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HomeMy WebLinkAbout2752 BERKELEY AVE; ; CB161933; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-17-2016 Permit No: CB161933 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2752 BERKELEY AV CBAD PME Status: Parcel No: 1675631300 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: DALEY: REPLACE AIC FURNACE & DUCTWORK GLOBAL HEATING AND AIR CONDITIONING 5805 WATER ST LA MESA CA 91942 619-564-0122 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: CHEN SUE-HWA WENG 2752 BERKELEY AVE CARLSBAD CA 92010 ISSUED 05/17/2016 SLE 05/17/2016 05/17/2016 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: FINAL APPROVAL Inspector: Date: I# -7-I t Clearance: $0.00 OOTJCE: Rease tau! OOTJCE liB~ a }QI" r:rqect includes the "lrrpa;itiai' a tees, cledamcrs, ~m;, a ether exmicrs ller"EBter ooledively rderred to as "fee&'saiials." YCl.l ~ ro days fran the date Uis penrit lAEIS iss.a:l to prdest ii'J'lXlSitiO'l a these fees'saiials. If }OJ prctest tflen'\ }OJ rrust fdlcwthe prdest r:ro:ectres sa forth in Golernrert COOe S3dirn am:J(a), cn:l file the prdest cn:l any ether recJ.ired irtarrairn wth the aty 11/mager fa j:JtXESSirg in a:mdamv.ith Ca!sbOO Mridpal COOe S3dirn3.32.<m. Pcilt.retotirrelyfdlcw!IB IJ'003(1rewiii:B" anySib!Eq.Bt legal octiontoatta:l<, 1'61/iew, sa aside, lttid, a c:m.J their irrpa;ition. YCl.l ere hsl3t1f R.RTH:R NJTIAED that }QI" rigt to prdest the spedfied fee&'ex<dicrs IJCES NOr APPL..Ytovaer cn:l SENVa" c:xrnedirn fees cn:1 ~ da"ges, ra plaTirg. zairg. gcdrg a ether sinil~r ~iamrn j:JtXESSirg a serviCE fees in c:xrnedia1 wth Uis r:rqect. I'IK:R IJCES IT APPLY to any ~ . aWi . . "nil . Wi li . i . . . THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0 ENGINEERING 0BUILDING DFIRE 0HEALTH 0 HAZMAT/APCD {"City of Building Permit Application Plan Check No.CA lt.Q,I 9 "3~ 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 _2-1_:[_--Jl" lswPPP JOB ADDRESS2'1-s z ~ ~ ('f..t \~ '!) P,--.Ie_ SUITE./SPACE./UNIT. rPN - - - CT/PROJECT # I LOT# I PHASE# r OF UNITS 1 # BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) )~ f.e_ ~\~c..e. f\·C ~'-A \{' "'-&-..._ e go{ \.Ac_ t Wci J \<- I EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE UAIR CONDITIONING I FIRE SPRINKLERS YESO NcO YES ONo D YEsD NoD APPLICANT NAME PROPERTY OWNER [ ( ~ \<. f Do..\t.. v Primary Contact ADDRESS ADDRESS ~ A I ?;:1--c;)"Z-R ~ r\(e \ .e y " e CITY STATE ZIP cO\AsbA SJATE Zlq~o/n .f\ PHONE I FAX f-i-0~1..-5 SCf -( '1 S S I FAX EMAIL EMAIL DESIGN PROFESSIONA CONTRACTOR BUS. NAME&/ (J b q 1 Henl~·~ t:f...A -'r ADDRESS I~RESS VJ<-1.-fe.r JJ-go.r CITY STATE ZIP LA f']\e )V. STATE <\ZIP rt.._ __[!>-.: \.~\A PHONE I FAX pg,E --~13 OC( cr:.} FAX (.)u - EMAIL EMAIL I STATE LIC. # STATE LIC.# cLASs I ~un1Ji ."iJ q .. "538'-f~-~ c--2..0 -...,.... JIJ .. (Sec. 7031.5 Busmess and Professions Code: Any C1ty or County which reqUires a permit to construct, alter, 1m prove, demolish or repa1r any structure, pnor to 1ts ISSuance, also reqwes 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 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 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declara#ons: D I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of lhe Labor Code. for the performance of lhe work for which this permit is issued. ~ have and will maintain ~rkei' co~ fS~~~~ of lhe Labor Code, for t~rformance of the work for ~ich lhis permit is issued. My workers' compensation insurance carrier and policy numberare:lnsuranceCo __ Q~~ ~~""V'\~\I':'\f'o\""''15olicyNo [) (\....,.l C S"c:l'g"\C'<kxoirationDate /2.1/-/:, Jb§.section need not be competed ffthe permit is for one hundred dollars ($100} or less. \ ~ . ( U Certificate of Exemption: I certify thalin 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 Calffomia. 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 attorney's fees . .fl5 CONTRACTORiiiillllliiiiiii I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D D D 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 Ucense 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 Ucense 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. 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}: .fl5 PROPERTY OWNER SIGNATURE 0AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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? D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school sHe? D Yes D 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. I certify that I have read the application and slate that the ab<MIInformation Is conectand that the lnbmation on the plans is accurate. I agree to comply with all City ordinances and Slate laws relating to building construction. I hereby au1horize ~!alive of the City of Carlsbad to enter upon the aoove mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBl\D AGAINST ALL UABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permk is requied for excavations over 5'0' deep and demolition or CXlllStruction of structures over 3 stories in height. EXPIRATION: Every permk issued by the Building Official under the provisions of this Code shall expire by limkation and become null and vokl W the building or 'Mlfk au1horized by such permit is not commenced v.ithin 180 days from the date of such permk or if the building or'Mlfk authorized by such permk is suspended or abandoned at any time after the 'Mlfk is commenced for a period of 180 days (Section 106.4.4 Uniform 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.a560, Email building@carlsbadca.govor Mail the completed fonm to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. (Office Use Only) CA EMAIL DELIVERY OPFIONS D PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATEDCB#•------------D MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION D MAIL/ FAX TO OTHER:-----------------o CHANGE OF USE/ NO CONSTRUCTION A! APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB161933 Type: PME Date Inspection Item ____ _ 10/07/2016 43 AirCond/Furnace Set 10/07/2016 43 AirCond/Furnace Set 10/07/2016 43 AirCond/Furnace Set 10/07/2016 49 Final Mechanical 10/07/2016 49 Final Mechanical 10/07/2016 49 Final Mechanical 06/20/2016 43 AirCond/Furnace Set Friday, October 07, 2016 ln~pl:!~tor JW JW JW JW PB Act Rl AP AP Rl AP AP NR DALEY: REPLACE AIC FURNACE & DUCTWORK Comments Page 1 of 1