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Home My WebLink About2044 CORDOBA PL; ; CB141763; Permit07-23-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB141763 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title; 2044 CORDOBA PL CBAD PME 2073003900 Lot#: HAWKINS RES-NEW A/C UNIT WALL MOUNTED UNIT IN LIVIN G ROOM- WITH ELECTRIC Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/23/2014 RMA 07/23/2014 07/23/2014 Applicant: ASI HASTINGS STE 200 4870 VIEWRIDGE AV SAN DIEGO CA 92123 619-590-9300 Owner: HAWKINS FAMILY TRUST 04-14-04 2044 CORDOBA PL CARLSBADCA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $33.00 $158.00 $0.00 TOTAL PERMIT FEES $191.00 Total Fees: $191.00 Total Payments To Date: $191.00 Balance Due: $0.00 Inspector: FINAL APPRO>/AL Date: Clearance: NOTICE: Please tal<e NOTICE that approval of your project includes the "Imposition" offees, dedications, reservations, or other exactions hereafter collectively referred 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 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 previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenvise expired. ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: nPLANNING nENGINEERING nBUILDING nFIRE QHEALTH • HAZMAT/APCD (AAl7f>3 ^ CITY OF CARLSBAD Est. Value Buiiding Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov i r - > www.carisbadca.gov /jV^^atej^* ^^1^^^ Plan Check No. Plan Ck. Deposit SWPPP JOB ADDRESS [lOfi I PHASE # \¥0f SUITE#/SPAOE#/UNITi CT/PROJECT # HASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: fnc/ude Square Feet of Aftected Areafs) //^ MS M/m^lJ \)l/Lj- ^ PROPOSED USE —^ ' GARAGE (SF)' PATIOS (SF) DECKS (SF) FIREPLA7E AIR CON EXISTING USE FIREPLAC YES I |# N0| I AIR CONDITIONING YES I |NO| I FIRE SPRINKLERS YES I |NO| I APPLICANT NAME Primary Contact PROPERTY OWNER ADDRESS STATE ZIP CITY STATE-. A ZIP FAX PHONE FAX DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS STATE » ZIP CITY STATE CITY PHONE FAX PHONE EMAIL EMAIL STATE LIC.# CLASS. ^ CITY BUS. LIC.» _ t:^v I ITnn fro y dure. Drier to its issuance, also reauires the ' (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permitto construct, alter, improve, demolish or repair any structure, priorto its issuance, also requires the applicant for such permit to file a signed statement that he • .......... .... ^ ......-.r. . Business and Professions Code) or that he is exempt therel civil penalty of not more than five hundred dollars ($500)). applicant for such permit to file a signed statement that he is licensed pursuant tc the provisions of the Contractor's License Lav» (Cnapter 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 violaUon of Section 7031.5 by any applicantfor a permit subjects the applicant to a k •• ;:- • -S-r- •• Workers' Compensation Declaration: / hereby affirm under penalty ofpeijury one ofthe foltowing declarations: A 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 ol the work fcr which Ihis permit is issued. L^\i have and will maintain workers' compensatipn, as raouired by Section 3700 ol the Labor Code, for the performance ol the work lor which this oermit is issued. My wotkers' compensalion insurance carrier and policy number are: Insurance Co,_ Policy No. 'xpiration Date _ on insurance car This section need not be completed if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: 1 certify that in the performanca'^llth^^rk 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 ol Caiifornia. WARNING: Failure to secure workers' comp/is»oi| cpveragey^^lawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dallars (&100,000), in addition to the cost of compensation, damages as provjoed pr ill sjection jflK o\the Labor code, interest and attomey's fees. CONTRACTOR SIGNATURE DATE -7- I hereby affirm that I am exempt from Contractor's License LawJor the foilowing reason: I 1 I, as owner of the property or my employees with wages as their sole compensation, will do the work and Ihe structure is not inlended or offered lor sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of property who builds or improves Ihereon, and who does such work himsell or through his own employees, provided that such improvements are nol inlended or oflered lor sale. If, however, the buiiding or improvement is sold within one year ol complelion, the owner-builder will have the burden of proving lhal he did not buiid or improve for Ihe purpose ol sale). [~~] I, as owner of the property, am exclusively contracting with licensed contraciors lo construct the project (Sec. 7044, Business and Prolessions Code: The Contractor's License Law does nol appiy lo an owner ol property who builds or improves thereon, and contracts lor such projecis with contractor(s) licensed pursuant to the Conlractor's License Law). I I I am exempt under Section Business and Prolessions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction ol the proposed property improvemenL j^Yes I iNo 2.1 (have / have nol) signed an application for a building permit lor Ihe proposed work. 3.1 have contracted with the followmg persMii(lirm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, hm Irave hired the following person to coordinale, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some ol the work, but l>(av«conlractedJhired) the following persons lo provide the work indicated (include name / address / phone / type of work): PROPERTY OWNER SIGNATURE > .-^^ENT DATE Is the applicant or luture building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25605,25533 or 25534 ol 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 lacility 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 HAY 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. 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) 502-8560, Email building(5)carlsbadca.aov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZiP Carlsbad CA PHONE FAX OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: MAIL/FAX TO OTHER CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB141763 Type: PME HAWKINS RES-NEW A/C UNIT WALL MOUNTED UNIT IN LIVIN G ROOM- Date lnspection^[tem Inspector Act Comments 11/20/2014 43 AirCond/Furnace Set - Rl 11/20/2014 43 AirCond/Furnace Set SP AP 11/20/2014 49 FinalMechanical - Rl 11/20/2014 49 FinalMechanical SP Fl Friday, November 21, 2014 Page 1 of 1