HomeMy WebLinkAbout2715 ABEDUL ST; ; CB152134; Permit07-09-2015
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB 152134
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
2715 ABEDUL ST CBAD
PIVIE
2153502300 Lot#:
RABABY RES= REPLACE A/C
CONDENSER LIKE FOR LIKE SAME LOCATION
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/09/2015
LSM
07/09/2015
07/09/2015
Applicant:
WILSON HEATING & AIR
Owner:
RABABY FAMILY TRUST 11-06-12
3270 MADISON ST
CARLSBAD CA 92008
760 415-4380
2715 ABEDULST
CARLSBAD CA 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
Inspector:
FINAL
Date:
L APPROVAL
Clearance:
NOTICE: Piease tal^e NOTICE ttiat approval of your project includes ttie "Imposition" of fees, dedications, reservations, or ottier exactions tiereafter collectively
refen-ed to as "fees/exactions." You have 90 days from ttie date ttiis pennit was issued to protest imposition of ttiese 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 Carisbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attacl<,
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/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othen//ise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMITISSUANCE: DPLANNING nENGINEERING OBUILDING OFIRE nHEALTH nHAZMAT/APCD
Ccityof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Pfi: 760-602-2719 Fax:760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. (l6>/S^-[3^
Est. Value
Plan Ck. Deposit
Date SWPPP
JOBADDRESS SUITE«/SPACEi/UNIT*
CT/PROJECT # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OFWORK: (nc/uifeSiriiareFeetofAffected>lrea(s; / - y ^
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES|~|# N0| I
AIR CONDITIONING
YES I I NO I I
FIRESPRINKLERS
YES I |NO| I
APPLICANT NAME
Primary Contact
PROPERTYOWNER
ADDRESS ADDRESS
CITY . STATE ZIP CITY STATE ^4 ZIP ^
PHONE , , ,_ PHONE FAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE CA
PHONE FAX PHONE FAX
9^5-f 75'
CLASS CITY BUS. LIC.#
(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 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 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)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affinn under penalty of perjury one of tlie following declarations:
HI 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 of the work for which this pennit is issued.
I have and will maintain workers' compensatian, as required by Section 3700 of the Labor Code, for the perfomiance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. Expiration Dale
This sectioft need not be completed if the permit is for one hundred dollars ($100) or less.
K^<Certificate of Exemption: I certity that in the perfomiance 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
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 as provided for In Section 3706 of the Labor code, Interest and attomey's fees. / /
JS^ CONTRACTOR SIGNATURE • AGENT DATE
IIWNER BUILDER OECLARATION
/ tiereby affinn that I am exenipt from Contractor's Ucense Law for the following reason:
[ I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture 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 imprave for the purpose of sale).
•
•
I, as owner of the property, am exclusively contracting with licensed contractors to constnict the praject (Sec, 7044, Business and Professions Code: The Contractor's License Law does nol 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),
am exempt under Section _ .Business and Prafessions Code for this reason:
1,1 personally plan to provide the major labor and materials for construction of the proposed property improvement. QVes I |No
2. i (have / have not) signed an application for a building pemiit for the proposed work.
3.1 have conlracted with the following person (fimi) to provide the proposed constmction (Include name address / phone / contractors' license number):
4,1 plan to provide portions of the wori(, but I have hired the following person to coordinate, supereise and provide the major work (include name / address / phone / contractors' license number):
5,1 will provide some of the work, but I have contracted (hired) the following persons to provide the wort( indicated (include name / address / phone / type of wori<):
/efpROPERTY OWNER SIGNATURE []AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIOENTIAL BUILOING PERMITS ONLY
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 perniit from the air pollution control 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I iiereby affirm ttiat there is a constmction lending agency for the perfomnance of the work this pemnit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certif that I have read the appllcatton and state thatthe above infbmiation is conect and that the infbmiation on the plans is accurate. I agree to comply wHh all Cl^ oidinances and State laws relating to building constnictnn.
I hereby auihorize representative of the City of Carlsbad to enter upon the above mentioned praperty for inspection purposes. I ALSO AGI^E 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: An OSHA pemnit is required for excavations over 5'0' deep and demolition or constmction of stmctures over 3 stories in height.
EXPIRATION: Every pennit issued by the Building Offcial under the provisions of this (Me shall expire by limitation and become null and void if the building or work aulhorized by such pemiit is not commenced within
180 days from the date of such permit or if the building or/aiV. authorized by such pemiit is suspended or abandoned at any time after the work is commenced for a pentxj of 1 SC/days (Seclion 106.4.4 Uniform Building Code).
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 buildinQ(a>cai1sbaclca.aov or Mail the completed fonn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Usted above) ASSOCIATED CB#-
MAIL/FAX TO OTHER:
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
jeiAPPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB152134 Type: PME
Date [nspection Item
07/15/2015 43 AirCond/Furnace Set
07/15/2015 43 AirCond/Furnace Set
07/15/2015 49 Final Mechanical
07/15/2015 49 Final Mechanical
Inspector Act
Rl
AEK AP
Rl
AEK Fl
RABABY RES= REPLACE A/C
CONDENSER LIKE FOR LIKE SAME LOC
Comments
AM PLEASE
AM PLEASE
Wednesday, July 15, 2015 Page 1 of 1