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Home My WebLink About1683 BRADY CIR; ; CB121676; Permit08-29-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No CB121676 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 1683 BRADY CR CBAD PME 2054401000 Lot# HICKERSONRES REPUCE A/C Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 08/29/2012 JMA 08/29/2012 08/29/2012 Applicant AIRMAXX, (NC 1865 JOHN POWERS AVE EL CAJON CA 92020 619 655 3010 Owner HICKERSON LAURENCE J&JILLIAN L 1683 BRADY CIR CARLSBAD CA 92008 Plumbing Fees Electncal Fees Mechanical Fees Other PME Fees $0 00 $0 00 $150 00 $0 00 TOTAL PERMIT FEES $150 00 Total Fees $150 00 Total Payments To Date $150 00 Balance Due $0 00 Inspector FINAL APPROVAL Date /"Z Y'/^ Clearance NOTICE Please take NOTICE that approval of your project includes tfie Imposition" of fees, dedications, reservattons, or other exactions hereafter collectively refen'ed to as "fees/exactions" You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions If you pretest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required infomiation with the City fvlanager for processing in accorcJance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow ttiat procedure will bar any subsequent legal action to attack, review, sel aside, void, or annul (heir 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 fges/exactions of which vou have pr^vioyslv been given a [^i0TICE similar to this, or ag to which the statute of limitations has previously otherwise expired THE FOaOWim APPROVALS REQmMOPnm TO F^MiTISSUAKCE • PUtiHING • ENGINEERING • BUILDING • FIRE • HEALTH • HAZMAT/APCD C ! T V OF Building Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email buid(ing@carlsbadca gov v^'w carlsbadca gov Plan Check No. C.Q> /^'7<^ Est. Value Plan Ck. Deposit Date SWPP JOB ADDRESS 16^ ^rArpv a^i^ SUITE#/SPACE#/UNIT# CT/PROJECT H PHASE # » OF UNITS # BEDROOMS « BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK Include Square Feet of Affected Areafs) EXISTING USE PROPOSED USE GARAGE [SF| PATIOS (SF) DECKS (SF) FIREPLACE YESD #_ NO • AIR CONDITIONING YES • NO • FIRE SPRINKLERS YES •NOD APPUCANT NAME {Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE r FAX PHONE 5 FAX EMAIL EMAIL PROPERTY OWNER NAME ONTRACTORBUS NAME ADDRESS ADDRESS libs ^OUM t^toe^rs Avie . . . , STATE . MP^ _ CITY PHONE PHON FAX EMAIL EMAIL ARCH/DESIGNER NAME i ADDRESS STATE LIC # 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, priorto its issuance also requires the apphcant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractors License Law {Chapter 9 commending with 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)] Workers'Compensation Declaration / hereby affirm under penalty of perjury one of the tdlowmg declarabons a 1 have and will maintain a certificate of consent to self Insure tor workers compensation as provided by Section 3700 of the Labor Code forthe performance of the work for which this pennit is issued ;_Section 3700 ot the Labor Code torthe performaBc^tJthsamrkiopyfli^ My workers compensalipr^msLirajce cai Policy No I^'^HTCJO/ Expiration Date have and will maintain workers' ccMjiaensaUon^ re^iiraj taSi number are InsuranceCo tt-^gCX/jTli \j •^e ca^i^nd nd policy This secton need not be completed if the permit is for one hundred dollars (SIOO) or less O Certificate of Exemption I certify that in the perfomiance olthe work for which this permit is issued, I shall not employ any person in any manner so as to becomesubject to the Workers'Compensalion Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employerto cnminal penalties and civil fines up to one hundred thousand dollars {&100,000), in addition to the cost of compensation, damages as provided 37D6 of the Labor code, interest and attorney's fees / / • AGENT DATE ^ Jj >eS' CONTRACTOR SIGNATURE I hereby affinn that I am exempt from Contractor s License Law for the ft^lowmg reason • i as owner ot the properly or my employees with wages as their sole compensation, will do lhe work and the sttucture is not intended or offered lor sale [Sec 7044, Business and Prolessions Code The Contractor s License Law does notapply to an owner ol property who builds or improves thereon and who does such worif himsell or through his own employees provided that such improvements are not intended orolleredlor sale If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden ol proving that he did not build or improve lor the purpose of sale) • I 3£ owner of Ihe properly, am exclusively conlraclinfl with licensed contractors to construct the project (Sec 7044, Business and Professions Code The Contraclor's bcense Law does not apply to an owner of property who builds or improves Ihereon, and contracts for such projects with contractor(s} licensed pursuant to the Contractor's Ljcense Law) n I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals for construction ol the proposed property improvement • Yes • No 2 I (have / have not) signed an application lor a building permit lor the proposed work 3 I havecontracted with the lollowing person [tirm) to provide the proposed construction (include name address / phone /contractors license number) 4 I plan to provide portions ol the work but I have hired the lollowing person to coordinate, supervise and provide the major work (include name/address/phone/conlractors'license number) 5 I will provide some of the wot^, but I have cony-acted (hired) the lollowing persons to provide the work indicated [mclude name / address / phone / type ot work) ygfPROPERTY OWNER SIGNATURE •AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505 35533 or 25534 olthe Presley Tanner Haiardous Substance Account AcP • Yes • No Is the applicant or luture building occupant required to obtain a perniit Irom the air pollution control distnct or air quality management distncP • Yes • No Is the lacility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes O 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 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 Icertilyttiatlhaveieadtheapplicatonandstatethattheabovelnfbnma&onisconectandthattheinlbrmatjonontlieplansisa^ I agreebicamplyMth all Ci^onlmances and State laws r^atrngtobuildingconstructon I beretjy authorize representative of the City of Carisbad to enter upon the above mentioned property for inspecton purposes I ALSO AGREE TO SAVE INDEIvlNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LlABILmES, JUDGI^ENTS, COSTS AND EXPENSES WHICH ^MY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA pemirt is required for excavations over 5'0' deep and demolition or construction of sbiictures over 3 sbnes in height EXPIRATION Every perniit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building ot vioi1< autionzed by such pennit is not commenced vwthin 180 days from the date of such pemiit or it the buWing or v^rk auffionzed by sutfi Mmiil is suspended or abandoned al any time after the wjrk is commenced for a penpd of 1 BO days (Section 106 4 4 Uniform Building Code) >eS*APPLICANT'S SIGNATURE 4^€^^^ DATE STOP. THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY (Commercial Projects Only) Fax (760) 602-8560, Email vww buildinq(5jcarl5badca gov or Mail the completed fomi to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad California 92008 C0#- (Office use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE EMAIL OCCUPANTS BUS LIC No DELIVERY OPTIONS • PICKUP • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg 1) • MAILTO • COrJTACT(Usted above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg 1) n MAIL / FAX TO OTHER • ASSOCIATED CB#. • NO CHANGE IN USE/NO CONSTRUCTION • CHANGE OF USE/NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit# CB121676 Type PME HICKERSON RES REPLACE A/C Date Inspection Item 01/22/2013 43 01/22/2013 43 01/22/2013 49 09/14/2012 43 09/14/2012 49 AirCond/Furnace Set AirCond/Furnace Set Final Mechanical AirCond/Furnace Set Final Mechanical Inspector PB PB PB PB Act Rl AP AP CA CA Comments NOON TO 3PM PLEASE Tfiursday, January 24, 2013 Page 1 of 1