HomeMy WebLinkAbout2763 SOUTHAMPTON RD; ; CB130044; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
01-07-2013 Permit No: CB130044
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2763 SOUTHAMPTON RD CBAD
PME Status:
Parcel No: 2081402700 Lot #: 0 Applied:
Entered By:
Reference #:
PC#:
Plan Approved:
Issued:
Inspect Area:
Project Title: HAMASHIN RES -REPLACE FURNACE
Applicant:
MHS HEATING AND AIR CONDITIONING INC.
STEN
525 N ANDREASEN DR
ESCONDIDO CA 92029
760-7 44-9450
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
HAMASHIN LLOYD&CINDI I
11104 WINN RD
RIVERVIEW FL 33569
ISSUED
01/07/2013
SKS
01/07/2013
01/07/2013
$0.00
$0.00
$154.00
$1.00
$155.00
Total Fees: $155.00 Total Payments To Date: $155.00 Balance Due:
FINAL A AL
Inspector: Date: 2.. 1 3 Clearance:
$0.00
NOTICE: Please take NO t approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." ou 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 information with the City Manager for
processing in accordance with Car1sbad 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 simllar application processing or service fees in connection wlth this project. NOR DOES IT APPLY to any
f inf hi hv I NT hi hi t· I
THE FOUOWIIIG APPROVALS Rl!QUIREll PRIOR TO l'!!RMIT ISSUANCE: □PLANNING O ENGWEEJUNG
Building Permit Appllcatlon
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@car1Sbadca.gov
www.cartabadca. Y
DUS!
OaulLlllNG 0F1RE QHEALTH QHAZIIATIAPCI
Plan Check No.
Eat. Value
SWPPP
NCQ YESQNOO vesONCQ
:APPUCANTNAME (Prlmuy Co•IHIJ MHS HEATING & AIR COND., INC, ...,_ICAfffNAMI (hcond•ry Contact)
'ADDRESS AO ESS 525 N. ANDREASEN DRIVE, SUITE "N"
CITY STATE ZIP : ESCONDIDO, CA 92029 cm STATE ZIP
PHONE ,FAX
!PHONE 760-744-9450 :FAX 760•510•9734
IE~MA~,~,---'-""-..;...c-'-'--'-"~--~----''-'-'c-=.'-'---'-'-C-C---+.,EMAl=t---------~------------
1 SWATERMAN@MHSHEATING.COM -MHS HEATING & AIR COND .• INC.
ADDRESS t,.) 525 N, ANDREASEN DRIVE, SUITE "N"
CIT'/ STATE ZIP ZIil-) '1'J..O/ I ESCONDIDO CA 92029
ATEUC. # -
PHONE
EMAlL
A.TEI.IC.#
760-7 44-9450
932029
FAX
760-510-9734
UC.,
1229655
r.,.., 703LO Bull~-Codt:A,,,CltY0<COunWwhlell-•1rmltto~~"1-.-•rfflm,_,.,...,. .... ......,_ __ ,....,_ a nttorsuch filea 8\lrtememtfllthe_illictnsed to • rov LI law rO,comlTMii>ili'lil\lrtlh~fOOCfOl'DlvlalOri:,,O,uw ~••• . .,_,~ .... -"! ... .....-.,.,..,,~ ~ . ~I 3 ill'llflY•-:;'/\.';a..-lU-tho ■-mtoa CMI penally r:I not fJlOft lhan ffvt, hundlW dOUar& ll~).
WORKfRS COMPENSAIION
WOrliffl' ComPtnnlloo llaclffllion: I_,_ --d-one""" l,loobJ _,
! □ I hive Ind wUI maintain a certlftcatt of COnl«lt to lltt11ttltt for 'Mll'kel's' conlPMSaOOll H ~ by Section 3700 of !ht Labor Code, for Iha perfonnano& Of the wodc t>r which this pennit II autd.
