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Home My WebLink About2754 VICTORIA AVE; ; CB163428; Permit09-06-2016 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: CB 163428 Building Inspection Request Line (760) 602-2725 2754 VICTORIA AV CBAD PME 1674902300 Lot#: BRUCE: NEW HEAT PUMP & AIR HANDLER W/ ELECTRICAL & DUCTING 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/06/2016 SLE 09/06/2016 09/06/2016 ACTION AIR COND & HEATING-SD BRUCE PAULAS REVOCABLE TRUST 02-14-08 2750 S SANTA FE AV SAN MARCOS CA 92069 760 727 4152 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2754 VICTORIA AVE CARLSBAD CA 92010 $0.00 $38.00 $163.00 $0.00 $201.00 Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due: Inspector: Fl NAL APPROVAL Date: /ti-z r-16 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 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 f whi h h v r vi I n iv n N Tl E imil r hi r whi h h f limi ti h I THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. Est. Value (_ City of Carlsbad Plan Ck. Deposit SUrTEf/SPACEf/UNITf CT/P JECT # DESCRIPTION OF WORK: Include Square Feet e.w ~t.o.X" l PATIOS (SF) DECKS (SF) PROPERTY OWNER LJ SWPPP CON TR E OC . GROUP AIR CONDITIONINO YES0 N00 FIRE SPRINKLERS YES□No□ STATE C-k ZIP qz.o (0 FAX EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS 2-'1 ? D CITY STATE ZIP ZIP q w STATE UC.# STATE LIC.# 5otl~05 cio l'1l? CITYBUS.LICL...f I C(~tJo Workers' Compon .. tion Declaration:/ /ieleby slfitm under penally of petju,y one of the lo/lowing declara/Jons: OJ.have and will maintain a certificate of consent to self-Insure for 1M>rl<01S' compensation as provided by Section 3700 of the Labor Code, for lhe perfornmce of the IMlrl< for which this permit Is Issued. l1fi' have and will malnuln wO<l<ers' compensation, as requl by Section 3700 of the Labor Code, for the poffonnanco of the work for which this peC.il is issued. My 1M>rl<ers' compensation insurance carrier and policy numberarelnsuranceCo :rm . U), e) ~e Wes1!: PolicyNa W..<;D56k'i'C,) ExpirationDale l'2-/:,\/\~ ~ section need not be oompteted ~ the permit is for one hundrad dollars ($100) or less. LJ Certificate of Exemption: I certify thal In the pertorma'""' of the work for which this pormll is issued, I shall not employ any person in any manner so as lo become subject to the Wori<""'' Compensation Laws of Callfomla WARNING: Fallura to secure workws1 compens ion coverage ic unlawful, and ch all cubJact an tmployer to criminal pgn1ltloc and civil fines up to ona hundrod thousand dollars (& 100,000), In addition to the cost of compensation, damages s vi Secti 3706 of the Labor code, interest and attorney's fees . .1$ CONTRACTOR SIGNATURE ~AGENT DATE I hereby affirm that 18"' ex8fflpl from ~• License Law for the following reason: D I. as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is nol intended or offered for sale (Sec. 7044, Business and ProfessiJns Code: The Contractots Uoense Law does not apply to an owner al property who builds or lmpro'leS thereon. alld who does such work himseij or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement Is scid wtthin one year of completion, the owner-builder wi11 have the burdeo of proving that he did not build or Improve for the purpose of sale). D I, as owner of the property, am exdusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contra:tofs License Law does not apply to an owner of property who builds o, improves thereon, and contracts for soch p,ojects with contraclO<ls) licensed pursuant to the Contractots Uoense Law). 0 I am exempt under Section ____ Business and Professions Code for this reason: 1. I per.;onally pm to provide the major labor and mater181s for oonstructlon o1 the proposed property Improvement. 0 Yes Q No 2. I (have I have nol) signed an application for a building pennll for the proposed work. 3. I have oontracied with lhe following person (firm) to provide the proposed construction (indude name address/ ptx,oe / contractors' license number): 4. I pten to provide portian> of the wort<, but I have hired the lotlowing person to 000<dinate, supervise on<l provide the major wort< (Include name I address/ pnone I oontri,;;tors· license number). 5. I \\ill provide some of the WO/It. blA I have oontracted (h1rad) the following persons to provide the v.ork indicated ~nclude name / address / phone I type of WO/It): J!5 PROPERl'f' OWNER SIGNATURE □AGENT DATE ,. • Is the applicant or future btilding OCC1Jpant required to submit a business plan, acutely hazardous materials registration form or risk man3'JOOl8flt and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Ac(? a Yes □ No Is the applicantorfutura blilding occupant required to obtain a permit from the air pollution control distriel or aif quallty management district? □ Yes □ No Is the faciltty to be constructed within 1,000 feet of the outer bounday of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A ANAL 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 affiITTI that there is a construction lending agency for the performance of the wOlk this peITnit is issued (Sec. 3097 (i) Civil Code). Lende(s Name Lender's Address I ce<t!fythatl have iead theapplicatlon and statethattheaboweinlonnation Is conectand lhattheinbmation on the plans isaa:urate. t agrooto compty\\ith all Cltyoldlnances and State lalloS relat!~to buildlngrons1ruction. I heret,; authortzerepresentatiwlof lheCityof Cartsbad IOenternpon the abcM! men1ioned~ br ilspediJn p.irposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSIW) AC?AINST ALL LIABlUTIES, JUOOMENTS, COSTS AND EXPENSES WHICH MAY IN P-NY WAY ACCRUE AGAINST SAID CITY IN CONSEOJENCE OF THE ffiANTING OF THIS PERMIT. OSHA: M OSHA permh Is requroo for excavationS CMI' S(J deep and demolition or consuuaion of sb\JClJres over J st:>ries il height. EXPIRATION: Evety permi ISSUed by the aJiding Offoal under the • • of this Code shall expire by Imitation and beoome nul and YOi::I ~ the buiklilg or \\OOt authorized by such IUTTit is not comrreoced withil 100days torn the date of such permit or if the bulJt19 or)lmt ayJJ"°Jll:eo by such permit is suspendoo or abarolnoo at .riy tine aterthe \\OOt s commenced bra perixl of 180days (Sooilo 100.4.4 Unoorm ~ikjng Code). JtS APPLICANT'S SIGNATURE ,IC-,...,...,,_,,, ----------DATE q /_h_!J_ G ____ _ 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 fCommcrc1i1f ProJ(,cts On I y I Fax (760) 602.asso, Email buildinq@car1sbadca.gov or Mail the completed form lo City of Carlsbad, Building Division 1635 Faraday Avenue. Carlsbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME AODRESS BUILDING AOORESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANrS BUS. LIC. No. DELIVERY OPTIONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL TO: 0 CONTACT (LISie<! aoove) o OCCUPANT (Listed allOve) D ASSOCIATED ce, o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: D CHANGE OF USE/ NO CONSTRUCTION ,If! APPLICANrS SIGNATURE DATE Inspection List Permit#: CB163428 Type: PME Date Inspection Item 10/28/2016 43 AirCond/Furnace Set 10/28/2016 43 AirCond/Furnace Set 10/28/2016 49 10/28/2016 49 Final Mechanical Final Mechanical Monday, October 31 , 2016 Inspector Act RI JW AP RI JW AP BRUCE: NEW HEAT PUMP & AIR HANDLER W/ ELECTRICAL & DUCTING Comments Page 1 of 1