HomeMy WebLinkAbout2216 RECODO CT; ; CB130722; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
03-25-2013 Permit No: CB130722
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2216 RECODO CT CBAD
PME Status:
Parcel No: 2164931300 Lot#: 0 Applied:
Reference #:
PC#:
Project Title:
Applicant:
SHAHAN RES· REPLACE A/C UNIT
SAME LOCATION ON GROUND
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:
Owner:
SHAHAN BILLY J
2216 RECODO CT
CARLSBAD CA 92009
Issued:
Inspect Area:
ISSUED
03/25/2013
SKS
03/25/2013
03/25/2013
$0.00
$0.00
$154.00
$0.00
$154.00
Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due:
~~$ Inspector: -Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit 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
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Plan Check No.
Est. Value ~ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Garlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: buldllng@carlsbadca.gov
www.carlsbadca.gov
posit
JOB ADDRESS
CT/PROJECT# LOT#
DESCRIPTION OF WORK: Include Square Feet of Affected Area(&)
,lf\~ A-le U_)I\,\., ¾-l\lv) ~l \o. h O 1/\
~Q ~\oc__. <>r--l
EXISTING USE GARAGE (SF)
APPLICANT NAME (Primary Contact)
ADDRESS \L~
EMAIL
PROPERTY OWNER NAME
ADDRESS'2-'2...-\ b
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.#
# BATHROOMS
PATIOS (SF)
ol,--? Date
DECKS (SF) FIREPLACE
YES □#_ NOD
APPLICANT NAME (Secondary Contact)
ADDRESS
CITY STATE
PHONE FAX
EMAIL
CONTRACTOR BUS. NAME
STATE UC.#
SWPP
CONSTR. "TYPE acc. GROUP
AIR CONDITIONING
YES □ NO □
ZIP
FIRE SPRINKLERS
YES O NO □
(Sec. 7D31.5 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 1s 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_P.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Worlters' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D I have and will maintain a certificate of consent to self.in1ure for workers' compensation as provided by Section 3700 of the labor Code, for the performance of the work for which this permit is issued.
have and will maintain work~omnensatlon, as recliillll by Secti~f thA ltor l..nde, for the _perfotJTI~~~ !Qt.W!li~~~Ai~~e~· compens~~r~arpe,a9fr!'licy
number are: Insurance Co. ~ l tt::. _ .. D~ Pohcy N~~~""''-'='""""''-'"-'~---'~Uc..-',::,,"'°_~_,='bic:p1ration Date _.~._H=Jil.Jw._,_~l4~-t~~+-·
This section need not be completed if the permit is for one hundred dollars ($100) or less. □ Certificate of Exemption: ! 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 work.en' compensation coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doll1n1 (&100,000), in
addition to the cost of compensation, dam, .. n...,mvlded to, In Section 3706 of the Labor code, Interest and attorney's fees.
IS CONTRACTOR SIGNATURE
I hereby affirm 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 sala {Sec. 7044, Business and Professions Code: The Cont~tor'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 offarad 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 Contractors license law does not apply to an owner of
property who builds or improves thereon, afld contracts for such projects with contractor(s) licensed pursuant to the Contractors license law).
□ I am exempt undar 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. □ Yes □ No
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (finn) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but l have hired the following person to coordinate, supervise and provide the major 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 nama I address I phone I type of work}:
IS PROPERTY OWNER SIGNATURE □AGENT DATE
COMPL,ETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
/
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form ex risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
ls the applicant or future building occupant required to obtain a permit 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 IIAY NOT BE ~SUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lending agency for the performance of the work this perrmt 1s rssued (Sec 3097 (1) C1v1I Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above infonnatlon Is oorrectancl that the information on the plans Is accurate. I agree ID comply with all City ordinances and State laws relating ID building construction.
I hereby aulhorize representative of lhe City of Gallsbad to enler upon lhe --mentioned properly for r,spection PUIJlOSOS. I ALSO AGREE TO SA VE, INDE~IFY AND KEEP HARMLESS THE CrTY OF CARLSBAD
AGAINST ALL LL'SILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MI\Y IN Af,'/ WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA p81TT1it is required for excavations r:,s 5'0' deep and demolition a-construction of strucbJres over 3 stories in height
EXPIRATION: Eve,y pennlt osued by lhe Bui~ing Official under lhe prwisions of lho Gode shall expire by lim_, and become null and void I lhe bui~fl!I or-aulholi2ed by such pemit o not OOITIT1erlced v.til
180 days from lhe dale of such pemit or ff lhe ng or -aulholi2ed by such pennlt • .._ded or abandooed at "1)' time after lhe -• oorrmenced for a period of 180 days (Section 106.4.4 Un-Bui~ng Gode).
_IS APPLICAHT'S SIGNATURE
• STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email www.building@car1sbadca.gov or Mail the completed fonn to City of Car1sbad, Building Division 1635 Faraday Avenue, Car1sbad, California 92008.
CONTACT NAME
ADDRESS
CrTY STATE ZIP
PHONE FAX
EMAIL
DELIVERY OPTIONS
□ PICK UP: o CONTACT (Listed above) □ OCCUPANT (Usted above)
□ CONTRACTOR (On Pg. 1)
□ MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above)
□ CONTRACTOR (On Pg. 1)
□MAIL/FAX TO OTHER: ________________ _
..es' APPLICANT'S SIGNATURE
CO#: (Office Use Only)
OCCUPANT NAME
BUILDING ADDRESS
CITY STATE
Carlsbad CA
OCCUPANT'S BUS. LIC. No.
o ASSOCIATED CB#------------
□ NO CHANGE IN USE/ NO CONSTRUCTION
o CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
' .
Inspection List
Permit#: CB130722 Type: PME
Date Inspection Item
04/22/2013 43 AirCond/Furnace Set
04/22/2013 43 AirCond/Furnace Set
04/22/2013 49 Final Mechanical
04/22/2013 49 Final Mechanical
Monday, April 22, 2013
Inspector Act
RI
MC AP
RI
MC Fl
SHAHAN RES -REPLACE AJC UNIT
SAME LOCATION ON GROUND WITH ELE
Comments
8-10 AM PLS -LOCATED OUTSIDE
EXISTING LOCATION
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