' [Z] I havt and •RI maintain wortcm' comoentltlon. as rtQuired bV Secllon 3700 of hi labor Coat. for tie performanoe of the 'Mllti for which this Plfflllt iB Issi.ltd, My WOl'kefl' cornpenaation ita.nnot carrier nt polk:y
number are: ll'IIUf'a'lee Q>. EVEREST NATIONAL INSURANCE COMPANY Policy No 760000!134-0121 8'pi'ltion Date 5161'13
Jbi1. stClb'I need not bt ~ Ir the pem,it Is for one hundred dolafa ($100) °' IIGI. u c.rtfflCIII Of ExtmpOon: I oeftify that in Ill perbmWICt Of the WOik for wflktl !his pe,mjl is ilMd, I Shall not emplOy any person ll ll1J' manner 1D • ., beComl tutJ;ect 1D 1h11 Worqis' ~ LM of
Callfomia. WARNING: Falluni to ltCUft wOIMn' COffill r rt ,n CCMflDI ii unlawful, and thtll aubject an llllploytr to fflffllnll ,-ntltill 1nd dvil 11,.._ up to one ttundrtd lhouund dolln (1100,000~ In lddillon IOHitcoatclcon,~,lllmqNn pnwldldforln 8oction 370SclHit!A«-,l-lffll_, __
A!$' CONTRACTOR-TUR& @AGEHT
,_,_..,,..,_m__,,~...,..,111t_,.,.,.,.,
O 1, as-.olU. poopertyor,.,_.,.....,_,. Msolil"""-· .a11ou,, ,....,.llit ....,..~ not""nded o,offe<ld '°'"" (Sec. 704<, au-. llldl'io-Codo: The~•
Lansel.awdo0onotapplyl0"1.,...olpropt11ywhollltior--.,...,,..., ... ,...,_.,,_,""""'-• -""""""-•• not-«offe<ldtor
sale. If, hOwMr, 11'11 tiulding or improvernenl IS SOid 'Mlhil'I CN ywofcompelion, lhe owntr-bulder will 11M !he burden of pow,g lhlthe did not bullcl or rnJlfOW forlht purpoae or ull). 0 I. 8SO'M18fof the property, amtxclu$ively ccrilrlc:tlng 'Mlh llten8'd connctn IO construct the p,oject (Sec. 7044, 8usNM Md Profession&Code: The Contractor'1 LiC1n1t Lawdoel not apa:iy man owne,of
property who bullcl& or lllptMS lh&reon, and contracts fof sud'I pro;tcts wllh contrlctol(s) ficellMd Plll'SUIRt to lf'le Contractn Lanse Law). 0 I Ml exempt under Sectiol'l ___ ,Business aid Professions Code for this: reason;
t I_,,..,...,, IO -U,, majOr_ ... _,,.. .,.,..,.-,o/U,, po-proptl!y-C]vos °"
2.1 lhavtihM 110/)-an-tor• ooilding _to, .. __. ..... 3.1""8-withU.folowing-(/lnn)k>-~•-----,_, ___ ,
4. l pl#I IO proyrJa porliOnl of the work, but I hM hirld lhe 1olowing person IO cooldlrlale. IUl)8MH and providl the maj;OtwDl'lt {h;t;de narnt / leldletl I PIOl'l9 I conlracDS' liclrl8I nwnblr}; s.1.,;i..,.,..,...,., .... ,0ut,,,.,,.eon_(h""'J.,,...,l"G..,.,,..,..,.,.._ ____ ,_,_,1ypeo1-1:
A!S° PROP£RTY OWNER SIGNATURE OMlillT DATE
COMPLETE 'fHIS SECTION F'OR NON RESIDENTIAL BUii DING P£RMfTS ONI V
1$'1t-0<futuAll>ulllngO<CUj)llll-lOSl/llmlta,..._,..,,...,., ___ ""11or""'-'""--"""'8eclcnl25605.l5533.-l5534dlle
PteSlty-TannerHWltk>usSubstanctAa:ountAct? OVas CNo
IS the applicant or fu!Ln bUlldi'lg oc:cupent required lo obtain a parmit tom Iha ai' polluGon conro1 (IS~ ,y air ®'Ii~ manar,emant dslrlct? 0 Ytl O No
Is tie faciity tobe conslructtd wilhin 1,00l Saetc:t Iha OUltf bCUndary of a SChool site? o Y• c No
IF ANY OF Tltf ANIWERSARE YES, A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNWe l!I£ APPIJCANT HAS llfT 011 IS IIUTING TIE REQUIISIENT8 OF TIE 0FACE OF
EMERGENCY l!ERVICl!I AND nt1! AIR POUUTION CONTROi. DlflRICT,
I hereby allilln lhat ~ i., a ocn1111Ucllon lendng agency for lhe perfamance cf lhe WCl1< lhia permit io istUed (Sec. 3097 /) CMI Code).
I Lender'aName VJ, Lendet'&Addrou
,...,,,.,_,,_1'1dtll&_&nd_.,_,..,...,....,_._.,.'IIIIU1t,_ont11&pfw•-l-1D"'1lflll',_,lllc:lll'_&nd_lM_,.i>bulicllW-
1t...i,,..,,_,,p,...,_ofto Cl(yofClilsbadlOaoleri""1 toalXM--b'n,pacimllOll)Ollll< IAlOOA(R;ETOSl\1/E, INOEMNFY AND KEEPHARMl.fSSTHECITYOF CAALSBAll
AGAINST ALL UA81.JTJES, JUDGMENTS, COSTS.IN) ~S WHICH MAY IN Aflf WAY ACCRUEAGAll,$T SAil CITYIN CONSECJJENCE CF THE GRANTING OF THIS PERMIT. OSHAAIIOSPA _ls_ lir_01i815'0'doepand 1>"""""""1d--3-o hOli,il
, E~RATIO< E-...y oeimil-bylhe ~Olldal Cocleohell8ilf)itby-llld becomelii.ll 111d Wlid ttto btildilg cr•at<1ulmmd by SI.di pemit i& nol--i 180 0ays lilm lhe dale ol 81.dl l)lllll1it" tt lhe · · · orllllandaled at any limo afl!t lhl m Is """'""'8il lira P"'O<I ol 180 days (Sedlirl 106.4.4 Uritrm ~ Codo!.
: -fS'APPUCANT'SSIGNATU DAT! '/7 / / J ----~~=-----------
Inspection List
Permit#: CB130044 Type: PME
Date Inspection Item
02/01/2013 43 AirCond/Furnace Set
02/01/2013 43 AirCond/Furnace Set
02/01/2013 49 Final Mechanical
02/01/2013 49 Final Mechanical
Monday, February 04, 2013
Inspector
PY
PY
HAMASHIN RES· REPLACE FURNACE
Act Comments
RI 10-12PLS
AP
RI
AP
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