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Home My WebLink About2756 UNICORNIO ST; ; CB150208; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 01-22-2015 Permit No: CB 150208 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2756 UNICORNIO ST CBAD PME 2153505900 Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: LEE RES -REPLACE FURNACE SAME LOCATION Applicant: Owner: Issued: Inspect Area: AR S AMERICAN RESIDENTIAL SERVICES OF CALIFORNI LEE RONALD J&TALMADGE AMY C STE 110 8949 KENAMAR DR 2756 UNICORNIO ST SAN DIEGO CA 92121-2435 CARLSBAD CA 92009 858-805-0613 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES ISSUED 01/22/2015 SKS 01/22/2015 01/22/2015 $0.00 $0.00 $160.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: WJ. ~,. FINAL APP70VAL Date: 0'5/-z-t )'S Clearance: ------ $0.00 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 permit 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 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 lo 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 ~ - Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 I 2718 / 2719 Fax 760-602-8558 www.carlsbadca.gov QC09 SUITE#/SPACE#/UNIH Plan Check No. Est. Value Plan Ck. Deposit PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME 5 DESCRIPTION OF WORK: /nc/ucle Square Feet of Affectecl Area(s) furnace, repta.cerY\af\-\-. EXISTING USE P OPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPlACE t"t s; d,-lr{\,1)'c,, ~ CITY~(\ 1)l b no c. h Gt l"Cfe- &w~ ~ STATE CA- ZIP q)..{.2-,) EMAIL pc:t c u-v--~ a rs . ~ PROPERTY OWNER NAME EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# -- YESO APPLICANT NAME /Seconclary Contact) -y; ADDRESS CITY CONTRACTOR BUS. NAME EMAIL STATE LIC.# ,°11i2-o 5 STATE FAX STATE CA CLASS c-.2...0 CONSTR. TYPE OCC. GROUP ZIP ZIP '1')..(J.-1 CITY BUS. UC.# (2.2'b77 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair anl structure, prior to Its Issuance, also requires the applicant for such permit to flle a signed statement that he Is licensed pursuant to 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)). -~,"~"-.~ "',; Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the lo/lowing declaraUons: 0 I have and will maintain a certificate of consent to self-insure for 'Mlrkers' compensation as provided by Section 3700 _of the i.Jlbor Code, tor the performance of the work lor which this permit is issued. [El I have and will maintain workers' compensation, as reoulred bv Seciion 3700 of the Labor Code. lor the perfo1mance of the work for which this oermil Is issued. My 'Mlrkers' compensallon Insurance callier and policy number are: Insurance Co U b .. ..-J Polley No. 7~ 3 I -5 0 8' b?; I -0 _!:L_ ':xpirallon Date I o Ir/ :2.-c l '5 _ "j]liz,seclion need not be completed ff the permit ' for one hundred dollars (SHXl) or less. • LJ Certificate of ExempUon: I certify that n lhe performanca of the 'Mlrk lorwhich this permit is issued, I shall not employ any person in any manner so as to become subject lo the Workers' Compensation L3ws of California. WARNING: Failure to secure •orkers' compensation coverage Is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. KS coNTRAcroRstoNAruRE G • 1>(;<.,'u ,0-r A~s I hereby affirm (hat I am exempt from Contractor's License Law for lhe following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensallon, will do the work and the stnK:lure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contracto(s License i.Jlw does not apply lo an owner of property who builds or improves thereon, and 'Nho does such work hmself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving lhal 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 Contracto(s License i.Jlw does not apply lo an owner ol property who builds or Improves thereon, and conlracts for such projects 'Nith contraclor(s) licensed pursuant to the Contracto(s License i.Jlw). I am exempt under Section _____ Business and Professions Code for this reason: 1. I personally plan lo provide the major labor and materials for construction of the proposed property improvement. O ves 0 No 2. I (have / have not) signed an application for a building permit for the proposed 'NOrk. J. I have contracted 'Nith the following person (firm) lo provide the proposed construcilon (include name address/ phone / contractors' license number): 4. I plan lo provide portions ol the 'M'.lrk, but I have hired Iha following person to coordinate, supervise and provide the major 'Nork (include name/ address / phone I contractors' license number): 5. I 'Nill provide some of the work, bul I have contracled (hired) lhe following persons to provide the 'Nork ind~ated (include name/ address / phone/ type of work): /fS PROPERTY OWNER SIGNATURE DATE Is lhe applicant or future building occupant required to submit a business olan. acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tamer Hazardous Sllbstance Account Act? D Yes D No ts the applicant or future building occupant required to obtatn a permit from the air pollution control district or air,...!i!lality management distnct? [Jves D No Is the facllily lo be constructed within 1,000 leel of lhe ouler boundary of a school slie? 0 Yes LJNo 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 hereby affirm that there is a construcUon lending agency for the performance of the work this permit is issued (Sec. 3097 (i} Civil Code). Lender's Name Lender's Address I ce11ifythatl have read the appl/catfon and state that the allow! Information lsconectand that the information on the plans isaa:urate. I agree to oomp/ywtth all City ordinances and State laws rela~ngto building oonstructlon. I hereby authorize representative of lhe City of CiJ!sba:l to enter upon the above mentioned property for inspeciion purposes. I ALSO AGREE TO SA VE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD 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 perm~ is required for excavatioos O'ler 'Sr! deep aro demolition or oonstruclion ol struc11Jres over 3 stories i1 height EXPIRATION: Everf pennrt issued by the Bu1ldilg Oficial under the provisions of lhls Code shall explra by imilaUon <11d become null and •lod ~ the building or work autholized by such permrt IS not oommenced Within 180 days from lhe date of sud1 permit or if the buidingorwo,11 authonzed by such pemit is~ at any lime after the work isOOf1lTI811Ced for a period of 180 days (Seciiln 106.4.4 Ulibm ~ilg Code). 2$ APPLICANT'S SIGNATURE G DATE \-\L\ _ \6 Inspection List Permit#: CB150208 Type: PME Date Inspection Item 05/20/2015 43 AirCond/Furnace Set 05/20/2015 43 AirCond/Furnace Set 05/20/2015 49 Final Mechanical 05/20/2015 49 Final Mechanical Thursday, May 21 , 2015 Inspector MC MC LEE RES· REPLACE FURNACE SAME LOCATION Act Comments -- RI PM PLEASE AP RI PM PLEASE Fl Page 1 of 1