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Home My WebLink About1650 OAK AVE; ; CB130185; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 01-24-2013 Permit No: CB130185 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: ASI HASTINGS STE 200 1650 OAK AV CBAD PME 1562113100 FAIT RES-REPLACE FAU 4870 VIEWRIDGE AV SAN DIEGO CA 92123 619-590-9300 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: FAIT FAMILY TRUST 04-29-94 1650 OAK AVE CARLSBAD CA 92008 ISSUED 01/24/2013 LSM 01/24/2013 01/24/2013 $0.00 $0.00 $154.00 $0.00 $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: Inspector: f1A.. U>~s FINAL APPROVAL Date: o-z/ L~/ts 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 f I x i n f whi h h v r vi I I · ii r hi r whi h h Ii i i n h r vi I h i ~ FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BUILDING O FIRE 0HEALTH D HAZMAT/APCD I «11)" Building Permit Application Plan Check No. ~t~O l~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ C ITY 0 F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date Cl ~/ (3 ISWPPP JOB ADDRESS ' 0 S6 o~ \( SUITEt/SPACEt/UNITI r PN tr. 0 --- CT /PROJECT # r OT# Prm;,E # 1 # OF UNITS r BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) (vrnc,te~ c~~e-orA- EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESO NcQ YES 0 No 0 vEsO NoO APPLICANT NAME (Primary Contact) Betty Gomez APPLICANT NAME (Secondary Contact) Holly Jacques ADDRESS 4870 Viewridge Ave #200 ADDRESS 4715 60th St. CITY STATE ZIP CITY STATE ZIP San Diego CA 92123 San Diego CA 92115 PHONE I FAX PHONE I FAX 619-590-9300 619-590-9363 619-961-3630 EMAIL bgomez@asiheatingandair.com EMAIL PROPERTY OWNER NAME ~1\ \ ~; ./-CONTRACTOR BUS. NAME ASIHastings ADDRESS/ /,,,t:::;I') rJCik ~ AODRESS 4870 Viewridge Ave #200 Cir"'~,< /ot:< J STAC A ZIP CITY STATE ZIP <=t -;i_oo~ San Diego CA 92123 PHONE PHOf.lE 7% ,,~o-721-3 I FAX 619-590-9300 IFAX 619-590-9363 EMAIL• EMAIL bgomez@asiheatingandair.com ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# I CLASS :I CITY BUS. UC.# 513115 1 O,C20,C~ 1200804 (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 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 of the 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)). Workers' Compensation Declaration: I hereby affirm under penany of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. l!::J I have and will maintain workers' compensation, as required by 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. __________ z_e_nit_h _________ Policy No. ______ z_07_22_79_7_01 ____ _ Expiration Date ____ t_10_112_01_l __ _ ~section need not be completed if the perm~ is for one hundred dollars ($100) or less. LJ Certificate of Exemption: t 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 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 attorney's fees. AS CONTRACTOR SIGNATURE 'P DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D D I, as owner or 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 Contracto(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 or 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 Contracto(s License Law does not apply to an owner or property who builds or improves thereon, and contracts ror such projects with contractor(s) licensed pursuant to the Contracto(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. O ves D o 2. t (have I 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 ~nclude name address I phone I contractors' license number): 4. I plan to provide portions or the work, but I have hired the foll01ving person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. t will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone/ lype or work): AS PROPERTY OWNER SIGNATURE DATE I ·~-----~~ .. ----·t-'---~~~ COMPLETE T ~J,1.._!!~~ NON .:RESIDENTIAL BU I LE_-!..,,f'!~--P,,~ R.~,,_~!,~,.__,,~~ ... l;-J__ ----..c.-, ..... =::-=-J.~ 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 Act? D Yes D No Is the applicant or future building occupant required lo obtain a permit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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. I certify thatl have read the application and state that the above information is correct and that the information on the plans Is accurate. I agree to comply v.ith all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad lo enler upon the above mentioned property for nspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES 'MllCH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: All OSHA penn~ is requred for excavations over 5'0' deep and demolioon 0< construction of structures over 3 slories 11 height EXPIRATION: Every permit issued by the Buikling Official under the plO'iisions of this Code shall expre by limitaoon and become nul and voo if the buiklr,g or work au1horized by such permit is not commenced within 180 days from the dale of such permit or ~the buidr,g 0<work authorized by such penn~ is suspended 0< abandoned at anytime after the WOik is commenced for a period of 180 days (Section 106.4.4 Uniform Builcfng Code). _g APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB130185 Type: PME Date lnspectio'!_ltem 02/13/2013 43 AirCond/Furnace Set 02/13/2013 43 AirCond/Furnace Set 02/13/2013 49 Final Mechanical 02/13/2013 49 Final Mechanical Thursday, February 14, 2013 Inspector MC MC FAIT RES-REPLACE FAU Act Comments RI 2-4 PM PLS AP EXISTING LOCATION RI Fl NEWT-STAT Page 1 of 1