HomeMy WebLinkAbout2535 NAVARRA DR; A8; CB162953; Permit08-02-2016
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
ASI HASTINGS
STE 200
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB162953
Building Inspection Request Line (760) 602-2725
2535 NAVARRA DR CBAD St: A8
PME
216170541111"2_ Lot#: 0
SCHRIEK: CHANGE OUT SPLIT HEAT
PUMP
Owner:
SHRIEK
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
08/02/2016
JMA
08/02/2016
08/02/2016
4870 VIEWRIDGE AV
SAN DIEGO CA 92123
619-590-9300
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
/1 FINAL APPROVAL
Inspector: / ~--' Date: IIJ• 2. 'I• II, Clearance:
$0.00
t'OTICE: Rease tare r,,,oni'.l' that~ ct yo.r i:,tject irdt.des tt-e ··1rrp:stiori' ct fees, dedcati01S, ""'9!\0001S or ctt<:< exa;tkrn IBeafter o::llectivay
referred to as 1ees'exa;ti01S." Yoo hlve OOda),sfrantt-e-tns perrrit ""6 issuedto p,dest irrpoojtion cttresefees'exaotions. If you p,dest trerr\ you rru;t
fcJlo.vtre p,ctest pra:edres set IO'th in <?c,,,emrent Olde Section 60020(a), ard filett-e p,dest ard any ctt<:< r,q.ired infarration wth tt-e Oty Mn,ger for
~ng i" amcta ca wth a.tsboo M.rid>8 Olde Section 3.32.030. Falu-etotirrayfdlo.vthal prooedrewll ba-anyrubsecµrt lega ectionto~
rEMew, set cSde, vcid, a anJ trer ill"1X6ition.
Yoo ,re t-eret,; FLRTI-ERt'OTIFIEDthat yo.r rigt to p,dest Ire simfia:J fees'exa;ti01S IXJES r-KJf /ll'PLYtowater ard seNer oonnectionfees ard~
c:hrgls, nor plaring, mrg galng or cther sirril11" appliraion ~ng or savire fees in oonnection wth Ins i:,tject. t-m IXJES IT /ll'PL Y to any
i · riwlich ·ous1·· ... ----'vena 'nilatoths.~=towi ....... ...._stat·"'~Jlinital:i-~ · · ·
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING 0 BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
~ <<~· Building Permit Application Plan Check No. c p..., I /A -'2... "153
.,,_ . 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 P(/?11 ,. ISWPPP
JOB ADDRESS SUITU/SPACEI/UNITI IAPN 2535 NAVARRA DR.# A-8, CARLSBAD 92009 ---
CT/PROJECT# ILOT# 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)
CHANGEOUT SPLIT HEAT PUMP
EXISTING USE I PROPOSED USE IGARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES0, Nao YES □No□ YES□No□
APPLICANT NAME SABRINA MOREY PROPERTY OWNER NAME louise schriek PrtnaN Cont·,..
ADDRESS ADDRESS 3645 RUFFIN ROAD# 330-335 2535 NAVARRA DR. # A-8, CARLSBAD 92009 CITY STATE ZIP CITY STATE ZIP
san diego ca 92123 CARLSBAD CA
PHONE I 'AX PHONE IFAX 619-590-9337 (760) 994-7339
EMAIL EMAIL
JERMAINE@,WEGREENINC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastings
ADDRESS ADDRESS 4870 viewridge ave
CITY STATE ZIP CITY STATE ZIP
san diego ca 92131
PHONE I 'AX PHONE I 'AX 619-590-9337
EMAIL EMAIL
I STATE LIC, # STATE UC.# I CLASS I CITY BUS. LIC.1200804 513115 c20
(Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_mIt to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the B_usmess and Professions Code} or that he Is ex.emP.t therefrom, and the basis for the alleged ex.emption. Any v1olatIon of Section 031.5 by any applicant for a permit subJects the applicant to a cIvII penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm 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
[Z] I have and will maintain workers' compensation, as reauired bv Section 3700 of the Labor Code, for the pertormance 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 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 coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
NS CONTRACTOR SIGNATURE @AGENT DATE
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
□
□
□
I, as owner of the property or my empjoyees 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 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. 0Yes 0No
2. I (have I have not) signed an application for a building permit for the proposed 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 hired the following person to coordinate, supervise and provide the major work {include name/ address I phone I 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/ address/ phone I type of work):
_8$ PROPERTY OWNER SIGNATURE □AGENT DATE
lns-pection List
Permit#: CB162953 Type: PME
Date Inspection Item
10/24/2016 43 AirCond/Furnace Set
10/24/2016 43 AirCond/Furnace Set
10/24/2016 49 Final Mechanical
10/24/2016 49 Final Mechanical
Monday, October 24, 2016
Inspector Act
JW
JW
RI
AP
RI
AP
SCHRIEK: CHANGE OUT SPLIT HEAT
PUMP
Comments
AM PLEASE
AM PLEASE
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