HomeMy WebLinkAbout2347 PASEO SAUCEDAL; ; CB131282; Permit05-20-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB 131282
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2347 PASEO SAUCEDAL CBAD
PME Status: ISSUED
05/20/2013
RMA
05/20/2013
05/20/2013
Parcel No: 2552722900 Lot#: 0 Applied:
Reference #:
PC#:
Project Title:
Applicant:
ASI HASTINGS
STE 200
GUENETTE RES-REPLACE A/C UNIT
4870 VIEWRIDGE AV
SAN DIEGO CA 92123
619-590-9300
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
COWELL BAMBI L
2347 PASEO SAUCEDAL
CARLSBAD CA 92009
$0.00
$0.00
$154.00
$0.00
$154.00
Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due:
Inspector: Date: Clearance:
$0.00
t approval of your project includes the "Imposition" of ees, 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 tnese 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
f x i n fwhi I n iv n N Tl imil r hi r I h f imi ti n h
r
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING C'i11,ui1.01NG □FIRE □HEALTH □ HAZMATIAPCD I
<<'4 Building Permit Application I Plan Check No. { Ji } Z f,{J P2.
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value . ( ~ V
~ CITY Of Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date '>, ;:Jn. J ~ lswPPP
APN JOB ADDRESS ~ 0. SUITE# /SPACE#/UNIT#
'l'J...l.\7 SPh ~~ '-JC.E:do. I ---
CT/PROJECT# ILOT# I PHASE# # OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS fiAME I CONS TR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
I\C.. c.fa£A"'6<-,. cu~
EXISTING USE 1 PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING ! I FIRE SPRINKLERS
v,so, No[] ves □No□ YES□No□
APPLICANT NAME (Primary Contact) Betty Gomez APPLICANT NAME (Secondary Contact) Holly Jacques
ADDRESS 4870 Viewridge Ave #200 ADDRESS 4715 60th St.
CITY STATE ZIP CITY STATE ZIP San Diego CA 92123 San Diego CA 92115
PHONE IFAX PHONE IFAX 619-590-9300 619-590-9363 619-961-3630
EMAIL bgomez@asiheatingandair.com EMAIL
PROPERTY OWNER NAME ~'(V\ \o \ ~ \¼.,.(C. c__. ,n-_\,.ID CONTRACTOR BUS. NAME ASI HastinQs
ADDRESS '1. A. l,\ 7 '? uS-e._<:, So. \JC e&_a. \ ADDRESS 4870 Viewridge Ave #200
CITYC,,o.( \5 bC,, ~ STATE~ z~ 2601 CITY STATE ZIP San DieQo CA 92123
p~(o() .C\ 4 LI -</sGS::, I FAX PHONE !FAX 619-590-9300 619-590-9363
EMAIL EMAIL bgomez@asiheatingandair.com
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE UC.#
1
CLASS ~1 CITY BUS. UC.#
513115 10,C20,C1 1200804
(Sec. 7031.5 Business and P_rofess1ons Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior 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 License LawJChapter 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 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
I
17w ORKERs7' .. coMP E N s ATl~~,~-r:-:-'"·"----~-:-, --•:o :--=-~"' ·-=,,---~--~:ii
"'·-----------~-~~ ....... ~------·--~ ... ~~--,.,,,_,;;;."""""----~-~==~~=~----'•~"'-"----~~~"""'G1'J
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and wUI maintain a certificate of consent to self-insure for workers' compensaUon as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by SecUon 3700 of the Labor Code. for the performance or the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co Zenllh Policy No. Z072271701 ExpiraUon Dale 910112013
l,tli&,section need not be completed if the permit is for one hundred dollars (5100) or less LJ Cer1lficate of Exemption: I certlfy that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to OM hundred thousand dollars (&100,000), in
addition to the cost of compensation, d vided for ln Section 3706 of the Labor code, Interest and attorney's fees •
.Ji$ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Con!raclor's License Law for I e o owing reason:
□
□
□
I, as owner or 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, Business 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 work himself or through his own employees, provided that such improvements are not intended or offered for
sale. \I, however, the building 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 with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license law does not apply to an owner or
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant lo the Con1ractor's license Law)
I am exempt under Section _____ ,Business and Professions Code for this reason
1. I personally plan to provide the major labor and materials for construction or 1he proposed property improvement. 0Yes Qo
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person {firm} lo provide the proposed construction {include name address I phone/ contractors· license number)·
4. I plan to provide portions of the work, but I have hired lhe following person lo coordinate, supervise and provide the major work {include name/ address I phone I contractors· license number):
5. I will provide some of !he worll., bul I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
...S PROPERTY OWNER SIGNATURE □AGENT DATE
r ------,..,.....----------~----=~~~-~---~--,~ =--~-~ -,----,----,---------·-----~-~ --~-""' -------·~1
1 COMPLETE THIS SECTION FOR NON~RESIDENTIAL BUILDING PERMITS ONLY 1 i.i..-~-~~-""-''--~.....,,,..=~'-'-,.,~, '-•-'"-"'=~,.,.= ... ··"'..,.""-'' ,_,,,.._,,_-, ... ~-.s-=a,_j-',s:;~--,,_-=-·-:,,~•_,:_•• . >=-•-'.!:' -~ ~ --·. '' ·~ ··---~. ---.::.d
Is the applicant or future building occupant required lo submit a business plan, acutely hazardous materials regislration form or risk management and prevention program under Sections 25505, 25533 OJ 25534 or the
Presley-Tanner Hazardous Substance Account Act? 0 Yes O No
Is the applicant or future building occupant required to obtain a permi1 from the air pollution control district or air quality management district? O Yes O No
Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? O Yes O 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.
I certify that I have read the application and state that the above infonnation ls correct and that the Information on the plans Is accurate. I agree to comply with all Cit;' ordinances and State laws relating to building construction.
I hereby aulhorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAJNST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA permft is required for excavafons over 5'0' deep and demolition or construction of structures over 3 stories in heiJhl
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by fimitalion and become null ar.d void if the building or work authorized by such pennit is not commenced within
180 days from the date of such permit or if bu~di or work authorized by such permft is suspended or abandoned at any time after the wof)( is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code) .
...@!S" APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB131282 Type: PME
Date lnspecUon" Item
07/11/2013 43 AirCond/Furnace Set
07/11/2013 43 AirCond/Furnace Set
07/11/2013 49 Final Mechanical
07111/2013 49 Final Mechanical
Inspector
PY
PY
GUENETTE RES-REPLACE A/C UNIT
Act Comments
RI
AP
RI
AP
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