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HomeMy WebLinkAbout2573 NAVARRA DR; E; CB152566; Permit-08-11-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB 152566 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2573 NAVARRA DR CBAD St: E PME 21620O271 LANE RES - CHANGE OUT FAU Status: ISSUED Lot #: 0 Applied: 08/11/2015 Entered By: SLE Plan Approved: 08/11/2015 Issued: 08/11/2015 Inspect Area: Applicant: . Owner: STILLMAN HEATING AND AIR CONDITIONING LANE THOMAS SUITE A , UNITE. 7200 PONTO DR 2573 NAVARRA DR CARLSBAD CA 92011 CARLSBAD CA 92009-7081 760-431-3266 Plumbing Fees . . . $0.00 Electrical Fees . $000 Mechanical Fees $160.00 Other PME Fees $0.00 TOTAL PERMIT FEES . $160.00 Total Fees: $160.00 Total Paynients To Date: $160.00 Balance Due: $0.00 I 11 FINAL AP9RO.AL Inspector:eKt Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the imposition of fees, dedications, reservations, Or other exactions hereafter collectively referred to as ¶eeslexactions.' 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 fees/exactions of which you have nreviouslv been aiven 2 NOTICE similar to this. or as to which the statute of limitations has oreviouslv otherwise exoired. ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: PLANNING DENGINEERING -OBUILDING GFIRE DHEALTH DHAZMATIAPCD Building Permit Application Plan Check No Q) 5 2*ju, i1t of 1635 Faraday Ave; Carlsbad, CA 92008 Est. Value : . Ph: 760-602-2719 Fax: 760-602-8558 C l Plan Ck. Deposit aria i email: building©carisbadca.gov Date -A- www.carlsbadca.gov JOB ADDRESS ,Z73 ,V4V4RA PR. "IT E SUITEI/SPACEC/UNITI - ON = CT/PROJECT# LOT# - PHASES- #OFUNITS #BEDROOMS #BATHROOMS TENANT BUSINESS NAME CONSTR.VIPE OCCGROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) F'IQ1Ce c/MAI6E e7c/7 -F. tfK ç EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE CONDITIONING FIRE SPRINKLERS - , • YES NOE JAIR YES [—]NOi=i YESD NoQ PrImary Contact 124 // 4P/,°1N7/ APPLICANT NAME PROPERTY OWNER ADDRESS If / ADDRESS 41Q4 *'AC 4oWir - TTE CJIY C44?1~IAD STA>4 ZIP PHO - 1/7772. -/6a FAX -PHONE • . '7O- [FAX EMAIL - - '- . EMAIL DESIGN PROFESSIONAL- : . CONTRACTOR BUS. NAME Al 1,6 ADDRESS . . 'j . ____________________________ ADDRESS- , Po 16 1.44 CITY .. STATE P CITY STATE ZIP ew C,d PHONE FAX PHONE . FAX EMAIL EMAIL .1- STATE LIC. S . - STATE LlC# - - 73C3 CLASS I -'C CITY BUS. LIC.# (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 Opp for such permit 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 Business and Professions Code) or that he is 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 fivehundred dollars ($500)). ' --v MOW o'- -- •:- -. .= = ' :z' :. Workers' CompensatIon Declaration: thereby éffi,m under penalty of perjury one bithefiallowingderJarations: - i:i I have and will maintain a certificate of consent to self-insure for workrs' compe'nsation as-provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensatiOn, as required t, Section 3700 of the Labor Code, for the perfrrmance'of the work for which this permit is issued. My workers compensalion insuce)érrier anl policy number are: lnsuranceCo. _f147? M/677C" F0W4olicyNo. 7'?)25' Explrab'on Date This section need not be completed if the permit is for one hundred dollars ($100)or less. [J 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 a to become subject to the Workers' Compensation Laws Of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subjet an employer to cririnaI penalties and civil fines up to one hundred thousand d011ars (&100,000), In - - addition to the cost of compensation, damages as Vida for In So on 3706 of e Labor code, Interest and attorney's fees. CONTRACTOR SIGNATURE, 4Z1' • 'AGENT 'DATE = øoaJowo• I hereby affirm that I am exempt horn Contràcto?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 oroffed for sale (Sec. 7044, Business and Professions Code: The Contractor's - License Law does not apply loan 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, hriwever, 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 ProtesTsions 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). - - [J I am exempt under Section = Business and ProfessionsCode for this reason: - - - - - - ,1. I personally plan to provide the major labor, and materials for construction of the proposed property improvement. - Dyes IINo . - - - ZI(have /have not) signed an application fora building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name address/phone! contractors' license number): 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 Iaddress / phone/ contractors' license number): I wtH 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' - - '. - -. - - - []AGENT - - DATE - - - - - '- aeomm iwoa Womb @ai Died beckmoomm 0000a@ 0=008 ®os 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? I 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 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 OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. - GO)O?1I(D@1O®O O3ODOO 10O(3' I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address PQ136MZJ? OW1QQQ3AO®1 IcelifythatI have mad the application and statethatthe above lnfonnallon iscontandthatthelntnnabonon the plans accurate. lagmethcempbjwlth all Cityoidinancesand State lawsrelatingfubuildingcenstnrctlon. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly for inspection purposes. IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILffIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is requited for excavations over 50 deep and demolition or construction of structures over stories in height - EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by Imitation and become null and vein if the building or work authorized by such permit is not commenced within 180 days from the date of such pennft or if the building or work authorized such permit is suspended or abandoned at any time alter the work is commenced fura period f 180 days (Section 106.4.4 Uniform Building Code). 9 'APPLICANT S SIGNATURE DATE I - . IWO - STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY (Commercial Projects Only) Fax (760) 602-8560, Email buiIding(CarIsbadCa.gov or Mail the completed form to City of Carlsbad, Building Divisin 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME - - OCCUPANT NAME ADDRESS - . - - - - -'- . BUILDING ADDRESS - CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE - FAX - - EMAIL .,.-- OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR-(On Pg. 1) ASSOCIATED CBS MAIL TO: ' CONTACT (Listed above) OCCUPANT (LIsted above) - - , CONTRACTOR (On P. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: - . CHANGE OF USE / NO CONSTRUCTION ..'APPLICANT'S SIGNATURE . . . . DATE , I - •- - . ' '.-:- 4 Inspection List Permit#: CB152566 Type: PME LANE RES - CHANGE OUT FAU Date Inspection Item Inspector Act Comments 08/25/2015 43 AirCond/Furnace Set - RI 08/25/2015 43 AirCond/Furnace Set AEK AP 08/25/2015 49 Final Mechanical - RI 08/25/2015 49 Final Mechanical AEK Fl I. Wednesday, August 26, 2015 Page 1 1 Li