HomeMy WebLinkAbout2724 OLYMPIA DR; ; CB122527; Permit• City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
11-27-2012 Permit No: CB122527
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2724 OLYMPIA DR CBAD
PME Status:
Parcel No: 1674323000 Lot#: 0 Applied:
Reference #:
PC#:
Project Title:
Applicant:
BURTON RES -REPLACE AC UNIT
AND FURNACE.
SHERLOCK HEATING & AIR CONDITIONING INC
STE 100
1355 GRAND AV
SAN MARCOS CA 92078
760-295-5014
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
BURTON FAMILY TRUST 10-01-04
2724 OLYMPIA DR
CARLSBAD CA 92010
ISSUED
11/27/2012
SKS
11/27/2012
11/27/2012
$0.00
$0.00
$154.00
$0.00
$154.00
Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due:
Inspector: f'll· fe,t,J.,,?,.1, Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "1mposition• 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
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 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 i I ·1 r hi h
(~ Plan Check No. I ~b
Building Permit Application ~ .. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value -~ CITY OF 760~02-2717 / 2718 / 2719
CARLSBAD Fax 760~02-8558 Plan Ck. Deposit
www.car1sbadca.gov ~ Date ti /,;___, 7 /, ? I
JOB ADDRESS -v, r ... ,
2724 Olympia Drive ---
CT/PROJECT# ror• ,~· r Of UNITS r BEDROOMS #BATHROOMS r ENANT BUSINESS NAME r ONSTR. TYPE I occ. GROUP
DESCRIPTION Of' WORK, lnctud• Squarw ,,.n of --Arwa(•)
Replace AC unit and Furnace
EXISTING USE I PROPOSED USE r ARAGE (Sf) PATIOS (SF) l°EO<S (SF) AREPLACE rlR CONDITIONING I ARE SPRINKLERS
YES0, NcQ YES □No □ YES□No□
CONT ACT NAME (ff ottrw,ent Fom A/IP-nt) APPI..ICANT NAME Jennifer Cole
ADDRESS ADDRESS PO BOX 711564
CITY STATE ZIP CITY STATE ZJP
Santee CA 92072
PHONE 'FAX PHONE
619-405-2648 'FAX 619-330-4796
EMAIL EMAIL jennifer@permitrunner.net
-
PROPERTY OWNER NAME Ken & Jan Burton CONTRACTOR BUS. NAME * Sheerlock Heatina & Air
ADDRESS ADDRESS
2724 Olympia Drive 1355 Grand Ave #100
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92010 San Marcos CA 92078
PHONE \FAX PHONE rAX 760-720-727 8 760-295-5014 760-295-7069
EMAIL EMAIL
ARCIVl)ESIGNER NAME 4 ADDRESS I STATE LIC. # STATELIC.# r lASSc20 / CITY sus. uc.1226684 804838
(Sec. 7O31.S Bus,ness and Professions COde: A"/ City or County which requires a permit to constfuct. alter. improve, demolish or repair a"f structure. prior to its issuance. also requires the applicant for such permit to file a sllll<ld statemert that he Is licensed pursuant to the pr011lslonsofthe Cortractor's License Law {Cha~er 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. A"/ violation of Section 7O31.S by a,rry applicant for a permit sutjects the applicant to a
clVII penalty or not more than five hundred dollars {$500}~
Wortcers' Compenution Oec11ratlon: I herebyallrm underpenalyofperjuryoneoflhe fo/1:Jwi,g docmations:
B I have and will maintain I certificale of consent to Nlf-lnsure for workers' co~ensation as p,01aded by Section 3700 of the Labor Code, for the performance of the woll( for which ltis perllil is issued.
I have and will maintain_,_, compe...-. asreqt.iredbySenon 3700ol~ Laba~-for rie pem,nnance of 111e workforwhid! ttispenril is issued. Myworlcels' compensnon imlrance carri«and poky
rurooerare:tnsonnceCo M~ 'Zvnc..~ ff.,,<. PolicyNo. MWCll0ll900•~ &?,aionDale ~
Jm,section need not be ~lellldn lhepennilisfor one hulaed dollars ($100)orless. WC5'13~4'7000 ''ti'\/, 3 LJ Cenficate of Exemption: I certify Iha! in the performance of the wOlk for which llis permit is issued, I shat not employ arry person in fl"I mamer so as ID beaxne Slilject ID lhe Wor1<ers' Ccrnpensation Laws of
Calfomia. WARMING: Failv.reto ucur • ockecs' ~an oov.._is unl.Mful, aad ohlll subject an ~to c:m,inll peNitie& ONI c:ivU tines up to one I\Ul\d<M tbouurul daUe,s(&100,000), in
addition to th• cost of com pen salon. d IQN II provfdad t 'lq S..:lion/7',!6 of the Labor code. lntereot and attorney's fees.
I! CONTRACTOR SIGNATU h [A_
I hereby affi'm lhat I am exenpt
□
□
□
I, as owner of the property or rrr, ~yee• with wages as lheir sole COf11)MS3lion. wil do the wort< and the srucue is nol inlende<I or offered for sale (Sec. 7044. Business and Professions Code: The Contractor's
License Law does not apply lo an owner of property who builds or improves !hereon, and who does such work himself or l!Yough tis _, empoyees, p<Ollided thal such improvanenls a,e not irtended or offered for
sale. tt, ~ever, lhe building or improvement is sold within one year of completion, lhe owner-builder will have !he tuden of proving that he <id nol build or improve for the pll'pose of sale).
I, as owner of !he property, am exclusively contra~ng with licensed contractors Ill conslruct lhe project (Sec. 7044. Business and Professions Code: The Conlraclor's License Law does nol apply lo an owner of
prop«ty who builds or inproves lheroon. and con~acts for such projects with conlractor(s) licensed pll'suanl lo the Contractor's License Law).
I am exempt ~ Secion ____ ,Business and Fl'ofessions Code for this reason:
1. I personalty plan lo provide the major labor and materials for consruction of the proposed prope<ty improvement []Yes D o
2. I (have/ have no!) signed an application for a bulding pennil for Iha proposed work.
3. I have contracted wilh the lollowing person (inn) Ill provide the proposed construdon [include name address/ phone/ conlracloB' license runber):
4. I plan lo prwde portions of the work, bul I have nred lhe following pe<son b coordinale, ~ and provide lhe major work (include name/ acltess / phone / cuman' license nunber):
5. I will provide some of !he work, btA I have conratled (tired) lhe lol()wing peBOns to prolade the work indicaled [include name/ ado'ess / phone / type of work):
,L5 PROPERTY OWNER SIGNATIJRE □AGENT DATE
Inspection List
Permit#: CB122527 Type: PME
Date Inspection Item
02/20/2013 43 AirCond/Furnace Set
02/20/2013 43 AirCond/Furnace Set
02/20/2013 49 Final Mechanical
02/20/2013 49 Final Mechanical
Inspector Act
RI
MC AP
RI
MC Fl
BURTON RES· REPLACE AC UNIT
AND FURNACE.
Comments
PM PLS
EXISTING FAU LOACTION. NEW NC
NEWT-STAT
Friday, February 22, 2013 Page 1 of 1