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
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