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HomeMy WebLinkAbout1754 TAMARACK AVE; ; CB132834; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 11-15-2013 Permit No: CB132834 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1754 TAMARACK AV CBAD PME 2073100200 Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: SNELL: REPLACE FURNACE SAME LOCAL Applicant: Owner: Issued: Inspect Area: HURN MECHANICAL SNELL DAMON S&BUNDY SOFIE K 1542 FAYETTE ST EL CAJON CA 92020-1527 619-312-1924 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1754 TAMARACK AVE CARLSBAD CA 92008 ISSUED 11/15/2013 JMA 11/15/2013 11/15/2013 $0.00 $0.00 $158.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: Inspector: Clearance: _____ _ $0.00 NOTICE: Please take NOTICE th I 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 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 332.030. 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 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH []HAZMAT/APCO Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. (fs ( 3 · 28 5 Est. Value Plan Ck. Deposit Date l l IS \ ~ SWPPP SUJTEt/SPACEt/UNfTI APN # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Aff'ected Area(s) fe._ f l t:\ c..Q__ ,50. ..--q )Jl.. I oc..,9 t-c,.Jl {u ·t·-~ ut__ EXISTING USE GARAGE (SF) ZIP n,'(.o'2.._0 EMAIL STATE LIC. # PATIOS (SF) DECKS !SF) FIREPLACE YESO AIR CONDITIONING NcQ YES0N00 APPLICANT NAME (Secondary Contact) ADDRESS CITY PHONE EMAIL OR BUS, NAME ~L.q...,. ,<.•'\\ STATE FAX ZIP FIRE SPRINKLERS YES □ND□ !Sec, 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 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 v101auon of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more tnan five hundred dollars {$5001). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations· Q1.bave and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code. for the pertormance of the work for which this permit is issued. ~ have and will maintain wor11erompensayon .. as 31red by Section 3700 of the Laoor Code, for the performan of the work, for whic this permit is issuoo. My workers' compensation insurance carrier and policy number are: Insurance Co. ~ \-<.... ivvi ' Policy No. 0 0 l Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate or Exemption: I certify that in the pertormance 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 01 California. WARNING: Failure to secure worhrs' ompensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollari; {&100,000], in addition to the cost of compensation, damages a ro~ f,'\Sectlon 3706 of the Labor code, interest and attorney's fees. ,g CONTRACTOR SIGNATURE / Vdc::::t-------· □AGENT J hereby affirm that I am exempt from Contractors License Law for the fol/owing reason: □ □ □ I. as owner of the property or my employees with wages as their sole compensation. will do the work and the stnJcture 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 lhereon, and who does such work tiimselt 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 constnJct the project(Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner o! 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 _____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Oves 0No 2. I (have I have not) signed an application for a building permit for the proposoo work. 3. I have contracted with the following person (firm) to provide the proposed constnJction (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 and provide the major work (include name I address I phone I 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 work): ,g PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or fulure building occupant required to submit a business plan, acutely hazardous materials registration form or risk managemenl and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acr? Yes No Is the applicant or future building occupant required \o oblain a permit from the air pollutjan control district or air quality management district? Yes No Is the facility to be constructed within 1,000feet of 1he 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 ANO THE AIR POLLUTION CONTROL OISTRICT. I certify lfart I have read the application and state that the above information is correct and lhatthe information on the plans Is accurate. I agree 10 oomplywilh all City on:tinances and Slate law.; relating to building construction. I hereby authorize re,:resentative of the City of Carlsbad lo enter upon the above mentioned property for inspecli:Jn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP H.ARMLESS TI-IE CllY OF CARLSBAD AGAINST ALL LIABILITIES, JUD3MENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA M OSHA pe1111~ is required for excavations over 5'0' deep and demolltbn or construction of structures over 3 stories in heght. EXPIRATION: Every permit issued by the Building Offi:;ial under the provisons of 1his Code shall expire by fim~tion and become null and vod ~ !he building or 'Mli'K authorized by suoh permit is not commenced 11-ithin 180 days from the date of such pe1111it or if building or w;il'K authorized by such pe1111it is suspended or abandoned al any time after the 'Mli'K is commenced for a period of 180 days (Section 106.4.4 Unifo1111 Building Code). ''i Ji5 APPLICANT'S SIGNATURE ~ ~-DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. l.) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OfflER: _________________ _ _g APPLICANT'S SIGNATURE ASSOCIATED CB#·------------- NO CHANGE IN USE/ NO CONSfflUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB132834 Type: PME Date lnspec~ion Item 11/19/2013 43 AirCond/Furnace Set 11/19/2013 43 AirCond/Furnace Set 11/19/2013 49 Final Mechanical 11/19/2013 49 Final Mechanical Thursday, November 21, 2013 Inspector Act PY PY RI AP RI AP SNELL: REPLACE FURNACE SAME LOCAL Comments BTWN 10-NOON PLS. FURNACE IN GARAGE JOHN WILL MEET YOU AT THIS LOCATION 1 ST Page 1 of 1