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1660 FAIRLEAD AVE; ; CB161418; Permit
04-13-2016 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit * Permit No: CB161418 Building Inspection Request Line (760) 602-2725 Job Address; Permit Type: Parcel No: Reference #: PC#;' Project Title: 1660 FAIRLEAD AV CBAD PME .pooooooooo DESHMUKH: INSTALL A/C Lot#: Status: Applied: Entered By; Plan Approved: Issued: Inspect Area: ISSUED 04/13/2016 SLE 04/13/2016 04/13/2016 Applicant: ASI HASTINGS' STE 200 4870 VIEWRIDGE AV - SAN DIEGO OA 92123 619-590-9300 Owner DESHMUKH MONICA 1660 FAIRLEAD AVE CARLSBAD CA 92011-3607 760-277-3629 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $163.00 $0.00 TOTAL PERMIT FEES $163.00 Total Fees:$163.00 Total Payments To Date:$163.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE FteasetakeNOnGEthatapprc^elrfyourpfcjectirductesthelrrptsitiorfoffee8,declcalitTB,rBeervaliai3,crcthereKact)an3hersefterodlec(ively nefeTOdtoas"fees/ecEc8ons." You have 90 ct^ from the date this pemitv^as Issued to proteGtlrrposftlon of these feee/eeadicns. If yoj pretest thetnvojmjst fbllovtheprcteetpnxedLres set frith In OcMBnTTBrit Code Section 66CI20(a), ard fie the pretest and ary other requlrBdinftirnBtionwth the Oty Manager for prxeeeing in aooordanoe with CariebadMjridpei Code Section 332.03a FiailiiBtotimBtyftilavthalpnDoedLiBVMllbararysutMe(^jentlegalacticntoattacK re^/tew set aside wad, or arrU their IrnpoeitlorL You ara herety FtJtTTTHBR NOTl R BO tfat you-right to protest the spedfled feeaisKEctlais DCES NOT 4PPLY to water and sei(wr oonnection fees and capacity ctBnges, nor pterring, zoning gradng or other sinflarappBcaBonprxeasing or service fees In connection with this project NORtOOESITAPPLYtoary feestexaolionsofwhichwxjhawaDta/loustvbeenctwsnaNanCEsirrflartotHaorastowHchthestatLtecfiinltalionshBscreMQUsivctherwteeadped THEF^LLOWl><Q APPROVALS RE(3UIRED PRIOR TO PERlirr ISSUANCE: □pLAWNMO F"! ENGIWEERIWQ □bUILDMG □FIRE □HEALTH □hAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, OA 92008 Ph: 760-602-2719 Fax:760-602-8558 email; building@carl3badca.gov www.carlsbadca.gov Plan Check No. Qj^ IU \ mS Est. Value Plan Ck. Deposit JOB ADDRESS 1660 FAIRLEAD AVE CARLSBAD 92011 sunB^spSS^iSlT# f 6ATHft(MUS TENANT BUSINESS NAME'CONSTR.TTPE | OCC. GROUPCT/PROJECT #ISTT"PHASE# I# OF UNITS I # BEDROOMS DESCRIPTTON OF WORK: InchKh Sqaare Feet of Affocted Area(M) INSTALL AC EXISTWG USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES|~|* N0| I AIR CONOmONINGYES □noQ FIRE SPRINKLERS YES I |no| I APPLICANT NAME Prtntrv Cofrtact JERMAINE MAEWEATHER PROPERTY OWNER NAME MONICA DESHMUKH ADDRESS 3645 RUFFIN ROAD # 330-335 ADDRESS 1660 FAIRLEAD AVE CARLSBAD 92011 CITY san diego STATE ZIP ca 92123 CITY CARLSBAD STATE CA ZIP 92011 PHONE 619-590-9337 FAX PHONE 760277-3629 FAX EMAIL JERMAINE@WEGREENINC.COM EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi bastings ADDRESS ADDRESS 4870 viewridge ave CITY STATE ZIP CITY san diego STATE ZIP ca 92131 PHONE FAX PHONE 619-590-9337 FAX EMAIL EMAIL STATE L1&# 513115 c20 OTYBUS-UC.# 1200804 (Sec. 7031.5 Business and Professions Code: Any Crty or County which requires a permit to oonstrucL alter, improve, demolish or repair any structure, poor to its issuance, also requires theapplicant for such permit to tHe a siBied statement that ho Is licensed pursuant to the provisions of the Contractor's Ucense Law (Chapter 9, commending with Section 7COO of DIvlBlon 3 of theBusiness and Professions Code) or mat he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7C3l,5 by any appncant for a permit subjects the applicant to advll penalty of not more ttian five hundred dollars (ISCC)). WOECSSEe" SOEDPSQOSia'u'aQCJ Woftofs'Com ponsabon Dodiratlon;; tenaiy affim mder peoafy of perjury one of tte fcibirtig decJaraflont.'S I h*ve Mid wHlmalntilnacartllicati of cortent to »e(f-lniur» for worters'compensation as provided by Section 3700 of the Labor Code, for the performanco of the work for which this permB Is Issuod. Ih»ve«idwll maintain wotkara'con*enaation, as reqtirad by Section 3700 of the Labor Code, for the perfermance of tie work for which this perm* Is Issuod. My wortare' compensatfon Insiianca oarrlar and polcy nuTibar are: InstFance Co._CYPRESS KSURANCE COUPANY , Polcy No..ASWC6I)5204 Explraffon Date _9f1/2016Bsodfon need not be comptetod If the permit Is for one hundred dolars (J1 DO) or lass. Certificata of Exemption: I certify that In the performance of Itie work for which this permit Is Issued, I shal not employ any peieon In any mannar so as to become subject to the Workers' Compensation Laws of Califomla. WARMNG: FsHura to secure