HomeMy WebLinkAbout2561 NAVARRA DR; A; CB142861; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
10-23-2014 Permit No:CB142861
Building Inspection Request Line (760) 602-2725
Job Address: 2561 NAVARRA DR CBAD St: A
Permit Type: PME Status: ISSUED
Parcel No: 2162002736 Lot #: 0 Applied: 10/23/2014
Entered By: SKS
Reference #: Plan Approved: 10/23/2014
PC #: Issued: 10/23/2014
Inspect Area:
Project Title: DENICOLO RES - REPLACE FURNACE
SAME LOCATION
Applicant: Owner:
MHS HEATING AND AIR CONDITIONING INC. DENICOLO LAURI
STE 104
2890 S SANTA FE AV 2561 NAVARRA DR #A
SAN MARCOS CA 92069 CARLSBAD CA 92009-7063
760-744-9450
Plumbing Fees
Electrical Fees -
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
$0.00
$0.00
$160.00
$0.00
$160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00
FINAL APPFJQVAL
Inspector: Date: u/it/f If Clearance:
NOTICE: Please take NOTICE that approval of your project includes the lipositii 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
JTHE FOLLO WING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE DHLm 'DHAZMA/APCD I -
" 4 . '. - '. Building Permit Application . -' Plan Check M061q~yl
1635 Faraday Ave., carlsbad, CA 92Q08., Est. Value
CIT Y 0 'F Ph: 760-6Ô2-2719 Fax: 760-602-8558 - -.
CARLSBAE! email buklling@carlsbadcagov Plan Ck7J
JOB ADDRESS - - - , - .' - -. ,• ,
Af
SUrTE#/SPACE#/UNIT# . APN ,1
- - CT/PROJECT # L(4/J #CF1JNITS' - 1#13EDROOMS #BATHROOMS TENANT BUSINESS NAME- CONSJR. OM GROUP
DESCRIPTION OF WORK:- include Square Feet of Affected Area(s)
f-zic#1 C-4C
EXISTING USE PROPOSED USE GARAGE (SF) - PATIOS (59 DECKS (SF) - FIREPLACE' AIR CONDITIONING FIRE SPRINKLERS
. YES 0 NO 0 YES 0 NO 0- " ' YES Ci NOD
APPLICANT NAME (Primary Contact) - - .
-- MHS HEATING & AIR CONDITIONING, INC. * --
APPUCANT NAME (Secondary Contact) - - - -
. - - MHS HEATING & AIR CONDITIONING INC. -
ADDRESS 28908.SANTAFEAVE#104
. - SAN MARCOS,'CAUFORNIA 92089 - - ADDRESS 2890S.SANTAFEAVEUIO4 -. - --
-- * -. MARCOS, CAUFORNIA 92069 - -.
CITY - - - , STATE ZIP -
-
- Cli'! ,. - STATE ZIP•
-- PHO - : _g() FAX -
0 - - PHONE
:.. - -
--
FAX'
. --
EMAIL - - -
øL //eo/4J? EMAIL
PROPERTY.OWNER NAME ç) tx) '. -
- CONTRACTOR BUS. NAME-
- -. - - ADDRESS
- -
ADDRESS' -MHS coNDrnONII43, INC: -
- - - -- CITY - - - - - - STATE
-
ZIP. -
•. -
- CITY
PHONE FAX PHONE FAX %.7 -_0 -7W4V5F0
EMAIL
- -: - - - - - . . -. .
MAILSW O mA'Au,'&'i-
ARCH/DESIGNER NAME & ADDRESS -
- -
U #
-
- - FATE LIC.#
- - Ic7.-o -
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a per applicant for such permit to file a signed statementthat he is licensed pursuant to th
Business and Professions Code) or that he is exempt therefrom, and the basis for the
civil penalty of not more than five hundred dollars ($500)).
mit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the
provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the alleged exemption. Any violation of Section 7031.5 by any applicant-for a permit subjects the applicant to a
Workers' Compensation Declaration:! hereby a!firm under penalty ol 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 perfonnance of the work for which this permit is issued.
I have and will maintain workers' mpnajpnTas required by Section 3700 of the Labor Code, for the performance of the work for which this)ermit is issued. My workers' compensation insurance gamer and policy
number ar Insurance Co. 13'1Id " Policy No. _/2 1io L! _/tY??%? Expiration Date________________
This section need not be completed if the permit is for one hundred dollars ($100) or less. - - O 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 unlaw I, and shall subject an employer tO'crlminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damaged asp 06 e Labor coda, Interest and attorney's fees ---
CONTRACTOR SIGNATURE DAGENT DATE
_ .,- -.-
thereby affirm that iam exempt frOm Contractor's License Law for the fóllowi ig reason:
Ci I, as ownerof 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 re 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, arid contracts for such projectá with contractor(s) licensed pursuant to the Contractor's License Law).
