HomeMy WebLinkAbout2805 LA GRAN VIA; ; CB141935; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
08-05-2014 Permit No: CB141935
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
2805 LA GRAN VIA CBAD
PME
2163202200
CASEY RES-ADD A/C WI ELECT
OAK ISLAND HEATING AND AIR
STE 103
1250 PACIFIC OAKS PL
ESCONDIDO CA 92029
760 839-8383
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
CASEY KAREN 2011 TRUST 06-29-11
2805 LA GRAN VIA
CARLSBAD CA 92009
ISSUED
08/05/2014
LSM
0810512014
08/0512014
$0.00
$33.00
$158.00
$0.00
$191.00
Total Fees: $191.00 Total Payments To Date: $191.00 Balance Due:
FINAL APPROVAL
Inspector: fl1. ~S Date: 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.
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
f ex i ns f wh· h o have r vi I b n iv n a N TICE imil r to this r s I whi h he t t f limi i n h s r i I ot
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD . . CB I Ll l q -:i.. ~ ~<~ Building Permit Application Plan Check No.
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.cartsbadca.gov Date 51('/ 5 / I "-L isWPPP
JOB ADDRESS surrH,---ACEf/UNITf IAPN
,
2805 LA GRAN VIA ---
CT/PROJECI # 'LOT# I PHASE# ! # 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)
ADD AIR CONDITIONING TO THE FORCED AIR FURNACE. ADD ONE NEW 40 AMP CIRCUIT
EXISTING USE I PROPOSED USE I GARAGE (Sf) PATIOS (SF) I DECKS (SF) FIREPLACE IAlR CONDITIONING I FIRE SPRINKLERS
YESO •<D YEs □•o □ YES □No□
APPLICANT NAME LES YOUNG PROPERTY OWNER NAME KAREN CASEY p ..
ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103 2805 LA GRAN VIA
CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 CARLSBAD CA 92009
PHONE I FAX PHONE l'AX 760 839-8383 760 839-8380 760 652-5555
EMAIL EMAIL
INFO@OAKISLE.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AIR
ADDRESS ADDRESS
1250 PACIFIC OAKS PL #103
CITY STATE ZIP CITY STATE ZIP
ESCONDIDO CA 92029
PHONE PHONE l'AX 760 839-8383 /FAX 760 839-8380
EMAIL EMAIL
INFO@OAKISLE.COM
[STATE LIC. # STATE UC.# ICL>SS I CITY BUS. LIC.1212710 745400 C-20
(Sec, 7031.5 Business ~nd Profes~•ons Code: Ally City or ~u,:i_ty whtch requires a permit to_ c_onstruct, alter, improve, ~emolish or repair any structure, p_rior ~ its iss~ance, also requires the apphcant for such permit to file a signed statement that he Is hcensed pursuant to the provIsIons of the Contractor's License Law {Chapter 9, commending with Section 7000 of DIvis1on 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars {$500}).
WORKERS. COMPENSATION
Worken' Compensation Dedaratlon: I hereby afflrm under penalty of perjury one of the following declarations: 0 1 have and wlll maintain a certlflcate of consent to self-Insure for workers' compensation as pro>Jided by Section 3700 of the labor Code, for the performance of the WOik fct which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code for the performance of the work for 'Mlich this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. EVEREST NATIONAL INSURANCE Policy No. 7600000635141 Expiralion Date 01/01/2015
im,secuon need not be completed if the pennit is for on hundred dollars ($100) or less. LJ Certificate of Exemption: t certify that in the of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the WOfkers' Compensation Laws of
California. WARNING: Failure to secure work. satlon coverage is unlawful, and shall subject an employer to criminal penalties and clvil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damag for In Section 3706 of the Labor code, Interest and attorney's fees, C.-r _1t__
8$ C0NTRACTORSIGNATU (J J
I hereby affirm that I am exempt from Contractors /...icense Law for the following reason: 0 I, as owner of the prq>erty 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 buikls or improves thereon, and who does such WOik himself or through his own employees, pro\licled that such impro'lements are not intended or offered for
sale. If, howe'Jef, the bullding or impro>Jement is sold 'Mthin 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 exclusi>Jely contracting with kensed 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 buWds or impl'Q\'es 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 personaMy plan to provide the major labor and materials fct construction of the proposed property improvement Ov es 0No
2. I (have I have not) signed an application for a building permIl for the proposed work.
3. I have contracted with the follo'Mng person (finn) to provide the proposed construction (include name address I phone/ contractors' bcense number):
4. I plan to prtNide portions of the work, but I h;we hired the foHowing person to coordinate, supervise and provide the major work (include name I address/ phone/ contractors' license number):
5. I will provide some of the work, but I ha\18 contracted (hired) the foRO'Mng persons to prO'lide the Won( indicated Onclude name/ address/ phone/ type of work):
8$ PROPERTY OWNER SIGNATURE □AGENT DATE
I
I
!
C O M P L E T E T,li I S S E C T I O N F O R N O N • R E S I D E N T I A L B U I L D I N G P E R M I T S O N L Y
Is the applicant or future building occupant required to submit a business plan, acutely haza!dous 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 ortuture building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes □ No
1s the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes O No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICAlE 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 LENDING AGENCY
I hereby affirm that there 1s a construdion lending agency for the pertormance of the work ttus permit is 155ued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that.the ablwe infolmadon Is coff8Ctand that the Information on the plans is accurate. I agree to complyv.tth all Cil¥ ordinances and State laws relating ID buildingconstrudion.
I hereby au~orize represef1latiw of ~e City of Calisbad to eoter up:,n lhe above mentioned -for inspedion pJrposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL UABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA permk is required br excava · s over 5'0' deep and demolioon or construdicfl of structures over 3 stories in height
EXPIRATION: Every permit issued by the Elli I Official lhe provisions of this Code shal expire by limitation and becoole nul and vcid if the buildi1g or v.ork authorized by such pemlit is not oommenced 'Mlhil
180 days from the date of sud'! permit or if rl< authaized by such permit is suspended oc abandoned at any time after the v.ak is oommenced br a perioo of 1 &'.l days (Secml 100.4A Uniform 0.Jildi'lg Code).
,#6 APPLICANT~ SIGNATURE DATE
Inspection List
Permit#: CB141935 Type: PME
Inspector Date _Inspection Item _______ =
08/07/2014 43 AirCond/Furnace Set
08/07/2014 43 AirCond/Furnace Set
08/07/2014 49 Final Mechanical
08/07/2014 49 Final Mechanical
Friday, August 08, 2014
MC
MC
CASEY RES-ADD A/C WI ELECT
Act Comments
RI 10-12 PLS
AP
RI 10-12 PLS
Fl
Page 1 of 1