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Home My WebLink About2015 CHESTNUT AVE; ; CB140033; Permit01-08-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB140033 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2015 CHESTNUT AV CBAD PME 2052603000 Lot#: GORGUEIRO:REPLACE FURNACE & AC SAME LOCAL Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/08/2014 JMA 01/08/2014 01/08/2014 Applicant: AIRMAXX, INC STEB 1865 JOHN TOWERS AV EL CAJON CA 92020 619 655 3010 Owner: GORGUEIRO DANIEL R&VERONICA M 2015 CHESTNUT AVE CARLSBAD CA 92008 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 FINAL APPROVAL Inspector: 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 pennit 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 prcitest and any other required infomiation 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 oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othenvise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: OPLANNING nENGINEERING •BUILDING DFIRE IZlHEALTH IZIHAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carisbadca.gov Plan Check No. C& ( ^ " 33 Est. Value Plan Ck. Deposit Date SWPPP JOB ADDRE5S SUITE*/SPACe*/UNIT* APN - CT/PROJECT # LOT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet ofAffacted Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDrriONING FIRE SPRINKLERS YEsD* No| 1 YESQNOQ YES| | NO| 1 APPUCANTNAME rPr/maMi Contact) , APPUCANTNAME (Secondary Contact; ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL CONTRACTOR BUS. NAME A • PHONg^ (>Ari>M FAX EMAIL EMAIL ^ ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# . ^ 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 applicant for such permit to 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 forthe alleged exemption. Any violation of Section 7031.5 by any applicantfor a permitsubjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affimi under penalty ofpeijury one ofthe toiiowing declarations: LJ I have and will maintain a certificate of consent to self-insure for woriters' compensation as provided by Section 3700 of the Labor Code, for the performance of the worit for which this pemiit is issued. L_iTFiave and will maintain woritan' comDouati^, as required by S^ion 3700 of the Labor Code, for the perfonnance ^ilie work for \i^ijcUUs permjLk IsgjiaM^y workers' compensation insu/ance c^ier aji^palicy number are: Insurance Co /^^t^^y CXV<1Z-0» Policy No. l^jP^^gO ' Expiration Date ^t". (? • ' T Ttiis 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 perfomiance of the worit for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Vlforkers' Compensatkin Laws of Califomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,(IO0), in addition tothe cost of compensation, damages as provided for in SM^ia^^^^f the Labor code, interest and attomey's fees. £^ ^-^7^ JS^ CONTRACTOR SIGNATURE •AGENT DATE OWNER-BUttOSR DECLARATION / /lereby af^rm that I am exempt from Contractor's Ucense Law for the following reason: I I 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 himseif 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 completkin, the owner-builder will have the bunlen of proving that he did not bulk! or improve for the purpose of sale). I I I, as owner of the property, am exclusively contracting with tensed 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). I I I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for constraction of the proposed property impravement. LI]Yes I iNo 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3.1 have contracted with the following person (fm) to provide the proposed constmction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the worit, but 1 have hired the following person to coordinate, superelse and provide the major worit (include name / addross / phone / contractors' license number): 5.1 will provide some of the worit, but I have contracted (hired) the following persons to provide the worit indicated (include name / address / phone / type of worit): ^eTpROPERTY OWNER SIGNATURE QAGENT DATE mWPLBre TH'IS 'SECTION- POR -"N'0*--».tSt"IIENTIAt.'SUILiJING 'PERM'iTS O N I. Y ' Is the applkiant or future building occupant requited to submit a business plan, acutely hazanlous materials registration form or risk management and prevention program under Sectkins 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the applkiant or future buikiing occupant requiredtoobtaina 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. CO NSTRUCTION LENOIN I hereby affirm that there is a construction lending agency for the perfomtance of the work this pemiit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address A#»Pt ICANT CERTIFICATION I certif that! have lead the applkxrtioii arid state thatthe ab(m inforriiation is conectand thatthe infonnal I hereby authorize representative of the City of Carbbad to enter upon the above mentioned property fer inspecfon 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 CffY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfF. OSHA An OSHA permit is required for excavations over 5'0' deep and demolitton or constmction of stmctures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of Ihis Code shall expire by limitation and become null and void if the building or viork authoiized by such peimit is not oommenoed wlhin 180 days from Ihe dale of such pemiit or if the building or work authoiized by su^iDesnit is suspended or abandoned at any tinne after the woik is commenced for a pertod of 180 days (Sectton 106.4.4 Uniform Building Code). APPUCANT'S SIGNATURE DATE V.,gjQp. .^^15 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 buildinqtScarlsbadca.aov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Cailsbad, Califomia 92008. C0#: (Offlce Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS STATE ZIP CITY STATE ZIP Carlsbad CA PHONE EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: 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 .ef APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB140033 Type: PME GORGUEIRO:REPLACE FURNACE & AC SAME LOCAL Date Inspection Item Inspector Act Comments 07/30/2014 43 AirCond/Furnace Set - Rl 8-10 PLS (FURNANCE AND AC) 07/30/2014 43 AirCond/Furnace Set - Rl 8-10 PLS. (FURNACE AND AC) 07/30/2014 43 AirCond/Furnace Set PD AP 07/30/2014 49 Final Mechanical PD AP Wednesday, July 30, 2014 Page 1 of 1