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Home My WebLink About2703 VIA CARDEL; ; CB154143; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 11-30-2015 Permit No: CB154143 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2703 VIA CARDEL CBAD PME 1673402400 URAGI: REPLACE FURNACE MHS HEATING AND AIR CONDITIONING INC. STE 104 2890 S SANTA FE AV SAN MARCOS CA 92069 760-7 44-9450 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: URAGI TORU&MICHIYO 4405 SIERRA MORENA AVE CARLSBAD CA 92010 ISSUED 11/30/2015 SLE 11/30/2015 11/30/2015 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: ~ FINA Date: ~f-St!.:......;f-0.=r.6' Clearance: ------ $0.00 NOTICE Rease ta<e NOTICE that~ d yrur p-tjed includes the "lrrpa;ition" d fees, da::ications, reservalicns, or dher exa:tions hereciter ooledively raerred to as "fees'exa:tioris." Yoo t-eve 00 days frcrn the date tns psrrit = issued to pretest irrpa;itiori d these fees'exa:tioris. If yru pretest tl'8'T\ yru rrust fdto,,vthe pretest p-oan.res set forth in Cb.ierma1t Cooe Sediori 60020(a), .rd file the pretest .rd ITTf dher r-Eq..ired infooratiori wth the Oty ~ for p-ocessirg in~ wth C:r1sboo M.ridpa Cooe Sediori 3.32.030. Falu-e to tirrely fdlo,,vthal p-cood.re wll ta-ITTf SLbsecµrt leg.:i actiori to attock, review, set aside, l.tid, or a-ru !tar irrpa;itiori. Yoo a-e herooy R.Rl1-ER NOTIRED that yrur rigi to prctest the spadfied fees'exa:::tions l:XxS NOT AFR. Y to v.ater .rd OONer cxrnediori fees .rd ~ty cnaiges, nor pla-rirg, zxrirg, g-ocirg or ether sinila-~icatiori p-ocessirg or SE'J'Jioe fees in cxrra:iion wth tns p-tjed. I'm l:XxS IT AFR. Y to ITTf f exa:::ti d \/\heh hcM3 "OJSI ·ven a NOTICE sirrila-to ttis or as to \/\heh the statute d lirrit.tions res ·OJSI ctherv.1se THE FOLLOWING Al'PROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD C cityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov JOB ADDRESS 2to3 II/A CA.e/Jtl Plan Check No. Est. Value Plan Ck. Deposit Date \ • • \S /PROJECT# LOT# PHASE# # F UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Atrected Area(s) SWPPP -oo CONSTR. TYPE CC. GROUP EXISTING USE PATIOS (SF) DECKS (SF) -S 1/J f J.171.4 L- FIREPLACE YESO AIR CONDITIONING Ne(] YES □No □ FIRE SPRINKLERS YES□No□ 103 JIii/ C#-IZ(} L CITY STATE C /:j ZIP 9SSI STATEC.4 ZIP PHONl-871-JOo -0123 FAX EMAIL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE LIC. # STATE UC.# '/ .3 2,/) 2 CLASS C-'ZZ> (Sec. 7031.5 Business and Professions Code: Any City or County which reQuires a permit to construct, alter, improve, demolish or repair ant structure, prior to its issuance, also reQulres the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Cha'f.ter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or !hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 103 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). . . WORl<ERS ' COMPENSATION "'-~-~ y -" ' '"' ~= ~ ; -~-----~" y- Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declara#ons: ~ I ~d will maintain a certificate of consent to self-insure for workers' compensation as provood by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. '-'d'ftiave and will maintain workers' compensation, as reQuired by Section 37 of the Labor Code, for t~~rirformance of the work for which this permit is issued. My workers' compensation insura canie '.ndJOiicy number are Insurance Co. .J 'I~ ~ 0 A'~ ,t'... 