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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