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Home My WebLink About2044 CORDOBA PL; ; CB152191; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 10-08-2015 Permit No: CB152191 Building Inspection Request Line (760) 602-2725 Job Address: 2044 CORDOBA PL CBAD Permit Type: PME Status: ISSUED Parcel No: 2073003900 Lot #: 0 Applied: 07/14/2015 Entered By: RMA Reference #: Plan Approved: 07/14/2015 PC #: Issued: 07/14/2015 Inspect Area: AK Project Title: HAWKINS RES-REPLACE DUCTLESS MINI -SPLIT SYSTEM - WITH ELECTRIC Applicant: Owner: ASI HASTINGS HAWKINS FAMILY TRUST 04-14-04 STE 200 4870 VIEWRIDGE AV 2044 CORDOBA PL SAN DIEGO CA 92123 CARLSBAD CA 92008 619-590-9300 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: $195.00 Total Payments To Date: $0.00 $35.00 $160.00 $0.00 $195.00 $195.00 Balance Due: $0.00 FINAL APPROVAL Inspector: AAZ Date: ~v f Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, 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 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 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE.., PLANNING_ "ENGINEERING L-J, BUILDING [LI FIRE; W_I HEALTH HAZMATIAPCD Building Permit Application V� 1635 Faraday Ave., Carlsbad, CA 92008 C I T Y 0 F Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: building@carlsbadca.govJ4_ www.carisbadca.gov plan Check No. Est. Value plan Ck. Deposit Date SWPPP JOB ADDRESS 2044 CORDOBA PL SUITE#/SPACE#/UNIT# APN - - - CT/PROJECT # LOT # PHASE # # OF UNITS #BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) REPLACE DUCTLESS MINI -SPLIT + ELECTRICAL EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESO# N0[::] AIR CONDITIONING YESE:]NOE:] IFIRESPRINKLERS YES [__1NOE] APPLICANT NAME Patti Ryan Prhiary Contact PROPERTY OWNER NAME JIM HAWKINS ADDRESS 4870 viewridege ave ADDRESS 2044 CORDOBA PL CITY STATE ZIP san diego ca 92131 CITY STATE ZIP CARLSBAD CA 92008 PHONE 619-590-9337 FAX PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastings ADDRESS ADDRESS 4870 viewridge ave CITY STATE ZIP CITY STATE ZIP san diego ca 92131 PHONE FAX PHONE 619-590-9337 FAX EMAIL EMAIL STATE LIC. # STATE "C.# 513115 CLASS CITY BUS. CITY 00 8C)41 (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 sitWert statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or hat 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 1$500)), pp `try s t'n �kn s��V xmpr.. �, n� t U Workers' Compensation Declaration: I hereby affirm under penalty of perjury 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' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co oak river Policy 3300065233.131 olic No, Expiration Date 9-15 This section need not be completed if the permit is for one hundred dollars ($100) or less. 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 civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided foUJLSectJ9n 3706 of the Labor code, interest and attorney's fees. A5 CONTRACTOR SIGNATURE 4 �✓ AGENT DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: ElI, 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). ElI, 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 Contractors 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. QYes F_1No 2. 1 (have I have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone I contractors' license number): 4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. 1 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 / type of work): R5PROPERTY OWNER SIGNATURE AGENT DATE i dill yu� n —Affi iiIN.=r'S Is the, applicant 67 future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley -Tanner Hazardous Substance Account Act? O Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes O 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. 4 y aatp „- MI dho a ,i W�I 9 C M.- s,4'h 'k F �+�>?_' �ism�";, , ^41" E�' ¥M _�,F i€ li n I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address q .........v. m .. n �n96 1 certifythat I have read the application and state that the above information is correct and thatthe information on the plans is accurate. I agmeto complywith all City ordinances and State laws relatingto building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection 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 CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE �� DATE Inspection List Permit#: CB152191 Type: PME HAWKINS RES-REPLACE DUCTLESS MINI -SPLIT SYSTEM - WITH ELECTRIC Date Inspection Item Inspector Act Comments 12/08/2015 43 AirCond/Furnace Set - RI AM PLEASE 12/08/2015 43 AirCond/Furnace Set AEK AP 12/08/2015 49 Final Mechanical RI AM PLEASE 12/08/2015 49 Final Mechanical AEK FI 10/08/2015 43 AirCond/Furnace Set AEK CO ADD NUT TO CONDUIT TO MAKE WATERTIGHT CONNECTION Tuesday, December 08, 2015 Page 1 of 1