HomeMy WebLinkAbout1510 SUNRISE CIR; ; CB112440; Permit11-16-2011
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB 112440
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1510 SUNRISE CR CBAD
PME Status: ISSUED
11/16/2011
JMA
11/16/2011
11/16/2011
Parcel No: 2070212800 Lot#: 0 Applied:
Reference #:
PC#:
Project Title: METZGER: REPLACE FURNACE
Applicant:
ASI HASTINGS
1250 GREENFIELD DR
EL CAJON, CA 92167
619-223-9016
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
METZGER THOMAS H JR&KARRIE L
1510 SUNRISE CIR
CARLSBAD CA 92008
$0.00
$0.00
$150.00
$0.00
$150.00
Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due:
Inspector:
FINAL APPFOVAL
Date: f J-.· o . [( 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 !:K:> 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 Carlsbad Municipal Code Sectlon 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 service fees in connection with this project. NOR DOES IT APPLY to any
f h ·1 r f lim' i n h r vi I
«~'>'> ~ CITY OF
CARLSBAD
I JOB ADDRESS
I
Building Permit Application
1635 Faraday Ave, Carlsbad, CA 92008
760-602-2717 I 27181 2719
Fax 760-602-8558
www.cartsbadca.gov
I St.lTE,,;SP,1,0.:E,_;t.NIT:,
?>jil.SE ,t 'f ·'.)F l:MTS ~ 3EDRCCMS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Plan Check No.
Est. Value
Plan Ck. Deposit
Date l l
,Jc:: '.;i'!Ql,P
j EXISTING USE PROPOSED USE FriE?L.ACE
YES[)#
A,R CONDITIONING FIRE S?RINr'ii..ERS i
YES □No □ YES□Nc□ i i CONTACT NAME (If Different Fom Applicant}
'ADDRESS
C!TY
i ?HONE
I EMAIL
'
PROPERTY OWNER NAME TCJrh
ADDRESS
CITf
i EMAIL
' I ARCH/DESIGNER NAME & ~ODRESS
0 $TATE z,p
SL-HE LIC. 1'
(Sec. 7031.5 Business and Professions COde: Any City or County wh1cn requires a ;ierm,t to construct. alter. improve. demolish or repair any structure, p_rror to its issuance. a1so requires the
aoo11cant for sucn permit to file a 3Ignea statement that he Is licensed pursuant to the provisions of tile Contractor's ucense Law 1Chapter 9. commendIngwItn Section 70_C0 of DIvIsIon 3 of the Business and Professions Code/ or That he 1s axempt therefrom, and the basis for the allegea exemption. Any vI0Iation of Section fo31.5 by any applicant for a ;:>erm1t subJects the applicant to a cI•.il penalty of not more than five hundred dol!ars [$500)).
WORKERS" COMPENSATION
WorkeB' Compensation Ceclaratlon: I hereby affirm under penalty of perjury one of the following declarations.
El I have and will maintain a certificate of consent to self-insure :or ·NOrtr.ers' Gempensation as ;::rovided by Section 3700 .Jf :he Labor Code, for the performance of :tie NOrlr. for •NhlCh this penrnt is ,ssued
I have and win maintain workerf109i~s~9"~ ~Mu~ by S,ction 3700 -of the Lator COCe rcr the ;:erformance M the 'jjn for .which this :iermIt ,s issued. My workers' compensa!iop Insu ce carr:e
number are: Insurance Co ~n '"t£P I r1 r Policy NoJJ.J[P-f2.(. I LJ 9 ~ ;2 --/ I Expiration Date _.1./_,D~/..!-/ ~-I-&""-
~section need oot be completed~ the pernut Is for one hundred dollars (5100) or less
LJ Certificate of Exemption: I certify :hat In :he per'ormance of :he NOB ~r ·Ntiich tf11s ;iermIt iS •ssued, I shall .iot employ any ::erson in ar.y :nanner so as to b~me sutIect to tf1e Workers' Comcensaton Laws of
California WARNING: Failure to secure woril.eB' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil lines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section J of the Labor code. interest and attorney's fees.
