HomeMy WebLinkAbout1825 BIENVENIDA CIR; ; CB133086; Permit12-16-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No. CBl 33086
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No.
Reference #
PC#
Project Title
1825 BIENVENIDA CR CBAD
PIVIE
2072504000
HURT REPLACE FURNACE
Lot#
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
12/13/2013
JIVIA
12/16/2013
12/16/2013
Applicant
ASI HASTINGS
STE 200
4870 VIEWRIDGE AV
SAN DIEGO CA 92123
619-590-9300
Owner
IVICDERMOTT SUMMER S TRUST 04-07-05
1825 BIENVENIDA CIR
CARLSBAD CA 92008
Plumbing Fees
Electncal Fees
Mechanical Fees
Other PME Fees
$0 00
$0 00
$158 00
$0 00
TOTAL PERMIT FEES $158 00
Total Fees $158 00 Total Payments To Date $158 00 Balance Due: $0.00
Inspector
FINAL APPROVA
Date Clearance
NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen-ed to as "fees/exactions" You have 90 days from the date this pemiit 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 Carisbad 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 nght 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
fees/exactions of which vou have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenwise expired
To 0.arlst>acl F=»g«i 1 of 2 20-1 3-12-13 OS se S-4 <c3rvi-r> Rrom Jenr»if«=ir Cole
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE. • PUNNING •ENGINEERING •BUILDING DFIRE •HEALTH • HAZMATiAPCD |
^ CITY OF
CARLSBAD
Building Permit Appiication
1635 Faraday Ave . Carlsbad, CA 92008
Ph- 760-602-2719 Fax: 760-602-8558
email buitding(gcarlsbadca.gov
www.caflsbadca.gov
Plan Check No. (2 g? | ' 30^l=>
Est. Value
Plan Ck. Deposit
Date \-2'h3li3~ SWPPP
JOB ADDRESS 1825 Blenvenida Circle
sunrE»/SPACE#/UNrr« APN -
CT/i'ROJECT IT LOT* PHASE# K OF UNITS tf BEDROOMS It BATHROOMS TENANT BUSINESS NAME CONSTR TYPE occ GROUP
DESCRIPTION OF WORK: Include Square Feetof Affected Area(s)
Replace Furnace
EXISimG USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES|~|# • NO] I
AIRCONDmONINQ
YES I I NO I I
FIRE SPRINKLERS
YESj I NOj I
APPLICANTNAME (Primary Contact; Jennifer & Randy Cole APPLICANTNAME rseeonilary Contact;
9880 Magnolia Ave #119
Santee CA 92071
STATE ZIP
619-405-2648
EMAIL EMAIL
PROPERTY OWNER NAME Ted Hurt CONTRACTOR BUS. NAME ASI Hastings
ADDRESS
1825 Bienvenida Circle
ADDRESS 4870 VIEWRIDGE AVENUE #200
Carisbad
STATE
CA
ZIP
92008
CITY
SAN DIEGO CA 92123
PHONE
760-730-0025
FAX PHONE
(619) 590-9300
FAX
EMAIL
ARCHA)ESIGNER NAME & ADDRESS
513115 C20
CIT^ BUS UC H
1200804
(Sec 70315 Business and Professions Code Any City or County whicrt requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Lcense Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a "" I penalty of not more than five hundred dollars ($500))
• ...1... '•• ,
Workers' Compensation Declaration I hereby af^ under penalty of perjury one of the folbwing dectarettons
S I have and will maintain a certificate of consent to self-lrHure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the woik for which ihs permi! B issued
I have and will maintain workers' compensation, as lequlred bv Section 3700 Of Ihe Labor Code, for the peifoimance of the work for which Uiis permit is issued My workers'compensation insurance earner and policy
nufTfterara InsuranceCo OAK RIVER INSURANCE COMPANY POIK, NO 3300065233131 Expiraton Date 09/01 /2014
Ths sectm need not be completed if the petinit is tor one huniiaii thSers ($100) or less.
