HomeMy WebLinkAbout1750 ORIOLE CT; ; CB160379; Permit01-29-2016
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: CB160379
Building Inspection Request Line (760) 602-2725
1750 ORIOLE CT CBAD
PME
2159211400
TANIS RES-REPLACE 2 FAU'S &
2 A/C UNIITS
Lot#: o
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
01/29/2016
RMA
01/29/2016
01/29/2016
WEST COAST APPLIANCE SERVICES INC
OBA WEST COAST SOLAR
TANIS STEVEN P REVOCABLE TRUST 04-12-95
1282 FAYETTE ST
EL CAJON CA 92020
619-557-0446
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
1750 ORIOLE CT
CARLSBAD CA 92011
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: Z '( Z---1/e Clearance:
$0.00
r-.onCE: A ease-r-.onCE that awoval d )<)Jr prtjed irdudes Ire ""IITJ'.X)Sitioo' d f-doocaicro, resavaticns, a cthar exa:;icro t-ereaft<, cdlectivay
refemld to as 1ees'exa::ticrs."" Yoo rave 00 ~ fraTI tre date tns pemit v.as issued to~ ini,ositiai d trese fees'exacticro. If )OJ ~ tren )OJ irust
fdlcwtre ,rciest proced.res sa forth in C'<>lerrmrt Code Sediai €002J(a). ard file tre ,rciest ard ,rr; cth3r i,q.iied infonratiai wth tre Oty fv°a"-.age," fcr
~rg ir, amda a, ..ith Ga1slm Mridpa Code Sediai 3.32.03J. Faillflltotiirelyfdlcwtral ~wll ba" ,rr;su:,;eq.at lega octiaito ~
rEMsw, set aside, \Od, a-aTU tter irrp:sticn
Yoo"" rerelJy F\.RTl-ER r,.QllFJED that yo.r rig"! to~ Ire specified fees'exacticro DCES NOT APPLY tov..ater ard......,,. oa,nectia, fees ard a,padty
ctmges, na i,anrg. zoirg ga;lrg a ether snila-wicaia, ~rg er ser,ioe fees in oa,nectia, wth tns prtjed. ~ DCES IT APPLY to ,rr;
Wldi been . 'nil wi the Lte i • i •
~ .. ~~ ~ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Csrtsbad, CA 92008
Ph: 780-602-2717 Fax: 760-602-8558
email: buildlng@carlsbadca.gov
www.carlsbadca.gov
SUTTE#/SPACE#
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
CT/PROJECT# LOT# PHASE# #OFUN #BA1HROOMS TB-WlT BUSINESS NAME
EXISTING USE
PROPERTY OWNER NAME
ARCH/DESIGNER NAME & ADDRESS -
I
GARAGE (SF)
STATE UC.#
PATIOS (SF) DECKS (SF) AREPLACE
YES □#_ NO □
APPLICANT NAME (Seco,,da,y Contact)
ADDR
Cl1Y
CONTRACTOR BUS. NAME
SWPP
AIR CONDmON!NG
YES'll NOD
ARE SPRINKLERS
YES □ NOD
(Sec. 7031.5 Business and Professions Code: My City or Coun_ty whieh reQuires a permit to construct.. alter, improve, demolish or r~pair any structure. prior to itS issuance, also ~uires the app!lcant for such pel'!"it to file a sianed ~tement ttiat he is licensed pursLJ?nt to the provisions afthe Contra~r'~ License J.,aw fChapter "9, comme~ing with Section 7000 of Division 3 of tt,e Business and ProfesSions Code} or that he IS~ therefrom. and the baSis for the alleged exemption. Any VIOiation of Section 1031.5 by any appl1cantf0r a permit &Jbjects the applicant to a
ctvil penalty of not more than five hundred dollars [$500}).
WORKERS' COMPENSATION
Worl<en'Compensa!ion _, I hetebyallirm underpenaltydpe,j11yone dlh, ll/Jowmgdedaralions:
□ I have and will maintain a cettificate of consent to self•insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pemmnance of !he work for which this pennit is issued.
\f/11 have and will maintain ":n• compentatio{1;Z't~the Labor Code, for the performance of the work for which this PerT!!it is issued. My 'i\Qrkera' compensation ~er and policy
num.,,areclnsuranceCo. ;A r.N)A O PoicyNo.fl:?(,-07)/ --Q'f-(;fl{dp Exp;...,nDate '?.._ "r
This · n need not be completed if the pemlit is for one hundred dollars {$100) or less.
