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Home My WebLink About1 GREENVIEW DR; ; CB130563; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-11-2013 Permit No: CB1 30563 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: Applicant: 1 GREENVIEW DR CBAD PME 2152312300 Lot#: 0 WEISSMAN: FURNACE CHANGE OUT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/11/2013 JMA 03/11/2013 03/11/2013 AIRMAXX, INC STE B GEMMILL KATHARINE A <AKA WEISSMANN KATHARINE A> 1865 JOHN TOWERS AVE EL CAJON CA 92020 619 655 3010 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1 GREENVIEW DR CARLSBAD CA 92009 $0.00 $0.00 $154.00 $0.00 $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: Inspector: FINAL APPROVAL Date: %-2..tJ-13 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 t I x i n f whi h v r vi I I imil r hi r wh' h h f imi i n I h rwi ~OLLOWING APPROVALS ftEQUIREO PRIOR TO PERMIT ISSUANCE: •PLANNING 0 ENGINEERING •BUILDING O ARE •HEALTH O HAZMAT/APCD ~ Building Permit Application Plan Check No. Cbl3DSb..3 «(~ 1635 Faraday Ave., carlsbad, CA 92008 Est. Value ~ C I TY OF Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: buldllng@carlsbadca.gov Plan Ck. 9eposit www.carll;iQ2dQ2,gov Date 8/,,/,~ iswPP JOB ADDRESS i GveeN \j\~W 1)q-SUITE#/SPACE#/UNIT# IAPN --- I CT/PROJECT# r OT # I PHASE# I • or UNITS I # BEDRuuMS # BATHROOMS I TE,.,., BUSIN= NAME I wNSTR. TYPE I acc. uRuUP DESCRIPTION OF WORK: Include Square Feet of Atrected Area(s} F~ C{-{A~ OW\ EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES •#_ NOD YES D NO D YES • NO D APPLICANT NAME (Primary Contact) ~\.U.6AS3> ~'lkfa~ l,/'PPUCANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE I FAX tMAIL t lVIMIL PROPERTY OWNER NA~'f\\4-Loet~\1\11~ CONTRACTOR BUS. NAME A\Y--W~ ADDRESS i. sv-ee~ \}\c;W t)cr ADDR[&,S ~~ 1CW~ Ave-i\-is CITY ~l~~~t> STATE~ qte. --c~l (»~ STATE ~2020 /rl WT Y v1A---I t,t)())7\1-1l\Cl4-I FAX I PHONE b{q--:--' G~ · sc<q> tlVIMIL t lVIMIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATELIC# 9lS.~Z7 I c(! _ ZO I c1rv Bus. uc.• (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 ,ts 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 or the Business and Professions Code} or !hat 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' Compensatioo Declaratioo: / hereby affirm under penalty of perjury one of the following declarations: D I hava and will maintain a certificate of coo sent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the wor1< for which this permit Is issued. l]f I have and will maintain workers' c~~v SecL,n 3700 of the Labor Code, for the _performance~~h~fll~i!')ssJ!l:!!..Mfworkers' compensatioj irsurapoo carriir aflSl policy ''number are: Insurance Co·---~~~~~~~~~·~~---------Pohcy No. -~~~~------.:::t~~·c;::,c_,..>~~~)_j Exptration Dale ~ • k:2 ' \ "::> This section need not be completed ijthe permit Is for one hundred dollars (SHJO} or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any persoo in any manner so as to become subject lo the Workers' Compensation Laws of Calijomia. 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 additioo to the cost of compensation, damages as provided for in S 706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE ~~,.______ •AGENT DATE :S -lf -\'"5 I hereby affirm that I am exempt from Con/rector's Ucense Law for the following reason: D I, as owner ot 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 Professions Code: The Contracto~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). D I, as owner of the property, am exclusively contrac1ing with licensed contractors lo 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 conlractor(s) licensed pursuant to the Contracto~s License Law). D I am exempt undef Section ____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposad property improvement. • Yes D 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 construclion (include name address/ phone/ contractors' license number): 4. I plan lo provide portions of the WOfl(, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address I phone/ contractors' license number}: 5. I will provide some of the work, but I have contracted (hired) the lollowing persons lo provide the work indicated (include name I address/ phone/ type of \\Ork}: ~ PROPERTY OWNER SIGNATURE •AGENT DATE -------------------- . ~ Inspection List Permit#: CB130563 Type: PME Date Inspection Item -- 08/19/2013 43 AirCond/Furnace Set 08/19/2013 43 AirCond/Furnace Set 08/19/2013 49 Final Mechanical 08/16/2013 43 AirCond/Furnace Set 08/16/2013 43 AirCond/Furnace Set Tuesday,August20,2013 Inspector Act RI PB AP PB AP RI PB NR WEISSMAN: FURNACE CHANGE OUT Comments AM WEISSMAN RES Page 1 of 1