HomeMy WebLinkAbout2642 CAZADERO DR; ; CB154582; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
12-28-2015 Permit No: CB 154582
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
2642 CAZADERO DR CBAD
PME
2153003302
COLEMAN: REPLACE FAU
COASTAL REFRIGERATION
APT I
6525 PASEO FRONTERA
CARLSBAD CA 92009-4534
760-683-5683
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
COLEMAN FAMILY TRUST 02-03-12
2376 TERRAZA PANGA
CARLSBAD CA 92009
ISSUED
12/28/2015
JMA
12/28/2015
12/28/2015
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: !/-!) -/~ Clearance:
$0.00
NanCE Please take NOTlCE that approval of your prqed includes the "lrrpcsition'' ci fees, dedications, reservatims, or other exactims hereafter aJ!IectivEliy
refooed to as "fees! exactions." You have 00 days from the date this pemit \MlS issued to protest irrpcsition of these fees! exactions. If you pretest them, you rrust
fallON the protest prc:cedures set forth in Governrrent Code Section 66020(a), and tile the protest and arw other required inforrmtion wth the Oty Manager for
processing in aa;ordancewth Carlsbad 1\ttJnidpal Code Section 3.32.030. FailuretotirrelyfdiOJVthat prc:cedurewll bar arwsubsequent legal action to attack,
review, set aside, void, or annul their irrpcsition.
You are hereby FURTl-iER NOTlFlED that your right to protest the s[Edtied feeslexactims OCES NOT APPLY tow.3ler and f'BIVer oonr'ffiion fees and a:lflOClty
changes, ror planning, zoning, grading or other sirrilar application processing or service fees in oonrmion wth this prqect. NOR OCES IT APPLY to arw
feeslexactims of \1\hich have ·ous1 been ·vena NOllCE sirrilar to this or as to Wich the statute of lirritatims has eviousl othenMse "red.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OFIRE OHEALTH OHAZMATIAPCD
{'city of Building Permit Application Plan Check No. CB l5·L15Bz
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date lvrt-Vf 1 5 lsWPPP
JOB ADDRESS_"/ to_ £/:2. :J ~ })f,. SUITE#/SPACE#/UNIT# IAPN {/1 2 JifE'..P,r e7 ---t:z< {
CT/PROJECT # 'LOT# JPHASE # I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. lYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) LPtC'~<'e ~.krrh.ht" 7/f{/.
0
EXISTING USE PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 'AIR CONDITIONING I FIRE SPRINKLERS
YEsO_ NoD YES0No0 YESONoO
APPLICANT NAME Jer/1 tlooJl-,1'1 PROPERTY OWNER . .£t I .c: k,?;?,PA/ Primary Contact 'll"/-1-'-AD~ ::), · z~ as~a p;.?lr4 Ct?1, YC ADD~z ~ d ,., ;;< ('4 2/J·eft/ iJ /)/
CITYn . L. I -/n.!M-~ s{)f-~ZoeJ9 CIG)_ '-b t /f.r If. #a ~ 72cJo7
r-7b6) h8:J -5bg.J' I FAX PHONE I FAX
f.EJVlAIL/ EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ('M.s~l ;ee r:;; f / 1}'/?;p, Jl
ADDRESS
ADDZ:Sz..s ~.J-lb :;;::__,~r---~ q--1'"~ ~
CITY STATE ZIP CL!~_£~~d aTE ~ 7 /1! ?OO
PHONE I FAX POONE I FAX
EMAIL EMAIL
'STATE LIC. # ST~7¥7Z9 /f!tP'o /c/:Js~do 3
(Sec. 7031.5 Busmess and Professions Code. Any City or County wh1ch requires a perm1t to construct, alter, Improve, demolish or repair any structure, pnor to 1ts Issuance, also reqUJres 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, commending with Section 7000 of Division 3 of the Business and Professions Code} or fhat 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}).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Dfove 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 of the work for which this permit is issued.
n2J I have and will maintain workers' compen~~n, as ijquired by Section 3700 of the Labor Code, for the performance of th; wp~or which t~is pe';Tllit is issued. My workers' compensation i uranc · .arrier and policy
number are: Insurance Co. 1/Ar l&c~ t/ Policy No. 7 b {t/)::; If ,A!:;t..( ffll '/ Expiration Date ~ / D
This section need not be completed if the permit is for one hundred dollars ($1 00) or I 0 Certificate of Exemption: I certify that in the of the work for i 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 •• , ...... w'""'""' COJ1(Pe:nsation CO\rer!oae.fs and shall subject an employer to criminal penalties and civil fines up to one hundred dollars (&100,000}, in
D
D
Labor code, interest and attorney's fees.
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 building or improvement is sold within one year of completion, the owner-builderwill 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 proposed property improvement DYes 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 I phone I 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 I 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 I phone I type of work):
JiS PROPERTY OWNER SIGNATURE 0AGENT DATE
I certify that I have read the application and state that the above information is correct and thatthe information on the plans is accurate. I agree to comply with all City ordinances and State law.; relating to building construction.
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 WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over i of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building I Code shall expire by limitation and become null and void if the building or work authorized
180 days from the date of such permit or if the il permit is suspended or abandoned at any time after the work is commenced for a
_N$ 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.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 .
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CO NT ACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER:-----------------
A$ APPLICANT'S SIGNATURE
• (Office Use Only)
CA
ASSOCIATED CB#•---------·----
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
Inspection List
Permit#: CB154582 Type: PME
Date _ _l_nspe~tionJ!:em ·--···---·--·--
06/13/2016 43 AirCond/Furnace Set
06/13/2016 43 AirCond/Furnace Set
06/13/2016 49 Final Mechanical
06/13/2016 49 Final Mechanical
05/26/2016 43 AirCond/Furnace Set
Tuesday, June 14, 2016
COLEMAN:REPLACEFAU
Inspector Act Comments
Rl AM PLEASE
PB AP
Rl AM PLEASE
PB AP
PB NR
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