Certfficate of Exemption: I certify that in the performance of 1he work for which this pem1it iS iSsUed, I s/121I not employ any person in any manner so as to become subject to the W(ln(era' Compensation Laws of
ifomia. WARNING: Failure to securewortun' eompenAti I and shall subp:t an employer to criminal penalties and civil fines up to oae hundred thousand dollars (&100,GOO), in
addition to the cost of compensatiO-.:!D"""'fas prov! · 3706 of the or code. Interest and attomey's fees.
.Ji!S CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contrac/r)r'S Ueense Law for the following reason:
o !, as owner of 1he property or my employees with wages as their sole compensation, will do the work and !he structure is not intended or offered for sale (Sec. 7044, Bi.5iness arid Professions Code: The Contra;to(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, provide::! that such improvemerrts are not intended or offered fur
sale. If, however, the building or improvement is sold within one year of complelion, the owner..tiuilder will have the burden of proving that he did not build or improve fur the purpose of sale).
o !, as owner of the property, am exclusively oontra::ting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contra:::tor's License Law does not apply ro an owner of
property who builds orimproveS thereon, and contracts for such projects with contractor(s} licenSed pursuant to the Contracttx's License Law).
Cl \ an exempt under Section ___ __,Business and Professions Code for this reason:
1. I pe1SOnally ~an to provide fue major labor and -for r:onstruclion of fue proposed properly Onprovement □ Yes □ No
2. I {have / have net} signed an appllcaion for a building permit for the proposed work.
3. 1 have contracted with the followiflg person (firm) to provide the proposed construction (include name address/ phone /contra;;tors' license number):
4. t plan to provide portions of the work, but J have hired the following pen;on to coordinate, supervise and provide the major work f rnclude name / address / phone/ contra=tors' license numbe<):
5. ! will provicle some of the work, but l have contracte:I (hilaf) the following persons to provide the worx imficated (include name I a:idress / phone / type of work):
.Ji!S PROPERTY OWNER SIGNATURE □AGENT DATE
COMPU,TE tHIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
ls the applicant or future building occupant required to submit a business plan, a:utely hazardous materials registration form or risk management and prevention program under Seclions 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account id? □ Yes □ No
Is the applicant or future building occupant required 10 obtain a permit from the air pollution cootrol district or air quarrty management district? □ Yes □ No
Is the faci6ty to be conslrucled wilhin 1,000 feet oflhe ou1er boundary of a school sile? □ Yes □ No
IF Mff OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLE$S THE APPLICANT HAS MET OR IS llfETlNG THE REQU1REIIEHT$ OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POWITION CONTROL DISTRICT,
CONSTRUCTION LENDING AGENCY
I hereby afflnn that there is a cons1ruclion lend'mg agency for the pelformance of 1he Worl< this pe11111t is issued (Sec. 3097 (i) Civil Code).
Lendels Name Lendels Address
APPLICANT -CERTJFICATJON
I oertifytllatl-ieadlhe8lll)ileallonancl-1hat11lealxM -.ation is~and1hat11leinfilnnationa,lheplansis....-ia@881o""110ly'"1ll all CllyOltilnano,sanclS1ate--g1o building-.
I hereoy-repcesen1alileof 1heCliyof Galsbad ID erderupon 1he aiXNe menlicned ~forilspd>l pwposes. I ALSO AGREE TO SA\IE, INDEM-IIFY AND KEEP HARM.ESSTHE CITY Of CARlS13AD
AGAINST AU. UABD.JTIES, JUDGMENTS, COSTS ANO EXPENllES l\lilCH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT.
OSHA: Po OSHA permit is '"'l,ieclla'"""1Jllf!ons,-;5'0' deep !!l,IIBIIDilll<.,..._ctioft-el<l~resMr3 s1a1es i1 heqll
EXPIRAOON: E\ey permltmued bylhe . p,1>1i;blsof1tisCodeshafl -ancl become rd ancl vokl f1hebuidrg orWClk !lllhai2ecl bysudl penTits1Ua.111e""'1 wifm
180 days from 1he dale of such !IJlhai2ecl by such perm1t· or-aJa,ylineall!r1heWClk b wme""'1b apeood of 180 dajs(Secticn 106.4.4 IJnifam aJildi'g Code,
..@:S' APPLICANT'S SIGNATU DATE
Inspection List
Permit#: CB160379 Type: PME
Date lnsl)_ec:tion Item
02/12/2016 43 AirCond/Furnace Set
02/12/2016 43 AirCond/Furnace Set
02/12/2016 49 Final Mechanical
02/12/2016 49 Final Mechanical
Tuesday, February 16, 2016
Inspector Act
PB
PB
RI
AP
RI
AP
TANIS RES-REPLACE 2 FAU'S &
2 A/C UNIITS
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