HomeMy WebLinkAbout1749 SKIMMER CT; ; CB141473; Permit06-24-2014
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No:CB141473
Builtding Inspection Request Line (760) 602-2725
Job Address;
Permit Type:
Parcel No:
Reference #;
PC #:
Project Title;
1749 SKIMMER CT CBAD
PME
2159212500 Lot #;
BERGE RES- REPLACE 2 A/C UNITS
SAME LOCATIONS
Status
Applied
Entered By:
Plan Approved
Issued
Inspect Area
ISSUED
06/24/2014
SKS
06/24/2014
06/24/2014
Applicant;
ASI HASTINGS
STE 200
4870 VIEWRIDGE AV
SAN DIEGO CA 92123
619-590-9300
Owner:
BERGE TREVOR T&DARCY L
POBOX 131704
CARLSBAD CA 92013
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$0.00
$0.00
$158.00
$0.00
TOTAL PERMIT FEES $158.00
Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: $0.00
Inspector: Clearance:
NOTiCE: Please take NOTICE that approval of your project includes the "Imposition" of fpes, dedications, reservations, or other exactions hereafter collectively
refened to as "fees/exactions." You have 90 days from the date this pemiit was issued to protest imposition of these fees/exactions. If you protest them, you must
foiiow 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 iivith Carisbad 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 previously been given a NOTICE similar to this, or as to which the statute of limitations has previousiv othenA/ise expired.
To: c Page 1 of 4 2014-06-24 01:57:42 (GMT) From: Jennifer Cole
THE FOLLCWING APPROVALS REQUIRED PRIOR TO PERMrr ISSUANCE: • PLANNING nENGWEERING • BUILDING QFIRE • HEALTH • HAZMATfAPCD [
ijSi, Buiwing permit Application | ^^^^^ I ^ I ^1 3
CITY OF
CARLSBAD
Building Permit Appiication
1635 Faraday Ave.. Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Est Value
Plan Ck. Deposit
Date SWPPP
JOB ADDRESS 1749 Skimmer Ct
SUITE#/SPACE«/UNIT# AW..'
CT/l'ROJECT » LOTS PH/6E* (f OF UNITS » BEDROOMS # BATHROOMS TENANT BUSt^SSS NAME CONSTR. TYPE occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Replace (2) AC units
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESQ* NOl I
AIR CONDITIONING
VES I I NO I I
FIRE SPRINKLERS
YESl |NO| I
APPUCANT NAME (Primary Ctntaot) ASI Hastings APPLICANT NAME (Steondary Ctntaat) Jennifer & Randy Cole
4870 VIEWRIDGE AVENUE #200
ADDRESS
9880 Magnolia Ave #119
CITY
SAN DIEGO
STATE
CA
ZIP
92123
CITY
Santee
STATE .ZIP
92071
PHONE
(619) 390-9300
PHONE
619-4Q5-2648
FAX
EMAIL
PROPERTY OWNEH NAME Trevor Berge CONTRACTOR BUS. NAME ASI Hastings
1749 Skimmer Ct
ADDRESS
4870 VIEWRIDGE AVENUE #200
Carlsbad
STATE
CA 92011 SAN DIEGO CA
ZIP
92123
PHONE
760-712-6183
PHONE
(619)590-9300
FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.»
513115
CLASS
C20
CIT^ BUS.UC.i
1200804
(Sec. 7031.5 Business and Professions Code: Any City or Counly 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 Ucense Law {Chapter 9, commending with Section 7000 of Division 3 ofthe Business and professions Codel or that he is exempttherefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pemiit subjects ttie applicant to a civil penalty of nol more than five hundred dollars ($500)).
W ORKERS COMPENSAT rON
Worken' Compensation Declaration:/Aereft/aflfrm under penally of peijury one afth> folowing declmtlons:
HI have and infill maintain a certificate of consent to self-Insure for workers'compansation as providsd by Section 3700 of the latx>r Code, forlhepeifonnanceaf the work lor which this permit Is issued.
I liave and will maintain workers' compensation, as reouired bv Section 3700 ofthe L^borCode. forthe peiformance of Ihe wrl(forwhich this permit is issued MyworKers' compensatiDn nsiiance carrier and policy
nun*erare Insurance Co OAK RIVER INSURANCE COMPANY Policy No 3300065233131 Expiration Date 09/01 /2014
This section need not be completed if the permB is tor one feundlnsd iloiars [$) 00) or Jess.
n CertHlcateof Exemption:! certify that in the perfonnance of the work foraiViicli Ih'is g^lWis issued, I shaS nol employ any person in any manner SO as lo become subject to the Workefs' Compensatun Laws of
Calllomia. WARNING: Failure to lecure worken' corapeniilion covenje MI)|hMul, ,^'n<i (hall subject an employer to criminal penalties and chill fines up to one hundred thoutand dollars (S1(IO,000)i in
ad<fltion to ths coft of conipensatkin, damages as pnlMei lot in Sectioii OS ofthe LiboNlfiide, interest and attomey's fees.
