HomeMy WebLinkAbout2726 AVALON AVE; ; CB154642; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
01-04-2016 Permit No: CB 154642
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference#:
PC#:
2726 AVALON AV CBAD
PME
1675613500 Lot#:
Project Title: WALLS: REPLACE FURNACE & ADD
A/C
0
Applicant: Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
01/04/2016
SLE
01/04/2016
01/04/2016
T & CHEAT & AIR WALLS PAMELA J&WM BUD II LIVING TRUST 01-01-00
4912 COLUSA DR
OCEANSIDE CA 92056-5462
760-945-8300
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2726 AVALON AVE
CARLSBAD CA 92010
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector: ~-Clearance:
$0.00
NOTlCE: Please take I\011CE that appuval ci ya.~r P'qed irdudes the "lrrpcsitiori' ci fees, dErlcatims, reservatims, cr other exoctims hereafter a:lledively
referred to as ''foos'exoctims." You have 9J days frcm the date this pemit \\aS issued to protest irrpcsitim ci these foos'exoctims. If you protest them, you rrust
foil ON the P'o!est procedures set forth in G:Nemrent Code Sedim60020(a), and file the protest and cny other r6:jLired inforrratim wth the Oty fllalagerfcr
procsssirg in a:mtlarce IMth 03r1sbad MJnidpal Code Sedim3.32.030. Failll"etotirrelyfoiiONthat rnx;er:lll"ewll bar cnysutsequent ltgal actim to attock,
reileN, set aside, vcid, cr annul their irrpcsition.
You are heretJy RRTHERf\OTlREDthat your right to P'otest the Sf:OOtiedfoos'exroims !:XES NOf APPLY to water and se,o,.ercmred.imfees andcapcO!y
~. rrr pla111irg, zonirg, grajrg or other sirrilar applicatim procsssirg cr servioe fees in cmred.im wth this p-qect f'.(R ca:s IT APPLY to cny
foos'exroims ciW'lidl have ousl been ·vena NOTlCE sirrilarto ths cr as to W'ldl the statute ci lirritatims ras 'ousl ot:heriMse 'red.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING DBUILDING DFIRE 0HEALTH DHAZMATIAPCD
{Cityof Building Permit Application Plan Check No.Q6 /Q 4<....o .-lf 2
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date l J4LILP jsWPPP
JOB ADDRESS
J1)/,4LDA) ..trv'G
SUITE#/SPACE#/UNIT# IAPN ;}7.;2-t, ---
CT(PROJECT # I LOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS _I TENANT BUSINESS NAME I coNSTR. 1YPE I ace. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
(V-!-,t:J7-J&e put2.AJA-C~c ! /}-t)J) A-//2 LON/) '
EXISTING USE I PROPOSED USE rARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE rR CONDITIONING
1
FIRE SPRINKLERS
YEs[)!_ NoD YEs0NoD YEsONoD
APPLICANT NAME PROPERTY~ A-LL s Primary Contact
ADDRESS ADDRESS IJ-1113 d-7 d-~ A-V A-wrJ
CITY STATE ZIP CITY G4-t2LS i3 A--t)
STATE ZIP 44-
PHONE I FAX PHONE I FAX JiPU -L/73 -·9f-3 ~
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ·r 4 c J/-i3AT J~ 41 /l
ADDRESS ADDRfJ-9 J L COLuSA-DrL
CITY STATE ZIP CITY STATE ZIP
0CE::74-t'V0 J D G 44 CjcJOSu
PHONE I FAX PHONE I FAX 7/oo -fJY..s--~Jov
EMAIL EMAIL TfrN/)c_/j-;/2_ e._ COY-,Nt:" T
I STATE LIC. # STATE LIC.# I CLASS I CI1Y BUS. LIC. # 7CJ)LJ 3 ,f-c-d-u
(Sec. 7031.5 Bus1ness and Professions Code: Any C1ty or County which requ1res a perm1t to construct, alter, 1mprove, demoliSh or repair any structure, pnor to Its Issuance, also requ1res 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 fhat 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: I hereby affirm under penalty of perjwy one of the following declarations:
D 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 lhe performance of the work for which this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. Expiration Date _________ _
se tion need not be completed if the permit is for one hundred dollars ($1 00) or less.
ertificate 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
Califor · WARNING: Failure to secu is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
3706 code, interest and attorney's fees.
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D
D
D
I, as owner of the property or my employees with wages as t11eir sole compensation, 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 such 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 personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes 0No
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I 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. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
2$ PROPERTY OWNER SIGNATURE 0AGENT DATE
I certify that I have read the application and state that the above infonnation is correct and thatthe infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection 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 penn~ is required for excavations over 5'0' deep and demolitk:m or construction of structures over 3 stones in height.
EXPIRATION Every penn1t tssued by the !J,U!J.dmg Offictal under the provtsKJns of thts Code shall exptre by hmttatton and beoome null and votd if the bu1kJ1ng or 'Mlrk authonzed by such penn1t IS not oommenced 1111thtn
180 days tram the date of such pe'orilthe butldtng,or'Mlrk autholzed such pe~fsuspended or abandoned at any It me after the 'MJrk IS oommenced for pen of 180 days (SectKJn 1064 4 Untfonn Butldtng Code)
J6APPLICANT'SSIGNATU~L~da..tj t7'; Ao--------DATE / LJ.-J ~
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.
EMAIL
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
FAX
OCCUPANT (Listed above)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER:------------------
_65 APPLICANT'S SIGNATURE
CO#: (Office Use Only)
ZIP
CA
ASSOCIATED CB#------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
Inspection List
Permit#: CB154642 Type: PME
Date lnspectioll_ Item
01/19/2016 43 AirCond/Furnace Set
01/19/2016 43 AirCond/Furnace Set
01/19/2016 49 Final Mechanical
01/19/2016 49 Final Mechanical
01/11/2016 43 AirCond/Furnace Set
01/11/2016 43 AirCond/Furnace Set
01/11/2016 49 Final Mechanical
Tuesday, January 19,2016
Inspector
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AEK
Act
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WALLS: REPLACE FURNACE & ADD
AIC
Comments
PM PLEASE
PM PLEASE
TAMPER CAPS//WATERPROOF
DISCI/TAPE WIRE//ADD BUSHINGS TO
DISCI/ADD SEDIMENT TRAP TO GAS
LINE
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