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Home My WebLink About2020 CHESTNUT AVE; ; CB132089; Permit08-28-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBI 32089 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2020 CHESTNUT AV CBAD PME Status 2053302600 Lot# 0 Applied Entered By Plan Approved Issued Inspect Area PILGRIM CHURCH ADD 4-3TON SINGLE ZONE DUCTLESS MINI SPIT SYSTEMS & 1 2 TON DUAL ZONE DUCTLESS MINI SPLIT ISSUED 08/28/2013 JMA 08/28/2013 08/28/2013 Applicant SHERLOCK HEATING & AIR CONDITIONING INC STE 100 1355 GRAND AV SAN MARCOS CA 92078 760-295-5014 Owner PILGRIM UNITED CHURCH OF CHRIST OF CARLSBAD 2020 CHESTNUT AVE CARLSBAD CA 92008 Plumbing Fees Electncal Fees Mechanical Fees Other PME Fees $0 00 $0 00 $154 00 $0 00 TOTAL PERMIT FEES $154 00 Total Fees $154 00 Total Payments To Date $154 00 Balance Due: $0.00 Inspector FINAL APPROVAL Date ^[-Z^l^ 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 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 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 previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE nPLANNING nENGINEERING •BUILDING OFIRE OHEALTH OHAZMAT/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 www.carlsbadca.gov Plan Check No.Cfy { ^ • 'ZO<^ Est. Value Plan Ck. Deposit Date ^/z^S^I iJ? ISWPPP" JOB ADDRESS SUITE#/SPACE#/UNIT# CT/PROJECT tt tt Of UNITS tt BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Areafs) CD Z-'V-Ov-^ V^oo.\ Z-o'fNt, Doc.V\.e.«.^ POrv-; 2p\;V EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES[~> NO| I AIR CONDITIONING YES I |NO| I FIRE SPRINKLERS YES I jNOj I APPLICANT NAIVIE (Primary Contact) APPLICANT NAIVIE (Secondary Contact) ADDRESS ADDRESS STATE ZIP STATE ZIP PHONE FAX EMAIL EMAIL CONJRACTORBU^AM^^^^^^^^^^^^^^^^^^^^^^^^^Tl^^ 1 ERTY OWNER NAMJ AME VJTC-V-N BROPER ADDRESS' ADDRESS ro-VN^ A\jc- ^ \CC> 7^ CITY STATE CITY STATE ZIP PHONE PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC # CLASS CITY BUS LIC(( Fisuance. al^n reauires the ' (Sec 70315 Business and Professions Code Any City or County VKhich requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicantfor such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 ofthe 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)) Workers' Compensation Declaration / hereby affimi unrler penalty of peijury one of the following declarations • 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 performance of the work for which this permit is issued I have and will maintain workers' compensafion, as required bv Section 3700 of the Labor Code, for the performance of the work for which this psrmit is issued My workers' compensation insurance carrier and policy number are InsuranceCo Ss-C^'" ^4c.A\'o\-NO..\ PolicyNo TB^~ OC Exoiration Date g'| I | H 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 perfonnance of the work for which this perniit 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 is unlawful, and shall subject an employer to cnminal penalties and civil 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 attomey's fees. JS^ CONTRACTOR SIGNATURE ^LZCOZ— '^-CZIAGENT DATE 8|z.g)\3 / hereby affirm that I am exempt from Confracfor's Licerjse Law for the following reason I [ 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 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 am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement •Yes r~lNo 2 I (have / have not) signed an application for a building pennit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed constmction (include name address / phone / 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 / address / phone / contractors' license number) 5 I 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) • • yeTpROPERTY OWNER SIGNATURE •AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and preventon program under Sections 25505, 25533 or 26534 of the Presley-Tanner Hazardous Substance Account AcP Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncf ' Yes . No Is fhe facility lobe constmcted wilhin 1,000 feel 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 ttiere is a constnjction lending agency for ttie perfomiance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address • I cerbly ttiat I have lead the applicabon and state thatthe above information is conect and that the infbimaton on the plans is accurate. I agree to complywith all City ordinances and State laws relating to building constnicbon. I hereby authorize representative of the City of Carisbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEIVINIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excavations over 5'0' deep and demolition or constmction of stmctures over 3 stones in heght EXPIFiATION Every pemiit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or «Dit( authonzed by such permit is not commenced within 180 days from the date of such permit or if the building or wcrk authonzed by such permit is suspended or abandoned at any tme after the wort< is commenced for a penod of 180 days (Section 106 4 4 Unifomn Building Code) vfilTAPPLICANT'S SIGNATURE DATE i y STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. rejects Fax (760) 602-8560, Email builclina(S)cai1sbadca gov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 C0#: (Office Use Only) CONTACT NAIVIE OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS LIC No DEUVERY OPTIONS , PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg 1) MAIL TO: 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 ygf APPLICANT'S SIGNATURE DATE nspection List Permits: CB132089 Type: PME Date Inspection Item 01/27/2014 49 Final IVieciianical 01/27/2014 49 Final IVIechanical Inspector Act Rl MC Fl 12/17/2013 43 12/17/2013 49 11/14/2013 43 AirCond/Furnace Set Final Mechanical AirCond/Furnace Set 11/14/2013 49 Final Mechanical MC MC MC MC AP CO CO CO PILGRIM CHURCH: ADD 4-3TON SINGLE ZONE DUCTLESS MINI SPIT SYS Comments card in offcie 8.30-12 pis EQUIPMENT SCREENING WAIVED PER C SEXTON ELECT/HVAC ONLY NEED PLANNING APPROVAL NO ACCESS TO ROOF, NEED PLANNING REVIEW Tuesday, January 28, 2014 Page 1 of 1