HomeMy WebLinkAbout2375 TERRAZA RIBERA; ; CB080955; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-20-2008 Mechanical Permit Permit No: CB080955
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
Applicant:
2375 TERRAZA RIBERA CBAD
MECH
2155822600 Lot#:
$000
KUCHTA RES-REPLACE CONDENSER
& COIL FOR A/C UNIT
0
Owner:
Status:
/,oplied.
Enterad By:
Plan Approved:
Issued:
Inspect Area:
AIR MAKERS HEATING & AIR CONDITIONING KUCHTA STACY M&BETSY ti.
SUITE# 77
8507 CAPRICORN WAY 92126
858-635-2145
Mechanical Issue Fee
Install/Furn/Ducts/Heat Pumps Fee
Fireplace Installation Fee
Exhaust Fan Fee
Installation/Relocation Vent Fee
Hood Fee
Boiler/Compressor to 15HP Fee
Other
Additional Fees
TOTAL PERMIT FEES
1
0
0
0
0
0
2375 TERRAZA RIBERA
CARLSBAD CA 92009
Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due;
Inspector:
FINAL
Date: Clearance:
ISSUED
05/20/2008
RMA
05/20/2008
05/20/2008
$15.00
$9.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$000
$24.00
$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 fee~lexactions. 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 i,1formation 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 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 projc,c\. NOR DOES IT APPLY to any
f s x i n whi h · I n iv n N E imil r r wh· f · i ti n \, r · u I h rwi x ir
Cit~ of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
Building Permit Application
;/. JOB ADDRESS
CT/PROJECT#
RK: Include Square Feet of ed Area(s)
#OF UNITS
ct LL _<t'(\_fj.-e--11 cs-V"-
EXISTING USE PROPOSED USE
CONTACT NAME (ff Different FDWI llpp/lcent}
ADDRESS
STATE ZIP
PHONE FAX
EMAIL
PROPERTY OWNER NAME
FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.#
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
SUITE#/SPACEII/UNIT#
# BATHROOMS TENANT BUSINESS NAME
GARAGE (SF) PATIOS (SF) DECKS (SF)
APPLICANT NAME
ADDRESS Po 6 Of\ ;J-Co -~q 0
CITY.(' 0 _ _:::iO"Y\ t e l)
EMAIL
STATELIC.#~3 36 Lf ¥
CON TR. TYPE acc. GROUP
FIRE SPRINKLERS
YES □ ND □
ZIP 9")_t '1
/let 7031.5 Busi .. 11 and Prol!llion, Code: Any Oty or Count)'. whidi ffCIUirei a permit to <omtnK~ aitf~ impron, domoliih or re,._air My 11n1cture, Pfior tD ill i11.:111ce, also require1 lhe IJl~iwt for 11ld! ,emit to file a si£!1ed 1tattment lhat he is rimsNI iu11uant to lhe Jlllll'isions of die Conttae1or'1 Liceme Law {Chpltr 9, commending with IHtion rOOO of Division 3 of the Bwin111 and l'ro1111ion1 Coo!e} or that he ~ mmp1 thereli'om, aiid the bam for lhe allegH mmpti<ln. Any Tiolation ol Se<tion JU3U by any applicant for a permit smbjects lhe applicaiit 10 a mi pe~t)' of 1101 more than fin hullC!rtd dollm {$~00}).
WORKERS' COMPENSATION
Workers" Compensation Dec;Jaratlon: I hereby affirm under penalty of perjury one of Ille fultowing declarations:
□ I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Secfon 3700 of the Labor Code, for the performance of the work for which this permit is issued.
~ and will maintain worke ' com ensatloJI, as required Uon 3700 of the Labof Code, for the performancr~ the WO}k,_fof whicN_hitpQ(llli! is issued. My workers· compensation ins ranee ca ·er an
number are: Insurance Co. '\ L ~-~ Policy No. \ yi l \.ti U U Expiration Dale I \
This section need not be completed if the permit is for one hundred dollars ($100) or less. □ Certificate of &emption: I certify that in the pelformance of the work for which this permit is issued, I shall not employ any person 1n any manner so as lo become subject to the Workers' Compensation Laws of
California. WARNING: failure to secure workers' compennt!on coverage is unlawful, and shall subject an employer lo criminal penalti11 and civil fines up to one hundred thousand dollars {&100,000), In
addition to the cost of compenHtion, d,mages at pr lded for In Section 3706 of the Labor code, interest and attorney's fees.
,6$ CONTRACTOR SIGNATURE -
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
D 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 Gode: The Contractor's
license Law doos not apply to an owner of property who builds or improves thei-eon, and who does such wall( himself 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 qi completion, the owner-builder will have the burden of proving !!lat 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 project (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 c011tractor(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. □ Yes □ No
2. I (have I have not) signed an application for a building permlt for the proposed work.
3. I have contracted with the following person (fimi) to provide Ille proposed construction (include name address/ 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/ 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)
,J/S PROPERTY OWNER SIGNATURE DATE
C O M P L E T E T H I S S E C T f O N .. F O ff N O N · R E"S I D E N f J A L B ll J L D r N G P E R M I T S O N I. Y
Is Ille applicant or future building occupant required to submit a business plan. acutely hazardous materials registration form or risk management a!ld 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 or 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 certify lhat I have read the application and sbrtethatthe above lnfolmation iscomlCI and that the Information on the plans Is accurate. I agree to comply with all Cltyortllflilncesand State taws relating to bulldlngconstrucllon.
I hereby authorize representative of the City of Carlsbad to enter upon l!1e above meolioned property for rnpeclion purposes. I ALSO AGREE TO SAVE, INDE'-"JIFY AND KEEP HARM.ESS THE CITY OF CARLSBAD
AGAINST ALL LIABILrflES, JUDGMENTS, COSTS AND EXPENSES WlilCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pennlt is required for excavations CM!f 5'0' deep and demolition or construction ofs1ructures over 3 stories in height.
EXPIRATION: Every pennit issued by the Building Ofli::ial under the plOYisions of this Code shall expire by limitation and become nun and void ff the buildi'lg orW)rl,: authorized by such permit is not commenced v.ithin
.180 days from the date of such pemit or ff the bu· rig or W)r1( authorized by such ~ iS suspended or abandoned at any tme allBr the wor1< is commenced for a period cl 180 days (Section 106.4.4 Unifortn Building Code).
DATE
City of Carlsbad Bldg Inspection Request
For: 06/20/2008
Permit# CB080955
Title: KUCHTA RES-REPLACE CONDENSER
Description: & COIL FOR A/C UNIT
Type: MECH Sub Type:
Job Address: 2375 TERRAZA RIBERA
Suite: Lot 0
Inspector Assignment: ~
Phone: 7606962040
Location: Inspector:
OWNER KUCHTA STACY M&BETSY M
Owner: KUCHTA STACY M&BETSY M
Remarks:
----
Total Time: Requested By: KUC HT A
Entered By: JANEAN
CD
44
49
Date
Description
Rough/Ducts/Dampers
Final Mechanical
At Comment i I ~ A Ittz-?lLLd f-,:; f v F-J -CV
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Description Act lnsp Comments