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HomeMy WebLinkAbout1745 MALLOW CT; ; CB130667; Permit03-20-2013 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB130667 Building Inspection Request Line (760) 602-2725 1745 MALLOW CT CBAD PME 2155162100 GIBSON: REPLACE FURNACE SAME LOCAL Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/18/2013 JMA 03/18/2013 03/18/2013 ACTION AIR COND & HEATING-SD GIBSON FAMILYTRUST05-11-10 2750 SOUTH SANTA FE AV SAN MARCOS CA 92069 760 727 4152 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1745 MALLOW CT CARLSBAD CA 92011 $0.00 $0.00 $154.00 $0.00 $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: FINAL APPROVAL Inspector: Date: t'./-9 -IJ 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 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 f I Tl E imil r hi h flimi in h THE fOLLOW(~G APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING (£] BUILDING □FIRE □HEALTH D HAZMATIAPCD <<1.,, Building Permit Application Plan Check No. Cl3r:~·~b0r 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. DeposiJ CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date :?(l8"//3 ISWPPP JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 17 45 Mallow Ct --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Remove and Replace Furnace EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS {Sf) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES0, No□ YES□No□ YES□No□ APPLICANT NAME (Primary Contact) Janine Butler APPLICANT NAME (Secondary Contact) ADDRESS 2750 S. Santa Fe Ave ADDRESS CITY STATE ZIP CITY STATE ZIP San Marcos CA 92069 PHONE IFAX PHONE I FAX 760-727-4152 760-727-0213 EMAIL EMAIL comfort@.actionac.net PROPERTY OWNER NAME Colleen Gibson CONTRACTOR BUS. NAME Action Air Conditionina. Heat & Solor ADDRESS ADDRESS 1745 Mallow Ct 2750 S, Santa FE Ave -- CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92011 San Marcos CA 92069 PHONE IFAX PHONE I FAX 760-931-8418 760-727-4152 760-727-0213 EMAIL EMAIL comfort@.actionac.net ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE.l.tC.# 509805 I 'e2o&C46 I CllY BUS. uc.,419800 {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 sI~ned statement that he is licensed pursuant to the provisions of the Contractor's License LawJChapter 9, commending with Section 7000 of Division 3 of the B_us1ness and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a c1vII penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance canier and policy number are: Insurance Co Self Insured Solutions Policy No. 4503.093 Expiration Date 12·31-13 This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, l shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. 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, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE ~NT □ □ 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 Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work 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 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 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 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. 0Yes 0No 2. I (have/ have not} signed an application for a building permit for the proposed work 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address/ phone I contractors' license number}: 4. ! 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/ phone I type of work): ~ PROPERTY OWNER SIGNATURE l!'.]AGENT DATE ' [coMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fom, or risk management Md 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 pemiit from the air pollution control disbict or air quality management district? □ Yes □ No Is the facility to be conslrucled 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 rs MEETING THE REQUIREMENTS Of THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONlROL DISTRICT. I hereby affirm that there IS a construction lending agency for Iha performance of Iha WOl1< lhis permit is issued (Sec. 3097 (i) Chnl Code). Lender's Name Lende(s Address [APPLICANT CERTIFICATION I certtry lhatl have read the appllcatfon and state that the abc:we Information ls00119d:and that the Information on the plans Is aa:urata.1-tD comply'Mth all CHy ordinances and State IINs 191atlng to building oonstructlon. I hereby aulhori2e rei,esentalive of lhe Chy of Callsboo to enter upon lhe atx,,,, mentioned property br ospdln p.,,poses. I Al.SC AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU. LJAl3IUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST S'.ID 9ITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT. OSHA: AA OSHA pennlt is required llf excavations over 5'0' deep ;m deroolu:ln °' coostructioo of structures OYel" 3 sklfies in heght. EXPIRATION: fa•ry perm I osued by lhe EIJilding OllciaJ under lhe proviskllls of lhis Code shall expie by imita1iln and become nul and 100 if lhe bui~ilg or v.oi1< authorized by such permit • not oommenced \Whin 180 days lorn lhe dale of such perml or if lhe bui~mg or v.oi1< authorized by s · • susi,,nded or abandored at any ti,re alllr lhe ,oo • CXllMl8f1Ced !:Jr a period of 180 days (Sedi:m 1064.4 Uni!:irm EIJiklilg Code). ,f!$ APPOICANT'S SIGNATURE DATE 3 -I i -\:) Inspection List Permit#: CB130667 Type: PME Date Inspection Item 04/05/2013 43 AirCond/Furnace Set 04/05/2013 43 AirCond/Furnace Set 04/05/2013 49 Final Mechanical 04/05/2013 49 Final Mechanical Monday, April 08, 2013 Inspector Act PB PB RI AP RI AP GIBSON: REPLACE FURNACE SAME LOCAL Comments 8-10 AM PLS IN GRG Page 1 of 1