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Home My WebLink About184 CHESTNUT AVE; ; CB142850; Permit10-23-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBI42850 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 184 CHESTNUT AV CBAD PME 2041221300 Lot #: MARCY RES-INSTALL NEW A/C UNIT @ SIDE OF GARAGE Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/23/2014 RMA 10/23/2014 10/23/2014 Applicant: MARCY AARON&DIANE 1998 FAMILYTRUST Owner: MARCY AARON&DIANE 1998 FAMILY TRUST 184 CHESTNUT AVE CARLSBAD CA 92008 760 720-9089 184 CHESTNUT AVE CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $160.00 $0.00 TOTAL PERMIT FEES $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00 Inspector: FINALAPPROVAL Date: jffil L- Clearance: NOTICE: Please take NOTICE that approval of your project includes the "lm|tosition" of ees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pemiit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment 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 fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenrise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: QPLANNING nENGINEERING nBUILDING OFIRE QHEALTH QHAZMAT(APCD Ccity of Carlsbad Buiiding Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carisbadca.gov Plan Check No, Est. Value Plan Ck. Deposit SWPPP JOBADDRESS SUITE«/SPACE«/UNIT* CT/PROJECT# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of AUected Areafs) ^ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESr~l# NOj I AIR CONDITIONING YES I INO I I FIRESPRINKLERS YES I |NO| I APPLICANT NAME Primary Contact PROPERTYOWNER ADDRESS ADDRESS; CITY STATE ZIP PHONE ~ |FAX PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE PHONE EMAIL EMAIL CLASS 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, prior to its issuance, also requires the applicantfor such permitto file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commendingwlth 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 civll penalty of not more than five hundred dollars {$500}). I MM Workers' Coinpensation Dec\irilion: I hereby affm under penatty of perjury one of the following declarations: Z] I have and will maintain a certificate of consent to self-insure for workers' compensation as provideci by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ^ I have and will maintain workers' compensation, as reguired by Section 3700 of the Labor Code, for the perfomnance of the wort for which this oermit Is issued. My workers' compensation insurance can'ier and policy numberare: InsuranceCo. PolicyNo. Expiration Date Thjs section need not be completed if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the performance of the wori< for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. WARNiNG: Failure to secure woriters' compensatian coverage Is unlawful, and shall subject an employerto criminal penalties and civil fines upto one hundred thousand doiiars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees. ^£5" CONTRACTOR SIGNATURE f"! AGENT DATE • AGENT I hereby affirm that I am exempt from Contractor's License Law for the foiiowing reason: I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture 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). fY J 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: Jr 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. QYes 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (fimi) to provide the proposed construction (Include name address / phone / contractors' license r 4.1 plan to provide portions of the wor1(, but I have hired the following person to coordinale, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): 5 number): ^PROPERTY OWNER SIGNATURE QAGENT DATE /O/;L^A 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 Acr? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No Is the facility to be constmcted within f ,000 feet of the outer boundary of a school site? Yes 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 i certify that! have lead the application and state that theabove Infomnation Is conect and that the infbnnatlon on the plans Is accurate. I agree to comply with all City oidinances and State laws relating to building constniction. 1 hereby authorize representative of the City of Cartsbad to enter upon the above mentioned property fbr inspectron purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA: An OSHA pemiit is required for excavations over 5'0' deep and demolition or constaiction of stmctures over 3 stories in height, EXPIFJATION: Every permit esued by the BuiWlnspflicial under the provisbns of this Code shall expire by limitatton and beoome null and vokJ 'if the buikjing or vKori< authorized by such pemiit is not commenced within 180 days from the date of such permft or if/e building or vwrt< authorized by sjiplfp^it is suspended or abandoned at any time alter the mik is commenced for a perjpd of 180 days (gection 106,4.4 Unifomi Building Code), APPLICANT'S SIGNATURE 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. Fax (760) 602-8560, Email buildinq(5)carlsbadca.qOV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DEUVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Usted above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION -gf APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB142850 Type: PME MARCY RES-INSTALL NEW A/C UNIT @ SIDE OF GARAGE Date Inspection Item Inspector Act Comments 11/12/2014 43 AirCond/Furnace Set - Rl REQUEST FOR PD 11/12/2014 43 AirContd/Furnace Set SP AP 11/12/2014 49 FinalMechanical - Rl MARCY RES 11/12/2014 49 FinalMechanical SP AP Wednesday, November 12, 2014 Page 1 of 1