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HomeMy WebLinkAbout2364 ALTISMA WAY; C; CB140110; Permit01-16-2014 City of Carisbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB140110 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2364 ALTISMA WY CBAD St: C PME 2152403407 Lot #: SEBANZ RES - REPLACE FURNACE SAME LOCATION Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/16/2014 SKS 01/16/2014 01/16/2014 Applicant: ASI HASTINGS STE 200 4870 VIEWRIDGE AV SAN DIEGO CA 92123 619-590-9300 Owner: SEBANZ LAURA L 2364 ALTISMA WAY #C CARLSBAD CA 92009 Plumbing Fees Electrical 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 Date .LAPPROVAL 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 pemiit was issued to protest imposition of these fees/exactions. Ifyou protest them, you must follow the protest procedures set forth in Govemment 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 fees/exactions of which vou have oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired. To: oarlsbad Phages 1 of 2 •Jannifor dole THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT BSUAMCE: • PLANNING QENGINEERING • BUIDING DFIRE • HEALTH nHAZMAT/APCD Plan Check No.C^ \^0i{O CiTY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buiiding@cai1sbadca.gov www.carlsbadca.gov Est. Value Plan Ck. DjBposit Date [Jj_^(^ SWPPP JOB AODRESS 2364 Aitisma Way #C SU[rE#/SI>ACE«/UNfr« --ol CT/PROJECT » LOT» PHASE* # OF UMTS « BEDRCWMS <f BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE occ. 6R0UP DESCRIPTION OF WORK: IncfiKteS^uafa Fcstor/WacMdAraafsj Replace Furnace EXISTMG USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESQ* NOj I AIR COr^lDmONING YES I I NO I I FIRE SPRINKLERS YES| |NO| I APPUCANTNAME (Primary Contact) Jennifer & Randy Cole APPUCANTNAME (Stconiary Contact) 9880 Magnolia Ave #119 ADDRESS Santee STATE CA ZIP 92071 PHONE 619-405-2648 FAX FAX EMAIL EMAIL PROPERTYOWNER NAME Laura Sebanz CONTRACTOR BUS. NAME ASI Hastings ADDRESS 2364 Altisma Way #C ADDRESS 4870 VIEWRIDGE AVENUE #200 Carlsbad CA 92009 SANDIEGO CA 92123 PHONE 760-535-0264 FAX PHONE (619) 590-9300 FAX . EMAIL EMAIL ARCH/DESK3NER NAME & ADDRESS 513115 cu^ C20 CITY BU5,. UC.# 1200804 (Sec. 703i.S Business and Professions Code: Any Qty or County whicft requires a permitto construct alter, improve, demolish or repair any structure, priorto its issuance, also requires the applicantfor sucti permit tofile a signed statement that he is licensed pursuantto the provisions of the Contractor's License 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 civil penalty of not more than five hundred dollars {$500)). WOHKERS' COMPENSATION Workere' Compensation Declaration: (fiereiiy sfftm under penalty al peijury one althe feimilng deckmllons: Bl have and will maintain a certHlcate of consent to sstf-lnsure for workers' compensation as provided by Secdon 3700 of the labor Code, brthe perfonnance of the for which this peimit is issued. I have and will maintain workers' compensation, as reoulred bV Seclkm 37(Xj Of the Labor Code, for the perfonnance of the work forwhich this permit is issued My workers' compsnsation Insurance carrier and policy nun'iierare: Insurance Co OAK RIVER INSURANCE COMPANY PoScy No. _ 3300065233131 _ Ex(*3tion Date 09/01/2014 This section need not be completed if the perrrnt is to' one liu/Mtod dolsre ($100) or less. n Csrtificats of Exemption: I certify that In the perfcnnance of the «orl< for which Ihis ae^Qis issued, I shal not empby any person in any manner so as ID become subject ID the Workers' Compensation Laws of Califomia. WARNING: Failure to secure workera' coropentstlon coverage Mlntomul, end shall subject an employer to criminal penalties and cIvit fines up to one humlred thousand dollars {&100,IHIO)i m adtMion to the cost of compensatian, damages as pr<«^ for In Sectioii Sit atthe UboUfede, interest and attomey's lees. /gS" CONTRACTOR SIGNATURE X£^./L^^''r»'-r''"1^^^ • AGENT DATE 1/16/14 OWMER-iBUii.OER JECI.AB.'