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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 Thursday, June 20, 2013 Page 1 of 1