HomeMy WebLinkAbout2352 TERRAZA RIBERA; ; CB161581; Permit• City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
04-26-2016 Permit No: CB161581
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2352 TERRAZA RIBERA CBAD
PME Status:
Parcel No: 2155822000 Lot#: 0 Applied:
Reference #:
PC#:
Project Title:
Applicant:
SINGER RES-REPLACE FAU & ADD
NEWAJCUNIT
THOMPSON HEATING & AIR
1980 PEACOCK BLVD
OCEANSIDE CA 92056
760-471-5800
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
SINGER FAMILY TRUST 05-23-02
2352 TERRAZA RIBERA
CARLSBAD CA 92009
ISSUED
04/25/2016
RMA
04/25/2016
04/25/2016
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector: fVI.. ~~ FINAL APPR~VAL
Date: Ob/"2..., '!1::, Clearance:
$0.00
NOTICE Flease ta<e NOTICE that ~ d )<)Ur µeject ird.-th, ""lrrµa;itiori" d fees, dedlcaticn;, reservations, or di-ff ex;rlions rereafter rolooivay
referred to as 'fees'exoclioos." Yoo have 9J days frcm tre date llis pemit v.as issued to pretest irrµa;ition d these fees'ex.rlions If )OU pretest thlrr\ )OU rrust
fdlONtre pretest irocecues set forth in GoJeo-mrt Coos Section 66020(a), ard filetre protest ard anyotrn-reqjred infoorationwth treOtyMmgerfcr
p,-=,ssing in acxx:mrcewth Calsboo M.Jrudi;a Coos Sooion 3.32.030. FailuretotirrelyfdlONthal proa,durewll bar "1)'SUbseqlm lega action to atta:ls
review, set aside, vcid, er aY'U tt'eir irrp:sition.
Yoo .re herel>j FLRlltR I\OTIFIEDthal :,rnr rig,t to pretest trespzcifiedfees'exoclions DCES NOT APPL Yto\Mller ard ret.er oonnedm fees ard capooty
~. rrr plannirg, zrning, ga::irg or ctl"e' sirrilar applicatia, p-cx:essirg a-SffVice fees in cronedim Wth ttis l)"tjed:. NCR IXES IT AFR.. Y to acy
fees'exadims ciwich ..... have ...,.,,.,;o..slv been riven a NOTIO: sinila--tottic:. er as towidl tre statute of lirritatirns h3s ......,...,;OJSlvc:theM,;se ""'""'red
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: D PLANNING C ENGINEERING □BUILDING FIRE
Plan Check No.
Est. Value
□HEALTH 0 HAZMATIAPCD
(city of
Carlsbad
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 Ck. Deposit
Date SWPPP
JOB ADDRESS 2352 Terraza Ribera
Cl .l'R-~J-[_:_l_,~-----··"-----·---_,,, ______ ., __ r:_:i_::--_., ---.. .. .. r_:/\:t-.:~ ,-[6~-Ll~j1fa
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE
APPLICANT NAME
f'r!nJl.r:Y __ C_p1_1_t_1'!,"1;
ADDRESS
PROPOSED USE
Suzanne Singflr
2352 Terraza Ribera
i SUITE#/SPACE#/UN1T#
Replace furnace, add AJC
GARAGE (SF) DECKS iSFl
PROPERTY OWNER NAME
ADDRESS
CITY STATE ---ZIP ---CITY
Carlsbad CA 92009 Carlsbad
FIREfJl.ACE
YESO
AIR CONDITIONING
No[] YESQNo □
Suz.anne Singer
2352 Terraza Ribera
STATE ---.ZIP
CA
FIRE SPRINKLERS
vesQNoO,
92009
760•929-9197 . . [FAX .
