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Home My WebLink About2165 CHESTNUT AVE; ; CB152759; Permit08-25-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB152759 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2165 CHESTNUT AV CBAD PME Status: 1670804400 Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: GOMEZ RES-REPLACE FLOUR LIGHTS IN KITCHEN & W/ 4 NEW CAN LIGHTS, RE-TILE SHOWER IN MASTER BATH ISSUED 08/25/2015 RMA 08/25/2015 08/25/2015 Applicant: RENOVATION REALTY STE D 4830 VIEWRIDGE AV SAN DIEGO CA 92123 619 741-3905 Owner: GOMEZ FRANCISCO C&HERNANDEZ PATRICIA R 8482 VIA SONOMA #14 LA JOLLA CA 92037 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $160.00 $0.00 $65.00 TOTAL PERMIT FEES $225.00 Total Fees: $225.00 Total Payments To Date: $225.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project indudes the "Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively refen-ed 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 attacl<, 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 previously othen/vise expired. THE FOLLOW NG APPROVALS REQUIRED PRIOR TO PERHrt ISSUANCE: ENGINEERING 'HAZMATIAPCD ^City of Carlsbad APPUCANTNAME Pltlinr CWtKI ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 eniail: building@oarlsbadca.gov www.carlsbadca.90v JOB ADDRESS # BEDROOMS DESCRIPTION OF WORK: Includa Squara Feet of Affected Araa(<) V-c_ or^csSi^Wji, SUlTE#/SPACE*/UNm Plan Check No. Est. Value Plan Ck. Deposit knn ^ Plan Ck. De| S BATHfWOMS SWPPP TENANT BUSINESS NAME \C\ - CfiO • IH -00 rcONSTR TVPE I OCC GROUP EXISTING USE PROPOSED USE Scio priONE 7 ONE STATE ADDRESS tMAIL t DeSiaNI>ROFeSSIONAl FIREPLACE YESgJl H0| I AIR CONDmONING YES I |NO[ I FIRESPRINKLERS YESQNO0+ PROPERTVOWNER NAME STATE COtUB ACTOR ADDRESS TT T \, PHONE ^ STATE (Sec. 7031.5 Business arvj Professiona Code: Any City or Coun^ which requires a permrt to con«trui;L. c.^. , , applicant fbr such pennit to file a eiewd statement that he is licensed pursuantto the provisions ofthe Contractor's License LawFCl Business and Profeesions Code}or9Mrtbei8e)iemjrttherBfrom.andthe - - - " - - *-civil penalty of notmors than five hundrad doiiars {$500}). WORKERS' COMPENSATION CITYE . uemoiiifli ur repair any structure. pH-ior to its iaei : License Law {Chapter 9. " J • " for the alle^ exemptfon. Any violation of Secbon 7031.5 tqr any apjslicant for a permii ). commending with Sectioj iquirestJ 0 of Division 3 of ttw B the applicant to a Worfcers' Compsnsition Declaration: fbenAjr affirm under pmaiy of peijury one ofSie fokmng decbnUona: LJ I hnHlMMM maintain a cartifieats of contsnt to sslf-insurs for woriters' compwKation as ^mvtdsd by Ssction 3700 of tho Labor Code, for the perfoimnwe d the woiii fat which this psrrrat is isctied. Ll^^ave and wM mMntwi "o^^en' compsnsation^ as requiml by Sscb^ 3700 of tha Labor Coda. For the pei^xm^nce <rf^ work for which this peimit is issued My wociisrE' comfwnBaliDn nsinnce carrier and poiicv mmber are: Insuratree Co. -^^"^Xe^ ^ey/>^p^^^tJCj^*o^ ^^ci-PttwWo.^^ ^ | I^^S^OO Expiration Date \.\ / ^ ^ 1 This ssction need not bs complttsd if tha permit isfor ona hundred dollare ($100) or less. I I Cartificate of Exemption: I CNtify that m the perfofmarKe ofthe work for which ttus permit is issuad, I shaH not ampioy any person in any manner so as to become subject to the Workers' Compensation Lawsof CaWomta. WrirTtllNfiTiilnritn iirnriwnrirari' fnmpaiiiitiniHnirifiiiiiii iinliaafiil, IIHI shall subjsct an anipioysr to erfcninal penalties and civil finss up to ons hundred thousand dollars (&100,000), in addition to the cost of compsntatien. damages aa pro^yMflffTirSection 37a^ofjb»Mrar cods, intsrsst snd attomsy's fees. OWNER-BUILOF!