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Home My WebLink About2142 VUELTA CT; ; CB121180; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 06-21-201 2 Permit No: CB1211 80 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2142 VUELTA CT CBAD PME Status: Parcel No: 2164921000 Lot #: 0 Applied: Reference #: PC#: Project Title: NELSON RES= REPLACE FURNACE Applicant: AIRMAXX, INC 1865 JOHN POWERS AVE EL CAJON CA 92020 619 655 3010 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Owner: NELSON LISA TR 2142 VUELTA CT CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 06/21/2012 LSM 06/21/2012 06/21/2012 $0.00 $0.00 $150.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: FINAL APPROVAL Date: lf-6-/Z,, 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, yoL 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 atta~k. 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 n iv n N Tl E imil r hi whi h f limi i n THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING 0 BUILDING □FIRE □HEALTH 0 HAZMAT/ APCD «~'» Building Permit Application Plan Check No. C!i!:, 1 ~ l t «<J 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718/ 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.carl§badQa.gQv <t,/;i_t I 12-!swPP Date JOB ADDRESS Z.tlt-2... \JLtG\Tfl.. ~ SUITE#/SPACE#/UNIT# IAPN --- CT/PROJECT # ILOT # I PHASE# I # OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) FLLWACG CM~E OU-T"" EXISTING USE rROPOSED USE I GARAGE (SF) PATIOS (Sf) I DECKS (SF) I FIREPLACE I AIR CONDITIONING !FIRE SPRINKLERS YES □#_ NOD YES □ NO D YES O NO D APPLICANT NAME (Primary Contact) ~e_ APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE I FAX EMAIL \\ EMAIL PROPERTY OWNER NAME USA ~-s l e:.!:'a..l ~ONTRACTOR BUS. NAME AC'< WlA>C)( t I ~ ADDRESS ,z. \ 4 z_ VuslrA CF ADDRE5i&&5 ~r--i T oweo-S Ave CITY G,AlU $ ~,A-D ST~ q~~ CITY tj \ c ib,Ot-1 s~ ZIP c'fzozo PHON½w • 4 36 • {A-lt-rAX I pbe~ •Gs-s~~o10 IFAX t:M,.IL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATELIC.# 9 ,s32 7 lc~-zdCITYiusr -~ ~9 Y'::l_ (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 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 703 .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 Declaration: I hereby affirm under penalty of perjury one of the lo/lowing declarations: D I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 ot lhe Labor Code, for the perfonnance of the work for which this pennit is issued. D I have and will maintain worl<ers' cortpf(l tlon s ion 3700 of the Labor Code, for the _perfonna~ ii.!_ tlje WQrUo\~c~l!f-n,qjt i~ued]MY workers' compensation wa~carrier f ~licy numberare:lnsuranceCo. ____ .!_:\'l~I ~~~~~~~~--------Pohcy No. ~J:_(A.)<-: ~ -~ I Exp<rat1onDate :I:• <:> • 2 This section need not be completed if the pennit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this pennit 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 one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided fo~~ :f the Labor code, interest and attorney's fees. ,/1:S CONTRACTOR SIGNATURE ~ □AGENT DATE I hereby affirm that I am exempt from Contractor's Ucense 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 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 himseff 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 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 of property who builds or improves thereon, and contracts for such projects with contractor(s} licensed pursuant to the Contractor's License Law}. D 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 lhe proposed property improvement. □ Yes □ No 2. I (have/ have not} signed an application for a building pennit for the proposed work. 3. I have contracted with the following person (finn) to provide the proposed construction (include name address I 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 I address/ 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 indicated (include name/ address I phone/ 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 Acri □ Yes □ No Is the applicant or future building occupant required to obtain a penmtt 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 boundaiy of a school site? □ Yes D 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 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I oertlfythatl ha'le read the appllcaUon and state that the above lnfonmaUon Is correct and that the lnfonmation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby au1horize representative of !he City of Carlsbad to enter upon !he above menooned property klr inspectioo purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGIIINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGIIINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA penmn is required klr excavations over 5'0' deep and demofition or construction or structures over 3 stories in height. EXPIRATION: Every penmit issued by !he Buikling Olftial under !he pro-.isions of this Code shaft expire by frnitation and become nul and voo rt !he buik1ilg or wol1( authorized by such permit is not commenced within 180days tom the date of such permi1or if !he buik1ilg orwori( au~ penmn is suspended or abandoned at anytime afler !he wol1( is commenced klr a period of 180 days (Section 106.4.4 Unil:lrm Buikling Code). _25 APPLICANT'S SIGNATURE ~ DATE 6 , ? /. /2__ 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 jCommcrcial Projects on I y J Fax (760) 602-8560, Email www.buildinq@carlsbadca.gov or Mall 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. LIC. No. DELIVERY OPTIONS □PICKUP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB# □ MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) D NO CHANGE IN USE/ NO CONSTRUCTION □ MAIL/ FAX TO OTHER: o CHANGE OF USE / NO CONSTRUCTION .IS APPLICANT'S SIONA TURE DATE Inspection List Permit#: CB121180 Type: PME Date Inspection Item 11/14/2012 43 AirCond/Furnace Set 11/14/2012 43 AirCond/Furnace Set 11 /14/2012 49 Final Mechanical 11/14/2012 49 Final Mechanical Thursday, November 15, 2012 Inspector PB PB NELSON RES= REPLACE FURNACE Act Comments RI AP RI AP Page 1 of 1