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Home My WebLink About2176 AVENIDA TORONJA; ; CB152572; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 08-11-2015 Permit No: CB152572 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2176 AVENIDA TORONJA CBAD PME Status: Parcel No: 2552611900 Lot #: 0 Applied: Reference #: PC#: Project Title: Applicant: EIDENSCHINK RES-REPLACE A/C & REPLACE FAU-W/ NEW DUCT WORK ACTION AIR COND & HEATING-SO 2750 S SANTA FE AV SAN MARCOS CA 92069 760 727 4152 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: EIDENSCHINK THOMAS G&AVA J 2176 AVENIDA TORONJA CARLSBAD CA 92009 ISSUED 08/11/2015 RMA 08/11/2015 08/11/2015 $0.00 $0.00 $160.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: .fl'l· ~~< FINAL ~E_~OVAL Date: D3J-z;r-4/ b Clearance: $0.00 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 fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has previously otherwisll exoired. Cicyof Carlsbad OPLANNING 0ENGINEERING Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNI #BEDROOMS #BATHROOMS [:JBUilDING ClFIRE Plan Check No. Est. Value SWPPP DCC. GROUP AIR CONDITIONING YES0No0 FIRE SPRINKLERS YESONoO DESIGN PROFESSIONAL ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE UC. # STATE UC.# ')b /. :,0 "'":)- (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 signed 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 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: I hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 I have and will maintain workers' compensation. as required by Section 3700 of the Labor Code. for the performance of the work for which thi~ permit is issued. My workers' compensation ins ance ca rier and policy number are: lnsuranceCo.~'S. (_'g; .. el' -~ c~eyt Policy No. t,./311.) ")().;;.13 '14: .,--Expiration Date ( 'J I I .- This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 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, provided for in Section 3706 of the Labor code, interest and attorney's fees. __ .... ~CONTRACTOR SIGNATURE ~T I hereby affirm that I am exempt from Contractor's License Law for the following reason: 0 D 0 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 Contractors 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. DYes 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 provide 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): ~PROPERTY OWNER SIGNATURE DATE I certify !hat I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City on:linances and State Jaws relating to building consbuction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.! 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(] deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every penni! issued by the Official under the provisions of this Code shall expire by limitation and beoome 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 1 \\Ork authorized by such permit is suspended or abandoned at anytime after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). DATE ~ ,.......-· STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE:. Complete the following ONLY if a Certificate of Occupancy will be requested at final1inspection. CERTIFICATE OF OCCUPANCY {Ccnnmer(ial Projects 0 iy I 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. 1 CO#: (Office Us.e Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: 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 .-6 APPLICANT'S SIGNATURE DATE I Permit#: CB152572 Type: PME Date ___ Jm;_p~~tio_l!_l!_em --~···------ 03/22/2016 43 AirCond/Furnace Set 03/22/2016 49 Final Mechanical 02/09/2016 43 AirCond/Furnace Set 02/09/2016 49 Final Mechanical Tuesday, March 22, 2016 Inspector Act MC AP MC Fl MC co MC co EIDENSCHINK RES-REPLACE A/C & REPLACE FAU-W/ NEW DUCT WORK Comments NOTICE Page 1 of 1