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Home My WebLink About2020 KARREN LN; ; CB162192; Permit06-06-2016 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 162192 Building Inspection Request Line (760) 602-2725 2020 KARREN LN CBAD PME 2052601000 PADTKE: ADD NC, COIL & 40A CIRCUIT/ REPLACE FURNACE Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/06/2016 SLE 06/06/2016 06/06/2016 ACTION AIR COND & HEATING-SD RADTKE ROBERT A IIl&JULIE M 2750 S SANTA FE AV SAN MARCOS CA 92069 760 727 4152 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2020 KARREN LN CARLSBAD CA 92008 $0.00 $38.00 $163.00 $0.00 $201.00 Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due: Inspector: _,,-1.,,._,, FINAL APPROVAL Date: /O -1..-/J-1 t Clearance: $0.00 NOllCE Aease ta<e NOllCE that~ ci )OJ ptjed irdudes the "lrrµ,silicri' ci-, de<icaliors, reserV<Ea,s, cr ether exa:ticrs -aJlect><fy refem<I toas "fees'exa:ticrs." You t-a-.e OOda)sfronthe-tns pemit = issued to prctest irTJ)CISiti01 cithesefeeslexa:ticrs. If :,oo prctest them :,oo nu;t fdlC>Nthe prctest ~ set forth in c:?oierm--irt Code Sedi01 60020(a), ard file tre prctest ard any ether "'!-ired infcm-oo01 wth the aty Mmgerfcr ~ng in a::ro-da-re\Mth Ga1sboo M.rid?> Code Sedi013.32cm. Falu:etotimJyfdlCMlthal Jl003(irewll ta-anys.tsecµ,:,t leg,j a:lion to attack, reMew, set aside, vtid, er anl treir irrµ::Eitioo. You'"" her,t,,, FLRII-ER NOllREDthal )OJ ri!ft to prctest the sp,dfied fees'exa:ticrs OCES !\Of N'PL Y to\'38r ard,,,,.,, romectio, fees ard ~ dB,ges, ncr plmng, mng, gajng cr ether srrila-'l)plicali01 ~ng cr "'"""' fees in romecti01 wth tns ptjed. r,m OCES IT N'PL Y to any i 'rnsdv,h-'-·-have · . aNOTY=sifTila-•--..i..:-aastofflrti•h..~it.,.ctlini',..i~i...-........ ~rus1\I . . . THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING 0BULDING □FIRE □HEALTH 0HAZMAT/APCD Ccicyof Building Permit Application Plan Check No. (' f½ I l ,, 7 19 2- 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date t D-ln-/f n SWPPP JOB ADDRESS SUITEf/SPACEt/UNITI IAPN ZOZ-0 KQ..:("''f"C.""'-L.a..""c... --- CT/PROJECT# I LOT# l PHASE# I# OF UNITS T# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) T,,..sl,-n.\\ Ne'--' 3. 5 -re,.--Ale Co;\ Sc '-10 Am.:> r ,<"'" ,,t ~e.p\0t.c.c. 90, OOC> ~,\) ~urno_c:.c. ' &-le --Ovct< EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (Sf) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES[}I_ No[] YES □No □ YES □No□ APPLICANT NAME S-te'le-r, S-c\.,,-,;,-~-r 't~PERTY OWfj.E_R ~ Primary Contact =b .ti: -.\ v\ ,-I ""-cl ~\..._e- ADDRESS 3 \Z.-Z,S L-c--~" "-~-~ Z.13 ADDRESS -z.020 l<c..rre...-. Lc..l"\c... CITY STATE ZIP CITY STATE ZIP L-.ks\-\o.k e.. V.l\ct<<-. C.A Gf\31., z... C.c...,.\~\ =_)_ CA q,;z_:t"·,-Q PHONE IFAX PHONE I FAX ls\ 'a .,35-73,1..., ,c..o-~8 9. i'H.-::, EMAIL EMAIL DESIGN PROFESSIONAL C~TR~CTOR BUS. ~,~E 1L_1.c ,...--'-,... C . -,._ ADDRESS ADDRESS . ?.-7SO S". S c..-c\ ~ y;-"" A..,e.. CITY STATE ZIP CITY STATE ZIP .$:,...,._ )'Y) <>-.rcn•, rA C\.Z.C><;. °' PHONE IFAX PHONE , IFAX 71,,0°12, -L-1 I s z.... EMAIL EMAIL I STATE LIC, # STATE UC.# I CLASS I CITY BUS. LIC.# .509BDS czo '--I l98CO (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to_ construct, 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 licensed pursuant to the prov1s1ons of the Contractor's License LawjChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he 1s 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}). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of peljury 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 pertormance of the work for which this permit is issued. ave and will maintain workers' compensation, as requir;d by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. My workers' compensation i uran carrier and policy numberare:lnsuranceCo.~'n.S Co oc '"""'e l,...)es'"'t PolicyNo.WSbS02..a'-.Je:,so, ExpirationDate (Z. ::)\ l ~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 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 Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal 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. JiS CONTRACTOR SIGNATURE s:~ ~ 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 _____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes 0No 2. I (have I have not) signed an application for a building permit for the proposed work. 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 pro~ide the major work (include name I address I phone I 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 I address I phone I type of work) ,6$ PROPERTY OWNER SIGNATURE □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 hazardous materials registration form or risk management and preven~on 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 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. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that 1 have read the application and state that the above infonnation Is correct and that the lnfonna11on on the plans Is accurate. I agree to comply with all City ordinances and State law; relating to building construction. I hereby authorize representative of the City of Ca~sbad to enter up::in the aOOve mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF CAA.LSMD AG'\INST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT. OSHA: Ari OSHA perm~ is required for excavations over 50' deep and demolrtk>n or construction of structures over 3 stories in hejJht. EXPIAATION: Every P3rmrt issued by the &lilding Offcial under the provisbns of this C.ode shall expire by limitation and berome null and vok:I Wthe tx.Jilding oroork authorized by such permit is not commenced 'Mlhin 180 days from the date of such permrt or if the building oroork authorized by such permit is suspended or abandoned at any time after the w:irk is commenced for a perxxl of 180 days (Sectk:Jn 106.4.4 Uniform Building C.ode) . ..f!S'APPLICANT'SSIGNATURE ~~ DATE c,,/ (,, I llc;, • 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@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELNERY OPTIONS PICK UP: n CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □ ASSOCIATED CB#'------------- MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □ NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: _______________ _ □ CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE Inspection List Penni!#: CB162192 Type: PME Date Inspection Item 1012012016 43 AirCond/Furnace Set 10/20/2016 43 AirCond/Furnace Set 10/20/2016 49 Final Mechanical 10/20/2016 49 Final Mechanical Friday, October 21, 2016 Inspector Act RI JW AP RI JW AP PADTKE: ADD A/C, COIL & 40A CIRCUIT I REPLACE FURNACE Comments Page 1 of 1