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Home My WebLink About118 WINDVANE LN; ; CB162174; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 06-03-2016 Permit No: CB162174 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 118 WINDVANE LN CBAD PME Statu s: Parcel No: 2145901309 Lot #: 0 Applied: Reference #: PC#: Project Title: Applicant: CULLMER RES-REPLACE FAU & AJC UNITS-SAME LOCATION COASTAL REFRIGERATION APTI 6525 PASEO FRONTERA CARLSBAD CA 92009-4534 760-683-5683 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: CULLMER TRUST 03-18-02 118 WINDVANE LN CARLSBAD CA 92011 ISSUED 06/03/2016 RMA 06/03/2016 06/03/2016 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: ~ FINAL Date: -c;,.q...,,~+J1.~.,_,,,.., Clearance: ------ $0.00 NOTICE: Aease ta<e t\OTICE that~ cl yar ~ect irdudes the "lrrpcstiori' cl fees, da:fcaticrs, reseMticns, cr cthef exa:::ticrs rerectter colectivay ra'erred to as "feeslexa:::ticrs." Yoo rave 00 days fran tt-e date ths pemit W:JS iss..ed to prctest in,::ositioo cl these feeslexa:::ticrs. If '.)OJ prctest them, '.)OJ m.st fdlo.v the prctest ~ set forth in G:Nen-rre-t O:x:1e Sedioo 60020(a), a-d file tre p-otest a'ld any cthef re::µred infcmatioo wth the Oty IValager fa- pucessirg in ~ wth Ca1sba:l tv\ricipa O:x:1e Sedioo 3.32.030. Failu-e to tirrely fdlo,v thci ~e wll ta-any~ legal actioo to at!OO<, re.iiew, set aside, \Cid, cr anJ tt-eir in,::ositim Yoo are hereby Fl.RTl-ERt\OTIREDthat yar rigt to prctest Ire specified feeslexa:::ticrs IXES NOT APPLY tov>Eter a-d seMlrCDT18dioo fees a-d ~ c:hrges, na-plaTirg, zx:rirg, ga:irg or cthef sirrilar i.\'.)pliectioo pucessirg cr ser.ioe fees in CDT18dioo wth ths ~ect t-rn IXES IT APPLY to any f ·crsclwich have ·a.s1 been ·veriat\OTICEsirrilartoths orastowichthestauecllirritati t'0s ·red. ~ THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING O BULDING □FIRE {'cicyof 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 Plan Check No. JOB ADDRESS //R CT/PROJECT# EXISTING USE APPLICANT NAME Prima ry Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL PHASE# PROPOSED USE STATE FAX STATE FAX SUITEI/SPACEI /UNITI # OF UNITS # BEOROOMS # BATHROOMS GARAGE (SF) PATIOS (SF) DECKS (SF) ADDRESS /I' ZIP ZIP EMAIL STATE UC.# Est. Value SWPPP CONSTR. TYPE OCC. GROUP AIR CONDITIONING YES□No□ FIRE SPRINKLERS YESO N0O ZI~ // (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 signed 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 fhat 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: I hereby affirm under penalty of perjury one of /he following declarations: 0 I o/4 and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is i ued. ~ave and will maintain workers' o en_s;ti~q~ Section 3700 of the Labor Code, for the performance of the work for ich this permit is _;s ued. M workers' compensatio i nee ca • number are: Insurance Co. 'r' 0---Policy No. 6 6 Expiration Date --/--/-#3-1-.P"-',_.,<-,,c- This section need not be complet d dollars ($100) or less. 0 Certificate of Exemption: I of the work for ich this permit is issued, I shall not employ any person in any manner so as lo become subject to the Worke Compe tion Laws of California. WARNING: Failur is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundr thousa d do tars (&100,000), in 3706 of the Labor code, interest and attorney's fees. □AGENT I hereby affirm that I am exempt from Con □ □ □ 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 Contractors License 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 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 Contractors 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 Contractors 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 ves O 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 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 / 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/ phone/ type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE Is Ille applicant or future blilding occupant required to submit a business plan, acutely hazardous materials registration form o, risk management and prevention program under Sections 25505, 25533 o, 25534 of Ille Presley-Tanner Haza.-dous $\Jbstance Account A<%/ □ Yes □ No Is the applicant o, future blilding occupant required to obtain a permit from the air pollution control district o, air quality management district? □ Yes □ No Is Ille facility to be constructed within 1,000 feet of the outer bounda,y 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 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lende~s Address I certify that I have read the application and state that the aboYe information Is correct and that the information on the plans is accurate. I agree ID comply with all City ordinances and State laws relating ID building construction. I hereby authorize representative of the City of Carlsbad to enter upon the al:xNe menooned ~ br nspedioo pufJX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY mo KEEP HARMLESS THE CITY OF CARLSIW> AGAINST ALL UABIUTIES, JUDGMENTS, COSTS mo s WHICH MAY IN WAY ACCRUE AGAINST SAID CITY IN CONSEOOENCE OF THE GRANTING OF THIS PERMIT. OSHA: /vi OSHA pem1t is requra:l brexcavations over S(J and demolioon or cons f structures over 3 stories i1 height. EXPIRATION: Every pem1tt issued by the aJiding Ofli::ial the J:XlMSOllS of this expire by lmitatim and berome nul and voo ~ the buikling or I',()!!( au such permt is not commenced IWhi1 100 days i'om the date of such pem1tt • ilding authorized by such pended or abandoned at any tine afio!r the I',()!!( is commenced bra ood of 1 days (Secooo 100.4.4 Unibrm aJilding Code). _15 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. 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. CONTACT NAME ADDRESS CITY STATE PHONE FAX EMAIL DELIVERY OPTIONS PICK UP: a CONTACT (Listed above) a OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL TO: a CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) ZIP MAIL/ FAX TO OTHER: ________________ _ .If APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. LIC. No. o ASSOCIATED CB#, ____________ _ a NO CHANGE IN USE / NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Pennit#: CB162174 Type: PME Date Inspection Item 06/21/2016 43 AirCond/Furnace Set 06/21/2016 43 AirCond/Furnace Set 06/21/2016 49 Final Mechanical 06/21/2016 49 Final Mechanical Tuesday, June 21 , 2016 Inspector Act AEK AEK RI AP RI Fl CULLMER RES-REPLACE FAU & A/C UNITS-SAME LOCATION Comments Page 1 of 1