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HomeMy WebLinkAbout2683 ALAMEDA CIR; ; CB151031; Permit04-07-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB151031 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2683 ALAMEDA CR CBAD PIVIE 2131900437 Lot#: ALLEN: REPLACE FURNACE & AC Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/07/2015 JMA 04/07/2015 04/07/2015 Applicant: SHERLOCK HEATING & AIR CONDITIONING INC STE 104 2880 SCOTT ST VISTA CA 92081-8560 760-295-5014 Owner: CHIU GLORIA 2683 ALAMEDA CIR CARLSBADCA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0,00 $0.00 $160.00 $0.00 TOTAL PERMIT FEES $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00 J FINAL APPROVAL •<f Date: j-^^-T^ Inspector: Clearance: NOTICE: Please take NOTICE that approval of your project includes tiie "Imposition" of fees, dedications, reservations, or otiier exactions liereafter collectively referred to as "fees/exactions." You iiave 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 IVlunicipal 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 sen/ice 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 otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING nENGINEERING •BUILDING DFIRE •HEALTH •HAZMAT/APCD Ccityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. Qfi (S- (Q^l Est. Value Plan Ck. Deposit Date SWPPP SUITE*/SPACE«/UNIT* CT/PROJECT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~|# NOj I AIR CONDITIONING YES I INO I I FIRE SPRINKLERS YES I |NO| I APPLICANT NAME Primary Con PROPERTYOWNER ADDRESS ADDRESS CITY CITY ~. -X .-^ . I . I V- _ jFAX PHONE EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS Seo^ Sir ^^^^ CITY STATE ZIP CITY STATE PHONE PHONI EMAIL ^,<v-l t .... ^ CLASS CITY BUS. LIC.# _ (Sec. 7031.5 Business and Professions Code; Any City or County which requires a permitto construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicantfor such permitto 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 ofthe 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}). WORKCmS' COMPENSATION Workers'Compensation Declaration: I hereby afUmi under penalty of peijury one of the following declarations: lhave and will maintain a certificate of consent to selMnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pemiit is issued. Eih have and will maintain workers' compensation, as reguired by Section 3ZpO of the Labor Code, for the perfomiance of the work for which this pemiit is issued. My workers' compensation msurance carrier and policy number are: Insurance Co. K')|V\m<^Y\ \V\S - Cp. Policy No. RVMQCH^ 10 V^^H Expiration Date ^ [ M t ^ This section need not be completed if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. 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), In addition to the cost of compensation, damages^s prowded for in Section 3706 of the Labor code, interest and attomey's fees. , /gf CONTRACTORSIGNATURE /^yO^^OCr^ [^AGENT DATE Ht~]l\^ I hereby affimi that I am exempt from Contractor's Ucense Law for the following reason: I I 1, 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-builder will have the burden of proving that he did not build or improve for the purpose of sale). I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professions Code: The Contractors 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 Ucense Law). I I I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. QYes I INO 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3.1 have contracted with the following person (firni) tb provide the proposed constniction (include name address / phone / contrxtors' license number): 4.1 plan to provide portions of the work, but 1 have hired the following person to coordinate, supereise and provide the major work (include name / address / phone / contractors' license number): 5.1 will pravide some of the work, but 1 have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE •AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the applicant or future building occupant required to obtain a permit from the air poilution controi district or air quality management district? Yes 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 L E N 0 I N 43 AGE N C Y 1 hereby affirm that there is a construction lending agency fbr the performance of the work this pemiit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address ::^,„|»'P L I C il^ nS CERTIFICATION,,' I certi^ that I have read the applkxitnn and state thatthe above infbmiation is conectand thatthe infbmiation on the plans is accuiate. I agiee to complywith all City oidinances and State laws relating to building constnictKin. I hereby authorize representative ofthe City of Carisbad to enter upon the above mentioned property for inspeclion purposes. 1 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 PERMfT. OSHA: An OSHA pennit is nequred fbr excavations over 5'0' deep and demolitbn or constnjction of stmctures over 3 stories in height. EXPIRATION: Every pennit issued by the Building Oflicial under theiirovistons of this Code shall expire by limitation and become null and void if the building or wortc authorized by such pennit is not commenced within 180 days from the date of such pennit or if Ihe buildipg or wortc^oiized by such pemiit is suspended or abandoned at any (me after the wori< is commenced for a period of 180 days (Sectbn 106.4.4 Unifbmi Building Code). vfifAPPLICANT'S SIGNATUI 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(5)cai1sbadca.qov or Mail the completed fomi to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAIVIE OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE CITY Carlsbad CA PHONE FAX OCCUPANT S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB151031 Type: PME ALLEN: REPLACE FURNACE & AC Date Inspection Item Inspector Act Comments 06/11/2015 43 AirCond/Furnace Set - Rl 06/11/2015 43 AirCond/Furnace Set PB AP 06/11/2015 49 FinalMechanical - Rl Monday, June 15, 2015 Page 1 of 1