HomeMy WebLinkAbout2601 LA GOLONDRINA ST; ; CB132210; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
09-13-2013 Permit No: CB132210
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2601 LA GOLONDRINA ST CBAD
PME Status:
Parcel No: 2155622400 Lot #: 0 Applied:
Entered By:
Reference#: Plan Approved:
PC#: Issued:
Inspect Area:
Project Title: CUTLER RES-REPLACE FAU & A/C
UNIT-LIKE FOR LIKE-SAME L0CATTION-NO NEW ELECTRIC
Applicant:
EXCEL AIR CORP
STE B
530 OPPER ST
ESCONDIDO CA 92029
760-7 41-5550
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
CUTLER VICTORIA L
2601 LA GOLONDRINA ST
CARLSBAD CA 92009
ISSUED
09/13/2013
RMA
09/13/2013
09/13/2013
$0.00
$0.00
$158.00
$0.00
$158.00
Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due:
Inspector:
FINAL APr~VAL
Date: I O I,':) Clearance:
$0.00
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 se1Vice fees in connection with this project. NOR DOES IT APPLY to any
f fwhl v· sl I E imilar whi h h limi h r vi !
~----·,.----------------------------------------------~ THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE; □PLANNING □ENGINEERING
/..if~: ~•::·,·
·~ CITY OF
CARLSBAD
JOB ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
□BUILDING □FIRE
Plan Check No.
Est. Value
SWPPP
CT/PROJECT# # OF UNITS # BEDROOMS # BATHROOMS CONSTR. lYPE OCC. GROUP
EXISTING USE PROPOSED USE PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES□No□ YESO No[] YES □No □
APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact)
STATE ZIP
FAX
CONTRACTOR BUS, NAME
ARCH/DESIGNER NAME & ADDRESS STATE 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, p_rior 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 \Chapter 9, comme_nding with Sect1_on 7000 of DIvIsIon 3 of the B_usIness and Professions Code} or that he is 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 civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
QJ have and will maintain a certificate of consent to self•lnsure for workers' compensation as provided by Section 37
~and will malntain.1_0~~,~~~~as rew~epti~~~~e La,-...~~~ 1ye~f~--~~e~• compensa\m ~r•a1~1y
number are: Insurance c'OJ[IJY_(_) ~\ ~ -~ N~. _ _£.zt;~~.J..!!..i~~(,:,,;,_~·~::::'..::O-~e,'<,Oxpirat1on Date ---"--''-''---~~,-<j~-'---1-/--
]]l.l§.section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in th performance of the work for wh~h 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 secur w ers' compensation coverage Is unlawful, and shall subject an employer to criminal penaltln and civil fines up to one hundred thousand dollars (&100,000), In
s provld\(I for I S 06 of the L or code, interest and attorney's fees.
/ hereby affirm that I am exempt from Contractor's Ucense 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 l;uildirg 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 prop:Jsed property improvement. QYes 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/ phone/ 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 I address/ 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 I address/ phone/ type of work):
T DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevent on program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Accoont 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 tl1e 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.
I certify that I have read the appllcatlon and state that the above Information is conectancl that the Information on the plans Is accurate. I agree to comply with all City ordinances and State laws relatlng to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the at::ove mentOOed property br inspecllon purposes. 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 perm ft is requred for excavations over 5'0' deep and demolition or construction of structures over 3 stories in he~ht
EXPIRATION: Every permit issued by the Buildin Offk:ial under the provisions of this Code shall expire by limitation and become null and void Wthe building or'M'.lrk authorized by such permit is not commenced ',',\thin
180days from the date of such permit or if ing or'M'.ll'k authorized by su permit is suspended or abandoned at any time after the v.ork is oommenced bra period of 180days (Section 100.4.4 Uniform Building Code)
AS APPLICANT'S SIGNATU DATE
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 buildinq@carlsbadca.gov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CONTACT NAME
ADDRESS
CITY STATE
PHONE
EMAIL
DELIVERY OPTIONS
PICK UP:
MAIL TO:
CONTACT {Listed above)
CONTRACTOR (On Pg. 1)
CONTACT (Listed above)
CONTRACTOR (Oa Pg. 11
ZIP
FAX
OCCUPANT (Listed above)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: ________________ _
,.S APPLICANT'S SIGNATURE
CO#: (Office Use Only)
OCCUPANT NAME
BUILDING ADDRESS
CITY STATE
Carlsbad CA
OCCUPANT'S BUS. LIC. No.
ASSOCIATEOCB#•------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
• ,. a
Inspection List
Permit#: CB132210 Type: PME
Date Inspection Item
10/08/2013 43 AirCond/Furnace Set
10/08/2013 49 Final Mechanical
Tuesday, February 18, 2014
CUTLER RES-REPLACE FAU & A/C
UNIT-LIKE FOR LIKE-SAME L0CA TTION-
Inspector Act Comments
PD AP
PD AP
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