1?11 l5 -26~ No. '1tJ ~55 81-13 Expiration Date 5 () (' / 6 ~section need not be completed tt the permit Is for one hundred dollars (SHlO) or less. LJ Certificate of Exemption: I certify 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 Wor ers' Compe tion Laws of Calttomia. WARNING: Failure to secure workers' compensation rage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred ousand d ars (&100,000), In addition to the cost of compensation, damages as provided for cti~ of the Labor code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE (/i ~ I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ □ 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, 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 himse~ or through his own employees, provood 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 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 const11Jct the project (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 contracts for such projects with contractor(s) licensed pursuant to the Contractor'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 of the proposed property improvement. 0 Yes 0 No 2. i (have / have not) signed an application for a building permit for the proposed work. 3. i have contracted with the following person (firm) to provide the proposed const11Jction (include name address/ phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address I phone / contractors' license number): 5. I will provide some of the work, but I have contracted (hire ) the following persons to provide the work indicated (include name I address I phone I type of work): ~ PROPERTY OWNER SIGNATURE AGENT DATE / / Ill . . ~W $1:11€~~ ~":~ ~"', 'ff1:: "!"f")1~~.,V ~~JRJ!!4'#!;.i.~"l":,.~~~U'~"-' ".>'~i&'< :;t:"">';,r,,-,~ ~"2:Wt:"' '""''J','t" " " ~~ """\," 1:~"'~Mill~:i~~;ie ;t.~:l"c><-.\f:'ffl~~ta..,~i~t»w-''",Si"<l&...,'#¥:-!l!I: ... COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY ~~-Y4ili'l'>,1=;ci':"J!~¥ ;,.x;•~•-"vl>'"'-b"'-@~~ ,,t =~c,,.4,sxcli1":*J~";;,.,.,_. >! -,g;~""'1<0& x._~=s-tc,:= ~ ., /'iy ¼it Jl;~~,:::".4:f¾i&,,tJ:;.,;;;:c?,:Hi<,:~~l't1llfW.'':¥tlli>l'cfu,.,." ¾£'....,1.{v,_V"*J.16;.->"""""~~c,,;:,,;~3£~>;...¥--os:~ ..,.,..,'"h,•;i: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley.Tanner Hazaroous Substance Account Act? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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. I certify1hatl have read 1he application and S1ilte 1hat1he allow lnfomnation Is conectand 1hatthe lnfomnation on 1he plans Is accurate. I agree ID comply\\ilh all City ordinances and Statflaws relating ID building construction. I hereby authorize representative of the City of Gal1sbad lo enter upon the above mentioned ~perty tJr inspection pur]X)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILrTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permh is required for excavations over 5'0' deep and clemolioon or construction of structures over 3 stories n height. EXPIRATION: Every permit issued by the Buikling Offtial u the provisions of this Code shall expire by lrnttation and become null and ..oo ff the buikling orv.orl< authorized by such,pemiit is not commenced wthin 180 days from the date of such permttorif the building authorized by such permtt is suspended or abandoned at any time after the v.orl< is commenced for ape· f 180 da (Section 106.4.4 Unm Buikling Code). ~ APPLICANT'S SIGNATURE ~---DATE / / t)d STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. C f ii T I F I C A T E OF 0 C C lJ '' /I • J C Y 1 C o n, rn 1..~ r r i ,1 1 ;"> r O J t' C t '., 0 ,, I y ! Fax (760) 602-8560.Emailbuildinq@carlsbadca.gov or Mail the completed form to City of Carlsbad. Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) ASSOCIATED CB# CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION JiS APPLICANT'S SIGNATURE DATE " . Inspection List Permit#: CB154143 Type: PME Date Inspection Item 03/21/2016 43 AirCond/Furnace Set 03/21/2016 43 AirCond/Furnace Set 03/21/2016 49 Final Mechanical 03/21/2016 49 Final Mechanical Tuesday, March 22, 2016 URAGI: REPLACE FURNACE Inspector Act Comments RI AEK AP RI AEK Fl Page 1 of 1