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HomeMy WebLinkAbout2721 SOCORRO LN; ; CB112521; Permit12-01-2011 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: CB112521 Building Inspection Request Line (760) 602-2725 2721 SOCORRO LN CBAD PME 2155412100 KEENE: REPLACE FURNACE Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/01/2011 JMA 12/01/2011 12/01/2011 GUTHRIE AND SONS KEENE JUDITH L SEPARATE PROPERTY TRUST 06-28-10 3814 HICOCK ST 92110 619 269-3013 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2721 SOCORRO LN CARLSBAD CA 92009 $0.00 $0.00 $150,00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: ri,t, ~5 Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "lmpositior!" of tees, dedications, reservations, or other exacrions 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. If you protest them, you must follow the protest procedures set brth 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 thelf 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, grajing or other similar application processing or seivice fees in connection with this project. NOR DOES IT APPLY to any I whih hv rvi I "'n ivn N Tl i ilr hi r whihh Iii I <<~"' Building Permit Application Plan Check No. CBl ( · 2.S 2/ ~/'1jil·' ~ CITY 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 0 F 760-602-2717 / 2718 / 2719 CARLSBAD Fax 760-602-8558 Plan Ck. Deposit www.carfsbadca.gov Date \'Z-1 I ! q fswPPP JOB ADDRESS SUITE# /SPAL.;E# /UNIT# I APN 2721 Socorro Ln, Carlsbad CA 92009 --- CT /PROJECT# I LOT# l PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME ! CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: lndude Square Feet of Affected Area(s) Replace furnace in same location, EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) ! DECKS (SF) FIREPLACE !AIR CONDITIONING I FIRE SPRINKLERS YESO NolZ] YES □No 0 YES□ No[ZJ APPLICANT NAME (Primary Contact) Wes Guthrie APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS 3914 Hicock St. CITY STATE ZIP CITY STATE ZIP San Dieao CA 92110 PHONE )FAX PHONE [FAX 619-269-3013 619-546-6769 EMAIL EMAIL wes@,guthrieandsons.com PROPERTY OWNER NAME CONTRACTOR BUS. NAME Guthrie and Sons, Inc, ~-Judy Keene __ --·---ADDRESS-----------·------------------ ADDRESS 2721 Socorro Ln. 3914 Hicock St. CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 San Dieqo CA 92110 PHONE I FAX PHONE _Lx 760-473-7676 ~--619-269-3013 _ _ 619-269-3013 ~~--,----~--------EMAIL EMAIL wes@,guthrieandsons.com ARCH/DESIGNER NAME & ADDRESS ! STATE LIC. # STATE LIC.# l"'ssc20 I CITY BUS LIC1233439 875279 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to _construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he 1s 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 fhat he is exempt therefrom, and the basis for the alleged exemption. Any v1olat1on 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 , · Work era' Compensation Declaration: I 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. 1 [Z] / have and will maintain workers' compensation. as re<iuired 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 Guard Insurance Group Polley No GUWC219885 Expiration Date 05/01/12 "Ullli,seclion need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that In tM 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 Lav.s of California WARNING: Failure to secure worllers' 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, damag s provided for in Section 3706 of the Labor code, interest and attorney's fees . ..i!S CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ □ I, as owner of the property or my employees 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 Contractors License Law does not apply to an owner of property who builds or improves thereon, ard who does such work h'1msell or through his own empk:>yees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sokl 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 prn;ect {Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner ol property whO builds or improves thereon, and contracts for such projects with contractor(s) ncensed pursuant to !he Contractor's license Law) I am exempt under Section _____ Business and Professions COOe for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Oves ONo 2, I (have/ 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/ phone/ contractors' license number)· 4. I plan to provide portions of the work, but I have hired the foHowing person to coordinate, supervise and provide the major work (include name I address I phone/ contractors' license number)· 5, I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of 'Mlf"K)' 1.~ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR 'NOiN.1J1!s1011,N·T•A'i: ••1.1,J:Lo1NG PERMITS ONLY ' '' ''"""'''. · .. , ·.-,,:J .. ,· ., ... ,.,. ,, '•• .•, Is the applicant or future building occupant required to subm'~ a businessan, acutely hazardous materials registration form or risk management aml prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 Yes LJ No Is the appl_icant or future building occupant required to obta'rn a permit from the air polluUon contro~rict or aitfillality management district? Oves D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? LJYes LJNo 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. I certify that I have read the application and state that the above information Is correct and that the lnfonnatlo11 on tne plans is accurate. I agree to comply with all City ordinances and State laws relating to buildi11g construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspoction p.Jrp:>ses. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavabons over 5'0' deep and demolition or construction of structures over 3 stories in height EXPIRATION". Every permit issued by the Bu'1lding Official under the provisions of this Code shall expire by !imitation and become null and void if the building or work authorized by sucil permit is not commenced within 180 days from the date of sucti permit or if the ~ng or work authorized by such permit is suspended or abandooed at any time after the work is commericed tor a period of 180 days (Section 106.4.4 Uniform Building Code) I lif APPLICANT'S SIGNATURE / (:)/'-----~ DATE \'\ /~ 0 / \.\ J ---·------~-.----------·----·--·----·-~----------- City of Carlsbad Bldg Inspection Request For 12/28/2011 Permit# CB112521 Title: KEENE: REPLACE FURNACE Description: Type:PME Sub Type: Job Address: Suite: Location: 2721 SOCORRO LN Lot: APPLICANT GUTHRIE AND SONS 0 Inspector Assignment: Phone: 7604737676 Inspector: ~,( C. Owner: KEENE JUDITH L SEPARATE PROPERTY TRUST 06-28-10 Remarks: a m please Total Time: CD Description 25 Water HeaterNents 44 4-9 Requested By: JUDY KEENE Entered By: CHRISTINE Act Comments Wl------------------- .J'lf' f-><1:,n.-J~ ~'f'lPI-..I. Ft Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments