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Home My WebLink About1015 CHESTNUT AVE; A3; CB130728; Permit09-20-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB130728 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC #. Project Title 1015 CHESTNUT AV CBAD St A3 PME 2051902505 Lot #; REPLACE HEAT PUMP SYSTEM Status. Applied Entered By Plan Approved Issued Inspect Area ISSUED 03/26/2013 JMA 03/26/2013 03/26/2013 Applicant BOB JENSEN A/C 1347 BROADWAY EL CAJON CA 92021 619-440-3634 Owner ARO PARTNERS 1015 CHESTNUT AVE #A3 CARLSBAD GA 92008 Plumbing Fees Electncal Fees Mechanical Fees other PME Fees $0.00 $0.00 $154 00 $0 00 TOTAL PERMIT FEES $154 00 Total Fees $154 00 Total Payments To Date $154.00 Balance Due: $0.00 Inspector FINAL ARPRQVAL Date Clearance 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 infomiation 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 fees/exactions of which vou have previously been Given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired [THE FOLLOWING APPROVALS RETIRED PRIOR TO PERMIT ISSUANCE: •PLANNING •EMONESaNG nBUILDING • FIRE • HEALTH • HAZHSAT/APCD CITY OF Building Pennit implication 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 www.cai1sbadca.gov JOB ADDRESS SUIIEf/SPACE«/imiT# lAPN - CT/PROJECT # LOT# PHASES #0F UNrrs # BEDROOMS #B/miROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP Plan Check No. C3 \ 3 / OITX^ Est. Value Plan Ck. Deposit Date SWPPP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~> N0| I AIR CONDITIONING YES^Noj j FIRE SPRINKLERS YESj |NO| I APPUCANTNAME (Primaty Contact) ScaVa Oe>«<}b-^ A/C. ^ APPUCANTNAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME ADDRESS to IT ci^es\: -^ CQNTRA( LCT^^US. NAME ADDRESS CITY STATE ZIP CITY el STATE CA ZIP 1^o'^-l PHONE FAX PHONE FAX EMAIL EMAIL— 1*^-4^ ^ ^olajeiASo'^ . Co ARCH/DESIGNER NAME & ADDRESS STATE UC# CLASS CITY BUS U0# (Sec 70315 Business and ProfessionsCode AnyCity or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance also requires the applicantfor such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contracior's License Law {Chapter 9. commending with Section 7000 of Division 3 of the Business and ProfessionsCode) orOiathe is exempt therefrom, and the basis for the alleged exemption Any violation of Secton 70315 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)) Workers' Compensatian Declaration / hereby affirm under penalty of perjury one ofthe foUoimg dedaaSons: • I have and wili maintain a certificate of consent to self-insure for workeis' compensalion as provided by Section 3700 of tiie Labor Code, for the perfonnance of the woik for which ttss pennit is issued have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, ibr the peifomiaice of the woric for which this perniit is issued. My workers' compensaton insurance camer and policy numberae; InsuranceCo PoBgrNoL 'SUJ C 1(3 I ^ (o"Z ''^ Expiration Date 1 / V ^ I M This section need not be completed if the pemiit is for one hundred dollais ($100) or less I I Certificate of Exemption: I cerl^ that in the perfonnance of the wort( for which this pernnt Is issued, I shaH not en^oy any peison in any manner so as to become subject to the Workers' Compensaton Laws of California WARNING: Failure to secure workers'compensation coverage is unlawful, and shall subject an employer to criminal penalties and cMI fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensatiSit'claoQges a^rdyided fbr in Section 3706 of the Lsbor code, inteiest and attorney's fees. ^' DATE I'/xfcA^ CONTRACTOR SIGNATURE •AGENT I hereby afliTn ffiat I am exempt from Confracfor's License Law for the fbSomng reason: I I I, as owner of the property or my employees with wages as their sole compensafion, w9l do the wo* aid the stmcture is not intended or offered for sale (Sec. 7044, Business and Professions Code. The Confractoi's License Law does not apply to an owner of property who builds or improves thereon, and who does such woik hsnseH or throi^ his own employees, provided that such improvements are not intended or offered for sale If, however, the buildng cr improvement is sold within one year of completion, the owner-buhiervi^ have fhe bunlen of proving that he did not build or improve for the puipose of sale) I I I, as owner of the property, am exclusively confract ng with licensed contactors to consfruct the project (Sec. 7044, Business and Professions Code- The Contractor's Ucense Law does not apply to an owner of property who bulds or improves thereon, and contacts for such projects with contactoi(s) Scensed pissuaiA to the Contracloi's License Law) • I am exempt under Secton. .Business and Professions Code for this reason- 1 I personally plantoprovidethe major Idbor and materia for consfructon of the proposed property impronemeitt. C]Yes Qjo 2 I (have/have not) signed an applicafion for a budding pennit for the proposed woik. 3 I have contacted with the following peison (firm) to provide the proposed conslnic&m (include name address / phone / contractors' license number) 4.1 plan to provide portions of the wori<, but I have hired the following peison to coonSnate, s^ieivise and pronde Ihe major wori( (include name / address / phone / contactors' license number) 5 I will provide some of the viiorit, but I have contacted (hired) the following persons to provkie the woik im&^ated ^nchide name / address / phone / type of woik)- jS^PROPBm OWNER SIGNATURE [[]A<3ENT DATE Is the applicant or future building occupant required to submit a business plan, acutely h^adous materials re^slrafion form orrisk management and prevention program under Sectons 25505,25533 or 25534 of the Presley-Tanner ftea-dous Substance Account AcP Yes /fSo\ Is the applicant or (liture building occupant reqiared to obtan a pemiit fiom tfiBtifpoll^ Yes Is the facility to be constructed mjthin 1,000 feet of the outer boundary of a school site? Yes /Ttoj ^— IF ANY OF THE ANSWERS ARE YES, A HNAL CERTIFICATE OF OCCUPANCT MAY NOT BE ISSUED UNLfesSTKE APPLICAMT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby afllmi that there is a construction lending agency for the performance of the work this permit fe fesued (Seo. 3097 (i) Civil Code) Lender's Name Lender's Address Iceiti^thatlhave lead ti»application and state thatthe above infbnnatkin Is (xinect and tha^ I hereby autwrize represenbSve of fhe CiV of Carisbad to entsr upon Ihe above mentioned properV for inspecSon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST Aa LIABILITIES, JUDGMENTS, COSTS AND EXPBISES WHICH MAY IN ANY WAY ACCRIE AGAINST SAD CITY W C0NSEC3UENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA pemiit IS recpred far excavatiwisover SO' deep and demoliton or conslnjcfon (rfshiduresiwerSsfcriesn te^ EXPIRATION-Bfiiy pennit issued by the BuMng Oajdal under Ihe provBons of ths Cod^ 180 days tom the date of such pemiitoiffiie bura 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. C E R Tl F I C A ecu FANCY (Commercial Projects Onlyj Fax (760) 602-8560, Email wvw.buildlnqjScarlsbadca gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANTS BUS. UC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Usted above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) (XiCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL/FAX TO OTHER: ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION ^APPLICANTS SIGNATURE 1635 Faraday Ave., Carlsbad, CA 92008 Inspection List Permits: CB130728 Type: PME REPLACE HEAT PUMP SYSTEIVi Date Inspection Item Inspector Act Comments 09/23/2013 43 AirCond/Furnace Set MC AP 2ND STOP 09/23/2013 43 AirCond/Furnace Set MC CO 1ST STOP 09/23/2013 49 Final Mechanical MC Fl Tuesday, January 28, 2014 Page 1 of 1