,I$ CONTRACTOR SIGNATURE
I l!ereb'I affirm that I am exempt from Contractor's !JCense Law for lh8-'ollowing reason·
□
□
□
!, as JWner of the property or my empklyees Nitti wages as their so'8 comcensation. will do the wrk and :he structure ;s not ,mended or offered /er sale {Sec. 7044. 8usmess and Professions Code The Contrac!or's
Lcense Law dces not apoly '.O an owner of prcperty who builds or :moroves thereon. and Nho does such work himself or through ~is own employees. provided Uiat such :mprovements are not ,ntef1Ced or offered fer
sale If, however the ,uilding or ;mprovement :s ;;old .vrthin one year of completicn, the ,:iwner-builder wI!1 have the burden of ;:iroving that he did not build er improve ror the purpose of sale)
I, as :iwner of the pro~erty, 31'1 exc:usIve!y ccntncting Nith iicensed comractors ~ construct the proIec: (Sec. 7044, Business ar.d ::,roless1cns Code· The Comrac:ors :.xense Law does net a~ply to 3n oWf'er of
property ·11h0 ou11ds •~r ,mp roves thereon, ~d contrac:s for such ;irciects 'Mth contrac:or(s) licensed oursuant :o the Coniractors License Law I
I am exempt ~nder Sec:icn _____ Business ar.d Professions Cede for this reason
1 I personalty plan to provide :he major !atcr and marenals ~r construc~on ::if the ,::reposed p,ooerty ,mprovement Oves
2. I {ha~e I have ilO!) signed an appiicatien for a building :,emnt for !he proposed ·NOrk.
□,,
l in.ave contracted With lt1e following person (firm) to provide :he proposed construction (include ~ame address I pnone contrac:crs· lieense 11Jmtef)
4 : plan to provide ;:croons of tie M:Jrk. but I have hired the following person to ::nordinate, s1Jper,Ise and provide :he mapr NOrk (include 1ame · a:lcress pMne contrac:ors license ,umter)
5 1 ·Nill provide ,cme of the wrk, ':lut r ha~e ;ontracted (hired) '.he 'allowing rersons to provide the #Ork ,ndicated ·:include ~ame : a:ldress oncne · fype of ·NOrk)
~ PROPERTY OWNER SIGNATUR CATE I I 15 I I
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applK::ant or future building occupant required to subm1t a business~. :1eutely hazardous materials reg1stra1ion form or nsk management and prevention program under Sections 25505. 25533 or 25534 of tt,e
Presley-Tanner Hazardous Substance Account Act? D Yes LJNo
Is the applicant or future building occupant rec;uired to obtain a permit from the air pcllut1on control 1istlict or a~ality management distnct" Oves D ,l,lo
Is the facility to be consiructed -Nittun 1,000 feet of the outer bou11dary of a schcot site? OYes LJNo
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLJCANT HAS MET OR IS MEETING THE RECUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the abO'Je information is correct and that the information on the plans is accurate. I agree to comply with all Cify ordinances and State !aws relating to building constn.dion.
1 hereby :k.lN:m:e re;;rese1:tad"€ Jf ~e Cit-/ of Carlsbad to enter ui;on ttie at:o~ mer.tiered ;::rc~er.y 'cr:nspec:icn ;;iuri:cses I ALSO AGRE:: TO SAVE, INDEMNIFY ANO KEE? HARMLCSS fHE CliY OF '.::f\rl.LS2AO
AG,l,INST ALL LJASIUTiES. JlCGMENTS COSTS AND EXPENSES WHICH MAY IN .:\,NY WAY il.CCRUE ,:\,GA.INST SAID CITY iN CCNSECUENCE CF THE GRANTING OF THIS PERMIT
8SHA. il.r1 ClSr'A permit ;5 rei.uIrec 'er excavations o~er ST/ deep and demclillen or corstn.ctron cf stn.:cn.:res a~er 3 stones n ~eight.
'.:XPIRA i;CN C'1€<'/ pen1;1t ,ss1.;ed :::y te 3wldirg Official -in<!er the omvIs10ns of :his Cece shall expre by limitation atd tec:me nul! and veld 1f :tie bu1!Cirg er wen<. authcn.::ed by :iLCh permit ,s xt :::crr.m~ced M~m
180 days 'n::m the Gate :JI sud! permit Jr :f the builcirg Of•NCrk aut~cnzed by ;i.;ch permit :s sus;enced •JC atardored at any 1me alter ·he •M;r1< 1s ccmmerced fer a penod of 180 days (SecOOn 1C6 J 4 :~n1fcm 2l.1lc1ng ::.Xe)
_K! APPLICANT'S SIGNATURE DATE \ \ I I
City of Carlsbad Bldg Inspection Request
For: 12/06/2011
Permit# CB112440
Title: METZGER: REPLACE FURNACE
Description:
Type: PME Sub Type:
Job Address: 1510 SUNRISE CR
Suite: Lot: 0
Location:
APPLICANT ASI HASTINGS
Owner: METZGER THOMAS H JR&KARRIE L
Remarks: call Kari with ETA
Total Time:
CD Description Act Comments
Inspector Assignment:
Phone: 7604346396
Inspector~
Requested By: KARI
Entered By: CHRISTINE
43 AirCond/Furnace Set
49 Final Mechanical l---
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments