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Home My WebLink About1849 HIGH RIDGE AVE; ; CB143275; Permit• 11-24-2014 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB 143275 Building Inspection Request Line (760) 602-2725 1849 HIGH RIDGE AV CBAD PME 2073841800 Lot#: 0 CARRILLO RES-REPLACE FAU & AJC UNITS-SAME LOCATION Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/24/2014 RMA 11/24/2014 11/24/2014 CARRILLO NANCY C TRUST 10-03-02 CARRILLO NANCY C TRUST 10-03-02 1849 HIGH RIDGE AVE CARLSBAD CA 92008 765 532-9882 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1849 HIGH RIDGE AVE CARLSBAD CA 92008 $0.00 $0.00 $160.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: FINAL APPROVAL Date: /Z-/7 /3/ Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, 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 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 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 p!anning, zoning, gradi1119 or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exac ions of wh\ h ou have rev· sl been iven NOTICE similar to this or as to which the statute of limit lions has revious\ otherwise x ired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE ("city of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. JOB ADDRESS CT/PROJECT# #BEDROOMS 3 EXISTING USE PROPOSED USE GARAGE (SF) APPLICANT NAME ZIP ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE UC.# SUITEI/SPACEI/UNI # BATHROOMS PATIOS (SF) DECKS (SF) EMAIL CONTRACTOR BUS. NAME ADDRESS CITY PHONE EMAIL STATE LIC.# Est. Value STATE FAX CLASS SWPPP CONSTR. TYPE OCC. GROUP AIR CONDITIONING YES0No □ ZIP CllY BUS. UC.# FIRE SPRINKLERS YES□ND□ (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to c_onstruct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_mit to file a signed statement that he 1s hcensed 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}). WOJll(ERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of pe,jury one of the following declarations: B 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 perfonnance of the work for which this permit is iss1.1ed I have and wm maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co, Policy No.-------------~ Expiration Date _________ _ ~section need not be completed If the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfonnance of the worl( for which this pennit 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' compensation coverage ls 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, damagas as provided for In Section 3706 of the Labor code, Interest and attorney's fees. ,.15 CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARAflDN I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ 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 B1.1siness and Professions Code for this reason: r,(:,_ 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes r-lNo 2. 1@1 have not) signed an application for a building permit for the proposed work. r'I . l I _ I _ 3. I have contracted wiu1 the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number):~1,\ \ LA-1'1~ ~ \ ""'-0:-1"""' A~ 4. I plan to provide portions of ttie wo , ut I have hired the following person to coordinate, supervise and provide the major wor1( (include name/ address/ phone/ contractors' license numeer): '(' 5. I will provide some of the work, I h ve contracted d) the foll wing persons to provide the work indicated (include name/ address/ phone I type of work): _65 PROPERTY OWNER SIGNATURE □AGENT DATE 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 Pres'ey-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 certify that I have 1&ad the application and state 1hatthe above infonnation Is conact and that the lnfonnatlon on the plans is accurate. r ag,ee to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad lo enter up.:m the aOOve mentioned property for inspection purlX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AG<\INST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG<\INST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERM~. OSHA: M OSHA pennlt is required for excavations over 5'0' deep and demolltk:m or construction of structures over 3 stories in hei;)hl. EXPIRATION: Every pennit issued by the B · Official under the provisk:ms of this Code shall expire by linttation and becxJme null and void tt the building orv.Qrk authorized by such permit is not commenra:f within 180 days from the date of such pennit or if e 1ldi1g or mrk a · s ch permit is suspended or abandoned at any time after the 'MJrk is commenra:f for a period of 180 days (Sec!Klfl 100.4.4 Uniform Building Cede). ~ 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 building@car1sbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use 0nly) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSmUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP . ' . Inspection List Permit#: CB143275 Type: PME Date lnspE!Ction Item 12/16/2014 35 Photo Voltaic (PV) 12/16/2014 39 Final Electrical 12/16/2014 43 AirCond/Furnace Set 12/16/2014 43 AirCond/Furnace Set 12/16/2014 49 Final Mechanical 12/16/2014 49 Final Mechanical Wednesday, December 17, 2014 Inspector SP SP PB PB Act AP Fl RI AP RI AP CARRILLO RES-REPLACE FAU & A/C UNITS-SAME LOCATION Comments Page 1 of 1