I I Certificate of Exemption ! certify that in the psrformanca of the work for which this njai^is issued, j shaH not employ any person in any manner so as to becomesub|ecttothe Workeis' Compensation Laws of
California WARNING Failure to secure worfcefs' compensalion coverage »<l3i9teMul, g'nd shall subject an employer to aimmal penalties and civil fines up to one hundred tiiousand dollars (&100,000)^ in
addition to the cost of compensation, damages as prc|j^ed for in Section #0^^ttie Ubo^ide, Interest and attoinsy's fees
JS^ CONTRACTOR SIGNATURE M Mjk"' f7Li7ff\^ ^ ^ • AGENT DATE 12/13/13
__
/ herebyerffim thati am exempt fom C
I I i, as owner of the property or my eii^!lovee5«ft\«as«sas<%ifsolecot\ipensation,*il do the work and the structure is not intended or offered for sale (Sec 7044, Business and Professions Code Tlie Contractor's
Ucense 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 improrements are not inlended or offered for
sale if. however, the building or nr^vemenl is sold wthm one year of complelion, the owner-buitder will have Ihe burden of proving that he did not build or improve for the purpose of sale)
I I I, as owner of the property, am exclusively contracting with licensed conlraciois to construct the project (Sec 7044, Business and Professons Code The Contiactor's Ucense Law does not apply to an owner of
property who builds or impnjves thereon, and contracts for such protects with cantr3ctor(s) licensed pursuant to the Contractor's License Law)
I I I am exempt under Section Busness and Professions Code for this reason
1 i personally plan to provide the mapr labor and materials for construction of the proposed pnjpeity Improvemeni dYes 1 iNo
2 I (have / have not) signed an application for a building permit for ths proposed work
3 I have contracted with the following person (tBrn) to provide tha proposed construction (include name address / phons / cont-aclors' license number)
4 1 plan lo provide portions of the vmrk bull have heed the followmg person to coordinate, supervise and provide the mapr work (relude name / addiess / phone / contractors' license number)-
5 i wSI provkle some of the work, but i have contracted (hired) the foltowing persons to provide Ihe work indicated (mdude name / address (phone / type of work)
^PROPERTY OWNER SIGNATURE •AGENT DATE
F^age 2 of 2 20-13--12-1 3 02 SS S4 <<3r\/i-r)
is the applicant or future building occupant required tosubmitabusinessplan, acutely hazaidous matenals registration forni ornsk management and prevention program under Sections 25505 25533 or 25534
Presley-Tanner Hazardous Substance Account Act' OYes • No
is the applicant or future building occupant required to obtain a permft from the air pollution control distncf or air quality management distncf? • Yes • No
Isthsfacilily to beconstruoted within 1,000 feetoftheouterboundaryofasdioolsite'' • Yes ONo
IF ANY OF THE ANSWERS ARE YES, A RNAL CERTIFICATE OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERViraS AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby aifirm Biat there is a conslruction lending agency tor the performance of the work this pemi'it is Issued (Sec. 3097 (i) Civil Code) •
'p;...;.-. mmmi ^^^^^^ v::7 '.y-^ • 'p;...;.-.
Lender's Name Lender's Address
1 certily thatl have read Ihe applicaton and state that Ihe above infomialjon b conea and that them
I hetety authonze lepiesenlaitve of the Qty of Carlsbad to enter ipjn 8ie above mentioned property for mspednn purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITiES, JUDGMENTS COSTS AND£XFtNSES mCH MAY IN ANY WAY ACCRUE AGAINST SAID CtTY IN CONSEQUENCE OF THE GRANT9^G OF THIS PERMIT
OSHA An OSHA peimit is lequred for excavatons over S'O' deep and demoGton or constitution cf stmctures over 3 stories in height
EXPIRATi(>i Eveiy pemiit issued Ihe Building Official under the provisions,()(tei(&jdB4hal expire by Imitation and become nul and void if (he building or vmri< authonzed by such pernii! is not cwiment^ vathin
195dayslrorti the dateof such peitnl or if Ihe buildingor vinik aulhonzed by^ch^imilp'siisgw 10644Uniform8uSdingC;ade)
(APPLICANT'S SIGNATURE DATE 12/13/13
Inspection List
Permit*: CB133086 Type: PME HURT: REPLACE FURNACE
Date Inspection Item Inspector Act
01/13/2014 43 AirCond/Furnace Set - Rl
01/13/2014 43 AirCond/Furnace Set PD AP
01/13/2014 49 FinalMechanical - Rl
01/13/2014 49 FinalMechanical PD AP
01/09/2014 25 Water HeaterA/ents - Rl
01/09/2014 25 Water Heater/Vents PY WC
01/09/2014 29 Final Plumbing - Rl
01/09/2014 43 AirCond/Furnace Set PY NR
Comments
10-12 PM PLS
HURT RES, LATE PM
HURT RES, LATE PM
no one home
Thursday, January 16, 2014 Page 1 of 1