HomeMy WebLinkAbout2353 TERRAZA SALVO; ; CB122592; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
12-04-2012 Permit No: CB 122592
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
2353 TERRAZA SAL VO CBAD
PME
2155713800 Lot#: 0
NEWBURG RES -REPLACE FURNACE
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
12/04/2012
SKS
12/04/2012
12/04/2012
MHS HEATING AND AIR CONDITIONING INC.
STEN
NEWBERG/ERSKIAN LIVING TRUST 10-03-00
525 N ANDREASEN DR
ESCONDIDO CA 92029
760-744-9450
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
29201 DEAN ST
LAGUNA NIGUEL CA 92677
$0.00
$0.00
$154.00
$0.00
$154.00
Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due:
FINAL APPROVAL
Date: I Z-• I ~ · 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 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 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 yourright 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 i n f whi v r vi I iv n N :r1 E i i his r h' h h a f lim' i n h i~
0 HAZMAT/APCO THE F?LLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING O ENGINEERING O BUILDING O FIRE O HEALTH .,.___,;;._ ___________________________________ -,-----------=----------
Plan Check No. CJb I Z, 2. 5? 2. Building Permit AppDcation
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: build/ng@carlsbadca.gov
www.carlsbadca.gov
Est. Value
Plan Ck. Deposit
Date ,,z,
JOB ADDRESS SUITE#/SPACE#/UNIT# APJ\I
SWPPP
f :~,~~ --::_ ]"' 2353_TERr i!~"']"'0000_, ±"™"~.,-~ r:---m-:---I DESCRIPTION OF WORK: Include Squan, Feet of AHeeted Area(s)
1CONSTR:-iYPElOCCGR0lJP -
----------
I REPLACE FURNACE
I
I
1 EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) 1 DECKS (SF) 1 ~:E0CE IAIR CONDITIONING IFIRE SPRINKLERS
NcCJ YESONoO YES □N<O:
I APPLICANT NAME (Primary Conta~t} MHS HEATING & AIR COND., INC. APPLICANT NAME (Secondary Contact)
rADDRESS-----------------------------ADDRESS
525 N. ANDREASEN DRIVE, SUITE "N" f1TY-ESCONDIOO. CA. 92029-STAT°E ---ZIP----CITY STATE ZIP
I
!
I
I 7
r PHONE ----l"AX-
1-c-_ --_16Q_~744-9450 __ --~---_ 7§_0-510~~734
PHONE i
----! I EMAIL
1 SWATERMAN@MHSHEATING.COM
lP:PERTYO:~~RNAM~---------~!EV~_~EWB§_R(!_ ---
!ADDRESS
2353 TERRAZA SALVO I CITY --------------STATE -----ZIP
~-____ _ ___ CARLSBAD ____ __ ,--_ CA
PHONE I FAX
92009
EMAIL
CONTRACTOR BUS. NAME _ MHS HEATING & AIR COND., INC.
ADDRESS
CITY
PHONE
525 N. ANDREASEN DRIVE, SUITE "N"
STATE IP
ESCONDIDO CA 92029
-FAX
760-510-9734
I
l
-I
I 160-683-5360 [™iliC -----------------1so-144-9450 I -------------------------I EMAIL
pRcH;oEs1GJ\IER NAME & ADDRESS
SWATERMAN@MHSHEA TING.COM 1
-932029 ---rl.ASSc20 -rlY BUS. LIC1229655 ✓ 1
STATE UC.#
(Sec. 7031.5 Business and P_rofess1ons Code: Any Qty or C~un_ty which requires a permit to_c_onstruot, alter, Iml)(0l(t!. demolish or repair any structure, prior t~ Its issuance. also requires the
applicant for such perm rt to file a signed statement Wat he Is licensed p11rsuant to the provIs1ons of the Cont,acto, s LIc,,nse Law /Chapter 9, commending with Section 7000 of DMs,on 3 of the Business and Professions Code) or that he is 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)).
Worllers' Compensation Declaration: I herebyaff/ffl/ under penalty of perjury one of the following riecl!llllfions· 0 I have and wilt maintain a certificate of consent to self-insure for workers' compensation as provifed by Section 3700 of the Labor Coele, for the performance of the work for which this permit iS issued.
