HomeMy WebLinkAbout2708 LA DUELA LN; ; CB153471; Permit10-14-2015
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
ASI HASTINGS
STE 200
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB153471
Building Inspection Request Line (760) 602-2725
2708 LA DUELA LN CBAD
PME
2550922200 Lot#: 0
CLANCY RES-REPLACE FAU & ADD
NEW NC UNIT-WITH ELECTRIC
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/14/2015
RMA
10/14/2015
10/14/2015
CLANCY CHRISTOPHER&KERRY TRUST 07-31-02
4870 VIEWRIDGE AV
SAN DIEGO CA 92123
619-590-9300
2708 LA DUELA LN
CARLSBAD CA 92009
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
$0.00
$38.00
$163.00
$0.00
$201.00
Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due:
FINAL /1.PP,ROVAL
Date: Hl I l.i 1.c; Clearance:
$0.00
NOTlCE: Please ta<e NOTlCE that FW'C'.'a ci \W" ?'(ied indudes the "lrTJ)C6ition' ci fees, declcaticn;, -= ex ether exajjcr,; -o:Jledively referroo to as "fees'exroicn;" Yoo raie 00 da)S fraT1 the date ths peirrit""" issued to pretest irrpositlrn ci these fees'""'1'.Ii<n;. If )OJ pretest trem )OJ m..st
fcJIONtre pretest~ set forth in Goierrmrt Cooe Sedirn 60020(a), a"dfilethe pretest a"d a,ycther ""!,ired infmretirnwththeOty"""-fcr
Jl'OO'SSing in aax:rda-cewth Qr1sba:I Mridpa Cooe Sedirn 3.32.CID. FalLretotimelytalONthat J)'(Xl'WBWII ta'a,y s,.b;aµrn lig, adioo to attack,
re/leN, set aside, vdd, a ant tt"eir irT'fX)3iticn
Yoo ae herel:>/ FlRII-ER NOllREDthat \QJ rigt to pretest thespedfied fees'exaiicn; IXES r,.or APPLYtov.aera"d SEM8'0CJ1nedioo fees ,rd~
cnrges, ncx ptmng, zcnrg ga::ing ex ether srril"' appticatirn pn:x,,ssing ex senAc:e fees in OCJ1nedioo wth ths prcjed. NCR IXES IT APPLY to a,y
f . cJ 11\hdl ,...,. , . ' NCJTlCE. c_.;....,•la-tn lhi<> • dl Id liM+~jl"lrl<> . . .
'
THE FOLLOWINC,APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCD
-{~ Building Permit Application Plan Check No. (.'JI,/) 2> C(7 j
~ .. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value -~ • I
~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 ')_, Plan Ck. Dpposi) CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov 1 VI Date In /ru '/r lswPPP
JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 2708 LA DUELA LN ---
CT/PROJECT# ILOT # 'PHASE# I# Of UNI Is I# BEDROOMS # BATHROvMS I TENANT BUSINESS NAME I CvNSTA. TYPE I OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
CHANGE OUT FURNACE. ADD AC, COIL AND DUCTING. WITH ELECTRICAL
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YESO, No[J YES □No□ YES □Noo
APPLICANT NAME ERIC BARNETT PROPERTY OWNER NAME KERRY CLANCY p..,.· . ,. n•--
ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 2708 LA DUELA LN
CITY STATE ZIP CITY STATE ZIP san dieqo ca 92123 CARLSBAD CA 92009
PHONE I FAX PHONE /FAX 619-590-9337 7603949940
EMAIL EMAIL ERIC@WEGREENINC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinqs
ADDRESS ADDRESS 4870 viewridge ave
CITY STATE ZIP CITY STATE ZIP san dieqo ca 92131
PHONE l'AX PHONE /FAX 619-590-9337
EMAIL EMAIL
l STATE LIC, # STATE LIC.# I CLASS I CITY BUS. LIC 1200804 513115 c20
(Sec: 7031.5 Busmess ~nd Profe~1ons Code: Any City or C~un_ty which requires a permit to,c9nstruct, alter, improve, ~emohsh or repair an}:' structure, p_nor to its issuance, also req1,J1res the applicant for such per_m1t to file a signed sU;ttement that he 1s licensed pursu~nt to the prov1s1ons of ti:ie Contra~tor•~ License [,aw /Chapter 9, comme_nd1ng with Section 7QOO of Division 3 of the Business and Professions Code} or that he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on 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
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain I certificate of consent lo 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. 0 I have ■nd wlll maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, My workers' compensation insurance carrier and policy
number are: Insurance Co CYPRESS INS Policy No. ASWC605204 Expiration Date 9/1/16
~section need not be completed if the permit is for one hundred dollars ($100) or less.
LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California WARNING: Failure lo secure workers' compensation coverage Is unlawful, and shall eubject an employer to criminal penalties and civil finn up to one hundred thousand dollar$ (&100,000), in
addition to the cost of compeneatlon, damages as prov id for in Section 3706 of the Labor code, interest and attomey'e fees.
RS CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the following reason·
□
□
□
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 Contractors
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himsell 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, as owner of the property, am exclusively contracting with licensed contractors to construct 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 Contractors License Law).
I am exempt under Section ____ Business and Professions Code for this reason:
1. I personalty plan to provide the ma,ior labor and materials for construction of the proposed property improvement. 0Yes Oo
2. I (have I have not) signed an application for a building permtt for the proposed work.
3. I have contracted with the following person (firm) lo provide the proposed construction (include name address / phone/ contractors' IK:ense 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 I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persor1s to provide the work indicated (include name I address/ phone I type of work):
RS PROPERTY OWNER SIGNATURE □AGENT DATE \o· \ ~ \')
,, '
CCMPLETE ,THIS SECTION l'OR NON-RESIDENTIAL BUILDING PERMITS ONLY .
Is the applicant or future building occupant required to submit a business plan, acutely hazardous maten'als 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 pollution cootrol 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? O 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.
CONSTRUCTION LENDING AGENCY ..
l hereby affirm that there is a construction lending agency for the performance of the work this permit is issued {Sec. 3097 (1) Civil Code).
Lender's Name Lender's Address
APP:LICANT CERTIFICATION ·. . . . "
I certify that I have read the appllcatlon and state that the above lnfonnatlon Is correct and that the lnfonnatlon on the plans Is accurate. I agree to comply with all City on:lilances and State laws relating to building construction.
I hereby aulhooze represenlative of the CH)' of Callsbad lo eoter upon the abo\18 mentioned property !Jr '1spection 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 CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA pem,t is requred for excavalions,,,.. 5'0' deep and demofb or construction of slruciUres rmr 3 stories i1 heiJht
EXPIRATION: EV8fY permit issued by the Buik:ling Offdal under the pl'CMSions of this Code shall expie by Imitation and become nul and vOKI if the building or WOfk authoriZed by such pemit is not commenced vmhin
180 days from the dale of such perm! or a the buidr,g oc""'1< au1h · ed by such pennit • suspended or abandoned al"1'/ tine aftl!r the ""'1< is commeoced !Jr a period of 180 dl (~06.4.4 Uniform Buiklng Code).
A$ APPLICANT~ SIGNATURE DATE \ O , I I , l )
Inspection List
Pennit#: CB153471 Type: PME
Date lns_J)ection Item
11/16/2015 43 AirCond/Furnace Set
11/16/2015 43 AirCond/Furnace Set
11/16/2015 49 Final Mechanical
11/16/2015 49 Final Mechanical
Monday, November 16, 2015
Inspector
MC
MC
Act
RI
AP
RI
Fl
CLANCY RES-REPLACE FAU & ADD
NEW A/C UNIT-WITH ELECTRIC
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