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Home My WebLink About1848 COTTONWOOD AVE; ; CB141733; Permit07-21-2014 City of Carisbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PIVIE) Permit Permit No:CB141733 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1848 COTTONWOOD AV CBAD PME 2155033707 Lot #: SPENCER RES-REPLACE A/C UNIT status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/21/2014 RMA 07/21/2014 07/21/2014 Applicant: ASI HASTINGS STE 200 4870 VIEWRIDGE AV SAN DIEGO CA 92123 619-590-9300 Owner: SPENCER DAVID L&LAURA M 1848 COTTONWOOD AVE CARLSBAD CA 92011 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $158.00 $0.00 TOTAL PERMIT FEES $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: $0.00 Inspector: FINAL APPRC Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen'ed 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 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 wiil 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 simiiar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv othenAfise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMITISSUANCE: nPLANNING OENGINEERING DBUILDING DFIRE DHEALTH DHAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov v www.carisbadca.gov (lj Plan Check No. Est. Value Plan Ck. Deposit Date SWPPP JOB ADDRESS SUITE#/SPAOE#/UNIT# APN f - CT/PROJECT # jLOT# PHASE* # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Sguare Feet of Affected Areafs) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YEsQ* N0| I AIR CONDITIONING YES I INO I I FIRESPRINKLERS YES I |NO| I APPLICANT NAME Primary Co ontaot P^^' Q.Uf^v> PROPERTYOWNER ADDRESS ADDRESS CITY ZIP CITY I » ^1 -^A -i ^ i TFAX ZIP Ml PHONE EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE CITY PHONE PHONE FAX EMAIL EMAIL ;LASS CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permitto construct, alter, improve, demolisti or repair any structure, prior to its issuance, aiso requires the applicantfor such permitto file a signed statement that he is licensed pursuanttothe provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Divii Business and Professions Code) or that he is exempt therefrom, and the Pasis for the alleged exemption. Any violation of Section 7031.5 Py any applicant for a permit supjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Division 3 ofthe •ns COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following deciarations: I 11 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. is^h have and will maintain workers' compej number are: Insurance Co. ipeasation, airequired lii^eption 3700 of .eption 3700 of the Labor Code, for the perfomiance of the work for which this permit is issued. My workers' compensation insurance carrier and policy Policy (Jo.. nee ot the wore tor which this permit is issui Expiration Date _ This 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;i California. WARNING: Failure to secure workers' compensatjf addition to the cost of compensation, damages as provided^ JS^ CONTRACTOR SIGNATURE rk for which this permit is issued, I shall nol employ any person in any manner so as to become subject to the Workers' Compensation Laws of •verage is unlawful^.amrstnll subject an employerto criminal penalties and civil flnes up to one hundred thousand dollars (&tO0,0OO), in iction 3706 ofJh^Labor code\nterest and attomey's fees. DATE i hereby affirm that I am exempt from Contractor's Ucense Law fbr the foliowing reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stnicture is not intended or offered for sale (Sec. 7044, Business and Pnjfessions 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 I I, as owner of the property, am exclusively contracting with licensed contractors to constmct 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). • am exempi under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. •Yes I INO 2.1 (have / have not) signed an application for a building permit for the proposed work. 3,1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the wori<, but I have hired the following person to coordinate, supervise and provide the major wori< (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): PROPERTY OWNER SIGNATURE QAGENT DATE CTION FOR NON-RESIOENTIAL BUILDING PERMITS ONLY 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? 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 constructed within 1,000 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 certily ttiat I have read ttie application and state that ttie above infomnation is conect and that the Infomiation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building constmction. I hereby authorize representative of the City of Garlsbad to enter upon the above mentioned property for inspection purposes, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIES, 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' da!p anp demolition or constmction of stmctures over 3 stories in height. EXPIRATION: Every pennit issued by the Buikiing Official under the pitmtons of this Code shall expire by limitation and become null and void if the building or vwik authorized by such pemiit is not commenced within 180 days from the date of such permit or ifthe building or vwyk authaiZM by such pemiit is suspended or abandoned at any time after the -Mik is oommenced for a period of 180 days (Section 106.4.4 Unifonn Building Code). APPLICANT'S SIGNATURE / // / ^ -.^ DATE IJ 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 buildina(5)carlsbadca.qov or Mall 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 PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION JSSAPPLICANT'S SIGNATURE DATE Inspection List Permit*: CB141733 Type: PME SPENCER RES-REPLACE A/C UNIT Date Inspection Item Inspector Act Comments 12/30/2014 43 AirCond/Furnace Set - Rl key/key/4476 12/30/2014 49 FinalMechanical - Rl key/key/4476 12/29/2014 43 AirCond/Furnace Set SP AP 12/29/2014 49 FinalMechanical SP AP Tuesday, December 30, 2014 Pagel of 1