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Home My WebLink About1028 DAISY AVE; ; CB141436; Permit06-23-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB141436 Building Inspectioii Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 1028 DAISY AV CBAD PME 2144021700 Lot#: UYS RES- INSTALL NEW A/C UNIT W/ ELECTRIC @ SIDE OF GARAGE Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/23/2014 RMA 06/23/2014 06/23/2014 Applicant: UYS AUBREY Owner: UYS AUBREY 1028 DAISY AVE CARLSBADCA 92011 619 828-2739 1028 DAISY AVE CARLSBADCA 92011 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $33.00 $158.00 $0.00 TOTAL PERMIT FEES $191.00 Total Fees: $191.00 Total Payments To Date: $191.00 Balance Due: $0.00 NOTICE: Please take NOTICE thlt approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed to as "fees/exactions." Y*u 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 fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenA/ise expired. THE FOLLf^WlNG APPROVALS REQUIRED PRIOR TO PERMITISSUANCE: nPLANNING nENGINEERING •BUILDING DFIRE nHEALTH •HAZMAT/APCD CITY OF CARLSBAD Est. Value Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov - i /" / 7 // www.carlsbadca.gov •Lfid^ ™2i2p^Li^^™»^^ Plan Check No. Plan Ck. Deposit SWPPP JOB ADDRESS SUITE#/SPACE#/UNIT# CT/PROJECT # PHASE* I # OF UNITS |# BEDROOMS » BATHROOMS TENANT BUSINESS NAME CONSTR. Tl'PE occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Areafs) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~^ N0| I AIR CONDITIONING YES I I FIRE SPRINKLERS YES I |NO| I APPLICANT NAME Primary Contact ADDRESS PROPERTY OWNEI V0 2-^ ADDRESS CITY STATE ZIP STATE ZIP PHONE FAX PHONE, t EMAIL^p J I EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE CITY STATE ZIP PHONE PHONE EMAIL EMAIL STATE LIC. # CLASS CITY BUS. LIC.# (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 applicantfor such permitto file a signed statement that he Is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commendingwlth Section 7000 of Division 3 ofthe 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)). |W OR K E RS- C OM PEM SATION Workers' Compensation Declaration; / hereby affinn under penalty of perjury one ofthe foilowing declarations: B l have and will maintain a certificate of consent to self-insure for i«irl<ers' compensation as provided by Section 3700 of the Labor Code, for the performance of Ihe ivori< for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this oermit is issued. I^y workers' compensation Insurance canier and policy number are: Insurance Co. Policy No. Expiration Date This section need not be completed if the permit Is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the perfomiance of the work for which this pennit 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 civil fines up to one hundred thousand dollars (£100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code. Interest and attomey's fees. JSS CONTRACTOR SIGNATURE • AGENT DATE / hereby affinn that i am exempt from Contractor's Ucense Law for the foilowing reason: I I 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 (Seo. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of pnjperty who buikls or improves thereon, and who does such work himself or through his own emptoyees, 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). I5Q I, as owner of the propertir, am exclusively contracting with licensed contractors to construct tbe 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 Ucense Law). • I am exempt under Section _ .Business and Professions Code for this reason: penally plan to provide the major labor and materials for construction of the proposed property improvement. QYes IbCjNo llhaveV have not) signed an application for a building permit for the proposed work. (I > ^ I 3,1 have contracted with the following person (firm) to provide the proposed constaiction (include name address / phone / contractors' license number); 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, superelse and provide the major wori( (include name / address / phone/Jontradors' license number): \ ' 5,1 will provide some of the work, but I have contra PROPERTY OWNER SIGNATURE Ing persons to provide the vwrk indicated (include name / address / phone / type of work): •AGENT DATE :OMPiETi THIS SECTION FOR N O N - R E S i D E N T I A L BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acr? 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 constmcted 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 OlSTRICT 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). Lender's Name Lender's Address •PLICANT CERTIFtCiAtlfON I certify that I have read ttie appikation and state that the above Information Is cotnect and that the intbrmation on the plans Is accuiate. I agree to comply with all City oidinances and State laws relating to building construction. I hereby authorize representative of the City of Cailsbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY 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: An OSHA pemiit is required for excavations over 5'0' deep and demolition or constaiction of structures over 3 stories in height. EXPIRATION: Every pemnit esued by the Building Official under the provisfons of this Code shall expire by limitatbn and become null and void if the buikiing or vwrk authorized by such permit is not commenced within 180 days from the date of such permit or if the buildf g^^^tjjaothoriaedtjy such permit is suspended or abandoned at any time alter the mik is oommenced for a perfod of 180 days (Sectfon 106.4.4 Uniform Building Cotie). >8l5'APPLICANT'S SIGNATURE DATE r 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 buildlngfgcarlsbaclca.aov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAIVIE OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION >«f APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB141436 Type: PME UYS RES-INSTALL NEW A/C UNIT W/ ELECTRIC @ SIDE OF GARAGE Date Inspection Item Inspector Act Comments 06/27/2014 43 AirCon(d/Furnace Set - Rl PM PLS 06/27/2014 43 AirCond/Furnace Set PY AP 06/27/2014 49 Final Mechanical - Rl 06/27/2014 49 Final Mechanical PY AP IVIonday, June 30, 2014 Page 1 of 1