The URL can be used to link to this page

Home My WebLink About2636 SAUSALITO AVE; ; CB162491; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 06-24-2016 Permit No: CB162491 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2636 SAUSALITO AV CBAD PME 1675116600 SMITH: ADD A/C & FAU PRE-PLUMBED COASTAL REFRIGERATION APTI 6525 PASEO FRONTERA CARLSBAD CA 92009-4534 760-683-5683 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/24/2016 SLE 06/24/2016 06/24/2016 SMITH LONNIE&ANNE LIVING TRUST 08-26-05 2636 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: ~ Clearance: $0.00 NOTICE: Aease ta<e NOTICE that awnva d )WC prtject ird~ tre "lrrpcsitiori' ct fees, derlcaticns, -= or ctt-er ex,aicrs -rolectivay referred to as '1ees/ex,rlcn;" Yoo rave 00 cia)s from Ire-ths ?3(1Tit""' iss..ed to p,-ctest irrpcsition ct these lees/ex,rlcr& If yru p,-ctest ttmi yru rrust fdl""tt-e emest puoocires set forth in Q:rverm-ent Cooe Section 66'.J20(a), a,:i file Ire~ a,:i a,y ctt-er req.ired inforrration wth Ire Oty IVa'1ager tiY p-ocessng in aax:rdaicewth Caisboo M.ridpa Cooe Section 3.32.030. Falu-etotirrayfdl""that irocect.rewll ta-a,ysu:,;eq..oert lega ooion to atta::l<, revieN, set aside, 'vtid, er an.I treir irrµ:lSitioo. Yoo are t-eret¥ F\Rll-ER NOTIRED that I'll rigt to~ Ire spoofied fees/ex,rlcrs OCES NCJr APPLY to mer a,:l ee,.er oonnection fees ard ~ d1crges, rrr plarirg, zcring, ga:irgorcihersirrila-applicaicn p--oc:essirg crS8'Virefoos in a:mectia,Wth tns ptjed. f\m a::ES IT APFLYto;ny fees'exocti v.h have ·venaf\OTICEsinil ·s crastowid7 cilinita:io,s c:itlef'.Mse ·roo. THE F0Lt.:OWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD Ccityof Carlsbad JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEt/SPACEt/UNITt Plan Check No. Est. Value Plan Ck. Deposit SWPPP CT/PROJECT# LOT# # BEDROOMS CCC. GROUP DESCRIPTION OF WORK: Include Square Feet of A# , EXISTING USE PROPOSED USE GARAGE (SF) AIR CONDITIONING ves0No0 FIRE SPRINKLERS APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL STATE FAX STATE FAX ZIP ZIP STATE LIC. # vesONoO , ZI~ /',?"/D (Sec. 7031.5 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 is licensed pursuant to the provisions of the Contractor's License LawJChapter 9, commending with Section 7000 of Div1s1on 3 of the Business and Professions Code} or fhat he 1s exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit sub;ects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I _b.ave and will maintain a certificate of consent to self-Insure for mrkers' 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 workers•57ensatlon, as req/y Section 3700 of the Labor Code, for the performance of the work for whicti this permi is issued. My workers' compensation ins ca . number are: Insurance Co. ~ ~ Policy No. V, Expiration Date ---';,C,,'-'~""';>'iC,,'-,'- ~section need not be completed if the permit is for one h red dollars ($100) or less. LJ Certificate of Exemption: I oortrfy that in the perfo ce of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, WARNING: Failure to secure workers' pensatlon covera Is unlawful, end shell subject an employer to criminal penalties and civil fines up to one hundred thousand ollars (&100,000), in addition to the cost of compensation, vided for in Secti 3706 of the Labor code, Interest and attorney's fees. ,/1$ CONTRACTOR SIGNATURE □ □ tor's Ucense 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 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 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 0No 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 I 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 I address/ phone/ 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/ address/ phone/ type of work)· ,/1$ 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 ActJ □ 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 O 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, CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construct1on lending agency for the performance of the work this permit rs issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the appllcatlon and state that the above information is correct and that the infonnation on the plans Is accurate. I agree to comply with all City ordinances and State laYoS relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon !he atxJve menOOflE!d property br inspection purJX)ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA permit is required for excavations over 5'0' and demolitOn or CCX1struction of structures over 3 stories in height EXPIRATION: Every permit issued by the Buikling Offk:ial u the provisions of this Code shall expire by liTiitation and beo:lme null and voKI Wthe buikling oroork authorized by such permit is not commenced 'Mthin 100days from the date of such permit or if · or rk authorized uch permit is suspended or abandoned at any time after the oork is o::immenced for ape · of 1 ays (Section 100.4.4 Unibm, Building Code), ...@S' APPLICANT'S SIGNATURE DATE • 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 bui1ding@carlsbadca.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. DELMRY OPTIONS PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) MAIL TO: □ CONTACT (Listed aboVe) □ OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL/ FAX TO OTHER: ________________ _ A$ APPLICANT'S SIGNATURE □ ASSOCIATEDCB#'------------- 0 NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Penn it#: CB162491 Type: PME Date Inspection Item . 07/12/2016 43 AirCond/Furnace Set 07/12/2016 43 AirCond/Furnace Set 07/12/2016 49 Final Mechanical 07/12/2016 49 Final Mechanical Tuesday, July 12, 2016 Inspector AEK AEK Act RI AP RI Fl SMITH: ADD A/C & FAU PRE-PLUMBED Comments ----------- Page 1 of 1