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Home My WebLink About2678 SAUSALITO AVE; ; CB160720; Permit,. 02-24-2016 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: CB160720 Building Inspection Request Line (760) 602-2725 2678 SAUSALITO AV CBAD PME 1675612700 Lot#: 0 GRAHAM RES-REPLACE FAU & ADD NEW A/C UNIT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/24/2016 RMA 02/24/2016 02/24/2016 GRAHAM JOHNS F&TRACY GRAHAM JOHNS F&TRACY 2678 SAUSALITO AVE CARLSBAD CA 92010 760 730-9895 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2678 SAUSALITO AVE CARLSBAD CA 92010 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: Date: Clearance: $0.00 NOTICE Aease ta<e awM d )OJ' l"ied irdudes the "I ' . 'd dedcaticrs, reservaticns, c, ether exa:ticro -cdledively ra'elrad to as "fe££/exa:tft,-,-I/ Yoo rave 9J dayS mnthe-!tis pemit v.as -o prctest irTj'.JOSitioo d tresefees'exa:tiCl'lS If )OJ prctesl trem. )OJ rrust fdlOA'tre prctest oroaadlret,set forth in G:>lenTna't Oxle Sedioo 60020(a), a-d file the prctest a-d ,n; cth3r '"'!,ired infc:m-eioo wth the Oty Mnager fer processrg in a:xxrdam wth Caista:l M..ridpa Oxle Sedioo 3.32.03(1 Falcre to tirray fdl<M'ttel J>OC8(1re wll l:a' ,n; SltEeq.Jerl lega edioo to~ review, set aside, \odd, er aTU their irrp::siticn Yoo ire t-enfy F\R1l-ER NOTIFIED ttet )OJ' ngt to prctest the specified fe££/exa:tiCl'lS oces NOr APA.. Y tova..-a-d se,.er cx:rn,ctjoo fees a-d ~ c:1mges, nc, plmrg, zmng ga::irg c, ctt-er !imla-wicatioo processrg c, seriica fees in OCl'lnediCl1 wth !tis l"ied. tCR oces IT APA.. Y to ,n; f 'nil linitai THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD Ccicyof Building Permit Application Plan Check No. r;fl; 1 "P7;; l) ' 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit , email: building@carlsbadca.gov /J),A www.carlsbadca.gov Date ;J 7 2 , , 777 lswPPP JOB ADDRESS SUlTEf/SPA\;Et/UNl1, IAPN 2678 Sausalito Avenue --- CT/PROJECT# I LOT# rPHASE # T#OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) . . -. . . ' . .. . . " ... , ............ --·'·---' 'It --·-,, ... , , ... ,, ... ., Renlacement of existina furnace. , . ., ' A I I' 1/, J--.,- EXISTING USE I PROPOSED USE I GARAGE (SF} PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING l FIRE SPRINKLERS v,so,_ No[] v,s □NoO vesONoO APPLICANT NAME., PROPERTY OWNER John and Tracy Graham Primary Contact ADDRESS ADDRESS 2678 Sausalito Avenue CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92010 PHONE IFAX PHONE IFAX 760-7309895 EMAIL EMAIL stlgraham@earthlink.net DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE l'AX PHONE IFAX EMAIL EMAIL I STATE LIC. # STATE LIC.# I CLASS I CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty 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 JChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he 1s exemi;it therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a c1v1I penalty of not more than five hundred dollars {$500)). WORl<ERS' COMPENSATION Workers' Compensation Declarallon: / hereby affirm under penalty of perjury one of the following declarations· D I have and will maintain a certlficale 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 0 I have and will maintain workers' compensation. as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _ ~section need not be completed ii the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfonnance of the work for which this pennit 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 unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars {&100,000), ln addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ 0 □ \, 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-buikler 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 projoot (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. !~nally plan to p. rovide the maiOr_ labor and materials for construction of the proposed property improvement. 0Yes ~o 2. ~ I have not) signed an applica~on 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 / contractors' license number): T ~ D 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 I address I phone I contractors' lk;ense number): 5. I will provide some of the work, bu\ I have contracted (hired) the following rsons to provide the work indicated (include name I address/ phone/ type of work): fl5 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 Act? □ 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 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 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 above infonnation Is correct and that the lnfonnation on the plans Is acx:urate. I agree to comply with all City ordinances and State lav.s rela1lng1D building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property tir insP3000n purposes. I .ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD A<'AINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE A<'AINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: MOSHA peon It is requred for excavations over 5'0' deep and demolition orconstructOO of structures over 3 sbries in height. EXPIRATION: Every permit issued by the Building Offcial under the proviskms of this Code shall expire by limitation and become null and voKI W the building oroork authorized by such permit IS notrommenced 'Nilhin 180days from the date of sudl permit or if the building or authorized by sudl pem,~ynded~ at any time after the oork is rommenced for a period of 180 days (Sectkln 100.4.4 Uniform Building Code). A!S'APPLICANT'SSIGNATURE /4~ DATE ,2_ ·2,4 -/ • 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@ca~sbadca.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: o CONTACT (Listed above) □ OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL/FAXTOOTHER: _______________ _ AS APPLICANT'S SIGNATURE □ ASSOCIATED CB#------------- □ NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Penn it#: CB160720 Type: PME Date ___ lnsp_e<:tion Item_ _ 04/05/2016 43 AirCond/Fumace Set 04/05/2016 43 AirCond/Fumace Set 04/05/2016 43 AirCond/Fumace Set 04/05/2016 49 Final Mechanical 04/05/2016 49 Final Mechanical 03/23/2016 43 AirCond/Fumace Set 03/23/2016 49 Final Mechanical Thursday, April 07, 2016 Inspector PY 14 PY MC MC Act RI AP AP RI AP co co GRAHAM RES-REPLACE FAU & ADD NEW A/C UNIT Comments NOTICE Page 1 of1