDO CA 92029
PHONE I FAX PHONE I FAX 7(QO '7c;3 -/30lf 760-7 44-9450 760-510-9734
EMAIL EMAIL SWATERMAN@MHSHEATING.COM
ARCH/DESIGNER NAME & ADDRESS ISTATELIC~ STATE LIC.# [CLASS I CllY BUS. LIC.1229655 932029 C20
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to c_onstruct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the
applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law jChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a
clvU penalty of not more than five hundred dollars {$500)).
WORKERS" COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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,
[Z] I have and will maintain workers' COITID&nsation, as re Quired by Section 3700 of the Labor Code. f?r the _performance of the work'"' w~~rmit is issued. My workers' compensation insurance _carrier and policy
oumbe, '" lasumoce Co. STl/llI {I.OIY/PeJ.JS/l'rJ::tJ,0 [iud) Pohcy No. 9() 7!,.) 5J1 /.3__ &picatioo Date --~5" / (., / 1L.,__
~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: Fallure to secure workers' compensation cover ge is unlawful, and shall subject an employer to criminal penalties and civll fines up to one hundr&d thousand dollars (&100,000), in
addition to the cost of compensation, dam~ .as.prGMided for II), Se n 37 of the Labor code, interest and attorney's fees.
,/1'5 CONTRACTOR SIGNATU ... . .. ,J,,....,,_ll,t,,
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 Contractor's
License Law does not apply to an owner of property who builds or improves thereon, arid who does such work himself or through his own employees, provkled 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).
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 materials for construction of the proposed property improvement. OYes ONo
2. I {have I have not) signed an application for a building pennit for the proposed work.
3. I have contracted with the following person {firm) to provide the proposed construction (include name address/ phone I contractors' license number):
4. I plan to provide portions of the work, but J have hired the following person to coordinate, supervise and provide the major work {include name I address I 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 I address/ phone I type of work):
~ PROPERTY OWNER SIGNATURE □AGENT DATE
I
I
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No
JF 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the above infonnation Is colT8Ct and that the Information on the plans Is accurate. I agree to comply~ all City ordinances and Slate laws relating to building ainstruction.
I hereby authorize representative of the City of Carlsbad to enter upon the aOOve mentioned property for inspecti011 purpJses. 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: MOSHA permn is required for excavations over 5'0' deep and demolition or oonstructWJn of structures over 3 stories in height.
EXPIRATION: Every permit issued by lhe 0.Jik:ling Official under the provision is C.ode shall expire by 1rllitation and berome null and void tt the building orv.ork authorized by such permit tS not commenced within
180 days from the date of such permit or if uik:ling or a orized b uch rmrt is suspe or abandooed at any time after the 'Mlrk is commenc.ed for a perbd of 180 days (Section 106.4.4 Uniform Buik:lrlg Code).
~=--~,
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602•8560, Email www.bui!ding@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
□ PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above)
□ CONTRACTOR (On Pg. 1)
□ MAIL TO: D CONTACT (Listed above) D OCCUPANT (Listed above)
□ CONTRACTOR (On Pg. 1)
□MAIL/FAX TO OTHER: _______________ _
A$ APPLICANT'S SIGNATURE
o ASSOCIATED CB#.-----------
□ NO CHANGE IN USE/ NO CONSTRUCTION
o CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
. ' .
Inspection List
Permit#: CB131854 Type: PME
Date lnspecti_or,_ l!em
07/31/2014 43 AirCond/Furnace Set
07/31/2014 43 AirCond/Furnace Set
07/31/2014 49 Final Mechanical
07/31/2014 49 Final Mechanical
Friday, August 01, 2014
Inspector
MC
MC
Act
RI
AP
RI
Fl
MONDERO RES • REPLACE A/C UNIT
SAME SIZE AND LOCATION IN CLOSET,
Comments
12-2 PLS
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