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Home My WebLink About2016 PINTORESCO CT; ; CB112663; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 12-20-2011 Permit No: CB112663 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2016 PINTORESCO CT CBAD PME 2164813600 Lot#: 0 ORR RES REPLACE FURNACE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/20/2011 KG 12/20/2011 12/20/2011 ASI HASTINGS ORR DOUGLAS&KAZUMI REVOCABLE TRUST 09-03-98 1250 GREENFIELD DR EL CAJON, CA 92167 619-223-9016 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2016 PINTORESCO CT CARLSBAD CA 92009 $0.00 $0.00 $150.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: g_, FINAL APPROVAL Date: /4,-/Z -CZ:::: Clearance: $0.00 NOTICE· Please take NOTICE th-1t approval of your project includes the "Imposition" of fees, dedications, reseJVations, 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 Carisbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, revlew, 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 se1vice fees in connection with this project. NOR DOES IT APPLY to any fwhih h fi ii h r i I «t~') - Plan Check N.CR/ /2VV3 Building Permit Application ~ CITY 1635 Faraday Ave, Carlsbad, CA 92008 Est. Value 0 F 760-602-2717 I 2718 / 2719 CARLSBAD Fax 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date /?-2,,o-J/ I&// i JOB ADDRESS \.f Pi vrtD-r~-..... , , c+-SlilTE111S?i\CE;,'L/\1IT 11 "' / i ,01 -- CT/PR'JiEC:~ II I LOT" PYASE; ! '7 )I' Usl'S l" 3e)RCOMS ; 3,Uc<RCCMS l fE'IM!T i:lLSiNESS ,~AME I COl'<STR f'IPE I OCC. '.i.lGl;P DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Nt~ J~ i EXISTING USE I PROPOSED USE I ~Ai=!AGE 1SF1 ;,A,TiOS ,:SF'i I )ECX:S (SiCi Fli=!C::?L.J,CE I AIR CONDITIONING I FIRE SPRINKLCRS I !ESQ NcCJ YEs □,o □ YSso,oo i 'CONTACT NAME (If Different Fom Applicant) A.PPLJCANT NAME 1/ffCl...h'{ f:2(.,/Ct..4'1 ADDRESS ADDRESS • id /t1,<e.. # 2-/JD 1--f 6 7 l) \) I 4'-)V; r 01!., :::TY STATE Z!P Cl-:-'1~ 1 --STATE ZIP < tt,.r,QJ~Cfb Cv'r' 9:3-/:;) 3 i ?HONE !FAX 1~~NE -..,, IFAX Pf cf) 5"f0-Cf2,/i O I , EMAIL c.,,,,,..JL PROPERTY OWNER NAME f( . Dvv CONTRACTOR BUS. NAME ftS,J:-t-/«. st i'1D<;, a..z.~, ADDRESS ADDRESS.L/6 70 , 2-V/U Pir1+or~sco Ct I/; -e.,.,u,,-, 'd a e ~ ct/ ;2 0 o CIT'/1 /J STATE ZIP CrTY(; 0; t'.91 • sr~ ZIP {Sky::._q CA--"t~u u; C UPJ U4-"Jdra3 PHONE I'" pro'i., 1 .:=, q o--q :i. {! o I 'AX 1 LIO~ 143-18'o2.. ! EMAll EMAll -~RCH/DESIG,'.JEi~ \!AME & al.DDRESS l ST-I.TE LiC, ,; STATE LIC.;, I C'-'55 C, l ~j CITu 'J'.l{j() (',d / I 5131 ,s L~DL3 Av-, (Sec 7031.5 Business 21na Professions Coae: Any City c1r Coun_ty wnicn requires 21 permit to construct 21lter. Impro11e. demolisn or re~aIr any structure, p_rior to its issuance. also requires th~/t applicant for sucn per_m1t to me a s1 ed statement tnat ne Is licensed pursuant to tne provIsIons of the Contractor's license law C apter 9. commending wItn Section 7000 of D1v1s1on 3 o the Business ana Professions Code] or fat ne 1s exempt therefrom. ana the basis for the allegea ~~emption, Any violation of Section t□3l.5 by any applicant for a permit subiects the applicant to a cI11II penalty of not more than five nunared dollars ($5001). WORKERS' COMPENSATION Worker,' Compensation Declaration: I hereby ~rm under penalty of perjury one of /fie following declarations 8 I rtave and will maintain a certificate of consent to self-insure (or 1¥:l_rkers' compensanon as provided by Section 3700 .JI the Labor Code, for the pe_rtormance of the NOrk for "Nhich this penmt Is issued t have and will maintain wo '~om ~tlon, urred bv Section 37CO of ~e labor Code, fer the ;:erformap~~ of ~Awo9\ for wJ'u~h Y,_Is :ip~ Is ~ssued My l\'Orf<ers' compensation insurance earner ar.d ;::olicy number are. Insurance Co 11.e,. Di r1 ., Policy No CAJ ~ lb li O 71) .2--I 2-ExpiraMn Uate ________ _ ~,ection ,ieed not be completed ff the permit :s for Jne huncred dollars ($100) or less. LJ Certificate of Exemption: I cer'.ify :nat 1n the ;,erformanca of the NOfk for 'Nh!Ch this permit ,s issued. I shall not am ploy any person ,n any manner :,o as to become sutIect to the Workers· Compensation LJws or Ca1ifom1a WARNING: Failure to secure wOtkers' compensation coverage is unlawful. and shall subject an &mptoyer to criminal penalties and ci11il fines up to one hundred thousand dollar,; (&100.000), ln addition to the cost of compensation, da ges pro · ed for in Section 3706 ~-Labor code, interest and attorney's fees . .1$ CONTRACTOR