*TtON / iKwbyafim thaU am exempf from Ceim^o^^gJ&ense Lm Itthe fb|m'ng reason; I I I, as owner of the property or my employees wilh wajes e&fefsnle cotiipensafen, wil do the work and the stmcture is not sitended or offered lor sale (Sec. 7044, Business and Professions Code: The Conlractor's Lteense Law does not to an ownsr of property who builds or hiproves thereon, and who does such work himseK or through his own empkiyees, provided that such mprovements are not inlended or offered for sale. If, however, the bukSng or sT^awement is sokl within one yea of completion, the owner-buiWer win have Ihe burden of provsig that he did not buikl or improve lor the purpose of sale). I I I, as owner of the property, am exdushrely contracSng wkh licensed contractots te conssruct the project (Sec. 7044, Business and Professons Code: The Contractor's License Law does not apply to an ovmer of property wSio builds or impnjves thereon, and contracts for such prt^ls with oontractor(s) Scensed pursuant to the Contractoi's LKense Law) I I I am exempt under Section Business and Professtons Code for this reason: l.lpetsonallyftfantoprovUethemajorlaborandraaterlalsforconstruofcnoftheproposedprt^rtyimprovement. nYes I INQ 2.1 (have / have not) signed ai apfScafion for a buikSng permit for the proposed work. 3. i have contracted with the foBowIng peison (frm) to provide ths proposed constniction (include name address / phone / contactors' iKense number): 4. i [Sai to provide porttons of the work, bul i have hsed the fdtowing person to coordinate, superwse and provkte the major woik (include name (address / [Sione / contractors' license number): 5.1 wM provkle soma of the work, bul I have contracted (hired) the foltowing persons to provkle Ihe work indicated (include name / address / phone / type of work); /fiT PROPERTY OWNER SIQNATURE •AGENT DATE cei rl efc>a ct 201-»-01-TS -19:2©:SO <Gtv1"r> From: Jonnifar CZole COMPtETE THIS SECTION FOR NON-RESIOENTIAL 8 U I t 01 N C PERMITS ONLY IS the appltoant or future buMng occupant teqused fo submit a busmess plan, acutely hazaidous materials registratkxi form or risk management and preventkm pmgiam under SecUons 25505,25533 or 25534 of 9e Presley-Tanner Hazardous Substance Account Act? OYes nNo istheappficaitortuturebuMingoccupantrequiredtoobtainapemSffomthe^polluttoncontroldislrk^orairqua^mana^^ O Yes • No isthefaciStytobeconstructedwithln1,000(eetoftheouterboundaryofaschoolsKe? 13 Yes nNo IF ANY OF TTff ANSWERS ARE YES, A FINAL CERTIFICATE Of OCCUPA NCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET IS MEETWG TOE REQUKEMENTS OF THE OFRCE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AOENCY rt u K in \. • I heieby affirm »ial th«e Is a constnjction lendlns agency for the performance of the wotk this peimS is tesued (Sec. 3097 (I) CM Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I oerti^ thati have lead Ihe applkiaticm and state that ihealxw inlbiniatlon is conect Iha^ authorize lepiBseriltfiverfthe aty of Catlsbadtoenteripjnew above iiie^ AGAINST All LIABILITIES, JUDGMENia COSTSAIffifXffiNaES mCH MAY IN ANY WAY ACCRUE AGAINST SMD CITY IN CONSEQUENT OF THE GRANTING OF THIS PERMIT. :tior of siruclures over 3 stores in heighL lethal eipirB by Imitation and tieccime nuB and void if the buiking or WDri( authoiized tiy such permit is not coramenc«d viithin ded or abandoned at any tme after the tiak is omtOTenced for a period of ISOdays (Seotiofi 106.4.4 Unifomi Builciig Code). 09HA; An OSHA pennit is tequired for excavalions over 5'D' deep and demcttron EXPIRATiON: Evay pernitt Issued by fie Buikiing OfSpiaj under the pnwisbfii 1 SOdays from the d^ of such pemi or if lie buiklin#ir work authonzed .^CTAPPLICANT'S SIGNATURE DATC 1/16/14 Inspection List Permit*: CB140110 Type: PME SEBANZ RES - REPLACE FURNACE SAME LOCATION Date Inspectjon Item Inspector Act Comments 07/28/2014 43 AirCond/Furnace Set - Rl 9-11 PLS, (FURNACE) 07/28/2014 43 AirCond/Furnace Set PD AP 07/28/2014 49 Final IVjeclianical - Rl 9-11 PLS. FURNACE 07/28/2014 49 Final IVIechanicai PD AP Wednesday, July 30, 2014 Page 1 of 1