HomeMy WebLinkAbout1769 NERINE WAY; ; CB130821; Permit% I
03-28-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB130821
Building Inspection Request Line (760) 602-2725
Job Address: 1769 NERINE WY CBAD
Permit Type: PME
Parcel No: 2158812615
Reference #:
PC #:
Status: PENDING
Lot #: 0 Applied: 03/28/2013
Entered By: SKS
Plan Approved:
Issued:
Inspect Area:
Project Title: LEE RES - INSTALL NEW A/C UNIT
ON GROUND.
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O\S LEE K&S TRUST 03-29-05
- 1769 NERINE WAY...
CARLSBAD CA 92011
DDate:, 1! L$15
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$0.0
0
$15t00'
yI. I
ance Due: / $0.00
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INCORPORATED 1952 1952
FINAL APPROVAL
Inspector: k'- 11dA4, Date: alips/1Z Clearance:
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
fIMinn ,,n,, h,,A nrA,,ir,ndu hoøn aik,n n MflTI(F cimilw tr, thit nraq tn whirh fhp dahitpof Iimittinns has nrpviouslv otherwise exoired.
Applicant:
OAK ISLAND HEATING AND AIR
STE 103
1250 PACIFIC OAKS PL
ESCONDIDO CA 92029
760 839-8383
Plumbing Fees Electrical Fees
Mechanical Fees ( D
Other PME Fees ( TOTAL PERMIT FEES
Total Fees: $154.00 Total
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fr 1OLL0WINO APPROVA&S REQUIRED PRIOR TO PERMIT ISSUANCE 0 P1AN!flNG. .;E!NG. 0 BUl WING .,OFIRE DiAI.m DHZMAT/APCD
Building Peirnt Appliction IIn Check No
1635 Faraday.Ave,.Carlsbad, CITY 0 Ph 760402.2719 Fax. 760-602-8558
CARLSBAD
email buldllng@carlsbadca gov PIanCIC. 9ep091t
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;ei..p pae -Ji3 I JOB ADDR •,. .• r UTE #/U# . .; i'p .... T7i' Egi,J '- ' 7 - - - CT/PROJECT A IOTA . . PHASE A . COT MIS.' #BEDROOMS . ., # BAThROOMS . TCHANTBUSINESSNAM .- . . i .7WEDCC. GROUP
I 4 — DESCRIPTION OF WORK: Include Square Feet of Affected Area(s).. .. .' : : H . .... AD I') Ml- /77J/
OUSTING ISTlNG USE . PROPOSED USE ......'f:. GARAGE :(SF). PATIOS (S0] DECKS (SF) FIREPLACE ]A!R CONDITIONING FIRE SPRINKLERS
I q YES D #_ NOD YES Cl NOD YES 0 NOD
APFU= (7;) .. . ..........................APPUCANTMINE(SecondatyConCtc..J
ADDRESS ADDRESS U5o I4CiFic pAks diV STATE ZIP CITY STATE ZIP ESCciDiDO / PHONE FAX
50
- --.EMAIL:
PROPERTOWNER NAME . . . . p vAe 1. . . AifL. (I) ADDRESS . . . ........... . :-; ADDRESS tki2It)E .-iW ' LL (Pks ?L- lO CITY ATE'.r :'- :'.ZIP . •- ' -.-. CITY. ;. . . -• . STATE .- . ZIP CAQs A) c- , gzoi i ESCcJD c C) io PHONE FAX . . . .. PHONE,. . -.'• ....-'.. ...- FAX 700 C2C3. 7(o — g XoO -13 EMAIL . . . ., .
.- '., . .. .• .., . '. .......;-;. ..' . ... .. -.. .
ARCH/DESIGNER NAME & ADDRESS STATE UC. # STATE LIC.# CLASS CITY BUS LJC.#
LtsLfOO Co ijo (Sec. 7031.5 Business and Professions Code: Any City or Countv which requires a ermItto'constiuct,aiter; ImprOve, demolISh Or.,ètièirani structure, prior to Its issuance, also requires the appftcant for such permit to file a signed statement that he is licensed pursuant to the provislons•oftheContractor'sLicense Law(Chapter 9commendIngwith Section 7000 of Division 3 of the Business and Professions Code) or that he Is exempt therefrom, and the basls:for.thealleged exemptioni.Any violation of.Section .7031;5 by any.appllcantfor a permitsubJects the applicantto a Cvii penalty of not more than five hundred dollars ($500)) vi
Workers Compensation Declaration I hereby a!finn under penaJtya!pesjuryanea!fhe frJIowngdedarabons .', ., - 0 I have and will maintain a certificate of consent to self4nsu6forw6rkers In on as provided bySection 3700oftheLaborCoe tarthe performanoeof the workforwhichthis permit is issued
gym and will maintain workers' compensation as requied by Section 3700 of the Labor Code for the ifonn'ance of the woili for wIdth thIs pernrd Is Issued. My workers? compensation lnsurar'* canter arid policy number are., InsuranceCo_t/tiS7 4'O&AL PoticyNo 7CDOO(1 Expiration DO; 1.L ThlssecbonneednoIbecompetedifthepemutisforonehundreddsllars($10àIess - O Certlficatoof Exemption: l car* that m the peifonnanceo1 the work forwhhthispennitIs Issued; IshallnotemployenypessonInanymannerso astObecomesuIecttotheWorkeis' Compensation Laws
of Cahfomia WARNING Failure to aeon enters compensation coverage is unlawful and shall subject an emptoyerto citmunal penalties and clvii fines upto one hundred thousand dollars (&100,000) in addition to the cost ofcompensati=Zc~~M theLabprcode interestandattemWsfees.