SIGNATUR ~ I liereby affirm that! am axempt from Contractors l.Jcense Law (or the following reason □ □ □ I, as JWner of <he property or my emplOyees Nith ·Nages 3S their sole ::ompensation. NiU do the NOrk and the 3tructure is .,ot intended or offered for sale (Sec 7044 Business and P:-ofessions Code. The Contractors Lcense ~aw does not apoly '.O an owner of ;ircperty ·Nl1o OOilds or improves thereon. and .vho does such work himself or thrcugh his own !!mployees. provided :hat such ,mprovements are not intended or offered for sale. If, however. !he building or :mprovement :s :,old Mttiin one tear of completron, me owner-builder ·Nill nave ttie burden of proving that he did not build ~r improve :er the purpose al .ale) I, as ?Ymer Jf the ::,roperty, a-n exclusively :cntracting Nith :icensed contr::l(:tors to :onstruct tile project (Sec. 7044, Business and Pmfessions -::ace The Conrrac:cn lxense Law joes not apply to an owrer ,Jf property Nho bu11ds 0r ,mproves ttiereon ~d -;ontracts for iueh ;:irciects ·Mth contractcr(s) licensed pursuant to the Comractor's t.,cense Law) 1 am ~xempt ~nder Secicn _____ Busmess 3r.d ProfeSS1ons :ooe fer this reason: 1 i personally olan to prov!de :he ma,c:r !ator and materials ~r construction of the pro~sed property improvement OY➔s 0No 2. 1 (have have not) signed ~ applicauon for 3 building oermIt for 'he proposed NOrk 3 i have contracted wrth the fol/owmg i:erson (finn) :o orovide the ::,roposed construction (include name 3ddress 1 phone c:intrac:cr..· license ,umter) 4 I plan ~ ;irovrde pcrtions •JI '.he NQri(_ but I nave ~ired the followmg person to ::oo/Uinate. supervise ~d ::irovide '.he 71,;ior NOrk (include ,ame · address phone ::ontractcrs IIcense ~umterl S 1 ·Nill provide some Jf 'he ·Mlrk, b~t ! ~ave ~ontracted ihIred) '.he 'ollow1ng ::ersons to ~rovide the NOrk !ndicaled 'inc:ude name ,?J'.ldress ~hor>e tvce af NOrk) a$ PROP~RTY OWNER SIGNATURE DATE /o--. /9 /I i I I I i I I ' ! COMPLETE THIS SECTION FOR NON::-RESIDENTIAL BUil.DiNG PERMITS ONLY Is the applicant Jr future building occupant required to submit a business~, ~utely hazardous materials reg~trabcn form orris~ management and prevention program under Sections 25505, 25533 ar 25534 of me Presley-Tanner Hazardous Substa,,ce Account Act? D Yes LJNo Is the atPIJCant or future building cccupant required to obtain a permit from tne air pcllution control d1stnct or ai,[.1!/,ality management distnct? 0Yas D No Is the facility to be constructed "Nitf11n 1.000 feet of the outer bo1Jndar1 of a school site? 0Yes LJNo 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 ANO THE AIR POLLUTION CONTROL DISTRICT. Lender's Name I certify that I have read the application and state that the alJO'le information is correct and tflat the infom,ation on the plans is accurate. I agree to comply 'Mth ill City ordinances and State laws relating to building construction. t hereby 3utl:c-rize represe1:tati"8 ·Jf '.he C11Y of Car1sba:l 10 enter uccn !he 3bo"1:! mentioned pro~ert'/ fer 1ns~n purccses I ALSO AGREE TO SAI/E, tt-JCE\,JMFY ANO KEEP HARMLESS THE CITY OF C:ARLS2AO AGAINSi ALL UABIUrES Jl;CGMENTS COSTS .A.NO EXP!:NSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY '.N CCNSECUENCE Cf THE GRANTING OF TH!S PERMIT CSHA. P.n OSrA pem11t .s required. 'or excavations o~er 5'0' deep and demciibc11 or construction of structures o~er J 5tcnes ;n r~ht S<PIRA TICN Every permit ssued ,:;y te 8ulk:ling Jfficicff ·1ncer t~.e prov1s10ns oftt?1s Cede sMI expire by 1imitalicn <Mid cecome null and '/Cid .ftM :it.1ldir,g or NCr'~ authcnzed by such permit ,s rel a:mmericed N1th1n 180 days frcm tt:e :Jate :::f sud, C€1TT'it ::ir if the ·1lcirg Jr wcr1c. 3utt-orized by SLch ::iermt ,s ~ · ~ded or atardored at ary ~rr.e after :he NCr1c. 1s ::::::mrrerced 'er a ;;encd cf 180 days (Secticn 1C6 4.4 1..:r1fonn Bu11cting ~e) ~ APPLICANT'S SIGNATURE DATE ~ \SI City of Carlsbad Bldg Inspection Request For: 06/11/2012 Permit# CB112663 Title: ORR RES REPLACE FURNACE Description: Type:PME Sub Type: Job Address: 2016 PINTORESCO CT Suite: Lot 0 Location: Inspector Assignment: _jli_ Phone: 7609439882 Inspector: -~(_g __ OWNER ORR DOUGLAS&KAZUMI REVOCABLE TRUST 09-03-98 Owner: ORR DOUGLAS P&KAZUMI N Remarks: NOT SURE OF INSP CODE Total Time: CD Description Act Comments Requested By: ORR Entered By: CF 19 Final Structural ~--------------------.=i ==~-==--==-1fr =--------~~·-~. --~------~. -~ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments