HomeMy WebLinkAbout2733 LEVANTE ST; ; CB152061; Permit07-02-2015
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
ASI HASTINGS
STE 200
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB152061
Building Inspection Request Line (760) 602-2725
2733 LEVANTE ST CBAD
PME
2162203700
HIGGINS: REPLACE AC & COIL
& FURNACE
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
HIGGINS BARBARA J (DP)
ISSUED
07/02/2015
JMA
07/02/2015
07/02/2015
4870 VIEWRIDGE AV
SAN DIEGO CA 92123
619-590-9300
10050 MOORPARK ST
TOLUCA LAKE CA 91602
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Total Fees: $160.00 Total Payments To Date:
Inspector:
$0.00
$0.00
$160.00
$0.00
$160.00
$160.00 Balance Due:
Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" 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.
THE FOLLOWING A~PROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING □BUILDING □FIRE □HEALTH D HAZMA T/APCD
~-. ~~-Building Permit Application Plan Check No. ffi f (S"°• ? _n /,,... /
~ ... 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value -~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. i?eposlt CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date 7 /-z../ / f' lswPPP
JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 2733 LEVANTE ST ---
CT/PROJECT# I 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)
REPLACE AC, COIL AND FURNACE
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
vesO NO□ YESONoO YES□No□
APPLICANT NAME Patti Ryan PROPERTY OWNER NAME BARBARA HIGGINS p
ADDRESS ADDRESS
4870 viewridege ave 2733 LEVANTE ST
CITY STATE ZIP CITY STATE ZIP
san die110 ca 92131 CARLSBAD CA 92209
PHONE IFAX PHONE I FAX 619-590-9337 213 760-6570
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastin11s
ADDRESS ADDRESS 4870 viewridge ave
CITY STATE ZIP CITY STATE ZIP
san die110 ca 92131
PHONE I 'AX PHONE l'AX 619-590-9337
EMAIL EMAIL
I STATE LIC. # STATE UC.# I CLASS ICITYB~-0 ~ 513115 c20
(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 sii;!.ned statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, comme_ndmg with Section 7000 of Division 3 of the Business and Professions Code} orfhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any apphcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)).
--** **
• WORKERS' COMPENSATION "' --
Worflers' Compensation Declaration: / hereby affinn under penalty of perjury one of the following declarations: 0 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 performance of the work for which this permit is issued.
[l] I have and will maintain workers' compensation, as reQuired bv 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, oak river Policy No. 3300065233-131 Expiration Date 9-15
This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which lhls 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 coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollani (&100,000), In
addition to the coat of compensation, damages II provided for In Section 3706 of the Labor code, interest and attorney'• feet. ~ CONTRACTOR SIGNATURE e ~t.,ic-.-@AGENT
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□
□
□
I, as owner of the property or my employees with wages as their 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 himse~ 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 lo 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. 0Yes 0No
2, I (have I have not) signed an application for a building permit for the proposed work.
3. l 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 l have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the worl( indicated {include name I address I phone I type of worl():
JES PROPERTY OWNER SIGNATURE □AGENT DATE
Is th(:.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
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
\s 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. -..
J:ONSTRUCTION LENDING AGENC_Y ··-=-
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
!PLICANT CERTll'ICATION . ·.. ·~
I certify that I have ,ead the application and state that the above lnfonnatlon Is correct and that the lnfonnatlon on the plans is accurate. I agree to comply with all City ordinances and State laws relating to build Ing construction.
I hereby aulhorize rep"'5el11ative of ~e Cly of Carlsbad ID eoler upon~-• mentioned properly 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 permit is required for exca.iations (Nef 5'0' deep and derrditioo or construction of slructures over 3 stories in h8ght
EXPIRATION: Eve,y permit issued by the Buikling Official under the provisions of this Code shall expire by limitation and becoo1e nul and vokl if the buiklirYJ or 'M)O(. authorized by such pemit is not commeoced within
180 days from the date of such pemit or if the buikling or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform BuiklirYJ Code).
~APPLICANT'S SIGNATURE e-~ DATE 1/a/1,j"'""
Inspection List
Permit#: CB152061 Type: PME
Date Inspection Item
08/12/2015 43 AirCond/Furnace Set
08/12/2015 43 AirCond/Furnace Set
08/12/2015 49 Final Mechanical
08/12/2015 49 Final Mechanical
Wednesday,August12,2015
Inspector
AEK
AEK
Act
RI
AP
RI
Fl
HIGGINS: REPLACE AC & COIL
&FURNACE
Comments
AM PLEASE
AM PLEASE
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