The URL can be used to link to this page

Home My WebLink About2520 LA GRAN VIA; ; CB161757; Permit05-05-2016 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical {PME) Permit Permit No: CB 161757 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2520 LA GRAN VIA CBAD PME Status: ISSUED 05/05/2016 SLE 05/05/2016 05/05/2016 Parcel No: 2162508900 Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: DOHERTY: INSTALL A/C WITH ELEC Applicant: ASI HASTINGS STE 200 4870 VIEWRIDGE AV SAN DIEGO CA 92123 619-590-9300 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: DOHERTY CHRISTINE 2520 LA GRAN VIA CARLSBAD CA 92009 714-394-4803 $0.00 $38.00 $163.00 $0.00 $201.00 Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due: Inspector: Date: Clearance: $0.00 NOTICE: Aease ta<e ~ ct )OJ' prtjed irdL.dss tte "lrrpcstiorl' fees, dedcaicrs, ressvatiais, a clher exa:licrs -cc:IIEdivay refarad to a; "fees''exa:llic,fs. oo h>le 00 days frm1 tte dale ths p,rrrit was iSSL<ld to pictest irrµisitioo ct ttese fees'exa:licrs. If )00 pictest lherl\ )00 ITUll foll ON the prctest ~ set forth in G:>lerTrret Cede SEdioo l'OOal(a), ...-d file tte prctest ...-d "'Y clher req.ired infam;jja, wth tte aty 11,\nger fa pra:es,;~ in ax.uda cewth ca1sboo Mridpa Cede SEdioo 3-32.o:D. Riluetotirrelyfdlo.vll-.l l'OOl(l.rewll ta Mysti:seq.Jerl lega actiooto~ reMew, set aside, vtid, a aTIJ tteir irTlJClWCl'l. Yoo"" herecy FlRll-ER NOTIFIED that )OJ' rigt to pictest tte simfie:l feeslexa:licrs llCES J\01" APPL Yto"'11er ...-d """"ooon<dioo fees ...-d ~ cher-ges, ra pla'Tirg, mrg galrg ex clher sinril,.-applicaioo pra:essrg a sennce fees in ooonEdiCl1 wth !tis prtjed. t-CR DCES IT APPLY to "'Y f wi . 'nil to v.hi the Ii . ·se THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCO <<1 Building Permit Application Plan Check No. (1 P., (In 17~ 1 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date "", -"' -/I n lswPPP JOB ADDRESS SUITEf/SPACEf/UNIT# IAPN 2520 LA GRAN VIA CARLSBAD 92009 --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I coNsrn. TYPE I acc. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) INST ALL AC WITH ELCETRICAL EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) lDECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YESO NcCJ YES □No □ YES□No□ APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME CHRISTINE DOHERTY Pflna"" Contact ADDRESS ADDRESS 3645 RUFFIN ROAD# 330-335 2520 LA GRAN VIA CARLSBAD 92009 CITY STATE ZIP CITY STATE ZIP san dieao ca 92123 CARLSBAD CA PHONE IFAX PHONE IFAX 619-590-9337 (714) 394-4803 EMAIL EMAIL JERMAINE@WEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinas ADDRESS ADDRESS 4870 viewridge ave CITY STATE ZIP CITY STATE ZIP san dieao ca 92131 PHONE IFAX PHONE IFAX 619-590-9337 EMAIL EMAIL I STATE UC.# STATE UC.# l'LASS I CITY eus. uc.1200804 513115 c20 (Sec. 7031.5 Business and P_rofess1ons Code: Any City or Coun_ty which requires a permit to_ c_onstruct. 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 1s licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code) or that he 1s exempt therefrom, and the basis for the alleged exemption. Any violation 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 Workers' Compensation Dtclaratlon: / hereby affirm under pena/t'; of petjury 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 whk:h this permit is issued. [Z] I have and will maintain workers' compensation, as reouired by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. CYPRESS INSURANCE COMPANY Policy No. ASWC605204 Expiration Date 91112016 ~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 wo for which this pennit 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 co rage ls unlawful, and shall subject an employer to criminal penalties and civil fines upto one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in ·o 3706 of the Labor code, Interest and attorney's fees. ~ .Jt5 CONTRACTOR SIGNATURE [Z)AGENT DATE ~ . 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, 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). I, as owner of the property, am e~clusively 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 conlractor(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 0Yes 0No 2. I (have I have not) signed an application for a building pemiit for the p(Oposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hire the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number) 5. I will provide some of the work, but I have contracte (hired the followin o provide the work indicated (include name I address I phone I type of work): .Jt5 PROPERTY OWNER SIGNATURE □AGENT DATE I Inspection List Permit#: CB161757 Type: PME Date Inspection Item .... 06/03/2016 43 AirCond/Furnace Set 06/03/2016 43 AirCond/Furnace Set 06/03/2016 49 Final Mechanical 06/03/2016 49 Final Mechanical •tfh1#fft.;;./#hN 43 AirCond/Furnace Set Monday, June 06, 2016 Inspector PY PY PY DOHERTY: INSTALL A/C WITH ELEC Act Comments - RI AP RI AP AP Page 1 of 1