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Home My WebLink About1020 LANDS END CT; ; CB154434; Permit' 12-15-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB154434 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1020 LANDS END CT CBAD PME Status: ISSUED 12/15/2015 SLE 12/15/2015 12/15/2015 Parcel No: Reference #: PC#: Project Title: Applicant: PRO AIR CITY WIDE STE 502 2145311700 LE: REPLACE A/C & COIL 2514 JAMACHA RD EL CAJON CA 92019 858 277-3048 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Lot#: 0 Applied: Entered By: Plan Approved: Owner: LE HAI M&LOAN M 1020 LANDS END CT CARLSBAD CA 92011 Issued: Inspect Area: $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: FINAL APPROVAL Date: /~/t(-/,p Clearance: $0.00 11.0TlCE: Rease ta<e 11.0TlO': lhal 'WM ci )OS ptjed ird.-tte "lrrµllitiaf ci fees, dedcaia-., resevaticm, or ether exda-. h3re!iler cdlectivay rderred to as 1-exda-.." Yoo te.e 00 day,; frantte-ttis pemit""' issuad to~ irrµ,sitia, ci ttese-exda-.. If yoo ~ ltelT\ yoo ITll'll fdlo.vtte~p-oa,d.rassetfathinGMrrmllllCooeSecoai00J20(a),ardfilette~ardanyctrerreq.jra:linfornaiaiwthtteatyMragerfor processirg in awda wwth Ca1sbal Mrid!B Cooe Secoai 3.32.Cl30. Faluetotim:jyfdlo.vttel IJO(Edrewll l:a"anySLIJsecµrt lega a:tiaito~ revieiv, set aside, vtid, er ani treir irf1Xliitioo. Yoo ire heret1; FLR11-ER 11.0TlRED !rat )OS rigt to~ tte specified -exda-. = NOf !'PPL y tov.eter ard -cxrn,dja, fees ard c,µrily c:hrges, nor plmrg, 2Ding g,org or ether srrila-i«Jicatia, processirg or ,..,,;ce fees in cxrredior1 wth ttis ptject. ~ cx:ES IT !'PPL Y to any I wich 11.0TlCE "rril wi Ii . . ' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMrT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD C City of 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.~ \ '5 Est. Value Plan Ck. Deposit CT/PROJECT# LOT# PHASE# DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) A, C EXISTING USE APPLICANT NAME ADDRESS CITY STATE PHONE FAX EMAIL SUITEf/SPACEf/UNITI # OF UNITS # BEDROOMS # BATHROOMS GARAGE (SF) PATIOS (SF) DECKS (SF) ZIP STATE UC.# SWPPP CONSTR. TYPE OCC. GROUP AIR CONDITIONING YES □No □ FIRE SPRINKLERS YES□No□ (Sec, 7031.5 Business ~nd Profes~ions Code: Any City or C~un_ty which requires a permit to_c!)nstruct, alter, improve, demolish or repair any structure, prior to its iss~ance, also re~~ires the applicant for such per_mIt to file a signed s~tement that he Is licensed pursu~nt to the provIsIons of the Contraytor's License 1,aw /Chapter 9, comme_nding with Section 7qoo of DIvIsIon 3 of the B_usIness and Professions Code} or fhat he Is exempt therefrom, and the basis for the alleged exemption. Any v1olatIon 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 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations· El I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the LaOOr Code, for the performance of the work for which this permit is lssued. I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. ______________ ExpiraUon Date _________ _ ~section need not be com~eted if the permit is for one hundred dollars ($100) or less. 'IL]"Cffllficate of Exemption: I certify that in the performance of the work for which this permit 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 clvll fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages pro ded for in Section 3706 of the Labor code, Interest and attorney's fees . .Jl5 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ 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 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 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). 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. OYes ONo 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 wori<, 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 provkfe some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone/ type of wor1<): ,8$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registraUon form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the applicant or future building occupant required to obtain a permit 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 boundary 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. CONSTRUCTION LENDING AGENCY I hereby affinn that there 1s a construction lend mg agency for the performance of the work this permit 1s issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the abcr.oe lnfonnation is conectand that the lnfonnatlon on the plans Is accurate. I agree to comply with all City ordinances and State I.Ms relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property br inspection purp:ises. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AIi OSHA pennlt is requred for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pennit issued by the Building Offk:ial under the provisKlns of this Code shall expire by limitation and become null and voK:l W the buik:ling or mrk authorized by such penTiit is not commenced v.ilhin 180 days from the date of such pennil or if the buildrlg oroork authorized such permit is suspended or abandoned at any tme after the v.olk is oommenced for a period of 180 days (Sec!Kln 106.4.4 UnifonTI Building Code). ,@5' APPLICANT'S SIGNATURE < DATE .~ ~ ~ I c; -Is • 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 Carfsbad, Building Division 1635 Faraday Avenue, Carfsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPllONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ ,..S APPLICANT'S SIGNATURE ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB154434 Type: PME Date ~~~ ~Inspection Item ----- 01/13/2016 43 AirCond/Furnace Set 01/13/2016 43 AirCond/Furnace Set 01/13/2016 49 Final Mechanical 01/13/2016 49 Final Mechanical Friday, January 15, 2016 Inspector PB PB LE: REPLACE A/C & COIL Act Comments --···------------- RI AM PLEASE AP RI AM PLEASE AP Page 1 of 1