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Home My WebLink About2386 VIA PELICANO; ; CB153160; Permit09-24-2015 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB153160 Building Inspection Request Line (760) 602-2725 2386 VIA PELICANO CBAD PME 2155712800 BLUHM: ADD AC (PRE PLUMB) & FAU & COIL & DO DUCTWORK Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/24/2015 JMA 09/24/2015 09/24/2015 ACTION AIR COND & HEATING-SD BLUHM CHRISTOPHER T 2750 S SANTA FE AV SAN MARCOS CA 92069 760 727 4152 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1093 YORKSHIRE PL DANVILLE CA 94506 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: Clearance: ------ $0.00 NOTICE: Please t.=i<e NOTICE that~ ci yru,: ~EU irdudes tre "lrrp:stion'' d fees, dedcatims, reservatia,s, CY cttu exoctims t'Era:tter cdlectivay reterred to as "fees'exoctioos." Yoo rave 00 days fran the date tns pemit was issued to prdest irrp:stia, d these fees'EllC<dims. If }U.I prdest them >0-J rrust fdlON tre prdest ~ set forth in C?.ovemrent c.ooe Sedia, 6ro20(a), ard file Ire prdest ard arT'/ cttu ri:q.ired infOOl"Etia, wth the Oty ~ fey p-ocessirg in ~ wth Ca1sboo Mrid~ c.ode Sedia, 3.32.030. Falu-e to tirrely fdlON that ~ wll ta' arf'/ SLbleqJent lega cdim to atta:x, reiifN.I, set ~de. vcid, cr aTU treir irrp:stim Yoo a-e herecy FlRTJ-ER NOTIFIED that yoor rig-1 to prdest the specified fees'exooims IXES NOT' APPi.. Y to v.ater ard seNer wnedim fees ard ~ chrgls, ncr plarrirg, zcrirg, gajrg cr cttu sinilar applicatim p-ocessirg cr 56'1ioe fees in cx:moctia, wth tns ~EU. !'CR IXES IT ADP!.. Y to arro; fees'EllC<dims ci 'Mich rave ·oos1 \1en a NOTICE sinil t ttis cr as to 'Mich Ire statue linitlii has ·oos1 • • THE FOLLOWING ,lPPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH O HAZMAT/APCD Plan Check No. CB~- Est. Value Plan Ck. Deposit {_ City of 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 Date q'. 2-l{. ( .f SWPPP SUITEI /SPACEI/UNIH APN E# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Ack{ A. ( C ( pre IJ)ww-..~ J 1.Au c_ / o EXISTING USE GARAGE (SF) APPLICANT NAME DESIGN PROFESSIONAL ADDRESS CITY STATE ZIP PHONE FAX EMAIL PATIOS (SF) 0ECKS (SF) PROPERTY OWNER CONTRACTOR BUS. NAME CITY 'Sci v, .,)-1_.;;ir FIREPLACE YES[JII AIR CONDITIONING NoCJ YES □No□ STATE CA FAX CLASS CITY BUS. UC.# FIRE SPRINKLERS YES0 NO□ STATE UC. II c._ ,;),,a I 8o D (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, prior to its issuance, also requires the applicant for such perrrut to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 or Division 3 of the Business and Professions Code) or !hat he Is exempt therefrom, and the basis for the alleged exemption. Any violation or Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the periormance of the work for which this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the periormance of the work for which this permit is issued. My workers' compensation ins/ance ca7r and policy number are: Insurance Co. :[./I~ 6> o/::f'.1:\..( west: Policy No. 10 i2 51,.).. bt./(p ,_,,... Expiralion Date I?-3 I / 2 I ~ section need not be completed if the permit is tor one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the periormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to lhe 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 one hundred thousand dollars {&100,000), In addition to the cost of compensation, damages as p vided for In Sec\l.Q 706 of the Labor code, interest and attorney's fees. _KS CONTRACTOR SIGNATURE • ·-------~ DATE I hereby affirm that I am exempt from Contractor's License 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 lhe structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense 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. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden or proving lhat 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 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. O Yes 0 No 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) to provide the proposed construction {include name address / phone / 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 I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted {hired) the following persons to provide the work indicaled (include name I address I phone I type of work): _KS PROPERTY OWNER SIGNATURE □AGENT DATE 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 Hazardous 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. of the work this pemnil is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify that I have read the application and state that the above lnfonmation is correct and that the lnfonmatlon on the plans Is accurate. t agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad lo enter upon the above mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBI\D 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 penm~ is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories n height. EXPIRATION: Every permit issued by the Building Offcial under lhe provisions of this Code shall expire by limitation and become null and vod ~ the building or \\Ori< authorized by such permit is not commenced v,;thin 180days from the dale of such permit or if lhe building or r1< authorized by such permit is suspended or abandoned at any time after the \\Ori< is commenced for a period of 180days (Section 100.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY (Commercial Projects Only I Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. r 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. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATEO CB# MAIL TO; CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE / NO CONSTRUCTION MAIL/ FAX TO OTHER; CHANGE OF USE/ NO CONSTRUCTION ~ APPLICANT'S SIGNATURE DATE Inspection List Pennit#: CB153160 Type: PME BLUHM: ADD AC (PRE PLUMB) & FAU & COIL & DO DUCTWORK Date Ins ection Item Inspector Act Comments 01/04/2016 43 AirCond/Furnace Set RI EARLY AM PLEASE 01/04/2016 43 AirCond/Furnace Set AEK AP 01/04/2016 49 Final Mechanical RI EARLY AM PLEASE 01/04/2016 49 Final Mechanical AEK Fl 12/29/2015 43 AirCond/Furnace Set MC NR RE-SCHEDULED FOR 01/04/2016. 12/28/2015 43 AirCond/Furnace Set RI AM PLEASE 12/28/2015 43 AirCond/Furnace Set MC co NOTICE 12/28/2015 49 Final Mechanical RI AM PLEASE 12/28/2015 49 Final Mechanical MC co Monday, January 04, 2016 Page 1 of 1