HomeMy WebLinkAbout2803 NEW CASTLE WAY; ; CB160714; Permit•
City, of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
02-23-2016 , Permit No: CB160714
Building Inspection Request Line (760) 602-2725
Job Address: 2803 NEW CASTLE WY CBAD
Permit Type: PME Status: ISSUED
Parcel No: 1674801923 Lot #: 0 Applied: 02/23/2016
Entered By: RMA
Reference #: Plan Approved: 02/23/2016
PC #: Issued: 02/23/2016
Inspect Area:
Project Title: LOPES RES- REPLACE FAU
Applicant: Owner:
T H A HEATING & AIR, INC LOPES JACQUELINE C
STEO
4888 RONSON CT 2803 NEW CASTLE WAY
SAN DIEGO CA 92111 CARLSBAD CA 92010
858 571 8865
Plumbing Fees $0.00
Electrical Fees .$0.00
Mechanical Fees $163.00
Other PME Fees - $0.00
TOTAL PERMIT FEES • $163.00
$163.00 Total Payments To Date: $163.00 Balance Due: • $0.00
(
Total Fees:
FINAL APPROVAL
Inspector: 2etA4c Date: 06/.1.3/ l(2 Clearance:
NO110E Reese take NXYflCE that aiovai of yaw pqed indudesU n'pceitif dfees decktia, msvabor, or chms hereafter odlectively
reni toes 'fee ors.' You have 90 days from the date Ills pemit vues issued to pn*eat irrxStict, of these fbmsfecactions, If you protest Thr OJ nist
fdlcm the protest pthes set fodh in Gmmment Code Section 6a), and file the protest and arty other required infonmtlon wth the City rvbrr for
jer in dance wth Calsbai rvtirdp Code Sediai aci3o. Fkreto tirr8y fdloN that ijockiewII bar aiysubeequent lJ action toattedc
riet set aside, sod, or anrü their irrpedtiai.
You are hereby FLRTHER11 RED Uot your rigli to protest the spedfied feesladicrs DOES NOT 4APPLYtoeteiand sewer media, fees and capacity
dienges, ru plarilr, wing gredrg or other IaapØkBIla, poceseng or service fees in conrixtim with Ills project. NOR DOES IT PJY to any
fees/eiedicns of vhch you have asIv been civen a NOTICE sirnlarto ills, or as to WIth the statute of Imitations has a-eiav dherWse eidred
1L
n r%XLOWING REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING DENGINEERING DBUILDING DFIRE DHEALTH DHAZMATIAPCD I
Milk
• . Building Pe,m it Application
'City of .• 1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558 C,~T1Sbt€L -.-
email: building@carlsbadca.gov p
www.carlsbadca.gov ,p_-
Plan Check No( t9 7(9' /
Est. Value
Plan Ck.DePo
Dat ,4' PIX SWPPP
JOB ADDRESS 3 y(fj 1y.. SUITE#/SPACE#/UNIT# 1APN•
CT/PROJECT# LOT# • PHASE# #OFUNITS #BEDROOMS #BATHROOMS TENANTBUSINESSNAME -. CONSTR.1YPE OCC.GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF) ' - PATIOS (SF) DECKS (SF) FIREPLACE
YES#. NO[-
AIR CONDITIONING
YES [:]NOE
FIRE SPRINKLERS
YES NOE
APPLICANT NAME
Primary Contact T ' Owls
ADDRESS lVptVVVVW ADDRESS
CITY ST tJ TE CITY
CbcI
PHONE '7 - o iRd -H
FAX ....PHO
EMAIL
:LN~ a tryv--
EMAIL
DESIGN PROFESSIONAL . CONTRACTOR BUS. NAME J.IA .i_ø::ti-v:) _• ADDRESS . ADDRESS2,,
LIQ CITY STATE ZIP .
.......... . . ,
.
CITY 1 STATE ,- ZIP
L 51-
PHONE FAX PHO
EMAIL EMAI
STATE LIC. #
. . I CIYlCtb
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair anystructure, prior to Its issuance, also requires 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)).
