HomeMy WebLinkAbout2854 RANCHO RIO CHICO; ; CB131991; Permit·,
08-16-2013
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB131991
Building Inspection Request Line (760) 602-2725
2854 RANCHO RIO CHICO CBAD
PME
2226120400 Lot#: 0
Status:
Applied:
Entered By:
Plan Approved:
KEHLE RES -REPLACE EVAPORATOR
COIL, LIKE FOR LIKE, SAME LOCATION IN ATTIC -PROVIDE
LADDER FOR INSPECTOR
Owner:
Issued:
Inspect Area:
ISSUED
08/16/2013
SKS
08/16/2013
08/16/2013
KEHLE CONSTANCE TR KEHLE CONSTANCE TR
2854 RANCHO RIO CHICO
CARLSBAD CA 92009
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2854 RANCHO RIO CHICO
CARLSBAD CA 92009
$0.00
$0.00
$154.00
$0.00
$154.00
Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due:
Inspector: f\'.1., ~ FINAL AP.PR
Date: oS 28 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 pennit 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 infonnation 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
f . n fwhi h h v I n iv n N imil r hi r i h h i
· THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCD
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~ Building Permit Application Plan Check No. G0 I '"?:> /'1,ry I
<((#f> 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value In 1 ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. I eposlt ·-( CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date Y '~II -L-,lswPPP _j/L ")
12110 7 SUITU/SPACEf/UNIH 1-N ;i_ ~ 4 G-"'-c..lo ; • ~; c..c ,C&.-r/.rb.c'd,, hi' -------t_"BAD~ESS 'K l{
CT/PROJECT# ILOT# 1PHASE# IOFUNITS 1#8EDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
~CRIPTION OF WORK: Include Square Feet of Affected Area(s)
''l<e.f>\=·•.,.,_5 O...lA D.Jc;.___pov0-7/--ov-l. ' ~ D v-.-._ ,:__ .l {;., fq-\ (_, C-,.c, I ' t'\.,
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE rR CONDITIONING I FIRE SPRINKLERS
YES[)# Nc0 YESQNoO vEsQNoO
APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE IFAX PHONE IFAX
c' /;, \('\ V' ' I('"' IA \ <
EMAIL
1.P •
:l"'~ow.!f' "" :r, c-V«:l ' K , ~ ;C-o CONTRACTOR BUS. NAME ,4 -/!. JJ... L,,[_ vv" .'ce r .fl.. -V'), s-0....V'-. ,o
~ESS 9 ,?-cl O 9
ADDRESS /. -i< /_, ~ _.{J /'..,,a
c7"' O lf1-2-. <-l'-1'1 r STATE
ZIP CITY STATE ZIP
I
PHONE IFAX PHONE )..4-'B -3,f / 0 IFAX ~A -
EMAIL c.,,.. I< <VI I e_.. /<Y "" t?l ! EMAIL
,c I C-OV'Y/
ARCH/DESIGNER NAME & AO DRESS V TSTATE LIC. # STATE UC.# r= l CITY, BUS. UC.# 77 03 4=>
' (Sec. 7031.5 Busmess and Professions Code. Any City or County which requires a permit to construct, alter, improve, demohsh 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 exemP.t 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}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjuf)' one of the following declarations:
El I have and wlll maintain a certificate of consent to self-Insure 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 worbrs' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. ______________ Expiration Date _________ _
lwi,section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage la unlawful, and shall subject an employer to crimlnal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for In Section 3706 ofths labor code, interest and attorney's fees.
,6$ CONTRACTOR SIGNATURE □AGENT DATE
OWNER~BUILDER DECLARATION
I hereby afflnn that I am exempt from Comractor'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
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 buikl 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. OYes ONo
2. I {have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone/ 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 major work (include name/ address I phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indk:ated (include name/ address/ phone/ type of work):
PROPERTY OWNER SIGNATURE □AGENT DATE
,.
COMPLETE 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 or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Arn Yes No
Is 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 fa::ility to be constructed within 1,000 feel of the outer boundary of a school site? Yes 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lending agency for the performance of the work tt11s penmt 1s issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the allolo$ infonnatlon Is correct and that the infonnatlon on the plans Is aa:urate. I agme 1D complywlth all C"1 ordinances and S1ate l&YeS relating 1D buUdng construction.
I hereby aulhofize rep-esentative oflhe City of Carlsba::I to enter upon the above menooned property br inspection pulµlSeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AG'IINST ALL U.'BILITIES, JUOOMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRI\NTING OF THIS PERMIT.
OSHA: AA OSHA pe1mlt is required for excavations over 5'0' deep and demolltbn or construction of structures over 3 stories in height.
EXPIRATION: Eve,y pe,mit issued by the Buikllng Oflk:ial under the proviskms of this Code shall expire by Imitation and beoome nun and VOO if the buikling or 'Mlri< authorized by sudl pe1mlt is not (X)ITlmenced Ylffllin
100 days from the date of such pe1mlt or if the tx.Jilding or'Mlr1< authorized by such pe,mlt is suspended or abandoned at any time after the 'Mlrk is (X)ITlmenred t>r a perioo of 180 di¥i (Section 106.4.4 Uniform Building C.ode).
~ APPLICANT'S SIGNATURE (') DATE s IS
• 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 building@car1sbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: _______________ _
,.l!5 APPLICANT'S SIGNATURE
ASSOCIATED CB#------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
..
Inspection List
Permit#: CB131991 Type: PME
Date Inspection Item
08/27/2013 43 AirCond/Furnace Set
08/27/2013 49 Final Mechanical
08/21/2013 49 Final Mechanical
08/21/2013 49 Final Mechanical
Wednesday,August28,2013
Inspector
MC
PY
Act
RI
Fl
RI
CA
KEHLE RES • REPLACE EVAPORATOR
COIL, LIKE FOR LIKE, SAME LOCATION I
Comments
KEHLE RES
KEHLE RES LATE PM
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