HomeMy WebLinkAbout2340 SUMMERWIND PL; ; CB131052; Permit'·
04-23-2013
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: CB131052
Building Inspection Request Line (760) 602-2725
2340 SUMMERWIND PL CBAD
PME
2081702500 Lot#: 0
BURTOFT RES-REPLACE FAU &
INSTALL NEW A/C UNIT
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
04/23/2013
RMA
04/23/2013
04/23/2013
SHERLOCK HEATING & AIR CONDITIONING INC
STE 100
BURTOFT JOHN S&BARRAH-BURTOFT JAIME L
1355GRANDAV
SAN MARCOS CA 92078
760-295-5014
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2340 SUMMERWIND PL
CARLSBAD CA 92008
$0.00
$31.00
$154.00
$0.00
$185.00
Total Fees: $185.00 Total Payments To Date $185.00 Balance Due:
Inspector: Clearance:
$0.00
NOTICE: Please take NOTI pproval of your project includes the "Imposition' off es, dedications, rese,vations, or other exactions hereafter collectively
referred to as "fees/exaction ." You have 90 days from the date this permit 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 se1Vice fees in connection with this project. NOR DOES IT APPLY to any
I I im'I hi r hi h f lim' i n
THE FO,LLOWIN/oAPPROVALS REQUIREO PRIOR TO PERMITISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
~')> Building Permit Application Plan Check No. r "'l1 I ? / /J c:"2....
1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558
CARLSBAD email: buldllng@carlsbadca.gov Plan Ck. Deposit
WWW QfJ(l~Qijl:!Q~ gQt //) ,d.. .Date L{ /,, ,/ 1 'J JswPP
JOB ADDRESS SUITE#/SPACE#/UNIT# v APN ----2.340 Su ---ex-, ,, " ,a l>I o..c...c:_
CT/PROJECT # !LOT# l PHASE# I# OF UNITS I# BEDROuMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of An'ected Area(s)
J..."' ~ta..\\ N e..v., .5-\o..--A/c.. 1 "Rep\a..c.c... 1\()¥-, "1$,u ~n-..a..ce. JC.. 14 Dvc.'\ s
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YES □#_ NO □ YES O NO □ YES □ NO □
APP~NT NAME (Prl'c-,y 'e._nfact) APPLICANT NAME (Secondary Contact)
·--·~ ·-~-.-..,,r
ADDRESS ADDRESS
2.52.51 A \es=.,..."'-Tuh. d
CllY STATE ZIP CllY STATE ZIP
fY) -\[~ \\._. ,..,.. q'1..5S3
PHONE ' IFAX PHONE I FAX
Qsl-2"11-,Aa,1.
""'"'" CMM,L
PR~RTY OY/NER "'SE ,\-.(l ---,,. urrn + CONTRACTOR B~S. N~~E L\ C:::::\ --\--,'. -.A;, A.le.
ADDRESS ADDRESS -'
7""'-'-¼0 Sv l""n--r' --..;-~d 1=>1.., ('.-/3$ CC '-'rO.. '"-0 .6. V --t,a1iv-
CllY STATE ZIP CITY STATE ZIP r _I.,# L _ -1 cA 0 -z..ooe Sc...n t<lc-.rc" •-CA qzo'Ja
PHONE , !FAX PHONE • IFA)(
7c..o-,12--G,,sc. ~ 1-,.,,.,,.,_ 2. <tS-C::C) ILl
1 i:1v,All I""'"'"
ARCH/DESIGNER NAME & ADDRESS . r STATE LIC. # STATE LIC.# rcLASS I CITY BUS. LIC.# 4 ~04832-c.:z . .o r2.z. u.,(o ~
(Sec~ 7031.5 Business and Professions Code: Any City or County which requires a permit to constructl alter, improve, demolish or repair any: structure, pnor to Its Issuance, also requires the apphcant for such permit to file a signed statement ttiat he Is licensed pursuant to the provisions oftne Contractor's license law !Cha'f.ter 9, commendingw~ Section 7000 of Division 3 of the Business and Professions Code} or that he is exem.11t therefrom, and the basis for the alleged exemption. Any violation of Section 703 .5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars [:!i500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declara6ons:
□ I have and wlll maintain a certificate of consent to self-insure for worlr:ers' compensation as provided by Section 3700 of the labor Code, for the performance of the worlr: for which this permit is issued.
~have aod will malotalo wo,ken' compeosatloo, as ,equlrad by Section 3700 ol Iha Labo, Coda, to, lhe pertom,aoce ol Iha wo~ fu, wh<h this 2°'"'11 Is Issued. My wo""ra' compens~r lora•ce came, aoo policy
number are: Insurance Co. 4',I :r: \C b, AYY"ile.r:\ c;:g '-:: Policy No l.JC.&a40':I: 70 -CO Expiration Date B. l l ~
This section need not be completed if the permit is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the performance of the worlr: for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Worlr:ers' Compensation Laws of
California WARNING: Failure to secure workel'1' compensation coverage is unlawful, and shall subject an employer to crlmlnal 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 of the Labor code, lnternt and attorney's fees.
A!coNTRACTORSIGNATURE ~ ~
I hereby affirm that I am exempt from Contractor's Ucense Law for Iha following reason:
□ I, as owner of the property or my employees with wages as their sole compensation, will do the work arid 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 lmp(oves 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 lhe major labor and materials for construction of the proposed property improvement. □ Yes □ No
2. I (have/ have not) signed an application for a building permit for the proposed worlr:.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number):
4. I plan to provide portions of the worlr:, but I have hlred the followijng person to coordinate, supervise and provide the major work ~nclude name I address/ phone/ contractors' license number):
5. I wm provide some of Iha work, but I have contracted (hired) the folJowijng persons to provide the worlr: indicated (include name/ address/ phone/ type of work):
~ PROPERTY OWNER SIGNATURE □AGENT DATE
...
CO, PLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ,,
Is the applf.cant or future building occupant required to submit a business. pl~ 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 !he applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes ~o
Is the facility to be constructed within 1,000feet 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
I hereby affirm that there 1s a construction lendmg agency for the performance of the work this pemnt 1s issued (Sec 3097 (1) C1vll Code)
Leoder's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the applicatlon and state that the above Information Is correct and that the infomiationon the plans Is accurate. I agree 1D (X)lllplywlth all Cltyordlnanoes and State laws relating 1D bullding construction,
I hereby authorize representative of the City of Carlsbad toenterurx,n the at:ove mentioned property br inspection puflX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AG4INST All UABILITIES,JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: AA OSHA perm~ is requred ror excavations over SfJ deep and demoltti:ln oroonstruction of structures over 3 stories in he:ght
EXPIRATION: Every pem1tt issued by the Building Qffdal under the provisk:lns of this Cooe shall expire by Imitation and beoome null and ~Kl Wthe D.Jilding orw:irk authorized by such permit is not commenced v.ithin
180 days from the date of such permtt or if the building oroork authorized by such pem11t is sus!llnded or abancklned at any tme after the YoOl1< is commencoo bra !llrioo of 180days {Sectbn 100.4.4 Unibrm Building Cooe).
,es' APPLICANT'SSlGNATIJRE ~ ~ DATE Lt I,:~ l \ ~
• 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 www.byilding@carlsbadca-90V or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CONTACT NAME
ADDRESS
CITY STATE
PHONE FAX
EMAIL
DELIVERY OPrlONS
□ PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above)
□ CONTRACTOR (On Pg. 1)
□ MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
ZIP
□MAIL/FAX TO OTHER: _______________ _
A! APPLICANT'S SIGNATURE
CO#: (Office use Only)
OCCUPANT NAME
BUILDING ADDRESS
CITY STATE ZIP
Carlsbad CA
OCCUPANT'S BUS. UC. No.
o ASSOCIATED CB#-------------
□ NO CHANGE IN USE/ NO CONSfflUCTION
□ CHANGE OF USE/ NO CONSTRUCTION
DATE
Inspection List
Permit#: CB131052 Type: PME
Date Inspection Item
05/20/2013 43 AirCond/Furnace Set
05/20/2013 43 AirCond/Furnace Set
05/20/2013 49 Final Mechanical
05/20/2013 49 Final Mechanical
Tuesday, May 21, 2013
Inspector Act
PY
PY
RI
AP
RI
AP
BURTOFT RES-REPLACE FAU &
INSTALL NEW A/C UNIT
Comments
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