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HomeMy WebLinkAbout2276 PLAZUELA ST; ; CB132300; Permit' 09-24-2013 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB132300 Building Inspection Request Line (760) 602-2725 2276 PLAZUELA ST CBAD PME 2163400500 Lot#: 0 MELLO RES-REPLACE FAU & A/C UNITS-SAME LOCATION-NO NEW ELECTRIC Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/24/2013 RMA 09/24/2013 09/24/2013 ANDERSON PLUMBING INC,WAL TER THOMAS MELLO 1150 N MARSHALL AV EL CAJON CA 92020 619-449-7646 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2276 PLAZUELA ST CARLSBAD CA 92009 858 220-6156 $0.00 $0.00 $158.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: Inspector: t'."t· ~ Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter co\\ectively referred to as "fees/exactions." You have 90 days from the date this pennit 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 x in fwhi h i I T E imil r wh( h h fli h I THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE JOB ADDRESS CT/PROJECT# LT# EXISTING USE CITY El Cajon PHONE 619 449 7646 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. SUITE#/SPACE#/U # APN ~llo PHASE# # OF # BATHROOMS TENANT BUSINESS NAME J (,(,1/1,\L PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES0, STATE ZIP CITY STATE CA 92020 FAX 619449 0312 SWPPP ZIP Anderson PHA ADDRESS 1150 N. Marshall CITY STATE ZIP OCC. GROUP El Caion CA 92020 PHONE FAX 619 449 7646 619 449 0312 EMAIL !i}andersonpha.con ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC,# CLASS CITY BUS. LIC.# 493163 C36 1074400 (Sec. 7031.5 Business end 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 si~ned statement tnat 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 exem.i;,t 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 {:ii500}). f WORKERS' c0MPENSATIO-N ~ --, ' -···--------------- Workers' Compensation Declaration: I hereby aff/nn under penalty of perjury one of the following dedarations D I have and wlll 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 work for which this permit Is Issued. [Z] I have and will maintain worken' compensation, as required by SecUon 3700 of the labor Code, for the performance of the work for which this permit is issued. My workers' compensaUon Insurance carrier and policy number are: Insurance Co. lumbennan ·--·-Polley No. 425947 Expiration Date 111/2014 ~secUon need not be completed if the permit is for one hundred dollars ($100) or less LJ Certificate of Exemption: I certify that In the performance of the work for which this permit Is issued, I shall not employ any ~rson In any manner so as to become subject to the Workers' CompensaUon Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and cJvll fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for I S~ctiin 3706 of the Labor code, interest and attomey's fees. _g CONTRACTOR SIGNATURE iA..) J4,,, ◄ 1 [Z)AGENT I hereby affirm that I 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, !he building or Improvement Is sold within one year of compleUon, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of sale). l, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec, 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or Improves thereon, and contracts for such projects wlth contractor(s) licensed pursuant to the Contractor's License 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 0Yes 0No 2. 1 (have/ have not) signed an application for a building pennit for the proposed work 3. I have contracted with the followlng person (firm) to provide the proposed constructlon (Include name address/ phone I contractors' license number): 4. l plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major'Mlrk (include name I address/ phone t 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/ address/ phone I type of work): 2.f PROPERTY OWNER SIGNATURE J.,_____.____ -acr., DATE 1/'J, 3//J [CO Ill' PL ET E TH IS SECTION FOR NON MR ES IDEN TI AL BU IL DING PERMITS ONLY Is the applicant or Mure building occupant required to submit a business plan, acutely hazardous materials registration fOnn 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 requlred to obtain a pennit from the air pollution control district or air quality management district? □ Yes □ 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. I certify that I have read the application and state that the above information Is correct and that the infolm8tion on the plans is accurate. I agree to comply with all City ordinances and State la~ relating1D building construction. I hereby authorize representative of the CftyofCarlsbad lo enter upon !he above mentioned property for inspection purp::lses. 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 demoli!ion or construction of structures over 3 stories Ul height. EXPIRATION: Every permit issued by !he Building Official under the provisbns of this Coo'e shall expire by flmitation and become null and 111'.lKl if the building or work authorized by such permit is notoommenced within 180 days from ~, date of such perrrit or lf ~e bui~ing or-au~oriz~=! permit is suspended or abandored at any time after the work • commenced fur a perloo of 180 days (Section 106.4.4 Unifurm Bui~ing Code). 2f APPLICANT'S SIGNATURE . \-0'-"--'½"I ~ DATE c:,; ~ 3 / J Inspection List Permit#: CB132300 Type: PME Date Inspection Item 11/12/2013 43 AirCond/Furnace Set 11/12/2013 49 Final Mechanical 11/12/2013 49 Final Mechanical Wednesday, November 13, 2013 Inspector Act MC AP RI MC Fl MELLO RES-REPLACE FAU & A/C UNITS-SAME LOCATION-NO NEW ELEC Comments NEWFAU &NC MELLO RES Page 1 of 1