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HomeMy WebLinkAbout1609 STARLING CT; ; CB160201; Permit01-19-2016 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: CB160201 Building Inspection Request Line (760) 602-2725 1609 STARLING CT CBAD PME 2155906800 Lot#: 0 KARLOVSKY RES-2 NEW FAU'S ONE 3 TON FAU & ONE 4 TON FAU Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/19/2016 RMA 01/19/2016 01/19/2016 MY PLUMBER/ SAN DIEGO LLP KARLOVSKY FAMILY TRUST 02-04-04 7150 CONVOY CT SAN DIEGO CA 92111-1019 858-433-2565 Plumbing Fees Electrical Fe.es Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1609 STARLING CT CARLSBAD CA 92011 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: Clearance: $0.00 IIKJTICE: Please-llKJTICE Ila 'llPfuval ct your Jltject ird.-tre "lrrp<sitiori' ct-, -aiions, """"1/aions or cther exactions -o:illectively refem,d to as 'fees'exaclicm" You hal.e 00 da'js frornthe-tns pemit was issued to pretest irrposition ct these fees'exaclion& If you pretest tte-n you rrust follc,,vthe pretest procecl.res set forth in GMinmrt Oxie Section !fil20(a), in:I file the pretest in:I a,y cther raµred infonreion v.ith the aty rvt,r,ager for prooessrg in awda.:e"4th Ga1sba:I Mndpal Oxie Section 3.3200(1 Failcretotimslyfollc,,vthal proa,duewll ba-a,ysutsecµrt legal a:liontoat!OO<, revieN, set aside, void, or amJ their irrp<sition. Youn reret,y FlRTIER IIKJTIFlEDthat yr:,.r rig,t to pretest the specified fees'exaclions DCES /\1'.Jf />WL Yto\laer in:i seMJr oonnection-and capa:ity ch!,ge,; nor plannrg, zorirg, gatrg or ctnar slTila-iqjiaiion prooessrg or ser,,;oe-in oonnection v.ith tns Jltject. t-ffi DCES IT J>WL Y to a,y . . THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE, 0 PLANNING 0 ENGINEERING □BUILDING OFRE □HEALTH OHAZMAT/APCD Plan Check No. Est. Value Ccityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SWPPP JOB ADDRESS Ulm/ CT/PROJECT# # BEDROOMS # BATHROOMS CON DESCRIPTION OF WORK: Include Square Feet of Aftected Area(•) "7Z"~e0 : '3 /eyy ;;; /J;v ~ c ,7--s ca..ryz_ -z-57,1$<.: 12J/IP/-f atVA~ :,-o K ') '/ToAI /"k1J,V,m1:=..,..,f ,-,-Seyz, z..s...-,t-.;c::-/Z~/04 ~/VI)~ ~c::. ') PATIOS (SF) PROPERTY OWNER NAME STAlJA. ZIP FAX ADDRESS CITY STATE ZIP PHONE FAX EMAIL WORKERS' COMPENSATION Workers' Compensation Declaration: I hemby afflrm under penalty of petjury one of the following declarations: PE OCC. GROUP FIRE SPRINKLERS vEsONoO QI have and will maintain a certificate of content to .. If-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. ~ have and will maintain•::: compensation. as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation in~r:pnce ~~ and policy num,.,,.e: lnsu,ancoeo.Lt:fllP;12dl/;{'II "2@1('4 PoicyNo UJC /D"fZ-SZ, Zoo E,q,;,atiooDate 5<L-ZOLJfo Jm.section need not be completed if the permit is for one hundred dollars ($100) or less. U Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Wor1(ers' Compensation Laws of California. WARNING: Fallureto secure worbn' compensation coverage is unlawful, and shall subject an employer to criminal penaltln and civil fines up to one hundred thousand dollars {&100,000), in addition to the cost of compensation, mages as prov n Section 3706 of the Labor code, interest and attorney's fees. i$ CONTRACTOR SIGNATUR I hereby affirm that I am exempt from Contractots Ucens& Law for the following reason: D 1, as CMner of the property or my employees 'Mlh wages as their sole compensation, will do the wortc and the sbUcture is not intended or offered for sate (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 &Uch 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). D I, as CMner of the property, am exclusively contracting with lcensed contractm to construct the project (Sec. 7044, Business and Profes&ions 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. Oves Do 2. I (have/ have not) signed an application for a building pennit for the proposed work. 3. I have contracted with the folowing person (firm) to prOllide the proposed consbUction (include name address/ phone/ contractors' license number): 4. 1 plan to pl'Ollide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' ~cense number): 5. I will pr<Nlde some of the wOf11., but I have contracted (hired) the folcMing persons to provide the work indicated (inellde name/ address/ phone/ type of work): i$ PROPERTY OWNER SIGNAT GENT DATE J-l'f-t, COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is lhe applicant or future building occupant required to submit a business plan, acutely hazardous materials regislration fonn or risk management and prevention program under Seclions 25505, 25533 or 25534 of the Presley-Tanner Hazll°dous Substance Account Act? □ Yes □ No Is the appicant or fuhn building occupant required to obtain a permit from the air pollution coolrol dislrict or air quality management cjslrict? □ 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 ANO THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY t hereby aflinn that there 1s a construction lending agency for the perfonnance of the work ttus penn1t 1s 1ssued (Sec 3097 (1) Civil Code). Lenders Name Lender's Address APPLICANT CERTIFICATION I cedlfytbat I haw iead Ille applcatlon and state that Ille above lnfonnatlon is conectand tbatthe Information on the pans IS accurate. I agieeto complyv.ttll all Cill,f oldlnances and State laws ielaUngto bulking construction. I heleby au1horize 18Jlf9S811ta1M> of lheety of Ca1sbad ID-upoo !he above mentioned property for '1spediol1 purposes. I Al.SO AGREE TO SAVE, INDEt,f,IFY AND KEEP HARMLESS TIE ClTY OF CARLSBAD AGAl'IST ALL UABLmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY INANY WAY ACCRUE AGAINST SAD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA pem,it is requred b" excavations <Nf!I 5'0' deep and demoltion or construction of structures CH« 3 stories in height EXPIRATION: EYely penni issued by lhe BuidrlJ Official under lhe pro,isioos of~• Code shal expie by kn_, and becxime nul and IIOid I lhe buid'I! ex WOik aulhorized by such penrit • not commenced v.ilhn 180 days tom lhe dale of such pennicx ff buid'I! orwak authorized by such pennlo suspended ex--ato,yline aller~ewak • oommenced for a peood of 180 days (Sedion 106.4.4 lkl001111 Buiktlg Code). AS APPLICANT'S SIGNATU DATE 1-f - Inspection List Pennit#: CB160201 Type: PME Date _ _ Inspection Item 01/26/2016 34 Rough Electric 01/26/2016 39 Final Electrical 01/26/2016 43 AirCond/Furnace Set 01/26/2016 43 AirCond/Furnace Set 01/26/2016 49 Final Mechanical 01/26/2016 49 Final Mechanical Tuesday, January 26, 2016 Inspector PD PD PD PD Act AP AP RI AP RI AP KARLOVSKY RES-2 NEW FAU'S ONE 3 TON FAU & ONE 4 TON FAU Comments AM PLEASE AM PLEASE Page 1 of 1