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Home My WebLink About130 WINDVANE LN; ; CB131444; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 06-12-201 3 Perm it No: CB 131444 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 130 WINDVANE LN CBAD PME Status: Parcel No: 2145901312 Lot#: 0 Applied: Reference #: PC #: Project Title: Applicant: ASI HASTINGS STE 200 OCONNELL RES-REPLACE A/C UNIT SAME LOCATION 4870 VIEWRIDGE AV SAN DIEGO CA 92123 619-590-9300 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: OCONNELL KEVIN W&LEAH L 130 WINDVANE LN CARLSBAD CA 92011 ISSUED 06/12/2013 RMA 06/12/2013 06/12/2013 $0.00 $0.00 $154.00 $0.00 $154.00 Total Fees: $1 54.00 Total Payments To Date: $1 54.00 Balance Due: Inspector: FINAL APPROVAL Date: 7-2 o/:-I? 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 ·tees/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 Car1sbad 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 f hi h h v r vi I n iv n N Tl imil r hi r whi h h f limi i n h THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING <<~~"' ~ C I TY OF CARLSBAD U/"\ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEI/SPACEI/UNIT □BUILDING □FIRE Pl an Check No. SWPPP PHASE# # or UNITS # BEDROOMS # BATHROOMS CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD AIR CONDITIONING No(] YES □NO □ FIRE SPRINKLERS YES0 NO□ APPLICANT NAME (Primary Contact) Betty Gomez APPLICANT NAME (Secondary Contact) Holly Jacques ADDRESS 4870 Viewridge Ave #200 ADDRESS 4715 60th St. CITY San Diego STATE CA ZIP 92123 CITY San Diego STATE CA ZIP 921 15 PHONE 619-590-9300 FAX 619-590-9363 PHONE 619-961-3630 FAX EMAIL bgomez@asi heati ngandair.com EMAIL CONTRACTOR BUS. NAME ASI Hastin~s ADDRESS 4870 Viewridge Ave #200 STATE cA ZIP CITY STATE ZIP (\'2.()\ \ San Die~o CA 92123 FAX PHONE FAX 619-590-9300 619-590-9363 EMAIL EMAIL bgomez@asiheatingandair.com ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE UC.# CL.ASS CllY BUS. UC.# 513115 10,C20,C~ 1200804 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a sil(ned 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: / hereby affirm under penalty ot pequry one ot the lo/lowing dectaralions: 0 I have and will maintain a cer1ificate of consent to self-insure lor workers' compensation as provided by Section 3700 of the Labof Code, for the perfo,mance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as reQuired by Section 3700 ol the Labor Code, fo, the performance of the wo,k for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Insurance Co Zenllh Policy No. ZOIZ279lOI Expiration Date tioinou ~section need nol be compleled if the permit is for one hundred dollars (SHlO) or less. LJ Cer1ificate of Exemption: I certify that in the performance of the work f0< which this permit is issued, I shall not employ any person in any manner so as lo become subject to the Workers' Compensation Laws of California. WARNING: f ailure 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 lo the cost of compensalion, for Section 3706 of the Labor code, interest and attorney's fees. ,/!S CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's 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 slructure is nol intended or ottered fo, sale (Sec. 7044, Business and Professions Code: The Contraclo(s License Law does not apply to an owner of pioperty who builds 0< improves !hereon, and who does such work himself or lhrough his own employees, provided that such improvemenls are nol intended 0< offered for sale If, however, the building or improvemenl is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve fo, the purpose of sale). □ □ I, as owner ol the property, am exclusively conllacting with licensed contractors to conslruct the pioject (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply 10 an owner ol property who builds o, improves thereon, and contracts fo, such piojecls with contraclor(s) licensed pursuant to the Conlraclo(s License Law). I am exempt under Section _____ ,Business and Professions Code fo, this reason· t. I personally plan to piovide the ma1or labof and materials for construction of the proposed pioperty improvement. 0 Yes D o 2. I (have I ha•,e not) signed an application for a building permit fo, the proposed work. 3. I have conllacled with the following person {firm) to provide the proposed conslruclion Onclude name address/ phone/ contractors' license number): 4.1 plan lo provide portions of the work, but I have hired the following person to coo,dinate, supervise and piovide the major work (include name I address I phone I conlracto,s' license number). 5. I will piovide some of the work, but I have conlracted {hired) lhe following persons to provide the wor1<. indicated (include name I address I phone I type of wo,k): ,/!S PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials regis~ation form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes D No ls the applicant 0< future building occupant required to obtain a permit fro,n the air pollution con~ol district o, air quality management district? D Yes D No ls the facility to be conslructed within 1,000 feet ol the outer boundary of a school site? D 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. Lender's Name Lender's Address I certify thatl have read the application and state that the above infonnation Is correct and that the lnfonnation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of lhe City of Carlsbad IO enler upon lhe above mentioned property for inspectioo purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pem1« is requred for excavations rJVer 5'0' deep and demofltion Of cons~ction of structures over 3 stories in height EXPIRATION: Every pem,it isslJed by the &lilding Official under the provisions of this Code shaft expi'e by limitalbn and become nul and voo l lhe building Of wOl1< authorized by such pennit is not coommced within 180 days from the dale of such pennitoc ff the buicf Of Y • ed by such pem,~ is suspended Of abandoned at any time after lhe wOl1< is oonvnenced for a period of 180days (Section 106.4.4 Uniform &licf119 Code). ,,i!$ APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB131444 Type: PME Date Inspection Item 07/23/2013 43 AirCond/Furnace Set 07/23/2013 43 AirCond/Furnace Set 07/23/2013 49 Final Mechanical 07/23/201 3 49 Final Mechanical Tuesday, July 23, 2013 Inspector PB PB Act RI AP RI AP OCONNELL RES-REPLACE AJC UNIT SAME LOCATION Comments 10-12 PM WILL HAVE LADDER ONSITE Page 1 of 1