HomeMy WebLinkAbout1746 TAMARACK AVE; ; CB112345; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
11-02-2011 Permit No: CB 112345
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference#:
PC#:
Project Title:
Applicant:
1746 TAMARACK AV CBAD
PME
2073100500
DAVIS RES-REPLACE FAU
ASPEN COOLING&HEATING INC.
STE 207
3720 OCEANIC WY
OCEANSIDE CA 92054
760-754-2625
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
DAVIS SYBIL A TRUST
PO BOX 185
SIERRA MADRE CA 91025
ISSUED
11/02/2011
LSM
11/02/2011
11/02/2011
$0.00
$0.00
$150.00
$0.00
$150.00
Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due:
Inspector:
FINAL AP,P~9~L
Date: ' · .· · -v ; I 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. If you protest them, you must
follow the protest procedures set fcrth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing 1n 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 NOTIF!EO that your right to protest the specified fees/exactions DOES NOT APPLY lo 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
Building Permit Application
1635 Faraday Ave., Garlsbad, CA 92008
760-602-2717 / 2718/ 2719
Plan Check No. C2J l l
1
1
JOB ADDRESS
'1
Fax: 760-602-8558
\yyYW .car lsbadca. gov
'719 .M t9fZ..11c ,<,
CT/PROJECT#
1
LOT# rHASE # r OF UNITS
1
# 8EDROOMS
DESCRIPTION Of WORK: Include Square Feet of Affected Area(s)
Est. Value
Plan Ck. Deposit
ISWPP
' SUITE#/SPACE!t/UNIT# rPN
# BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE ! DCC. GROUP II
EXISTING USE PROPOSED USE PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES O # __ NO □ YES □ NO □ YES □ NO □
APPLICANT NAME !Secondary Contact)
ADDRESS ADDRESS
CITY STATE ZIP
PHONE FAX
I EMAIL EMAIL
PROPERTY OWNER NAME
ADDRESS
CITY STATE ZIP CITY
PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # 7t,, SS/
(Sec, 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ stru ure, prior 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 Law {Chapter 9, commending with Section 7000 of O1vIsion 3 of the Business and Professions Code) or that he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars [$500)).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarauons· ,
□ I have and will maintain a certificate of consent to self-insure for workers' compensalion as provided by Section 3700 of the Labor Code, for the performance of the work for which 1his permit is issued.
\n I have and will maintain workers' compensation, as_ re~uired by Section 3700 of the Labor Code, f<:'.,.~erfo~ance of the work for which this permit is issued. My workers' compensation insuze carrier and policy ~ number are Insurance Co. / 5tj 3.'i(,.! > '5747'<:: ~-------------Expiration Date 5_ 2=
This section need not be completed if the permit is for one hundred dollars ($ 100) or less. /
D Certificate of Exemption: I certify that in the performance of ll1e work for which this permit is issued, I shall not employ any person in any manner so as to become subject fo the Workers' Compensation laws of
California. WARNING: Failure to secure worl<erf compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines upto one hundred thousand dollars (&100,000), in
addition to the cost of compe .~· ovided for ·n Section 3706 of the Labor code, interest and attorney's fees.
A$ 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 Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or lhrough his own employees, provided thaf such improvements are not intended or offered for
sale. If, however, fhe building or improvement is sold within one year of completion, the owner-builder will have the burden of proving lhat he did not build or improve for the purpose of sale).
□ I, as owner of lhe property, am exclusively contracting with licensed contractors to construct the proiect (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 pursuanl to the Contraclor's License Law).
D I am exempt under Sec1ion ____ Business and Professions Code for lh1s reason
1. I personally plan to provide the major labor and matenals for construction of the proposed property improvement. □ Yes □ No
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 conslruction (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 1o coordinate, supervise and provide lhe maior work (include name I address I phone I conlractors' license number)
5. I will provide some of the work, bul I have contracted (hired) the following persons to provide the work indicated [include name J address I phone /type of worl:):
A$ PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required to submit a business plan, 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 the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is 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,
I certifylhatl have read Ille application and state 11latlheabove infoimation is oorrectandthatlhe infoimation on the plans is accurate. I agreetooomplywithall Cityonlinances and State laws relatingm building construction.
I hereby authorize Jepresentalive of the City of Carlsbad to enter upon the atove menlkmed property for inspecoon purposes. I ALSO AGREE TO SAVE, 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: AA OSHA pemnrt is required fur excavations over 5'0' deep and dernolrtkm or conslf\Jclion of structures over 3 stor1,5 in height
EXPIRATION: Every permit issued by the Buiiding Qfocial under the provisions of t!Jis Oxle shall expire by limitation and become null and void if the building or\\llrk authorized by such pemni\ is not oomrnenced 'Mlhin
180 days from the date of such permit or if lhe building or IM)IK authorized by such permrt is suspended or abandoned al any time after the \M)IK is rommenced for a period of 180 days (Section 106.4.4 Uniform Building Code)
.ISAPPLICANT'SSIGNATU~~ DATE // 2 j(
City of Carlsbad Bldg Inspection Request
For 11/17/2011
Permit# CB112345
Title: DAVIS RES-REPLACE FAU
Description:
Type: PME Sub Type:
Job Address:
Suite:
Location:
1746 TAMARACK AV
Lot 0
APPLICANT ASPEN COOLING&HEATING INC.
Owner: DAVIS SYBIL A TRUST
Remarks: call with eta please
Total Time:
Act Comments
Inspector Assignment:
Phone: 7604347373
Inspector: ----
Requested By: ALICIA ~ ~ Mc('-,
Entered By: CHRISTINE
CD Description
43 AirCond/Furnace Set ii-----~~~~
49 Final Mechanical -t-
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments