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HomeMy WebLinkAbout2718 ANTA CT; ; CB143383; Permit12-02-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBI43383 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2718 ANTACT CBAD PME 2153104201 KEIVIP RES- REPLACE FAU 70,000 BTU Lot#: Status: Applied: Entered By: Plan Approved; Issued: Inspect Area: ISSUED 12/02/2014 RMA 12/02/2014 12/02/2014 Applicant: SHERLOCK HEATING & AIR CONDITIONING INC STE 104 2880 SCOTT ST VISTA CA 92081-8560 760-295-5014 Owner: KEMP KRAIG R&PAMELA T 2718 ANTACT 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 NPi Date: 1,(1-% IQVAL Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refened 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 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 Municipal Code Section 3.32.030. Failure to timely follow thaf 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 fees/exactions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: CDPLANNING nENGINEERING • BUILDING •FIRE HEALTH •HAZMAT;APCD City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov vvww.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit t APN" I SWPPP JOB ADDRESS -2.7 \ 8 A^-Vev C4 SUITE#/SPACE*/UNITI» CT/PROJECT # # OF UNITS tt BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~|* N0| I AIR CONDITIONING YES I |NO| I FIRE SPRINKLERS YES I |N0| I APPLICANT NAME Primary Contact RSOPERTY OWNER ADDRESS ADDRESS 2.1 \ ^ X-^^o. CITY STATE ZIP CITY STATE ZIP PHONE PHONE l^O- H~70- 1^8<^ FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME \DDRESS ^ ADDRESS ADDRESS CITY STATE CITY STATE ZIP PHONE FAX PHONE FAX EMAIL C2-0 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 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)). Workers' Compensation Declaration: / /lereJby affirm under penalty of perjury one ofthe following declarations: SI 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. L have and will maintain woriters' compensation, as reguired bv Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Ac-C. Arrte-r'tCCyyt Policy No. T^OCe qSlol12.-Z.-7 Expiration Date_51IL|VS This section need not be completed if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the perfonnance 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 tothe cost of compensation, damages as provided for in Section 3706 ofthe Labor code, interest and attomey's fees. ^eS" CONTRACTOR SIGNATURE .^Ciwi.f2— "^r-^ — P^^GENT DATE V2_\2.|\H ER'BUiLDER DECLARATION 1 hereby affirm that 1 am exempt from Contractor's Ucense Law for the following reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stnjcture 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 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 such projects with contractor(s) licensed pursuant to the Contractor's License 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. •Yes I INO 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise 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 work indicated (include name / address / phone / type of work): JSS'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 Acr? Yes No Is 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 AND THE AIR POLLUTION CONTROL DISTRICT. <*•' (Jl., »tJ I hereby affirm that there is a construction lending agency for the perfonnance of the v»ork this pennit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the application and state that the atxwe Infonnation Is conect and tiiat Uie intbnnation on tiie plans is accurate. I agree to comply witti all City ordinances and State laws relating to building constiuction. I hereby authorize representative ofthe City of Cailsbad to enter upon the above mentioned property for inspeclion 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: An OSHA pernnit is required for excavations over 5'0'deep and demolition or constmction of stmctures overSstories in height. EXPIRATION: Every penmit issued by the Building Oflicial under the provisons ofthis Code shall expire by limitation and become null and void if the building or wori< authorized by such pemiit is not commenced within 180 days from the date of such permit or if the building or viork authorized by such pennit is suspended or abandoned at any time after the VKOri< is commenced for a period of 180 days (Sectbn 106.4.4 Unifonn Building Code). vfiS"APPLICANT'S SIGNATURE DATE t2L 2.UM 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(S)carlsbadca.gov or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAIVIE OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE STATE ZIP Carlsbad CA PHONE FAX EIVIAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB143383 Type: PME Date Inspection Item 04/23/2015 43 AirCond/Furnace Set 04/23/2015 43 AirCond/Furnace Set 04/23/2015 49 Final Mechanical 04/23/2015 49 Final Mechanical 04/16/2015 43 AirCond/Furnace Set Inspector Act Rl SP AP Rl SP Fl PY CA KEMP RES- REPLACE FAU 70,000 BTU Comments AM PLEASE AM PLEASE Thursday, April 23, 2015 Page 1 of 1