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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 t-rnlCE: Aease ta<e Cl: that ,wuva ri )OJ ~eel irdudes tt-e '"lrrpositiori' ri fees, declcaticrs, reserialicm, or ctrer eJO'dicrs -cdleclivay re!erred to"' "feesleJO'dicrs."" Yoo have 00 <la),; frantre-tis pemit Wl:5 iSSL<ld to p-otest irrµ,sitia, ri ti-.se feesleJO'dia,s. If yoo pittesl ttan yoo m.st fdlC>Ntre pretest proa,d.res set fo1h in ColenTrerl Code Sectioo oo::t;!J(a), ard file tt-e p-otest ard a,y ctrer r,qjred infc:mB!ia, wth treaty Mmgerfcr JJOCSSSirg in a;ccrda--a, wth Ca1sboo M.ridpa Code Sectia, 3.32.CID. F!ilueto tirrely fdloothal in:,cscl.re wll ba" a,y sut,;eqJert lega adia, to att£d<, re.-ie.v, set cSde, \Od, a cmJ treir irflX)3ition. Yoo ae r,recy FLR11-ER t-rnlFlED trat )OJ nifl to p-otest tt-e specified feesleJO'dicrs DCES l'-.01" APFI. Y to""81er ard """""oa,nectia, fees ard C'l)OCity cJmg,s, nor plmrg, ming gmrg or ether srrila-'l)plicatioo JJOCSSSirg or servoe fees in oa,nectia, wth tis ~eel. r-m DCES IT APR. Y to a,y t dvJich ·rus1 ·vena ·m1crtotti W'lch Ii · . 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