0 I am exempt under Section _____________Busines and Professions Code for this mason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes 0 No .. v
2.l(have / 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 priposed construction (inctide name address! phone /contractors' license number):
4.1 plan to provide portions of thework, but have hired the following person to coordinate, supervise and provide the major wiirk (include name/address/phone/contractors' licensenumber):
5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name address !phone/type of work):
..PROPERTY OWNER SIGNATURE . , - ,. DAGENT. DATE •
I •' . -
- j_ .. -
• : 4 . •
'.T• T
Is the applicant or future biIding 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? 0 Yes 0 No I
Is the applicant or future building occupant required to obtain a permit from the airpollution control district or air quality management district? DYes 0 No *
Is the facility to be constructed within 1,000 feet f the outer boundary of a school site? DYes 0 No ' . .• .
IF 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 OFFICEOF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. .
I hereby affirm thèt there is a construction lending agency for the performance of the work this permit is issued (Sea 3097 (i) Civil Codp).
Lenders Name - /•_) / v3 . ' Larder's Address ,
I cartillyliluit 1,have read the application and sifttliartthe above Information Is clinectand #Wthe Imbirriallikin on the plans Is
I
accurat
I
P.1agreetocomply*111hall ordlr~nce`s and Sift fork retelling to building construction.
I hereby authorize representative ofthe City of Carlsbad to inter upon the above mentioned property for inspection purposes: I LSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE COY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGNNST SAID CITY IN CONSEQUENCE OF THE GRAN11NOF THIS PERMIT.
OSHA An OSKApermti is required for excavations over 5V deep and demolition or construction of structures over 3stories in height. *
EXPIRATION: Every pehit.issued by the Building Official under the provisions of this Code shall expire by Imitation and become null and void tithe building or work authorized by such permit is not commenced within
180 days from the date of such permit or if the !b:ug~dingor work autho th rmftissuspended or abandoned at any time alter the work is commenced for aperiod of 180days (Section 106.4.4 Uniform Building Code).
£APPUCANTSSIGNATURE
/
( DATE /Y
.•-•• ..,.
•
.,. -. .
-STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection
CERTI F ICATE•
Fax (760)1 602.-8560, Email www buiIdinplcarlsbadca poy or Mail the completed form to City of Carlsbad Building Division 1635 Faraday Avenue Carlsbad California 92008
• •c
• ..
CO#: (Office Use Only) . ..
CONTACT NAME • . .• * • • •. • . OCCUPANT NAME . • - .'
• . . .• • . -. .- .- • . •
ADDRESS . • - BUILDING ADDRESS- ' • . . • •
CITY. • STATE • ZIP CITY STATE • . ZIP . • - Carlsbad -. A • • .
-PHONE FAX •- • - . - - .
.. •
•' . • .
EMAIL OCCUPANTS BUS LIC No
DELIVERY OPTIONS • . • . - •-. •: • • . . *
CI PICK UP: dCONTACT (Listed above) • 0 OCCUPANT (listed above). '.• ,' , . .
Er CONTRACTOR (On 1) • . . • .,. . . • • .
- . •* . . . - . - 0 ASSOCIATED CB# • •
O MAIL TO: o CONTACT (Listed above) a OCCUPANT-,(Listed above) . • • - . • •
a CONTRACTOR (On P. 0 NO CHANGE IN USE-/ NO CONSTRUCTION
0 MAIL/,FAX TO OTHER: . . . / .•,. . . . • • • *
............... ,-.._.• .•• -. . ...• . .. . ,a. CHANGE OF USE/ NOCONSTRUCTION . •
[~i;PIJCANT'S SIGNATURE - ' . : DATE •. . . - .-• . •- .,. •. •
• • •• - • - _., . .* •
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Inspection List
Perrnit#: CB142861 Type: PME DENICOLO RES - REPLACE FURNACE
SAME LOCATION
Date Inspection Item InspectorAct Comments
11/04/2014 43 AirCond/Furnace Set - RI DENICOLO RES, CALL W ETA
11/04/2014 43 AirCond/Furnace Set SP 'AP
11/04/2014 49 Final Mechanical - RI
11/04/2014 49 Final Mechanical SP Fl
Tuesday, November 04, 2014 Page lofl