CONTRACTOR StGNAHfRE j/l^/ll J^t^hA^lKj^• AGENT DATC 6/23/14
.?«>.W-N en- B u ifc:iO'.E^R X> E C L. A R .\ T I O N
/ herel>yafllrm that I am exempt fom Conml^ai^f^^eme Law fi-ffKlbJfW'ng reason.'
I, as owner of the property or my employees «*i wages esfefsote coenfiensalion, wil do the work end the structure is not silended or offered for sale (Sec. 70M, Business and Professions Code: The Conlractor's
License Uvt does nol ai^y to an owner of property who builds or improves Ihereon, and who does such work hinsell or through his own empkiyees, provldad lhat such improvemenls are nof intended or offered for
sale. If, however, the buikfing or improvement is sokl within one year of completion, the owner-bulkier wis have the buiden of provvig that he dkl not buU or improve br ttie purpose of s^).
I, as owner of the property, am exclusively contracting wSh licensed contractors to constfuct the project (Sec 7044, Business and Professkms Code: The Contractw's Lreense Law does not apply to an owner ol
property who bu8ds or improves thereon, and contracts for such projects with oonlraclor(s) Scensed pursuant to the Contractoi's LKense Law).
I am exempt under Sectkm Business aid Pnjfessons Code fcr this reason:
1.1 persondly plan to pfOvWe the major labor and materials for constnjcftm of the proposed property Improvement. Qves I luki
•
•
•
2.1 (have / have not) signed art applicatiw tor a buikling permit for tha proposed work.
3.1 have contracted with the folowing person (fkm) to provide the proposed constmction (iichide name address / phone / conkactors' iKansa number):
4.1 t^an to provUe porttons of the v<ork, bul I have hired the foBowiig person to coordinate, supervise and provkle the major work (Mude name / address / phone / contractors' lreense number):
5. i wSI provkle some of the worii, but I have contracted (hlredl the foltovning persons to piovUe Ihe work Indkated (include name / address / phone / type of work):
yfiS" PROPERTY OWNER SIGNATURE •AGENT DATE
To: c Page 2 of 4 2014-06-24 01:57:42 (GtViT) From: Jennifer Cole
;;(E;<»-S*;jP^!LE'T^iE'-TM:i..S ^5-«:C.T:I^O;:N'^FO:l^^/N•i6;N;..'R^ CNTiAL BUILOiNG P E fMW I T S ONLY
Is the applkant or future buiding occupant requked ki submit a buskiess plan, acutely hazardous materials negistratkm form or risk management and prevenlkin program under Sedkins 25505,2S533 or 25534 of the
Piesley-Tanner Hazanjous Substance Account Act7 CJ Yes O No
is the appScant or lutuie buikiing occupant required to obtan a pem* from the air poButkm control dislricl or air quality management distik;!? d Yes • No
Is the facility fo be constructed withki 1,000 feet of the outer boundaiy of a school site? DYes UNo
IF ANY OF TJffi ANSWERS ARE YES, A FIN AL CERTIFICATE OF OCCUPA NCY M AY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF Tt« OFHCE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby afflim that there Is a construction lending agency for the perfomiance of the mtk Ihis perniH Is issued (Sec. 3097 (I) Civil Code).
Lender's Name Lenders Address
APPLICANT CERTIFICATIO N
I certif tliati have lead Ihe applkatkm and stale that IheatxMS intcnnalicn bco^
I heiety authonze lepiBsenteSve ofthe Oty of Carlstad toenter tpm tie above mentioned property for inspecSon purposes. I ALSO AGREE TO SAVE, INDEMNFY ANDKffiP HARMLESS THE OTY OF CARLSBAD
AGAINST ALL LIABILITIES, UDGMENT^ COSTS ANDEXPENSES WHIOt MAY IN ANY WAY ACCRIE AGANST SAID CfTY IN CONSEQUENCE OF THE GRANTWG OF THIS PERMIT.
OSHA: An OSHA permit is lequied for excavaions over S'O' deep and demotion or on«^tnn of stmctures over 3 skres in heighl
EXPIRATION: Every permtt Issued by tie BuUing Oflicial under lha proMskmuAfiBi^^^ial expra by Imitatkm aikj become nul and void If the bulking or wxk authoiized by such perniil Is not commenced VMlhin
180 days from the date of such pennH or it Ihe buikling yuok aulhorized byjluch_^ennit^ suipgnded or abaidoned al any fae after the virak is oommenoed for a period of 180 days (Section 106.4.4 Unifoim Buidiig Code).
APPLICANT'S SIGNATURE DATE 6/23/14
Inspection List
Permit*: CB141473 Type: PME BERGE RES-REPLACE 2 A/C UNITS
SAME LOCATIONS
Date Inspection Item Inspector Act Cornments
03/26/2015 43 AirCond/Furnace Set - Rl AC UNITS ON LEFT SIDE OF YARD
03/26/2015 43 AirCond/Furnace Set SP AP
03/26/2015 49 Final Mechanical - Rl AC UNITS ON LEFT SIDE OF YARD
03/26/2015 49 FinalMechanical SP Fl
Thursday, March 26, 2015 Page 1 of 1