PHONE ---------
760-929-9197
[FAX--------------·-----·-----·-
I EMAIL EMAll
qssinqer(@.pacbell.net
DESIGN PROFESSIONAL
ADDRESS
CONTRACTOR BUS. NAME
ADDRESS
_Ihomps_on_H,l!_atina and Air Conditionina
1980 Peacock Blvd. Ste. C
,Cl1Y
IPHoNF--
/F:MAIL __ _
ZIP
7FAx ____ ----
_________ L _________ _
SIAll LIC #
ClfY
Oceanside PHONE ------
EMAIL
SI/\[[ i 11;_~
.STATE
CA 92056
contact(@,thacc, net
CLASS CITY Hl:S LIC 11
974400 C20 1240618
(Sec. 7031 5 Business and Professions Code: Any City or County which requires a permit to construct. alter. ImpIove. 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 tile provIsIons or the Contractor's License Law !Chapter 9. commending with Section 7000 of DIv1s1on 3 of the Business and Profcss1ons Code) or that he Is exempt therefrom, and the basis for tl1e alleged cxen1pt1on. Any vIolatIon of Section 7031_5 by any applicant tor a permit subJects the applicant to a c1vII penalty of not more than five hundred dollars ($500)\.
~@lttoUffl:iiib}i7 ··••we .,,.
Workers' Compensation Declaration. I hew by affirm under penalty of per111ry one of the following dec/a1a/1ons I O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 o1 the Labor Code, for the performance of the work tor which 1h1s permit is issued ) 0 I have and will maintain workers' compensation, as required by Section 3700 ol the Labar Code. for the periormance ot the work lor which this oerrrnt is issued My workers· compensation insurance earner and policy
I number are. Insurance Co NORGUARD INSURNACE COMPANY Policy No GAWC548711 Expiration Date 4/712017
~section need not ne completed It lhe permI1Is lor one hundred dollars ($100) or less
I LJ Certificate of Exemption: I certify that ,n the periormance ol the work lor which this permit Is issued. I shall no1 employ any person ,n any manner so as to become subjec\ lo the Workers' Compensation Laws of
I C;:il1fomia WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8,100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code. interest and attorney's fees
Jt5 CONTRACTOR SIGNATURE
I J hereby affrrm tllat I am exempt from Contractor's license Law for tile following reason
I O I, as owner o1 the property or my employees with wages as their so_le compensation. will do the work and the sln,cture Is no\ intended or offered !or sale (Sec 7044. Business and Proless1ons Code· The Contractor"s
License Law does not apply to ;:in owner ol property who builds or improves thereon. and who does such work hImsell or through his own employees provided that such improvements are not 1n\ended or ottered for
,I sale. If. however, the building or improvement is sold w1thIn one year o1 completion, the owner-builder will have the burden of proving thal he did no\ build or improve for the purpose ot sale)
] [ZJ I. as owner ot \lie property, am exclusively contracting with licensed contractors to construct the project (Sec 7044. Businest, 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) licensed pursuant to \he Contractor's License Law) 0 I am exempt under Section Business and Professions Code for this reason
1. I personally plan to provide the major labor and matenals for construc\1Jn of \he proposed property improvement 0Yes 0No
2 I (have/ have not) signed an application for a bu1ldin9 permit for the proposed work
3 I have contracted with \he following person (firm) to provide 1he proposed construction (include name address/ phone I contractors' license number)
4 I plan to provide portions of the work. bu\ I have hired the !ollow1ng person to coord1na\e, supervise and provide the 1mjor worl< (include name.' address: phone I contractors· l1cer1:;e number)
5. I will prov,de some of the work. but I have contracted (hired) the following persons lo provide the work indicated (include riame 'address/ phone I type of work)
6S PROPERTY OWNER SIGNATURE //J1M 0AGENT DATE 4125116
Inspection List
Permit#: CB161581 Type: PME
Date Inspection Item
06/23/2016 43 AirCond/F urn ace Set
06/23/2016 43 AirCond/Furnace Set
06/23/2016 49 Final Mechanical
06/23/2016 49 Final Mechanical
Thursday, June 23, 2016
Inspector Act
MC
MC
RI
AP
RI
Fl
SINGER RES-REPLACE FAU & ADD
NEW A/C UNIT
Comments
AM PLEASE
NO JOB CARD ON SITE.
AM PLEASE
Page 1 of 1