HomeMy WebLinkAbout2847 CEBU PL; ; CB130868; Permit04-02-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CBI 30868
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
2847 CEBU PL CBAD
PME
2153302201 Lot#
YAKE RES- REPLACE FAU-SAME
LOCATION
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
04/02/2013
RMA
04/02/2013
04/02/2013
Applicant
ASI HASTINGS
STE 200
4870 VIEWRIDGE AV
SAN DIEGO CA 92123
619-590-9300
Owner
YAKE RICHARD&JEAN TRUST 02-17-93
2847 CEBU PL
CARLSBAD CA 92009
Plumbing Fees
Electrical Fees
Mechanical Fees
other PME Fees
$0 00
$0 00
$154 00
$0 00
TOTAL PERMIT FEES $154 00
Total Fees $154 00 Total Payments To Date $154 00 Balance Due: $0.00
Inspector
FINAL APPROVAL
Date ^-Y- A3 Clearance
NOTICE Please take NOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen-ed 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 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 nght 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 sen/ice fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMITISSUANCE' DPLANNING •ENGINEERING nBUILDING • FIRE nHEALTH •HAZMAT/APCO
^ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
Ph 760-602-2719 Fax-760-602-8558
email, building@carlsbadca.gov
www carlsbadca.gov
Plan Check No.
Est. Value
Plan Ck. Deposit
|lAf^a.;7f^3 1,2.
iT» API*! • y
SWPPP
JOB ADDRESS SUITE#/SPACE#/UN1-
CT/PROJECT tt PHASE* r# OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK- /nc/ude Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YEsf^ N0| I
AIR CONDITIONING
YES I |NO| I
FIRE SPRINKLERS
YES I |NO| I
APPLICANT NAME (Primary Contact} Betty Gomez APPLICANT NAIVIE (Secondary Contact) Holly Jacques
ADDRESS 4870 Viewridge Ave #200 ADDRESS
4715 60th St.
CITY
San Diego
STATE
CA 92123 San Diego STATE
CA 92115
PHONE
619-590-9300
FAX
619-590-9363
PHONE
619-961-3630
FAX
EMAIL bgomez@asiheatingandair.com EMAIL
PROPERTY OWNER NAME
ADDRESS ) -NX
CONTRACTOR BUS. NAME ASI Hastings
ADDRESS 4870 Viewridge Ave #200
STATE
San Diego
STATE
CA 92123
PHONE FAX PHONE
619-590-9300 619-590-9363
EMAIL EMAIL bgomez@asiheatingandair.com
ARCH/DESIGNER NAME & ADDRESS
513115
CLASS
io,C2o,c;
CITY BUS LIC#
1200804
(Sec 70315 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 signed statement that he is licensed pursuant to the provisions ofthe 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 70315 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500))
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the tollowng declarations
I I I have and will maintain a certificate of consent to self-msure for worlters' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued
I'-^l I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My workers' compensation insurance earner and policy
numberare InsuranceCo Policy No . Z072279701 Expiration Date _
Bsection need not be completed il the permit is for one hundred dollars (S100) or less
Certificate of Exemption I certify that in the performance of Ihe work for which this permit is issued, I shall not employ any person in any manner so as lo become subject to the Workers' Compensation Laws of
California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, ^a^ages^is provided for in Section 3706 of the Labor code, interest and attorney's fees
JS^ CONTRACTOR SIGNATURE * [7] AGENT DATE
/ hereby affirm that I am exempt from Contractor's License Law for the following reason
I I I, as owner of the property or my employees with wages as their sole compensation, will do the worl( and Ihe slniclure is nol intended or offered for sale (Sec 7044, Busmess and Professions Code The Contractor's
License Law does not apply lo 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 nol intended or offered for
sale II, however, the building or improvemenl 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 I I, as owner of the properly, am exclusively contracting with licensed contractors to constmct the projecl (Sec 7044, Business and Professions Code The Contractor's License Law does nol apply lo an owner of
property who builcis or improves thereon, and contracts for such projects with conlractor(s) licensed pursuant lo the Contractor's License Law)
I I I am exempi under Seclion Business and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for constnjction of the proposed property improvement ^3'''^^ I ^lo
2 I (have / have not) signed an applicalion for a building permit for the proposed vioik
3 I have contracted with Ihe following person (firm) lo provide the proposed constnjction (include name address / phone / 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 / address / phone / contractors' license number)
5 I will prowde some of the work, bu! I have contracted (hired) (he following persons to provide the work indicated (include name / address / phone / type of work)
^eS'pROPERTY OWNER SIGNATURE •AGENT DATE
Is the applicant oi future buildmg occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505.25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acf O Yes • No
Is the applicant or future building occupant required lo obtain a permit from the air pollution control distnct or air quality management distncf • Yes • No
Is the facility lo be constnicted within 1,000 feet of Ihe outer boundary of a school site'' • Yes O 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 hereby affirm that there is a construction lending agency for the performance of the wori( this permit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
I certify that I have read the application and state that the above infonnation is coirect and that the infomiabon on the plans is accurate I agree to comply with all City ordinances and State laws relatingto building constnicton
I hereby authonze representatrve 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 ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA permit is required for excavations over 5'0' deep and demolition or constaiction of stmctures over 3 stones in height
EXPIRATION Every permit issued by the Building Official under ttie provisions of this Code shall expire by limitation and tiecome null and void if ttie building or wort( auttxinzed by such permit is not commenced within
180 days from the dale of such pemiit or if the building^auiotkauthonzed by such pemiit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (SeclKin 106 4 4 Unifomi Building Code)
vfiTAPPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB130868 Type: PME YAKE RES-REPLACE FAU-SAME
LOCATION
Date Inspection Item Inspector Act Comments
06/04/2013 43 AirCond/Furnace Set - Rl
06/04/2013 43 AirCond/Furnace Set PD AP
06/04/2013 49 Final Mechanical - Rl
06/04/2013 49 Final Mechanical PD AP
Wednesday, June 05, 2013 Page 1 of 1