workera' compensation coverage Is unlawful, and ahatlaiibject an emplayar to crimlnaj penaltlst and civll finei up to one hundred thousand dolars (&100,000), InadtfiUon to the coet of compansatlan, damages as provldsd torff Ssctkxi 3706^jtlALabor code, Intarast and attomey'i feet. CONTRACTOR SIGNATURE [3 AGENT DATE ®?i!7[IlBE = BIII[][L®BB BBSlLraBiSi'D'O®!!] IherebyafBmth^lamexiBn^ixm Contrackir's License Lsw lor the kilowing reason:I I I, as owner of tie prbperty Of my employees wkh wages as their sole compensation, wID do the work and the stnicturo Is not Intended or offered for sale (Sec. 7CM, Business and Prafesstons Code; The Contractor's— LfcensoLawdoesnotapplytoanoYmerofpfopeftywhobijadsarlmproveslhereon, and who does such work himself or through his own emptoyoes, provided that such Improvemente are not Intended or offered forsale. If, however, tie buiJtig or Improvement Is stAl within one year of completfon, the owner-bulder will have the burden of proving ttiaf he did not build or Improve for the purpose of sale). I I I, as owner of the property, am exclusively contracting wtthScensedcontrecters to conslnict the project (Sec. 7044, Busteess and Professions Code: The Contractor's Ucense Law does not ^iply to an owner of property who builds or Improves thereon, and contracts for such projects wkh contractorts) Icensed piasuant to the Cctkractor's License Law). Business and Professions Code for this reason:[ I I am exempt under Section,1 □no.1 personally plan to provide tie major labor and materials lor constnictfon of the proposed property ImproveinenL I iYes ZI (have / have not) signed an appBcatton for a bJding permit for the proposed work. 31 have conkaded wffli the following person (fkm) to provkle the proposed construction (include name address / ptione / contractorE' Dcanse number): 4.1 plan to provide portions of the work, but i have twod the folov*ig person to coonSnate, supervise and provide the major work (Indude name / address / phone / conkactors' Icanse number): 5.1 wfl provide some of kie work, but I have (hlred)tti9f^lwing persons to provide kievrofk kid IcalBd (fodude name / address / phone / type of work): fTOPERTY OWNER SK3fJATURE L^aqent DATE gCj^CUPCLIlirB TTtSDS SBCglTDOGg g®B GS©G0°BB8DlDBlZlgD^[l. BIS0HBD00(5 PBBEnO'u'8 Is the applicant or futuB tjulkjng occupant tequlnad to sutmft a business plan, acutely hazanlous malerlals reglstrafloo form or risk management and prevenlon program under SecSons 2ffi05,2K33 or 25534 of the Preslay-Tanner Hazardous Substance Account Act? DYes □ Nois #» applicant or futnebiJdlng occupant required to obtain a permit from the air polutlon control Jstrtct or a*-qifflilty management district? OYes □ NoIs the tacaty to be constructed v»lthln1,0(X)fe^ of the outer boundary of a school s«e? OYes □ NoIF ANY OF THE ANSVVERS ARE YES, A RNAL CERTRCATE OF OCCUPANCY MAY NOT ffi ISSUED UNLESS THE APPUCANT HAS HBT OR IS BEETING THE REQUIREIIENT8 OF THE OFFICE OF EMERGENCY SERVICES AND Tie AIR P0LLUTK3N CONTROL DISTRICT. cg®gisgB[ge'u'D©ta HBgnDOjaa I hereby affirm fiiat fiiere Is a construc5on tentfing agency for the performance of the work this permit Is Issued (Sec. 3097 (I) Civtl Code). Lender's Name Lender's Adttess euB'u'OPaera'irnQE] Icertly thatihaw lead tlttapplcatton and state ttetfile alxwBlnfomiatlonlsconBct and that the Inlbnnation on the plani Is accu rate. lagreetDcenTp^r with all CthrordlnanoBB and State law iBlalingtobulkllngconstmction. I hereby autnrizB represenfaSvB of the of Carlsbad to enter upcm Itto atove menfioned pnoperty for jnspecSon ptiposes. I ALSO At3?EE TO SAVE, tlDEMNFY AND KEff HARMLESS THE CITY GIF CAR-SeADAGAINST/Vi LiABLFTES, JUDGMBfTS, COSTS AND EXPBJ^ WHICH MAY IN ANY WAY ACCRtJE AGAtfST SAID CTTY IN CCNSEQUBICE OF TTtE GRANTWG OF THIS PfftMrr.OSHA An OSHA pemilt Is nsqutred tor excavabons over 5T7 deep Etod demcftlon or constojctlon of structores over 3 stories In hel^EXFfFATTON; Ev^ perrntt Issued ty t» Buldlng Official under Ihetrarislons of this Code^ explB by kmBaSon and becorne nti arto voW f fito btJting or vork autiortzBd by such penhfi Is rrt180 days from fw date of such pettri or fifito btJidlTg or v«rk autho^ lysuth pKp*^suspetxled or abandoned at any firiB ater tto vrak Is corhmenced fix a period of 180 days (Section 106.4.4 LInibim ajtt^ - CvO.vCS'aPPUCANT'S SIGNATURE DATE Inspection List Permit#: CB161418 Type: PME DESHMUKH: INSTALL A/C Date Inspection Item Inspector Act Comments 08/11/2016 43 AirCond/Fumace Set - Ri CALL BOX-STATE ADDRESS 08/11/2016 43 AirCond/Fumace Set JW /\P 08/11/2016 49 Final Mectianlcal - Ri CALL BOX-STATE/MDDRESS 08/11/2016 49 Final Mechanical JW AP Thursday, August 11, 2016 Page 1 of 1