HomeMy WebLinkAbout2908 AVENIDA VALERA; ; CB143265; Permit11-21-2014
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CBI43265
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
2908 AVENIDA VALEF^ CBAD
PME
2164611200 Lot #:
STEVENSON RES= REPLACE FURNACE
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
11/21/2014
LSM
11/21/2014
11/21/2014
Applicant:
APPROVED AIR INC
Owner:
JDS FAMILY TRUST 11-09-04
561 SEAVIEW PL
VISTA CA 92081
877-422-6531
2908 AVENIDA VALERA
CARLSBADCA 92009
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$0.00
$0.00
$160.00
$0.00
TOTAL PERMIT FEES $160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00
Inspector: Clearance:
NOTICE; Please take NOTICE that approval of your project includes the "Impoiltion" onees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this pemnit 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 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
fees/exactions of which vou have oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv othenAfise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMITISSUANCE: • PLANNING • ENGINEERING O BUILDING QFIRE nHEALTH • HAZMAT/APCD
CITY OF
CARLSBAD
2908 Av^^ia^era
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carisbadca.gov
Plan Check No. L( '3^^^:^
Est. Value
Plan Ck. Deposit
Date f I cb-( / I SWPPP
JOB ADDRESS SUITEf/SPACEf/UNIT*
CT/PROJECT # PHASE # # OF UNITS # BEDROOMS n BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCCGROUP
DESCRIPTION OF WORK: /nc/ude Sguare Feet of Atfected Area(s)
Replace Fumace
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES|~|# N0| 1
AIR CONDITIONING
YES I |NO| I
FIRESPRINKLERS
YES I |NO| I
APPLICANT NAIVIE (Primary Contact) APPROVED AIR INC APPLICANT NAIME (Secondary Contact; Jennifer/Randy Cole
ADDRESS 561 SEAVIEW PLACE
ADDRESS
9880 Maqnoiia Ave #119
CITY
VISTA STATE
CA
ZIP
92081
CITY
Santee STATE CA 92071
PHONE
(877) 422-6531
FAX PHONE
619-405-2648 619-330-4796
EIWIAIL
jennlfer@permitrunner.net
PROPERTY OWNER NAIVIE Jim Stevenson CONTRACTOR BUS. NAIVIE APPROVED AIR INC
ADDRESS
2908 Avanida Valera 561 SEAVIEW PLACE
CITY
Cartsbad
STATE CITY
CA 92009 VISTA
STATE
CA
ZIP
92081
PHONE
(760) 931-6621
PHONE
(877) 422-6531
EMAIL
ARCH/DESIGNER NAME & ADDRESS
904506 C20
CITY BUS. LIC.#
1239380
(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 applicantfor such permit to file a signed statement that he is licensed pursuanttothe provisions ofthe Contractor's License Law {Chapter 9, commendingwlth Section 7000 of Division Sof the Business and Professions Code) or triat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by f - .. _ civil penalty of not more than five hundred dollars ($500}). I any applicant for a permit subjects the applicant to a
VKorlters' Compensation Declaration: //lereby affirm under penatty of perjury one ofthe following declarations:
Bl have and will maintain a certificate of consent to self-insure for vrorkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.'
I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the perfomiance of the work for which this pemiit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. Expiration Date
This section need not be completed if the pemnit is for one hundred doiiars ($100) or less.
Wl Certificate of Exemption: I certify that in the perfomiance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Califomia. WARNiNG: Failure to secure workers' compensation covep^e 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'^^on 3706 of the Labor code, interest and attomey's fees.
^CONTRACTORSIGNATURE h-t^^Kjf ^ OAGENT DATE 11/19/14
•^
I hereby affinn 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 work and the stnjcture 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 emptoyees, 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 dkJ not build or improve for the purpose of sale).
I I I, as owner of the property, am exclusively contracting with licensed contractors to constnict the project (Sec. 7044, Business and Professtons 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).
• I am exempt under Section _ ^Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for constructton of the proposed property improvement. •Yes I INO
2.1 (have / have not) signed an application for a building pemnit for the proposed work.
3.1 have contracted with the foltowing person (finn) to provide the proposed constaiction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major viork (include name / address / phone / contractors' license number):
5.1 will provide some ofthe viori<, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of vrork):
^1 PROPERTY OWNER SIGNATURE •AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazanJous materials registration fomi 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 pemiit from the air pollution control district or air quality management district? nYes • No
Is the facility to be constracted 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 ANO THE AIR POLLUTION CONTROL DISTRICT
•••I BUI
I tiereby 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
APPtlCANT CERTIPI
I certify that I have read the appikation and state that the aboie infotmation Is correct and that the inlo
I hereby authorize representative of the City ofCarlsbad to enter upon the above mentkjned property for inspection purposes. 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 PERMfT.
OSHA: An OSHA pennit is required Ibr excavations over 5'0' deep and demolition or constnjctton of stmctures over 3 stories in height.
EXPIRATION: Every pemiit issued by the Buikfing Ofiicial underthe provisions of thisCpde shall expire by limitation and become null and void if the building or vwk authorized by such pennit is not commenced within
180 days fiDm the date of such pemiit or if the buikiing or va^. authorized by sustiiienTi^ is suspended or abandoned at any time after the wxy. is commenced fbr a period of 180 days (Section 106.4.4 Unifonn Buikiing Code).
ygS"APPLICANT'S SIGNATURE DATE 11/19/14
Inspection List
Permit#: CB143265 Type: PIVIE STEVENSON RES= REPLACE FURNACE
Date Inspection Item Inspector Act Comments
12/04/2014 43 AirCond/Furnace Set - Rl
12/04/2014 43 AirCond/Furnace Set SP AP
12/04/2014 49 Final IVIeclianical - Rl
12/04/2014 49 FinaliVlechanical SP Fl
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