HomeMy WebLinkAbout2622 ARGONAUTA ST; ; CB131350; Permit05-30-2013
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No:CB131350
Building Inspection Request Line (760) 602-2725
Job Adciress
Permit Type
Parcel No
Reference #
PC#
Project Title.
2622 ARGONAUTA ST CBAD
PME
2154600700 Lot#
KIM RES- REPLACE 3 FAU'S
SAME LOCATIONS - SAME BTU'S (2 IN ATTIC)
Status
Applied.
Entered By
Plan Approved'
Issued
Inspect Area
ISSUED
05/30/2013
RMA
05/30/2013
05/30/2013
Applicant
REM MECHANICAL
STE A
1075 LINDA VISTA DR
SAN MARCOS CA 92078
760 471-1755
Owner
KIM FAMILY TRUST 02-08-02
2622 ARGONAUTA ST
CARLSBAD CA 92009
Plumbing Fees
Electrical Fees
Mechanical Fees
other PME Fees
$0 00
$0 00
$154 00
$0 00
TOTAL PERMIT FEES $154 00
Total Fees $154 00 Total Payments To Date $154 00 Balance Due: $0.00
Inspector Clearance
NOTICE Please take NOTIC^at approval ol 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 lile 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 nght 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired
THE FOaOWING APPROVALS REQUIRED PRIOR TO PERMtr ISSUANCE: • PLANNING •ENGINEERING Q] BUILDING DRRE • HEALTH • HAZMAT/APCD
Plan Check No. (^j) I j IJ Sd-
^ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax. 760-602-8558
email: buldllng@carlsbadca.gov
w^ww carlsbadca.gov
Est. Value
Plan Ck. Deposit
Am y
SWPP
JOB ADDRESS SDffE#7SPACE#/P*f»
CT/PROJECT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Areafs)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES • # NO •
AIR CONDITIONING
YES •NOD
FIRE SPRINKLERS
YES • NO •
APPLICAm NAME (Primary Contact) APPLICANT NAME (Secondary Contact)
ADDRESS
-J^2^AAMi
O^f STATE
ADDRESS
CITY
PHONE
STATE
FAX
ZIP CITY STATE ZIP
PHONE FAX
EMAIL
PROPERTY OWNER NAME CONTRACTOiKBU;. NAME .
ADDRESS ADDRESS
CITY STATE CITY STATE ZIP
PHONE
EMAIL
FAX PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS CLASS CITYjBUS LIC#
, also requires the (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 thi
applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Prcfessions Code) or that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 7031 5 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500))
Workers' Compensation Declaration / hereby afTirm under penalty of peijury one of the following declarations
O 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 ofthe work for which this permit is issued
^ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued My workers' compensation insurance earner and
numberare InsuranceCo. ^^CUI^lXtf AjAnoMAt, Xiu< • 60 PohcyNo SrtA/^iQi3333 Expiration Date f/n//^
policy
This section need not be completed if the permit is for one hundred dollars ($100) or less
O Certiricate of Exemption. I certify that in the perfomiance of the work 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 coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), 1
addition to the cost of compensation, damages as provided for in Section 3706 ofthe Labor code, interest and attomey's fees
JS^ CONTRACTOR SIGNATURE •AGENT DATE
/ hereby affirm that I am exennpt from Contractor's bcense Law for the following reason
O 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 wo* 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 lhat he did not build or improve for the purpose of sale)
• I, as owner of the property, am exclusively contractng 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 bcense Law)
O I am exempt under Section Business and Professions Code for this reason
1 I personally plan to pnjvide the major labor and matenals for construction of the proposed property improvement O Yes O No
2 I (have / have not) signed an application for a building pemiit for the proposed work
3 I have contracted with the following person (fimn) 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 / address / phone / 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 / type of worti)
I PROPERTY OWNER SIGNATURE •AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acf • Yes • No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management distncP O Yes O 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
I hereby affirm tfiat there is a construction lending agency for the perfonnance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
I certify that I have read ttie application and statie ttiat tie above infomnation is conect and thatthe infomiation on ttie plans is accuiate I agree to comply witii all CHy ordinances and Stale laws relating to building construction.
I hereby authorize representative of the City of Cartsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFT 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 An OSHA permit IS required fbr excavations over 5'0'deep and demolition or constmction of sfructures overSstones in height
EXPIRATION Eveiy permit issued by the Building Official under the provisons of this Code shall expire by limitation and become null and voKi if the building or vroik authorized by such pennit is not commenced within
180 days fiom the date of such pemnit or if the building or wik authonzed by such pennit is suspended or abandoned at any time after the vrork is commenced for a oenod of 180 days (Section 106 4 4 Uniform Building Code)
vgS"APPLICANT'S SIGNATURE DATE
for a Dei
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 www buildinq(S)carlsbadea gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, California 92008
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
BUILDING ADDRESS
CITY STATE CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS LIC No
DELIVERY OFTIONS
• PICK UP: c CONTACT (Listed above) • OCCUPANT (Listed above)
Ll CONTRACTOR (On Pg 1)
• MAIL TO: D CONTACT (Listed above) • OCCUPANT (Listed above)
• CONTRACTOR (On Pg 1)
• MAIL/FAX TO OTHER:
• ASSOCIATED CB#--
D NO CHANGE IN USE / NO CONSTRUCTiON
• CHANGE OF USE / NO CONSTRUCTION
ygS"APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB131350 Type: PME KIM RES-REPLACE 3 FAU'S
SAME LOCATIONS - SAME BTU'S (2 IN AT
Date Inspection Item Inspector Act Comments
06/18/2013 43 AirCond/Furnace Set - Rl AM PLS
06/18/2013 43 AirCond/Furnace Set PY AP
06/18/2013 49 Final Mechanical - Rl
06/18/2013 49 Final Mechanical PY AP
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