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HomeMy WebLinkAbout2732 BERKELEY AVE; ; CB153283; Permit10-20-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Piumblng/Mechanlcai/Eiectrica! (PME) Permit Permit No: CBI53283 Builciing Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2732 BERKELEY AV CBAD PME 1675614000 Lot#: JONES: REPLACE FAU/ ADD AC Status Applied Entered By: Plan Approved Issued Inspect Area ISSUED 10/02/2015 JMA 10/02/2015 10/02/2015 Applicant: GUTHRIE AND SONS INC Owner: MONA & BILL JONES 3914HICOCKST SAN DIEGO CA 92110 619 269-3013 2732 BERKLEY AV CARLSBAD CA 92010 760 729-5993 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $163.00 $0.00 TOTAL PERMIT FEES $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: $0.00 Inspector: FINAL APPRQVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment 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 fees/exactions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othew/ise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMrriSSUANCE: DPLANNING •ENGINEERING QBUILDING DFIRE nHEALTH •HAZMAT/APCD Ccityof Carlsbad Buildmg Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov PlanCheckNo. 3£fi3 Est. Value Plan Ck. Deposit Date SWPPP JOBADDRESS ^ "^^^ SUITEf/SPACEf/UNIT* IAPN - CT/PROJECT # LOT # — PH«E#" # OF UNITS # BEOROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC GROUP DESCRIPTION OF WORK: /nciude Square Feet ofAtfected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESr~|# NC| I AIR CONDITIONING YES I INO I I FIRESPRINKLERS YES I |NO| I APPLICANT NAME Primary Con PROPERTY OWNER ADDRESS r-\ STATE ZIP ADDRESS I STATE \ ZIP i. CITY, . STATE c PHONE V ' EMAIL - ; 7 EMAIL DESIGN PROFESSIONAL \J du CONTRACTOR BUS. NAMI ADDRESS ADDRESS CITY STATE CITY STATE La. PHONE FAX EMAIL EMAIL (Sec. 7031.5 Business and Professions Code: Any City or Counly which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also r^uires the applicantfor such permitto file a signed statement that he is iicensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commendingwith 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' COMPEMSATION Workers' Compensation Declaration: / hersby afHim under penalty ofpeijury one oftiie following declaratbns: • I have and witl maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfomiance of the work for wtiich this pemiit is issued. [^J have and wiii maintain worlters' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issufd. My workers' compensation insurance earner jnd policy number are: Insurance Co. 'TUr. j-^lrAr-V'fi^Ttj Poiicv No. "7'D tjJ^C Q '"iO Expiration Date (\L J C> \ > <0\C 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 perfomiance of the work for which this perniit 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. . CONTRACTOR SIGNATURE -< .... JjZL i ll •) AGENT DATE 1 0~ OWNeR-BUiLOEIt DECLARATION / /leriedy affirm tliat I am exempt ftom Co/it/actor's Ucense Law for tlie 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 stracture 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 saie). 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 Ucense Law). 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 pemiit for the proposed work. 3.1 have contracted with the following pereon (firm) to provide the proposed constmction (include name address / phone / contrxtors' license number): 4.1 plan to provide portions of the worts, but I have hired the foliowing person to coordinate, supervise and provide the major wort( (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contrxted (hired) the following persons to pravide the woris indicated (include name / address / phone / type of wori(): ^efpROPERTV OWNER SIGNATURE []AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazanlous 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 pennit from the air pollution control district or air quality management district? Yes No Is the facility to be constnjcted 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 CONSTRUCTION LENOING AGENCY I hereby affimi that there is a construction lending agency fbr the perfomiance of the wort( this pemiit is issued (Sec 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certif that I have read the applkatkin and state thatthe above Infbmiation Is conectand thatthe Infbmiation on the plans Is accurate. I agree to complywith all City oidinances and State laws relating to building consbuctkin. I heretiy authorize representative of the Cily of Cartsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNR AND KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST ALL UABILfriES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT. OSHA: An OSHA pemiit Is required for excavations over 5'0' deep and demolition or constmction of stmctures over 3 stories in height. EXPIRATION: Every pemiit Issued by the Building Oflicial under the provisions of this Code shall expire by limitation and become null and void if the building or vrorit authorized by such pemiit Is not commenced within 180 days from the date of such pennit or If the building or work authorized by such pemiit Is suspended or abandoned at any time after the worit Is commenced for a period of 180 days (Section 106.4.4 Unifbnn 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 buildina(a)carlsbadca.qov or Mail the completed fomi to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPDONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: MAIL/FAX TO OTHER CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION jg?APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB153283 Type: PME JONES: REPLACE FAU/ADD AC Date Inspection Item Inspector Act Comments 10/21/2015 43 AirCond/Furnace Set - Rl 10/21/2015 43 AirCond/Furnace Set AEK AP 10/21/2015 49 FinalMechanical - Rl 10/21/2015 49 Final Mechanical AEK Fl Thursday, October 22, 2015 Page 1 of 1