> uECLARATION / AereAy ^Srm that I am exempt Contrector's Ucenae Law for the fokmtg reason: I I I. as owner ofthe proparty or my employees with wages ac their sols compensation, will do the work and the stmcture is nc4 int«ided or offered for sale (Sec. 7044, Business and Professions Code: TheCor^ctor's License Law does not apply to an owner of property who builde or improves thereon, and who does such work Iwnself or throu|^ his own employees, provided that such inprovements are not intended or offered for sale. If, however, the buHding or rnprovMTWit ts sold within one year of completion, (ha ownw-buildeT will have the burden of proving that he did not buihJ or inprove for (he purpose of uke). r~1 I. ts owner of the property, am exi^isiwety contracting with licensed contTBctors to constmct the project (Sec. 7044, Business and Precessions Code: Ths Contractor's License Law does not apply to an owner of proparty who bidds or irrvrovss ttwrson, and contracts for such projects wiUi contr9ctor{E) ficonsed pursumt to the Contractor's Licanse Law). • .Business and Professiwis Code Forthis reason: I «n oxen^ under Section 1.1 personaBy pian to provide the major labor and materia For construction ofthe proposed property improvemerA I No 2.1 (have / have not) signed an ^pKcation for a buii(fing permit fbr the proposed work. 3.1 have contracted wtti the folowing person ^im) to provide the proposed constniction Onckide nama address / phone / contractors' tcense ntmber): 4.1 plan to provide portions ofthe work, but I have hred the foRowing person to coonfinata, siifwnri&e md provide the major woik C)niM* nane/address / phone/contractors'Rcense ni^^ 5.1 H^fwowde some ofthe work, but I have corrtractod (hired) the foHowing persons to provide the work indicated (include name/ address/phone/type <rf work): & PROPBtTY OWNER SIGNATURE •AGENT COMPLCre THIS SICTION FOR N O M - II C SI O E M TIA L BUILDIMO PBRMITS ONLV Is the applicant or future builtfing occupant required to submit a business plan, acutaiy hazardous materials registration forni or risk rnanagament and preventjon program undar Sections 25505, 25533 or 25534 ofthe Presiey-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 managament district? O Yes • No Isthe facility to be consfructed within 1,000 faet ofthe outer boundary of a school site? • Yes • No IF ANY Of TIC ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS HET OR IS HEETING THE REQUIREHENTS OF THE OFFICE OF EHERGENCY SERVICES AND T>€ AIR POLLUTION CONTROL DISTRICT. COWSTKUCTION JL B N O I N C AGENCY I hereby aflirm that there is a construction lending agency for ttie performance ofthe work this permit is issued (Sec. 3097 (i) Civil Code). Lender's N ame Lender's Address APPLICANT CERTIFIC A riON I (»%lhat I han read tK applicalion and tu MfK IIMKMOI^ I hereby aultiorize represHiWiM rf Ihe Cily of Crtbad to erter AGAINST ALL UABIUTIES, JUDGMBJTS, COSTS ANO EXPEr4SES WHCH MAY N ANY WAY ACCRUE AGAIhJST SAIP QTY IN CONSEQUENCE OFTHE GRANTING OF THS PERMT OSHA: An OSHA pemil is requred far excaisikns over S'O'deep and demolilion or coisl^^ EXHRATION Evety pennit issued by Ihe Building Ofidal under Ihe prwisions rflNsCo^^ 180 days from Ihe dato of such pennI or ifthe bulding or wod<aulhanz^byjuahpcmi2 is Euspo^ 5 APPLICANTS SIGNATI DATE Inspection List Permlt#: CB152759 Type: PME GOMEZ RES-REPLACE FOUR LIGHTS IN KITCHEN & W/ 5 NEW CAN LIGHTS, RE Date Inspection Item Inspector Act Commente 09/29/2015 89 Final Combo - Rl 09/29/2015 89 Final Combo PD AP 09/08/2015 84 Rough Combo PD AP Wednesday, September 30, 2015 Page 1 of 1