[Z] I have and wUI maintain worllers' comDensation, as reQuired bv Section 3700 of the Labor Code, for the performance of the work torwhieh this permit is issued. My workers' CO"l)ensation insurance carrier and policy
number are· Insurance Co_ __ EVER~!! NATK)NALINSU~.!'.'CE COM~"!_ __ Poley Na. __ __ _!!00~~534012~ ___ __ __ &piration Date__ __ __ 5161_!3 _
~section need not be completed if the permil is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I cenify thal in the performance of the work for which this permit is iSsued, 1 shaJI nor employ any person in any manner so as to become subject lo the Workers' Compensaf10n Laws of
California. WARNING: FaWureto secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil !Ines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, dam•~!' as provi~~f~tion 706 of~~~o~ code, interest and attorney's fees. _ · -
N! CONTRACTORSIGNATl}$i·--·---~:/ .,.-~,...;.?, ._,.,;__ @AGENT DATE L 5 '/ 2_
I I hereby affirm that I am exempt from Contractor's License Law for the following reason: D I, as owner of lhe property or my emplo~s with wages as their sole compensation, will do the work and the structure is not intended or offered lor sale (Sec. 7044, Business and Professions Code: The Contractor's I License Law does not apply to an owner of property who builds or improves I hereon. and who does such work himself or th rough h'1s own employees. provided that such improvements a1,1 not intended or offered for
· sale. If, however, the building or improvement is sold within one year of completion, the owner-builder wnl have the burden of proving Iha! he did nol bu,d or improve for the purpose of sale). I D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The ContradQ~s License law does not apply to an owner of
property who builds or improves !hereon, and contracls for such projects wilh conlractor(s) Ncensed pursuant to the Contracto~s License Law). ID
I
I
I
I am exempt under Section _ ___ _ BusJness and Professions Code for this reason:
1. I personany plan to provide the major labor aod malerialS for construction of the proposed property improvement. 0Yes Oo
2. I (have I have not) signed an application for a building pennit tor the proposed won<.
3. I have contracted with the following person (frrm) to provide the proposed constructioo (include name address/ phone I contractors' icense number):
4, I plan to provide portions of the work, but I have hired lhe following person ta coordinate, supeivise and provide the major work (include name I address/ phone I coolraclors' license number);
5. I will provide some of the work, but I have contracted (hired) the lollowing persons to provide the work indicated (include name I address / phone I type of work):
~ PROPERTY OWNER SJGNA TtJRE DATE _ _J
Is the applicant or future building occupant reqti,roo to submit a business plan, acutely hazardous materials reg·,s1ra6on fonn 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 quaity management disl!icl? □ Yes □ No
Is the facility to be constructed within 1,000 feet of lhe outer boundary of a school site? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE Of OCClJPANCY 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 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i} Civil Code).
Lender's Name Lender's Address
I certify that I have read the application and state that the above infonnation is conectand that the intonnation on the plans is aa:urate. I agree to comply with all City oldinances and Stale laws relating to building construction.
I hereby authorize representative of the C1ly of Carlsbad to enter upon the above mentooed property for i1speclion purposes. I ALSO AGREE TO SAVE. INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD
AGi\lNST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAJNST SAID CITY IN CONSEClJENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excava~ons over 5'0' deep and demolitioo or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the BuNding Official under the provisions of this COde shaN expire by imilatiOll and become null and void if the buikJilg or 1\1'.llk authorized by sudh pennt ·~ not commenced wit11,n 100"""""'"'"'"''""""''a'.'"7 ~ ~•_-,._,.•""""""'"""''""'"""'"'' _,,,.,..,.,,_, 10,44um,m, ,..,. 0,,.
_ ,NS APPLIC~~~s_srGN~? ~4?~,.. _ __ DATE _/ 2 L0 Z__ __
"Inspection List
Permit#: CB122592 Type: PME
Date Inspection Item
12/13/2012 43 AirCond/Furnace Set
12/13/2012 43 AirCond/Furnace Set
12/13/2012 49 Final Mechanical
12/13/2012 49 Final Mechanical
Thursday, December 13, 2012
Inspector
PD
PD
NEWBURG RES-REPLACE FURNACE
Act Comments
RI EARLY AM PLS
AP
RI
AP
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