HomeMy WebLinkAbout2332 TERRAZA RIBERA; ; CB162087; Permit• City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
05-26-2016 Permit No: CB162087
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2332 TERRAZA RIBERA CBAD
PME Status:
Parcel No: 2155821500 Lot#: 0 Applied:
Reference #:
PC#:
Pro1ect Title: OH: REPLACE AC
Applicant:
OAK ISLAND HEATING AND AIR
STE 103
1250 PACIFIC OAKS PL
ESCONDIDO CA 92029
760 839-8383
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
OH SOO H&HWA-IN
2332 TERRAZA RIBERA
CARLSBAD CA 92009
ISSUED
05/26/2016
JMA
05/26/2016
05/26/2016
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector: {vi· ~
FINAL APPROVAL
Date: -<.I-ail I/. Clearance:
$0.00
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. THE FOL~OWJNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: lJPLANNING LJ ENGINEERING lJBUILDING LJ FIRE lJHEALTH LJ HAZMAT/APCD
,~ Building Permit Application Plan Check No. IB16-2n87 :\ ,,., 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value .,, . ~ l I f Y O f Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date ~-?J~. / v, /SWPPP
JOB ADDRESS sunu/SPACEt/UNITt IAPN 2332 TERRAZA RIBERA -----CT/PROJECT# !LOH I PHASE# I# OF UNITS I# BEDROOMS # BATHRvuMS I TENANT BUSINESS NAME ICONSTR. TYPE I DCC.GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
REMOVE AND REPLACE
1 A/C UNIT, LIKE FOR LIKE
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF} I DECKS (SF) FIREPLACE I !AIR CONDITIONING IFIRE SPRINKLERS
YES[], N<O vesQNoO YESQN□D
APPLICANT NAME TOM WOOD PROPERTY OWNER NAME HWA-IN OH Prfnarv Contact
ADDRESS ADDRESS
1250 PACIFIC OAKS PL #103 2332 TERRAZA RIBERA
CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 CARLSBAD CA 92009
PHONE [FAX PHONE I FAX 760 839-8383 760 839-8380 510-552-2129
EMAIL EMAIL
INFO@lOAKISLANDAC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AIR
ADDRESS ADDRESS
1250 PACIFIC OAKS PL #103
CITY STATE ZIP CITY STATE ZIP
ESCONDIDO CA 92029
PHONE I FAX PHONE [FAX 760 839-8383 760 839-8380 -~ EMAIL EMAIL
INFO@lOAKISLANDAC.COM
I STATE UC.# STATE UC.# !"ASS [ cITY ,us. uc.1212710 745400 C-20
(Sec, 7031.5 Business and P_rofessions Code: Any City or County which requires a permit to.construct, alter. improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such per_mrt to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, comme_ndIng with Section 7000 of DIvIsron 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any applicant for a permit subJects the applicant to a c1vII penalty of not more than five hundred dollars {$500}).
Workers' Compensation Declaration•. / hereby affirm under penalty of perjury one of the following declarations· D I have and will maintain a certificate of consent to self-Insure fOf workers' compensation as provided by SecNon 3700 of the Labor Code, for the performance of the work for wh,Ch this permit is issued.
[ZJ I have and wHI maintain workers' comoensatlon, as reou1red by SecOon 3700 of the Labor Code. for the performance of!~ work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co, EVEREST NATIONAL INSURANCE Policy No. 7600000635141 Expiration Date 01/0112017
~section need not be completed if the pennit is for one hundred dollars {$100) or less. LJ Certificate of Exemption: I certify that in the performance 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 of
CaMomia. 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 (&100,000), in
addition to the cost of compensation,~':5 as provided f'f in Sectio'};706 of the Labor code, interest and attorney's fees .
.fi:S CONTRACTOR SIGNATURE ~ ~ [2J AGENT
•; "'
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 1he 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 OOikls or improves thereon, and who does such WOfK himself or through his own emµQyees, provided that such improvements are not intended or offered for
sale. Jf, however, the bt1ilding or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not OOikl or improve for the purpose of sale).
I, as owner of the property, am exclusively contracting wflh 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 SLJch projects with contractor(s) r1censed 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. 0Yes Oo
2. I ihave / have not) signed an application for a building permit for the proposed work.
3. I have COt1tracted with the following person (firm) to provide the proposed construction (include name address/ phone I contractors' license number)·.
4. t plan to provide portions of the work, but r have hired the following person to coordinate, supervise and provide !he majOr WOO( (include name I address I phone/ contractors· license number):
5. I will provide some of the work, but l have contracted (hired) the following persons to provide the work indicated (include name/ address I phone/ type of work):
I
'
Is lhe applicant or future building occupant required to submit a business plan, acutely hazanfous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of lhe
Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is lhe applicant or future building occupant required to obtain a pennit from lhe air poUution control district or air quality management district? □ Yes □ No
Is lhe 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 certify that I have read the application and state that the above infonnation is correct and that Iha infonnation on the plans is accurate.. I agree ID comply\\ffll all City on:linances and Stale laws reiatlng to DU!ldlng construction.
I hereby authorize representative of the City of Carlsbad to enter u~n the abJve menOOfled JXOJ)erty br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSB,A.O
AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT,
OSHA: M OSHA p-:innit is required brexcavations over 5'0' deep and derooli!ion or ronslruclion ofstn.ictures over 3 stories in h~hl.
EXPIRATION: Every pennil issued by the Building Official under the provisOns of this Code shall expire by limitalk>n and berome nul and void if the buikling or v.ork authorized by sudi permit is not rommeoced Wlhil
180 days from the date of such fl'!ITT1tl or if the buiklrng or 'v\Ork authonzed by such permij IS 5f\spended or abandoned at any ~me after the 'v\Ork 1s rommenced br a perkid of 180 days {Sed:IOll 100 4 4 UnOOITTI Buiklng Code)
,@S°APPLICANT'SSIGNAT\JRE ~ t~Y DATE S' 11-::__5 )1~---·--~ .. ·-
Inspection List
Permit#: CB162087 Type: PME
Date Inspection Item
06/23/2016 43 AirCond/Furnace 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
OH: REPLACE AC
Comments
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