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HomeMy WebLinkAbout2641 OCEAN ST; ; CB130968; Permit04-15-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB130968 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2641 OCEAN ST CBAD PME 2031400900 Lot# PORTER RES - REPLACE TWO CONDENSERS ON ROOF, SAME SIZE AND LOCATION Status Applied Entered By F'lan Approved Issued Inspect Area ISSUED 04/15/2013 SKS 04/15/2013 04/15/2013 Applicant MAN-AIR Owner COOK JOAN D SEPARATE PROPERTY TRUST 05-15-81 19215 INGOMAR ST RESEDA CA 91335 818-772-2946 7040 AVENIDA ENCINAS #104-369 CARLSBAD CA 92011 Plumbing Fees Electrical Fees Mechanical Fees Ottier 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 FINAL APPROVAL Date JUJ^ldl^ 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 "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 fees/fixantions of which vou have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has previously othew/ise expired [THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE; • PLANNING • ENGINEERING • BUILDING DFIRE • HEALTH • HAZMAT/APCD Plan Check No. {y(^ | 3> ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov Vj^wvy.carlsbadca gov Est. Value Plan Ck. Deposit JOB ADDRESS SUITE#/SPACE#/UNIT# CT/PROJECT # 9^ PHASE # • # OF UNITS tt BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD # NO • AIR CONDITIONING YES • NO • FIRE SPRINKLERS YES • NOD APPLICANT NAME (Primary Contact) APPLICANTNAME (Secondary Contact) ADDRESS 4 ZIP STATE ZIP PHONE FAX i<i^ y>'X y?^^ ""ML r ^ A PHONE EMAIL EMAIL FAX PROPERTY OWKER NAME CONTRACTOR BUS. NAME ADDRESS f ZIP PHONE ^ . ARCH/DESIGNER NAME & ADDRESS CITY BUS Uf# (Sec 7031 5 Business and Professions Code Any City or County wiiicli requires a permit to construct, alter, improve, demolisti or repair any structure, prior tc its issuandd, also requires ttie 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, 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 five hundred dollars ($500)) numberare InsuranceCo. Policy No '^IAJC [QL'S>r Expiration Date Workers' Compensation Declaration / hereby affimi under penalty of perjury 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 pemiit is issued 0 I have and will maintain workers' compensation, as requipd by Sectpn 3700 of ttie Labor Code, for the perfomiance of the work for which this pemiit is issued My workers' compensation insurance camer and policy ^^CufAy A)/».L>rt^/ i-vl Policy No '^IxJC tO [QL'S>r Expiration Date ^// /O This section need not be completed if the perniit is fat one hundred dollars ($100) or less n Certificate of Exemption' I certify that in the performance of the work for which this pemiit 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 employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damage^s prov)^ for in Section 3706 of the Labor code, interest and attomey's fees. yfiS" CONTRACTOR SIGNATURE /J^'^t^^ OAGENT DATE / hereby affirm that I am exempt 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 tor 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 tor sale If, however, the building or improvement is sold within one year ot 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 pnDperty, 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 t I personally plan to provide the major labor and matenals for construction of the proposed property improvement • Yes • No 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (fimi) 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, supen/ise 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 work) yeTpROPERTY OWNER SIGNATURE •AGENT DATE Is the applicant or future buildmg 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 AcP O Yes O No Is the applicant or luture building occupant required to obtain a penrat from the air pollution control distnct or air quality management distncP O Yes • No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site'' [3 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 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 I ceitly that I have read the applicabon and state thatthe above infonnaton is conect and thatthe infoimabon on ttie plans is accurate I agree to comply witti all City ordinances and State laws relatng to building constucton. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection 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 ClPi' 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 structures over 3 stcnes in height EXPIRATION Every permit issued by the Building Qfeial under ttig^rovisions cf this Code shall expire by limitation and become null and void if the building orwork authonzed by such perniit is not commenced within 180 days (torn the date of such peimit or if the budmB or work aminzed by such pennit is suspended or abandoned at any time after the work is oommenoed for a penod of 180 days (Section 106 4 4 Unifami Building Code) yfiS"APPLICANT'S SIGNATURE 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. c c U P A N I ( C o m I Only; Fax (760) 602-8560, Email www buildingtSjcarlsbadca gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008 C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME BUILDING ADDRESS STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EiVIAIL OCCUPANT'S BUS LiC No DELIVERY OPTIONS • PICK UP: D CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg 1) • MAIL TO: • CONTACT (Listed above) • OCCUPANT (Listed above) D CONTRACTOR (On Pg 1) • MAIL / FAX TO OTHER: • ASSOCIATED CB#-- • NO CHANGE IN USE/NO CONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION vgf APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB130968 Type: PME PORTER RES - REPLACE TWO CONDENSERS ON ROOF, SAME SIZE AN Date Inspection Item Inspector Act Comments 04/19/2013 43 AirCond/Furnace Set - Rl AM PLS - TWO UNITS ON ROOF 04/19/2013 43 AirCond/Furnace Set ' PY AP 04/19/2013 44 Rough/Ducts/Dampers PY AP 04/19/2013 49 Final Mechanical - Rl 04/19/2013 49 Final Mechanical PY AP Monday, April 22, 2013 Page 1 of 1