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Home My WebLink About1864 PALISADES DR; ; CB131173; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-09-2013 Permit No: CB131173 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1864 PALISADES DR CBAD PME Status: Parcel No: 2073810600 Lot#: o Applied: Reference #: PC#: Project Title: Applicant: GUTIERREZ: REPLACE A/C, HEATIN & DUCTWORK GUTIERREZ 2003 TRUST 04-29-03 1864 PALISADES DR CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: GUTIERREZ 2003 TRUST 04-29-03 1864 PALISADES DR CARLSBAD CA 92008 ISSUED 05/09/2013 JMA 05/09/2013 05/09/2013 $0.00 $0.00 $154.00 $0.00 $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: Inspector: Clearance: $0.00 approval of your project includes the 'Imposition" of fees, dedications, reseivations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit 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 Car1sbad 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 r~ht 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 f f w i h ·v n N Tl ·1 r i h f limi h . ·······---------------- THE FOLLOWING APPROVALS REQUIREO PRIOR TO PERMIT ISSUANCE, 0 PLANNING 0 ENGINEERING OBUILOING □ARE □HEALTH 0 HAZMAT/APCD «~> ~ CITY OF CARLSBAD JOB ADDRESS I B Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov www carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. Est. Value Plan Ck. Deposit Date (0 SWPP CT/PROJECT# LOT# PHASE# # OF UN\TS # BEDROOMS # ATHAOOMS TENANT BUSINESS NAME CONSTR. TYpE OCC. GR UP DESCRIPTION OF WORK: Include Square Feet of Altected Aru(s) '1 e a./ti 113 ) A v1 d k... ,J of dvc r Sct V'f\e Q s Q./: ,·s11'r1.5 • wo1-.K GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NO □ YES O NO □ YES □ NOD APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP PHONE FAX STAT(' 0\. STATC. CL_ ZIP ---FAX FAX ., i ARCH/DESIGNER NAME & ADDRESS STATE UC.# CLASS (Sec, 7031.5 Business and Professions Code: Any Ctt.y or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is !lcensed pursuant to the provisions of the Contractor's License LawJChapter 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 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WOl!KERS' <;OMl't!NSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: D 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 per1ormam:e of the work for which this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensatkm insurance carrier and policy number are: Insurance Co. ______________________ Policy No ______________ Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less, □ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worl(ers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coVtll'age Is unlawful, and shall subject an employer to crlmlnal penalties and clvll fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. AS CONTRACTOR SIGNATURE □AGENT DATE I hereby affirm that I am exempt from Conlractor's License 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, pl'OV1ded 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 sa~). '-m I, as awrier 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 f 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 Professklns Code for this reason: 1. I personally plan to provide the major labor and materials for constructkln of ttie proposed property improvement □ Yes 2.1 {have I have not) signed an application for a b.JilOng permit for theprq>osed work. □No 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work {include name I address/ phone/ contractors' license number): 5. I will provide some of the \\Ork, but l have contracted (hired) the following persons to provide the work indicated {include name/ address/ phone/ type of \\Ork): ASP•_o•;;,4;;11ili,-~"'---□AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardoos matefials 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 pollutkln control district or air quality management district? D Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school slte? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR JS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read !he application and state that the above information is correct and that the infonnatlon on the plans is accurate. I agree to comply\\ith all Chy on:llnances and State laws relating 1D building construction. I hereby authorize represenl.ative of the City of Carlsbad to enter up:m the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CCT<SEOUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permtt is required for excavations over 5'0' deep and demolition or construction of structures over 3 sbfies in height. EXPIRATION: Every permit issued by the Buikling ·aI under the provisions of this Code shall expire by limitation and oocome null and void W the buikling orooik au1horized by such permit is not rommenced 'Mthin 180 days from the date of such perm ft or if the ng w::irkau!horizedby sud'lpermlt is suspended or abandoned at any ijme after the v.urk ls oommenced for a perioo of 100 days (feclion 100.4.4 Uniform Building Cede) ,6$ APPLICANT'S SIGNATURE DATE l().01 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 www.byilding@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CONTACT NAME ADDRESS CITY STATE PHONE FAX EMAIL DELIVERY OPTIONS □ PICK UP: □ CONTACT (Listed above) ci OCCUPANT {Listed above) u CONTRACTOR {On Pg. 1) □ MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □MAIL/FAX TO OTHER:. ,NS APPLICANT'S SIGNATURE ZIP CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. LIC. No. o ASSOCIATED CB#------------- □ NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB131173 Type: PME Date Inspection Item 05/29/2013 43 AirCond/Furnace Set 05/29/2013 43 AirCond/Furnace Set 05/29/2013 49 Final Mechanical 05/29/2013 49 Final Mechanical Inspector PY PY Act RI AP RI AP GUTIERREZ: REPLACE A/C, HEATIN & DUCTWORK Comments 10-12 PM PLS Friday,May31,2013 Page1 of1