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Home My WebLink About1655 CORTE ORCHIDIA; ; CB161536; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical {PME) Permit 04-21-2016 Permit No: CB161536 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: ASI HASTINGS STE 200 1655 CORTE ORCHIDIA CBAD PME 2159502500 LOMPONE: INSTALL NC 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: LAMPONE MARIE 1655 CORTE ORCHIDIA CARLSBAD CA 92011 ISSUED 04/21/2016 SLE 04/21/2016 04/21/2016 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: $0.00 NOTlCE Rease take NOll of your project inducles the "lf11XSition" ci fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees'exactims." You have 9J days from the date this pemit 'MIS issued to protest ifTlXJSitim of these fees/exactions. If you protest them, you rrust foiiONthe protest procedures set forth in C?ovemrent O:x:le Sectioo66020(a), and file the protest and any other required infOO'T'atioowth the QtyMlnagerfor processing in aa:ordance IMth Carlsbad M.Jnidpal O:x:le Sectioo3.32.030. Failure to tirrelyfdiONthat procedure \Mil bar any subsequent legal action to attack, revievv, set aside, void, or annul their irrpcsition. You are hereby FLRTHER NOll RED that your right to putest the sf.Edtied fees'exactims COES NOT APPLY to water ard re.Ner CXJI'11Edioo fees and capacity changes, nor planning, zming, grading or other sirrilar applicatioo processing or service fees in mnnectioowth this project. NOR COES IT APPLY to any fees' exactions of \<\klich have 'ousl been 'vena NOTlCE sirrilar to this or as to Wich the statute of lirritatioos has 'ousl other\Mse 'red. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0 ENGINEERING 0BUILDING OFIRE 0HEALTH 0 HAZMATIAPCD 0~ ~f .• Building Permit Application Plan Check No. ~ llll 1 5 S (o ~~ ... ~::·. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ¥ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date L\ -Cl-ll!:> ISWPPP JOBAOORESS SUITE#/SPACE#/UNIT# IAPN 1655 CORTE ORCHIDIA CARLSBAD 92011 --- CT/PROJECT # rOT# JPHASE# r 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) INSTALLAC EXISTING USE '-PROPOSED USE 1 GARAGE (SF) PATIOS (SF) JDECKS (SF) FIREPLACE lAIR CONDITIONING I FIRE SPRINKLERS YEsO NoD YES0No0 YESONoO APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME MARIE LAMPONE Prinarv Contact ADDRESS ADDRESS 3645 RUFFIN ROAD# 330-335 1655 CORTE ORCHIDIA CARLSBAD 92011 CITY STATE ZIP CITY STATE ZIP san dieao ca 92123 CARLSBAD CA (619) 200-2282 PHONE _IF AX PHONE I FAX 619-590-9337 EMAIL EMAIL JERMAINE@WEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinqs ADDRESS ADDRESS 4870 viewridge ave CITY STATE ZIP CITY STATE ZIP san dieao ca 92131 PHONE _I FAX PHONE _I FAX 619-590-9337 EMAIL EMAIL I STATE LIC. # STATE UC.# I ClASS I CITY BUS. uc.1200804 513115 c20 (Sec. 7031.5 Busmess and Professions Code: Any City or County whiCh requ~res a perm1t to construct, alter, 1m prove, demolish or repa1r any structure, pnor to its 1ssuance, 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 penalty of perjury one of the following declarations: D 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. 0 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. CYPRESS INSURANCE COMPANY Policy No. ASWC605204 Expiration Date 91112016 This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 Certificate 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' comp nsation 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 provi ection 3706 of the Labor code, interest and attorney's fees. ~CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D D 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 DYes 0No 2. I (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 (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated 0nclude name I address I phone I type of work): / ~PROPERTY OWNER SIGNATURE 0AGENT DATE I certifythatl 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 with all Cilyordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentloned properly for inspectlon purposes. 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: An OSHA permit is required for excavatlons over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Cede shall expire by limitation and become null and void if the building or 'MJrk authorized by such permitis not commenced within 180 days from the date of such permtt or if the building or'MJrk authorized by ~uch perm~s suspended or abandoned at any time after the 'Mlrk is commenced for a period of 180 days (Section 106.4.4 Uniform Building Cede). ~APPLICANT'SSIGNATURE LV DATE L\-G\ I Permit#: CB161536 Type: PME Date ~pection _!tern 05/06/2016 43 AirCond/Furnace Set 05/06/2016 43 AirCond/Furnace Set 05/06/2016 49 Final Mechanical 05/06/2016 49 Final Mechanical Inspector py py LOMPONE: INSTALL A/C Act Comments -~~---·-·----~~ Rl AP Rl AP Monday, May 09, 2016 Page 1 of 1