CONTRACTOR SIGNATURE
lhereby affirm thatlarn exempt (torn ConbacWs License Law for lheft owlngreason.
0 I as owner of the mpertyormyemthwages astherr soteco, mpensatlon,wflldothewoikar License Law does not apply to an owner of property who builds or Improves thereon and who does stir sale. If, however, the building or impiovementlo sold within one year o1.comIetion,,thepwner-bulldén
Q I. as owner of the propetty sin exclushelyeontgac5nÜwith licensed contractorS to constiuctthe prt4ed property who builds or improves thereon, and conDrsuchpmjectewlthxnectar(s)theñsedpu
0 lam exempt under Section Buslness aid Pmfessiorui Coda forthisreon
1. I personally plan to piovidethe major labor and matelialslbrconstniollan of the proposed proper
2 l(have/havenot)signedanappflcaltonforabwldhigpenmtforthepmpasedwoilc.
3 l have condth the foOowrngpeson(finn) to pmstde the pioposedcons5on (Include n 4 I plan to provide portions of the work, 6A have hired the following person to coordinate supeM
5 I will provide some of the work but I have contracted (hired) the following persons to pmde Ui
..'PROPERTY OWNER SIGNATURE .,
-': -:''--.;..'
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victur Is not intended or offered for sale (Sec. 7044 BusIness and Professions Code The Contractor's
ilfoseff or through his own employees provided that such Improvements are not Intended or offered for
the burden of proving that he did not build or unpmve for the purpose of sale)
144 BusIness arid Protosslons Code The Corfreetofa Ucense Law does not epply to an owner of
the Contitor's License
. : ...'.•-. - .
vement 113 Yes :13 No.
Iress/phone/centractors licensenumber)
rovlde the morwrk dude naneladdress/phone/contsactors license number)
boated (Include narne/addresslphone/type of work)
-' DAGENT ITE "
ix:
- 1•.• .:• ..
T HIS Z. R N ON-n ES IDENTIA LB U ILDING PERMITS ONLY
Is the appbcantorfuture building occupant required to submit a business plan acutely haidous mbieonform'oiflsk man a g*ernent and j iivention program under Seofons 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 13 Yes D No r Is the applicantorthus building occupant required lo obtain apennitfrcm thea Mncontroldlstnctor arqualitymanmentdlstitct? dYes 0 No - le the fadrityto be nsbuctadwdunl000fuetofthe outer bound aiyofaschoolsite?
IF ANY OF THE ANSWERS ARE YES AFINAI. CERTIFICATE OF OCCUPANCY MAY NOT BEISSUED UNLESSAPPLICANT HAS MET ORISMEETING ThERE UI EMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
I hereby affirm that there is a construction lending igency for the Pc .• .. ,
Lenders Name Lende?s Address -
..- ...'..,. I herebyauftft repsentative of the Qty of Cadsbad to enter upon the aboemenbne rmspethin purposes. IALSO AGREE TO SAVE, INDRINFYAND KEE' HA LESSIHE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND D HICH YIN ANY WAYACCitE SA!DbfYli CON CEOF;THECIW ING "IS PERMif. OSHP An OSHA permit Is raqurod breiaavatons over50' deep and demolition oroonsinidsin of structures o3sbries ii height
EXPIRATION Eveiypennitcsuedbythe imgorkaithotesd bysudi permitis notmencedwthii iSOdaysfiom the dateofsuch pomiitorif orauthdthus edsiany&orthemmenooapededof150days(Sedsin 106A.4 Untmi Bultilleg Code)
ZAPPUCANT S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIREOFOR:BUILDING PERMIT5ISSUANCE Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection
I
Fax (760) 602.8560 Email ww buddingcarIsbadca nov orMa1IthnpIeted itoCItyf Carlsbad BIlding Division 1635Famday Avenue Car sad CalIfornia 92008
CO# (Office use Only)
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CONTACT NAME . S . CIJPAJflfME . ., r
— A i ADDRESS LDING"ADDRESS:
CITY STATE ZIP CITY STATE ZIP
- Carlsbad CA PHONE FAX'
EMAIL OCCUPANTS BUS UC. No.
DELIVERY OPTIONS . . . . 0 PICKUP n CONTACT (Listed above) 0 OCCUPANT (Listed above) E3 CONTRACTOR (On P. 1)
0 MAIL TO, o CONTACT (Usted above) 0 OCCUPANT (Listed above) E3 CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION OMAIL/ FAX TO OTHER:
CHANGE OF USE/ NO CONSTRUCTION
..APPUCANVS SIGNATURE
f
Inspection List
Permut# CB130821 Type:,PME LEE RES - INSTALL NEW A/C UNIT
ON GROUND.
Date Inspection Item Inspector Act Comments
04/04/2013 43 AirCond/Furnace Set RI AFTER 330 PLS
04/04/201343 AirCond/Furnace Set MC AP NEW A/C, EXISTING LINE SET
04/04/2013,49 Final Mechanical MC Fl