HomeMy WebLinkAbout2266 PLAZUELA ST; ; CB163483; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
09-09-2016 Permit No: CB 163483
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
2266 PLAZUELA ST CBAD
PME
2163400600
BLOOM: INSTALL AC W/ ELEC
SHERLOCK HEATING & AIR CONDITIONING INC
STE 104
2880 SCOTT ST
VISTA CA 92081-8560
760-295-5014
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
BLOOM FAMILY TRUST 05-04-07
2266 PLAZUELA ST
CARLSBAD CA 92009
ISSUED
09/09/2016
JMA
09/09/2016
09/09/2016
$0.00
$38.00
$163.00
$0.00
$201.00
Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: /v-Z I-,t Clearance:
$0.00
NOTICE Aease ta<e NOTICE that~ ci )<IUI' prcject irdudes th, "lrrpc,;tiori' ci fees, deciaiicrs, reservatia,s, or cthe.' E><roicrs hereafter cx,llectvay
referred to as 'f"""'<><mia,s," Yoo rave 9'.J da)S frcm tre date ths permt ""5 issued to prctest ilTJ)CSlion ci trese fees/E><micrs. If yoo prctest thffi\ yoo ITUSI
fctlo,,tre?'(X851 i,oarlres set forth in G:Mmra-1 Code Section 60020(a) a-d filetre ?'(X8SI a-d anycthe.' ,..µred infooretion wlh tre OtyMmgerfor
proressrg in 1'lXIUa"alWth Qr1sboo M.ridpa Code Sector, 3.32.030. Faltrelotirrayfdlo,,lhat p-oo,o.rewll ta' anySlbsecµrt lega adion to attEd<.
re.AeN, set <Sde, vcid, er ErTU tt'eir irrp:sition.
Yoo ,re reret,,, F\Rll-ERNOTIFlEDthat yo;r rig1 to prdest trespe:ified f..,,exadicrs OCES I\Qf APFLYto-.eter a-d se,.ercxrredior,fees a-d ~
ctroges, nor pmrg, 2Clirg galrg or ctt,e,, sml"' wicaJori prores,;rg or ser;;a, feas in cxrredion wlh lhs prcject. i'CR OCES IT APFl Y to any
feeJ!:/ sinilcr ttis er widi lini
. □PLANNING □BUILDING QHEALTH 0 HAZMATIAPCD THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 ENGINEERING □FIRE
·«~~ Building Permit Application Plan Check No. CBtla• ~4R
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
-~ CITY 0 F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit
CARLSBAD email: building@carlsbadca.gov
Date 4, ct. ( L lswPPP www.carlsbadca.gov
3
JOB ADDRESS SUITE,/SPACE#/UNIT, IAPN 2266 Plazuela Street, Carlsbad 92009 ---
CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I OCC. GRuUP
DESCRIPTION Of WORK: Include Square Feet of Affected Area(s)
INSTALL AC, FURNACE AND DUCTING, WITH ELECTRICAL
'
FIREPLACE EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) \AIR CONDITIONING I FIRE SPRINKLERS
YES[}t NcCJ vesONoO v,s □NoO
APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME MIKE BLOOM
Pl'ffillrw "-n ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 2266 Plazuela Street, Carlsbad 92009
CITY STATE ZIP CITY STATE ZIP
SAN DIEG CA 92123
PHONE I FAX PHONE IFAX 888-991-4377 (760) 436-3936
EMAIL EMAIL
JERMAINE(@,WEGREENINC.COM
DESIGN PROF~ONAL CONTRACTOR BUS. NAME Sherlock heatina and air
ADDRESS ADDRESS 2880 scott st. #104
CITY STATE ZIP CITY STATE ZIP
vista ca 92081
PHONE IFAX PHONE I FAX 760-295-5014
EMAIL EMAIL
I STATE LIC. It STATE UC.# I CLASS I Cl1'/ BUS. UC; 226684 804838 c20
(Sec. 7031.5 Business and P_rofess1ons Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any_ structure, prior to its issuance, also requtres the applicant for such per_m1t to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law JChapter 9, comme_nding with Section 7000 of Division 3 of the B_us1ness and Professions Code) or that he is exem_i;it therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a
c1v1I penalty of not more than five hundred dollars [$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I her&by afflmi under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensatk:m as provided by Section 3700 of the Labor Code, for the performance of the 'M'.lrk for which this pennlt ls Issued.
[Z] I have and will maintain workers' compensation, as reQulred by Section 3700 of the Labor Code, for the perf01TT1ance of the VJOrk for which this pennil IS Issued. My workers' compensation Insurance carrier and policy
number are: Insurance Co, BBSI Policy No. C48101277 Expiration Date 8-2D15
Jru,section 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 person In any manner so as to become subject to the Wor11ers' Compensation Laws of
California WARNING: Failure to secure workers' compens n coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to ona hundred thoosand dollars (&100,000), in
addition to Iha cost of compensation, damages as provided in Section 3706 of the Labor code, interest and attorney's fees.
Jl'S CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Llc8nse 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 dk:I not build or Improve for the purpose of sale). □
□
□
I, as owner of the property, am excluSive)y contracting with licensed contractors to construct the project (Sec. 7044, Business and Profess'ons 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 e)(empt under Section ---~Business and Professions Code for thiS reason:
1. I personally plan to provide the ma.Pr labor and materlals for construction of the proposed property improvement. OYes Do
2. I {have/ have not) signed an application for a buiidlng permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (Include name address/ phone/ contractors' license number):
4. l plan to provide portions of the work, but I have hired fallowing person to coordinate, supervise and provide the major wor11 (lnclooe name I address/ phone/ contractors' license number)·
5. I will provide some of the work, but I have contrac hired) the folk>Y,ing rsons to provide the w:,rk indicated (Include name/ address/ phone/ type of work):
,N$ PROPERTY OWNER SIGNATURE □AGENT DATE
~ ~v 1 ~ l'"c?;'()!Jl,H!LIJ:E '!'MIS SEC:1'U!N FOlf 1\101\1-Rl!Sll!ENUAL BUILDING PERMITS ONLY
C ' ) ~ -j "' M M j
Is lhe appl\cant or future building occupant required to submit a business plan, acutely hazardous materials reglstraUon form or risk management and prevenUoo progr.rn under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? O Yes O No
Is the applicant or future building occupant reqllred to obtain a permit from the air pollution control district or alrquallty management district? 0 Yes O No
Is the faclllty to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 cerHfythat I have read the appllcatlon and state that the above infunnatlon is correct and that the Information on the plans is accurate. I agn,e to complyd:h all Ctfy ordinances and State laws ntlalingto building construdlon.
I hereby aulhorize rei:reoontative of the City of Carlsboo b enBr u!X)O the allow meotk:Jnoo property for inspacoon purp:>Ses. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CllY 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 doodilk>n or cx:nstruction of structures over 3 stories in height.
EXPIRATION: Every permit issuOO by the Buikling Official under the provisbns of Cooe shall expire by imitatoo and become nu~ i:¥1d VJKl W the buik:ling or work auth'.xiZed by sl.Ch penrit ls not oorrvnenced within
180 days from the date of sudl permit or Wthe buik:ling or work ault'oized by nnlt is suspenda:I or abEllC!cJnoo at any tine after the work ls commenced Klr a perbd of 180days (Section 100.4.4 Unibm Buik:ling Code).
A$ APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB163483 Type: PME
Date Inspection Item
10/26/2016 43 AirCond/Furnace Set
10/26/2016 43 AirCond/Furnace Set
10/26/2016 49 Final Mechanical
10/26/2016 49 Final Mechanical
Thursday, October 27, 2016
Inspector
JW
JW
BLOOM: INSTALL AC W/ ELEC
Act Comments ------------
RI
AP
RI
AP
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