HomeMy WebLinkAbout1678 CALLIANDRA RD; ; CB160968; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbin!g/Mechanicai/Eiectrical (PME) Permit
03-11-2016 Permit No: CB160968
Buildin~1 Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1678 CALLIANDRA RD CBAD
PME Status:
Parcel No: 2159002300 Lot#: 0 Applied:
Reference #:
PC#:
Project Title:
Applicant:
MOLLER RES-REPLACE 2 NC UNITS
AND 2 FAU SAME LOCATION
COASTAL REFRIGERATION
APT I
6525 PASEO FRONTERA
CARLSBAD CA 92009-4534
760-683-5683
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Owner:
MOLLER BRYCE
1678 CALLIANDRA RD
CARLSBAD CA 92009
Issued:
Inspect Area:
ISSUED
03/11/2016
LSM
03/11/2016
03/11/2016
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector: fYt· ~ Clearance:
$0.00
NOllCE Please take N011CE that approval of you1• project includes tre "lrrpa;ition'' ci fees, dedications, reservatims, or other exactims hereafter <Xlllectively
referred to as "fees'exactims." You have 00 days fmm the date this perrrit Wc3S issued to protest iiTfXlSition of trese fees'exactims. If you protest them, you rrust
foiiONtre protest procedures set forth in <?overrrrent Code Section 6002Q(a), ard file tre protest ard any other required infonration \Mth the Qty Manager for
processing in aam:lanre\Mth Carlsbad M..lnidpal Ctxle Section 3.32.030. FailuretotirrelyfoiiONthat procedure \Mil bar any subsequent legal action to attack,
revievv, set aside, void, or annul tl'eir iiTfXlSition.
You are hereby Fl.Rll-iER N011RED that your right to protest the spedfied fees'exactims !:XXS NOr APPLY to water ard &Mer oonnection fees ard capocity
dlanges, nor planning, zoning, grading or other sinillar application processing or servire fees in connection \Mth this project. NOR IJCES IT APPLY to any
fees' exactions ci Vlhich vou have oreviwslv been civen a NOllCE sinilar to this or as to Wlich tre statute of linitatims has oreviouslv othervl.1se extired.
OPLANNING 0ENGINEERING 0BUILDING OFIRE OHEALTH OHAZMAT/APCD
Plan Check No. c...8!~ 0 'tro8'
Est. Value
Plan Ck. Deposit
City of
Carlsbad
131uilding Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov Date SWPPP
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EXISTING USE PROPOSED USE
APPLICANT NAME
Primary Contact
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
STATE
FAX
STATE
FAX
#BEDROOMS
GARAGE (SF)
ZIP
ZIP
STATE LIC. #
SUITE#/SPACE#/UNIT#
#BATHROOMS
EMAIL
CONTRACTOR BUS. NAME
AIR CONDITIONING
YES0No0
OCC. GROUP
FIRE SPRINKLERS
YEsONoO
(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 applicant for such permit to file a signed statement that 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 exempt 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 {$500}).
ave and will maintain a certificate of consent to self-insum for workers' 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' 'jP'}'Pensation, as re uired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. y workers' compensation ins nee ca ier and policy
number are: Insurance Co. • ':1'1'/"H/'iJ,r · Policy No. /b &J ,...-_ ~ . ~' '/ · Expiration Date ,. • i.' /.
This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 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 Workers' Compensation Laws of
California. WARNING: Failure to secure workers' I 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 the Labor code, interest and attorney's fees.
25 CONTRACTORSIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for th•9 following reason:
D
D
D
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 did not build or improve for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed 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 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement DYes DNa
2. I (have I have not) signed an application for a building pmmit for the proposed work.
3. I have contracted with the following person (firrn) to provide the proposed construction (include name address I phone I 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 rnajor work (include name I address I phone I 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 I address I phone 1 type of work):
25 PROPERTY OWNER SIGNATURE DATE
I certify that I have read the application and state that the above information is conectand that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative 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' and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued i Official · the provisions of · expire by limitation and beoome null and void if the building or work authorized by such permit is not oommenced within
180 days from the date of such ·1 authorized · is suspended or abandoned at any time after the work is oommenced for a 180 days (Section 106.4.4 Uniform Building Code).
DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following OINL Y if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadGa.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
EMAIL
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
OCCUPANT (Listed above)
MAILIFAXTOOTHER: __________________ ___
AS APPLICANT'S SIGNATURE
(Office Use Only)
CA
ASSOCIATED CB#------------
NO CHANGE IN USE I NO CONSTRUCTION
CHANGE OF USE I NO CONSTRUCTION
DATE
I on List
Permit#: CB160968 Type: F'ME
_!)at~--· Inspection Item
07/08/2016 43 AirCond/Furnace Set
07/08/2016 43 AirCond/Furnace Set
07/08/2016 49 Final Mechanical
07/08/2016 49 Final Mechanical
Inspector
MC
MC
Act
Rl
AP
Rl
Fl
MOLLER RES-REPLACE 2 A/C UNITS
AND 2 FAU SAME LOCATION
Comments
AFTER 11 AM PLEASE
AFTER 11 AM PLEASE