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Home My WebLink About1342 OAK AVE; ; CB112441; Permit11-16-2011 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: ASI HASTINGS City,of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB112441 Building Inspection Request Line (760) 602-2725 1342 OAK AV CBAD PME 1561906000 ZADA: REPLACE FURNACE Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/16/2011 JMA 11/16/2011 11/16/2011 ZADA KARLA M REVOCABLE TRUST 12-12-90 1250 GREENFIELD DR EL CAJON, CA 92167 619-223-9016 1342 OAK AVE CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES $0.00 $0.00 $150.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: ylll. ~f FINAL APPROVAL Date: 1-z.{ \ ~l 'l Clearance: $0.00 NOTICE: Please take NOTICE tnat approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f x i n f whi h h v r vi N Tl imil r hi r whi f limi i n h rwi «1~ ~ CITY OF CARLSBAD JOB ADDRESS I O y Building Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 760-602-271 7 I 2718 I 2719 Fax 760-602-8558 www.carlsbadca.gov Plan Check No. CBL Est. Value Plan Ck. Deposit Date 1 ( t (o \ l -<PN I CTtPROJECT. • OF LN!TS • 9EDR00"15 •~.t,RQC,"1$ 1E'l.lNT BL 11<E5S 'l.lME COl<STR. TYPE DESCRIPTION OF WORK: Include Square Feet of Affected Area{s) I EXISTING USE PROPOSED USE GAi<AJE 1SF) ?ATOS iSF) JE:~5 (SF) AIR CONDITIONING F RE SFRINKL~RS YES O No D mO Nco CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP Ph ONE FAX FAX EMAIL PROPERTY OWNER NAME \.J, K\< .. .'\ ~ CONTRACTOR BUS. NAME Pr SL FAX ARCH/OESIG,~E~ '<AME & ADDRESS 5TA1E UC. • CL~S /I~ (Sec. 7031.5 Business ana Profe;s,ons Coae: ~rtf City or County Nh1ch reouires a perm,t to construct. alter. ,mprove. demolish or repair any structure. pnor to ,ts issuance. also reouires tne apc1,cant for such perm,t to file a s,w,ea ;tatement that he 1s licensed pursuant to the prov,s,ons of the Contractor's Llceese Law fChaoter 9. commending with Secuon 7000 of Div1s1on 3 of the Business ana Professions Code} or tnat he ,s exempt therefrom. ana the basis for the anegea exemption. Any vrolauon of Section 7031.5 by any applicant for a ~erm1t suoiects the applicant to a CIVIi penalty of not more than rive hundred dollars ($5001). WORKERS" COMPENSATION Wor1<er,' Compensation Declaration: I hereby affirm under penalty of PllfJUfY one of the (cl/owing declarations. 0 I have and will maintain a certificlte of consent to self.insure ~or \\Orkers' compensation as provided by Section 3700 of the Labor Code, for ihe performance of :he NOrk for NhlCh 1111s pemul 1s ssued D I have and ·•ill maintain wo'Z;.:mot;l,. a,Jt<iutred bv ;)ection 3700 of ihe Labor Code for ihe performance of e Nark for •h,ch ih1s oerm1l 1S ,ssued. My ·NOrkers' compensatro"/jSJJf~ cai ard ;,oliC'f number 3/e: lnSJJrance Co tLS r () In -r Polic'{ 'lo -C () ~ z -, , Expiration Date I I VJ I ~ ' I ~ ;ection need not be completed ~ the permit is for one hundred dollars (S100) or less. LJ Certificate of Exemption: I cemty ;hat ,n the ;ierlormarx:e of ihe NOrk for which this :,erm,t ,s issued I shall not employ any person n 3r.y manner so as to become sub;ect to the 'Norkers Compensauon Laws of Ca1ifcm,a. 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 compensatio , damages a provided for in Section 37 of the Labor code. interest and attorney's fees. ~ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Coouacus License Law for the ioifow,ng reason D D D t, as :iwner of the property or my emplOyees Nrth wages as their sole compensation. ·NIK do the work and lhe s:n.