HomeMy WebLinkAbout2716 GROVE AVE; ; CB131830; Permit07-31-2013
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB131830
Building Inspection Request Line (760) 602-2725
2716 GROVE AV CBAD
PME
1563324200
DIEHR RES-CONVERT FAU TO
Lot#: 0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
3TON HEAT PUMP & AIR HANDLER SYSTEM/ REPLACE 9 DUCTS/
ELECTRIC
Owner:
ISSUED
07/31/2013
LSM
07/31/2013
07/31/2013
SHERLOCK HEATING & AIR CONDITIONING INC
STE 100
DIEHR MICHAEL C&SEDWICK CAITLIN E
1355GRANDAV
SAN MARCOS CA 92078
760-295-5014
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2716 GROVE AVE
CARLSBAD CA 92008
$0.00
$31.00
$154.00
$0.00
$185.00
Total Fees: $185.00 Total Payments To Date: $185.00 Balance Due:
Inspector: Clearance:
$0.00
NOTICE: Please take NO ICE that approval of your project includes the "Im ition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
fo!low 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 Municipal 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 service fees in connection with this project. NOR DOES IT APPLY to any
f fwhih v rvi I N Tl E imilr whi f\i in h I hrwl
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING •ENGINEERING •BUILDING •FIRE •HEALTH 0HAZMATIAPCO
<<,~ Building Permit Application Plan Check No.(!& ( 3 I 11 W
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY 0 F Ph: 760-602-2719 Fax: 760-602-8558
CARLSBAD email: building@carlsbadca.gov Plan Ck. Deposit
www.carlsbadca.gov Date 7 /3 I I I~ ISWPPP
JOB ADDRESS SUITEf/SPACEf/UNIH IAPN ---r...,,..., ~ A'Je.. 771(0
CT/PROJECT# LOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
~,f'\o..c.c_ Con'\lCX-S;OV"'\ \o 3-\-o..--\..:ice...-\ t''-'"" \::> ~ A,c-\.l o,,_nd_\.,,,-!;.'-l s\-.._"""' -
\<e.f'\ e>.c.e. q_ Dvc..-\-~ w/ eLee.-r
EXlSTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF)
YES[),
IAIR CONDITIONING I FIRE SPRINKLERS
•o[J vesO•oD vesO•oD
APP~__:rNAME (Prim~ Contact) APPLICANT NAME (Secondary Contact) ' . ___ ,
ADDRESS ADDRESS
Z.SZSI A\e.s"'o.~-'--~h~
CITY STATE ZIP CITY STATE ZIP
f'\oreY10 \I o..\\e.--i. CA '<2.553
PHONE IFAX PHONE IFAX QSI -Z'l I -C..ls 7to
EMAIL EMAIL
PR~{'r' _ow~ft:..h COSACTOR f~S: ,~MELI \ ' h--e. -.E;. A,r
ADDRESS ADDRESS ...,
2.711,, 6n:,"e. Ii '-C 135c ,-' A.·-~100
CITY STATE ZIP CITY STATE ZIP t 1'>.~\s\,~ -l CA 920(j8 .5c,,.'"' '\Y\:,,:rcc ..-. CA '1Z078
PHONE IFAX PHONE I FAX 1?5.8--._.,.,-_ -b8'-i2.. 7bD-Z'l5---'
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# I CLASS l'"'/0-~c,~ 80<-l ~38 CW
(Sec. 7031.5 Business and Professions Code: Any City or Coun,ty which requires a permit to_c_onstruct, alter, improve. demolish or repair an~ structure, pnor to Its issuance, also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 oft he Business and Professions Code} or that he 1s exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 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 penal!'/ of perjury one of the following declarations: J:J I 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 perfonnance of the work for which this permit is issued.
~I have and wlll maintain workers' c~mpensation, as reQUi~ bv Section 3700 of the Labor Code, for the performance of the wmk for which this permit is issued. My workers' compensation lsu1nce carrier and policy
numberare:lnsuranceCo. Zv"C',c.°h Ame,.1'\CA.,~ PolicyNo. WC..foSL/0':f./Q·OO Exp1ralionDate R l J::?>
~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 to secure workers' compensation covenge 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 attorney's fees.
~ CONTRACTOR SIGNATURE $._ ~ ~ ~
I hereby affirm that I am exempt from Contractor's License Law for the fol/owing reason: •
•
•
I, as owner of the property or my employees with wages as their sole compe11sation, 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, 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 sud, 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 personal!y plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No
2. I (have/ have not) signed an application for a building pennit for the proposed work,
3. I have contracted with the following person (finn) to provide the proposed construction (include name address/ 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. ! will provide some of the work, but l have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
~ PROPERTY OWNER SIGNATURE •AGENT DATE
I
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING 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
ls the applicant or future building occupant required to obtain a permit 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 hereby affirm that there Is a construction lending agency for the performance of the work this penmt Is issued (Sec 3097 (1) CIVIi Code)
lender's Name lender's Address
APPLICANT (:~RTIFICATION
I certify that I have 188d the application and state that the above lnfonnatlon Is correct and that the infunnalion on the plans Is accurate. I agree tD comply with all Cify ordinances and Sta1e lav,s relating tD buUdlng construction.
I hereby aulhor28 representative of the City of Carlsbad to enter up:m the aoove mentioned property klr inspection purp:>SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSMD
AGAINST AlL LIABILITIES, JUIX,MENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID Crri IN CCl'JSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA permtt is requred b" excavations over 5'0' deep and demolltk:m or construcik:ln of structures over 3 stories ll hei;Jht.
EXPIRATION: Every J):lnnit 'Lssued by the Buik:ling Official under the provisk:lns of this Code shall expire by limitation and berome null and vod ~ the b.Jik:ling or YIOO<. authorized by such permit is not oommenood \\1thin
180days from the date of such permit or if the b.Jilding or'AOrk authorized by such permit is suspended or abanooned at any time after the w)rk is cximmenCBd for a J):lood of 180 days (Section 100.4.4 Uniform Building Code).
~ APPLICANT'S SIGNATURE DATE 7):.1 \=,
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.
CO#: (Office Use Onry)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL 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 (Listed above)
MAIL/ FAX TOOTMER: _______________ _
,15 APPLICANT'S SIGNATURE
ASSOCIATED CB#-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB131830 Type: PME
Date lnspectio_n_ltem
08/19/2013 43 AirCond/Furnace Set
08/19/2013 43 AirCond/Furnace Set
08/19/2013 49 Final Mechanical
Wednesday, August 21, 2013
Inspector Act
RI
PY AP
PY AP
DIEHR RES-CONVERT FAU TO
3TON HEAT PUMP & AIR HANDLER SYST
Comments
AM PLS
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