HomeMy WebLinkAbout2804 RANCHO COSTERO; ; CB162627; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
07-07-2016 Permit No: CB162627
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2804 RANCHO COSTERO CBAD
PME Status:
Parcel No: 2218111000 Lot#: 0 Applied:
Reference #:
PC#:
Project Title: AUSTIN: REPLACE 2 NC UNITS
Applicant:
WEST COAST APPLIANCE SERVICES INC
OBA WEST COAST SOLAR
1282 FAYETTE ST
EL CAJON CA 92020
619-557-0446
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
AUSTIN FAMILY TRUST 02-15-12
2804 RANCHO COSTERO
CARLSBAD CA 92009
ISSUED
07/07/2016
SLE
07/07/2016
07/07/2016
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector:
FINAL APPROVfL
Date: 'if--5I · I Clearance:
$0.00
NOTICE A8"'e ta<e CE that~ ci )OJ prtjed irdl.des th, "lrrpa,iliori' ci fees, dedcaicns, """"'8ticns, or dher ex,dicns hereafter cdledively
referred toas 1_,ex,dicns." Yoo l'aveOOda),sfrcrntt-e-ths p,mit \MlS iss.alto prctesl irrpa,ilion cithesefeeelex,dions. If )OJ prdesl therT\ yoo m..ot
fcllONthe prctest pn:,cedres set forth in Goterrrrent Code Semon !ffl2Q(a), ard file the prdesl ard ,n; dher req.ired infooraion wth tt-e Oty Mmgerfor
processirg in ax:adanoewth Ca1stal Mridpa Code Semon 3.32.03l. FaltretotirrayfcllONthat p-ro,c!.rewll llEI' ,n;SLl>aeQJert legal action toatta::k,
revie.v, set aside, \Od, er anJ trer ini:x:sition.
Yw ere here!,; FlRll-ER NOTIFIED that )OJ rigi to prctest tt-e spedfioo f_,exmions DCES NOf M'PL Y to.,....,. ard ,.,,,,,, cxrredjon fees ard c,µoty
c:tlcrg::s, ra pla"rirg, zi:rirg, ga::irg or cttu sirrilc:1" ~icati01 p-a::essirg cr savire fees in cx::n19dia1 Wth this ptjed. N::R CXES IT .Affll.. Y to my
·a-s vJli been · f\OllCE si ·1 a as t wi the lirritati ·se
Building Permit Application Plan Check Nof\ A/( 0 2(J)'c,,+
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
760-602-2717 / 2718 I 2719 Plan Ck. Deposit Fax 760-602-8558
www.cartsbadca.gov Date 7 ~ 1 -I\ n lsWPPP
JOB ADDRESS SUITE# /SPACE#/U NIT#
2804 RANCHO COSTERO rPN ·2'21 -'.i, JI -I /.;v -o
CT/PROJECT# I LOT# _[HASE# I# OF ~NITS I# BED5MS # BATHROOMS I TENANT BUSINESS NAME I co~~ATY~E I oc;;~P 4,5 ·-----DESCRIPTION-Of WORK: Include Square Feet of Affected Area(s)
REPLACEMENT OF (2) 3T & 5T A/C UNITS
EXlSTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE TAIR CONDITIONING I FIRE SPRINKLERS v,so Nc0 YES[Z]No □ YES□No□
CONTACT NAME (If Different Fom Applicant) SYNDIE PICH APPLICANT NAME
ADDRESS 1256 FAYETTE ST
ADORES~ ---CITY STATE ZIP CITY ZIP
EL CAJON CA 92020 ---PHONE I FAX
PHONE I FAX 619-557-0446 619-448-3708
EMAIL westcoastheatcool(@.gmail.com
EMAIL
PROPERTY OWNER NAME ADAM AUSTIN CONTRACTOR BUS. NAME WEST COAST SOLAR
ADDRESS ADDRESS 2804 RANCHO COSTERO 1256 FAYETTE ST
CITY STATE ZIP CITY STATE ZIP
CARLSBAD CA 92009 EL CAJON CA 92020
PHONE I FAX PHONE IFAX 760-448-6958 619-557-0446 619-448-3708
EMAIL EMAIL
adamthecaptain(@,netzero.com FB.WCAS(@,GMAILCOOM
ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE LIC.# l'cio. c20 l'"YBUS u,1211141 810930
(Sec, 7031.5 Business and P_rofessIons 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 per_m1t to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's license Law {Chapter 9, commending with Section 7000 of 01v1s1on 3 of the
B_us1ness and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any applicant for a permit subjects the applicant to a
c1v1I penalty of not more than five hundred dollars {$500)).
Workers' Compensation Declaration: / hereby affirm under penalty of petju,y one of the following declarations: D I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfom1ance of the work for which this pem1it is issued.
[Z] I have and will maintain workers' comr,ensatlon, as reQuired by Section 3700 of the Labor Code, for the perfom1ance of the work for which this pem1lt Is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co GRANITE STATE Policy No. wc.oo1..:is.imG Expiration Date 2-17
~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 pertom1ance of the 'M'.lrk for which this pem1it 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' compensation coverage is uni I, an hall subject an employer to criminal penaffies and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of or code, interest and attorney's fees,
,/IS CONTRACTOR SIGNATURE
I hereby afflrm that I am exempt from Contractor's License 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
Lk:ense 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 sllCh 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 Sectlon _____ ,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. Oves Oo
2. I (have/ have not) signed an application for a building peITTllt for the proposed work.
3. I have contracted with the following person (fim1) to provide the proposed construction (Include name address I phone I contractors' license number)·
4. I plan to provide portions Of the mrk, but I have hired the following person to coordinate, supeivise and provide the major work Onclude name I address/ 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/ phone/ type of work)·
a$ PROPERTY DINNER SIGNATURE □AGENT DATE
'
Is the' applicant or future building occupant required to submit a businesS,S, acutely hazardous materials registradon fom1 or risk management and prevenUon program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes WNo
ts the applicant or future building occupant required to obtain a permit from the air pollution control district or aiCfil!allty management district? Oves [Z] No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Oves LLJNo
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 applicatlon and state that the abCNe lnfonnatlon is oorred: and that the lnfonnation on the plans is accurate. I agree to compty'Mth all City ordinances and state laws relating to building construction.
I hereby authOOze representative of the Otyof Carlsba:l to enter upoo 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 'M-llCH MAY tN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is ra:iuira:l for excavatioos over 5'0' deep and derrditioo or ro1struction of structures over 3 stories in height
EXPIRATION: Every permit issued by the Building Offici~ under the s ct this re by limitation and ~e null and void if the building or work authorized by such permit is not commenced within
180 days from the date of sucti pennrt or if the buiklin · sucti or a irre after the work is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code) .
.@S'APPLICANT'SSIGNATURE <'.'.==::::::-;;:>,..,:.;:_ ___ ~ --------DATE (p ~-f&l-------
Inspection List
Penn it#: CB162627 Type: PME
Date Inspection Item __
08/30/2016 43 AirCond/Furnace Set
08/30/2016 43 AirCond/Furnace Set
08/30/2016 49 Final Mechanical
08/30/2016 49 Final Mechanical
08/17/2016 43 AirCond/Furnace Set
08/17/2016 49 Final Mechanical
Tuesday,August30,2016
Inspector
JW
JW
AUSTIN: REPLACE 2 A/C UNITS
Act Comments
RI AM PLEASE
AP
RI AM PLEASE
AP
RI
RI
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