<CttJre ,snot ntended or offered for sale (Sec 7044 Business and ?rofess10ns Code The Contrac:o(s License Law does no1 aooly iO an owrer of property wr.o ouilds or illlproves !hereon and who does such 'Nark himself or ihrough h,s own emoloyees. provided that such improvements are nc11ntended or offered 'or sale If, however the ou11ding or mprovement ,s sold Mth1n one year of complencn. the owner,blJ1kler •111 have ihe burden of proving ihat he did not ou11d or ,mprove for the purpose of sale} I. as owner of ihe oro~erty, ilTl exdusively ~tracting ,.,ill licensed contrac:ors :o cons:ruct lhe pro1ect (Sec 7044, Bus:ness and Profess,or.s Cece The Comrac:c(s Lcense Law does net apply to 3n oweer of propeny ,.I'll builds°' ,moroves thereon. and contrr.s for sue~ ;J<CJectS 'Mih contracrcr(s) ilcensed pursuant ,o the Contractor's l.Jcense Law) I am exem~t Jrder Sec:icn Business and Professions Cece for lh1s reason: t I perscnally olan :o provce :he ma,cr lator and matenals 'or conSU1JC:ion of ihe proposed property improvement O v es 0 No 2. I (have have no1) SMJned an apolicaaon fer a building oerm1t for !he prooosed 'NOrk. 3 I have contracted wilh the foilcw,ng oerson (firm) to orovide ;he orcposed consuuction Qnc!ude name ilddress phone comrac:ors license numt:er). 4 I plan :O provice ::croons of :he Nark. but I have hired the lollowing person to coordinate, S1Jperv1se and prov,ce :he 'llai<Jr NOrk (include ,ame adcress pnone contractors license 1umcer): 5 I •111 pro,lde some of Ille •NOrk butt have ~ontraeted ih1red) :he foilcwing :,arsons lo proviae the .-ork ncicated (include name 'address pnone type of NOr'<)· _KS PROP!:RTY OWNER SIGNATURE ENT DATE IS l ) -. COMPl.ETE THIS SECTION FOR NON-RESIDENTIAl. BUILDING PERMITS ONf.Y ls the ai;olicant or futura bollding occupant required to submit a business otan. acutely hazardous materials registration form or nsk management ar.c prevention program under Sections 25505, 25533 or 25534 of tl1e Prastey-Tanner Hazardous Substance Account Act? 0 Yes 0 No Is the ai;olcani or future building occupant required to obtain a permit from the air pclluuon control d1smct or a,~ality management dis111ct? O vas O No Is the faolity to be construc:ed N1th1n 1,CGO feet of the outer bcundarJ of a schcci site' 0 Yes L..JNo 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 CF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify Ulat I have read lhe application and state that the allove information is correct and that the information on the plans IS accurate. I agree to comply with au City ordinances and State Jaws relating to building construction. I hereby aclhonze recreser.taC\-e of th C1tyoi Carlsbad ~ enter uocn ire above menoored prcceny 'er nsceoon OU/OOSES I >1LS0 AGRE: TO SAVE 11'1DEMNIFY AND KE::P H.ARMLESS THE CITY OF CARLSBAD AGPINST ALL LIABILITIES JLCGMENTS COSTS ANO EXP:NSES WHICH VAY IN ~NY 'NAY ~CCRUE AGAINST SAID CITY 1N CCNSECUENCE Cf Tf-E GRANT,NG Cf THIS PERMIT OSHA. An OSl-iA pem,1t s re<;uired 'or excavaoons Cl'ler SO' deeo and demc6bon or C:lflslructJon of stru::i.ras O'ler 3 s.ones n re,gnL EXPIRATION Every perrr.rt SSl..ed fl'/ ire &.ileing Dffioal uncer the pro-i1S1Cr1S of tills Cece shall expire';;'( im11a1100 ard become null ard •1Cid ,f ihe cuilorg or MJrl< authcnzed oy s..cn GEmlll s rot commenced N1th1n 180 days iom :he ja,e of sud, penl'1t or if ifie t:ulicing or 'Min< autl'onzed oy s..ch pem11t s 5US,."€11Ced or acarcor.ed at ary :in,e after '11e Neri< .s oommercec 'Cf a cenod of 180 days isec:cn 106 4 4 Uniform Bulk:1119 Cea!) ,g APPLICANT'S SIGNATURE DATE l l 15 II City of Carlsbad Bldg Inspection Request For: 12/16/2011 Permit# CB112441 Title: ZADA: REPLACE FURNACE Description: Type: PME Sub Type: Job Address: 1342 OAKAV Suite: Lot: 0 Location: APPLICANT ASI HASTINGS Owner: ZADA KARLA M REVOCABLE TRUST 12-12-90 Remarks: Total Time: CD Description Act Comments Inspector Assignment: Phone: 3232173592 Inspector: Requested By: NICKI Entered By: JANEAN 44 49 Rough/Ducts/Dampers Final Mechanical ~ ~'i'l.'.'.):tJ.Jf4 i:aAJZA '1£. Loe.A 11,oU\.l >::-~~~~~~~~- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments