HomeMy WebLinkAbout2340 SUMMERWIND PL; ; CB152017; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
06-30-2015 Permit No: CB152017
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2340 SUMMERWIND PL CBAD
PME Status:
Parcel No: 2081702500 Lot#: 0 Applied:
ISSUED
06/30/2015
LSM
06/30/2015
06/30/2015
Reference #:
PC#:
Project Title: BURTOFT RES= REPLACE FURNACE
Applicant:
SHERLOCK HEATING & AIR CONDITIONING INC
STE 104
2880 SCOTT ST
VISTA CA 92081-8560
760-295-5014
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
BURTOFT JOHN S&BARRAH-BURTOFT JAIME L
2340 SUMMERWIND PL
CARLSBAD CA 92008
$0.00
$0.00
$160.00
$0.00
$160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due:
Inspector: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as 'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. lf you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
THE FOLLOWING A~PROVAL$ REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
~~· Building Permit Application Plan Check No. CB I€ d-0 I I
.~ .•. · 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
·~ CITY 0 f Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
Date<o/ 9.0lr< ISWPPP www.carlsbadca.gov
JOB ADDRESS SUITEf/SPACE#/UNTT# IAPN 2340 SUMMERWIND PL ---
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE l DCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
REPLACE FURNACE
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YESD No[] YES □No □ YES□No□
APPLICANT NAME Rich Johnson PROPERTY OWNER NAME JAMIE BURTOFT '" . ·--·--
ADDRESS ADDRESS
2880 scot! st #104 2340 SUMMERWIND PL
CITY STATE ZIP CITY STATE ZIP
vista ca 92081 CARLSBAD CA 92008
PHONE I FAX PHONE l'AX 760-295-5014 (760) 712-6593
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Sherlock healina and air
ADDRESS ADDRESS 2880 scot! st. #104
CITY STATE ZIP CITY STATE ZIP
vista ca 92081
PHONE l'AX PHONE IFAX 760-295-5014
EMAIL EMAIL
I STATE LIC. # STATE UC.# I CLASS I CllY BUS. LIC.1226684 804838 c20
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demollsh or repair any structure. pnor to Its Issuance, also requires the applicant for such per_mit to file a signed statement ttiat he is licensed pursuant to the provisions of the Contractor's License LawJChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt 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
civil penalty of not more than five hundred dollars {$500)).
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate 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 bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. BBSI Policy No. C48101277 Expiration Date 8·2015
J.!!j§.section need not be completed if the permit is for one hundred dollars ($100) or less LJ 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 Workers' Compensation Laws of
Ca!ifomia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provld n Section 3706 of the Labor code, interest and attorney's fees.
_g CONTRACTOR SIGNATURE c -~c.JL---
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□
□
□
I, as owner of the property or my empklyees 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 ____ B.usiness and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No
2. I (have I 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 arid provide the major work (include name/ address I phone/ contractors' license number):
5, I will provide some of the work, but I have contracted (hired) the following persons to provkle the work indicated {include name I address I phone I type of work):
_g PROPERTY OWNER SIGNATURE □AGENT DATE
COll/ff'LEfE TIU-S SECTION Ji"OR NON•RESrUENTlll'1. BU+i:.JJIIJilG"ttERMITS ONLY
M"" ~--~ -,_,;;;' M "' ---MM= ' MF M --~ M M
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registraUon form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Ha!ardous Substance Account Act? □ Yes □ No
Is the ~pplicanl or future building occupant required lo obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
rs 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 is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
'lll,J'PLICANT CERTIFICATION :-~ --~ ~ ,~0:C -ccx=E-~
I certify that I have read the appllcatlon and state that the above lnfonnatlon Is correct and that the Information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construttlon.
I hereby authorize representative of the City of Carlsbad to eoter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD
AGAINST ALL LWllLITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pennil is required for excavatioos over 5'0' deep and demolition or construction of structures over 3 stories in heghl
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by ffllitaoon and become nul and void if the build~ or work authorized by such permit is not oommenced 'Mthin
180 days from the date of such permit or if the buiklirv:;) ocwork authorized by such peimil is suspended or abandoned at any tine after the work is commenced for a period of 180 days (Seclion 106.4.4 Uniform Building Code).
AS APPLICANT'S sIGNATURE E -i((j DATE 6/Zf/tr
Inspection List
Pennit#: CB152017 Type: PME
Date __ l11spection Item_
07/16/2015 43 AirCond/Furnace Set
07/16/2015 43 AirCond/Furnace Set
07/16/2015 49 Final Mechanical
07/16/2015 49 Final Mechanical
Friday, July 17, 2015
Inspector Act
PD
PD
RI
AP
RI
AP
BURTOFT RES= REPLACE FURNACE
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