HomeMy WebLinkAbout2528 LA GOLONDRINA ST; ; CB163683; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
09-28-2016 Permit No: CB163683
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2528 LA GOLONDRINA ST CBAD
PME Status:
Parcel No: 2155610700 Lot#: 0 Applied:
Reference #:
PC#:
Project Title:
Applicant:
KOCH:CHANGEOUTFURNACEAND
DUCTING, ADD AC/ W ELECTRICAL
SHERLOCK HEATING & AIR CONDITIONING INC
STE 104
2880 SCOTT ST
VISTA CA 92081-8560
760-295-5014
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
KOCK PETER&STEFANIE
2528 LA GOLONDRINA ST
CARLSBAD CA 92009
ISSUED
09/28/2016
SF
09/28/2016
09/28/2016
$0.00
$38.00
$163.00
$0.00
$201.00
Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due:
Inspector: Date: Clearance:
$0.00
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THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING □BUILDING □FIRE □HEALTH D HAZMATIAPCD .
Plan Check No.C'g(C-,'3(,~ 3, ~<~f Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
~ CITY Of Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit , CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date 7 / 2-'6 / I G jSWPPP
JOB ADDRESS SUl,.....-/SPACE*/UNITf IAPN 2528 La Golondrina, Carlsbad 92009 ---
CT/PROJEv, # ILOT .. 'PHASE# l#OFUNITS /#BEDROOMS # BAIHROOMS I TEMANT BUSINESS NAME I wNSTR. TYPE I QCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affeated Area(s)
CHANGEOUT FURNACE AND DUCTING. ADD AC W/ ELECTRICAL
EXISTING USE I PROPOSED USE IGARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE rR CONDITIONING
I
FIRE SPRINKLERS
YES[), N<O YES □No□ YES□No□
APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME STEFANIE KOCH Prlna-· "An•---
ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 2528 La Golondrina, Carlsbad 92009
CITY STATE ZIP CITY STATE ZIP SAN DIEG CA 92123
PHONE I FAX PHONE IFAX 888-991-4377 (760) 450-6799
EMAIL EMAIL
JERMAINE~WEGREENINC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Sherlock heatina and air
ADDRESS ADDRESS 2880 scott st. #104
CITY STATE ZIP CITY STATE ZIP
vista ca 92081
PHONE I FAX PHONE /FAX 760-295-5014
EMAIL EMAIL
! STATE UC.# STATE UC.# !"ASS / c1TY ,us. uc.1226684 804838 c20
(Sec. 7031.5 Busmess and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance. also reqwres the applicant for such per_mit to file a signed statement tnat he Is licensed pursuant to the provisions of the Contractor's License Law )Chapter 9, commending with Section 7000 of D1visIon 3 of the B_usiness and Professions Code} or that he 1s mempt therefrom, and the basis for the alleged exemption. Any violatmn of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)).
WOIJKIRS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of pe,turyone of the fol/owing declarations: 0 I have and will maintain a certificate of consent to self-insure for worMrs' compensation as provklecl by Section 3700 of the Labor Code, !Or the perfonnance of the wor1l forwhi::h this pennlt is ISsued.
[Z] I have and will maintain workers' compensation, as reciulred bv Section 3700 of the Labor Code. for the performance of the wor1l for which this pennit is issued. My wor1lers' compensaliOn insurance caniElr and policy
number are: Insurance Co. BBSI Poliey No. C48101277 Expiration Date 8-2015
~section need r.ot be completed if the permit Is for 0118 hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that In the performance of the wor1l for which this permit is issued, I 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 civll fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided ln Section 3706 of the Labor code, Interest and attorney's fees.
6f CONTRACTOR SIGNATURE
I heraby affirm !hat I am exempt from Contractor's ucense Law for 1116 fol/owing raason:
□
□
□
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, Busill8SS 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 wor1l himself or through his own employees, provkied that su:::h Improvements are not intended or offered for
sale. If, however, the buildir,g 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 'Mth 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 WOO buikts or illl)roves thereon, and contracts for such projects with contractor{s) licensed pursuant to the Contractor's License Law).
I am S);empt under Section ____ Business and Professions Code for this reason:
1, 1 personally plan to provide the major labor and matellals for construction of the proposed property improvement. Ov es Do
2. 1 (have/ have not) S,gned an application for a bulldlr,g pennlt for the proposed work
3. I have contracted with the following person (firm) to provkle the proposed construction (include name address I phOne I contractc.rs' license number):
4. l plan to provide portions of the WOik, but I have hired the following person to COOf'dlnate, supervise and provide the major 'Mlr1l (Include name I address I phone/ contractors' license number):
5. I will provide some of the wor1t, but I have contracted (hired) the folbwlng persons to provide the 'Mlr1l Indicated (Include name I address/ phone/ type of work):
Ji'5 PROPERTY OWNER SIGNATURE □AGENT DATE -l,'
I~ the applicant or future building occupant reqlJred to submit a business plan, .-::utely hazardous materials reglstraUon form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes D No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality manBltElment dlslrict? □ Yes □ No
Is the facility to be constructed wilh'n 1,000 feet oflhe outer boundary of a school site? D Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
t certify that I have read the application and state that the above lnfonnatlon Is conect: and that the lnfonnatlon on tile plans is accuralB. I agree to comply'Mtll all City ordnances and State lawS relating to building ronstructlon.
\ hereby authorize representatiVe of the City of Carlsbad to enter upon the aoove ment'oned property for inspectkln p..,rp:,ses. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSMD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING Of THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0' deep and derrdilion or construction of structures over 3 s!C(ies i1 height
EXPIRATION: Every pennlt issuOO by the Bllk:ling Offical under the Provis'ons of this Cede shall expire by lmltalbn and become nun and \JOO W the txJik:ling or work authoriza:l by Sldl pamit is not rorrmenc8d Wlthh
180 days from the date of sudl pennitor if the buik:llng or work authorized by such i;errnlt is suspeodoo or abanOOned at anytme after the WOik is ccrnmenced for a perm of 180days (Sectkln 106.4.4 Uniform Buik:ling Cooe).
,,6$ APPLICANT'S SIGNATURE tJ;t1Miv DATE l · 2-
' PERMIT INSPECTION HISTORY REPORT (CB163683)
Permit Type: BLDG-Commercial Application Date: 09/28/2016 Owner: COOWNER KOCK PETER AND
STEFANIE
Work Class: P/M/E Issue Date: 09/28/2016 Subdivision:
Status Closed -Finaled Expiration Date: 09/25/2017 Address: 2528 La Golondrina St
Carlsbad, CA 92009
IVR Number: 717410
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
03/20/2017 03/2012017 BLOG-43 Air 017016-2017 Failed Andy Krogh Refnspection Complete
Cond.fFurnace Set
Checklist ltem COMMENTS Passed
BLOG-Building Deficiency No one home No
BLDG-Final 017015-2017 Failed Andy Krogh Reinspectlon Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No one home No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLOG-Structural Final No
BLDG-Electrical Final No
03(27/2017 03/27/2017 BLOG-43 Air 017601-2017 Passed Jonathan West Complete
Cond./Fumace Set
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Final 017600-2017 Passed Jonathan West Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Mechanical Final Yes
BLDG-Electrical Final Yes
March 27, 2017 Page 1 of 1