00(60 G®OO®() -
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
i:i 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 wthlc for which this permit is issued.
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performan of the work for which this permit is issued. My workers' compensatioiinsuran carner an policy
number are: Insurance Co._.TY'JC.K .kCk'1 Policy No. Y3 Expiration Data
This section need not be completed tithe permit is for one hundred dollars ($100) or less. .
[]Certificate 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
California. WARNING: Failure to secure workers' compensationcoverageisunlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,090), in
addition to the cost of compensation, 0 ges espr5Vi_eW_orin Section 3706irffirtsbo de, interest and attorney's fees.
CONTRACTOR SIGNATUR _.—" 0 AGENT DATE
.-
I hereby affirm that! am exempt from Contractor's Ucense 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 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).
[J 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).
[J 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. [JYes I1No
2.1 (have I have not) signed an application for a building permit for the proposed work,
I have contracted with the following person (firm) to provide the proposed construction (include name address! phone! contractors' license number):
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! address! phone /contractors' license number):
5.1 will provide some of the work, bull have contracted (hired I t s to hip wn,h, hd_tPd4 udname4-address!phone hype of work):
.PROPERTY OWNER SIGNATURE - []AGENT DATE
0P1O?@ VC000 003900 I®G) M(D(Z1 -(0QP9W(3G9V0iZG 0000®0O0 61IIJUMOUG ®O
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 Act? LjYes ! ,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 I No
Is 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.
G0?1D(D000 100@0O0 001310109
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)
Lenders Name - Lender's Address
alp(paoazov GGW&o1oGoeO
IcerlifythatI have read the application and statethatthe above lnthnnationlscone tandthatthelnbrmationontheplansisaccurate. Iagree to ixonplywith all Cityoidinantes and State Ian mlatingtobuildlngccnstniction.
I herebyaulhorize 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 ACCRUEAGAINST SAID CITY IN CONSEQUENCEOFTHE GRANTING OF THIS PERMIT.
OSHA. An OSHA permit is requited for excavations over 50' deep and demolition or construction of structures over 3 stories in height. -
EXPIRATION: Every permit issued by the Buildin OfIMa erihe.provisbns.oLth Jh!jian and become null and void if the building or work authorized by such permit is not commenced within
180 days from the date of such permit or if hi is uspend or nedrany lime alter the work is commenced bra period of 180 days (Section 106A.4 Uniform Building Code).
.APPLICANT S SIGNA E DATE
STOP: THIS THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFIC AT EE (Comm ercial.
Fax (760) 602-8560, Email buiIding(CarIsbadCa.gOV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME - -- '- -. - '-- '; OCCUPANT NAME
ADDRESS - '"" - - '-' -"- '"''''-" BUILDING ADDRESS
CITY '- - "' STATE ZIP CITY STATE ZIP
- -
Carlsbad CA
PHONE ..,, .: ..., FAX - - .
F
EMAIL - --- . . OCCUPANT'S BUS. LIC.No. -'-----'" -
DELIVERY OPTIONS
PICK UP: " CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1) . .
ASSOCIATED CB#- MAIL TO: , CONTACT (Listed above) - '.00CUPANT (Listed above)
CONTRACTOR NO CHANGE IN USE / NO CONSTRUCTION -t .MAIL/ FAX TOOTHER: .,--------------------,,
- •- '..
.•,• •.
... CHANGE OF USE / NO CONSTRUCTION
Z'APPLICANT S SIGNATURE ' DATE
- -
Inspection List I
Permut# CB160714 Type PME LOPES RES- REPLACE FAU
Date Inspection Item Inspector Act' Comments
05/23/2016 43 'AirCond/Furnace Set' - RI 'AM PLEASE •
05/23/2016 43 AirCond/Furnace Set MC AP
05/23/201649 FinI Mechanical - RI AM PLEASE '
05/23/2016 49 Final Mechanical MC Fl
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Tuesday, May 24, 2016 •,•• ' • • - Page 1 of I
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