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Home My WebLink About2205 MASTERS RD; ; CB163345; Permit08-31-2016 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: CB163345 Building Inspection Request Line (760) 602-2725 2205 MASTERS RD CBAD PME 2121413900 Lot#: 0 VIZCARRA: INSTALL A/C TO PREP HOME Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/31/2016 JMA 08/31/2016 08/31/2016 AMBIENT HEATING & AIR 3507 MERRIMAC AV VIZCARRA FAMILY TRUST 01-29-10 SAN DIEGO 92117 619-698-5735 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2205 MASTERS RD CARLSBAD CA 92008 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: FINAL APPROVAL Date: 1-11 -1' 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 changes1 nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any iv n N T ·1 r hi i i n h · , (city of Carlsbad JOB AOOR"'2.z. O CT/PROJECT# EXISTING USE DESIGN PROFESSIONAL NAME ADDRESS CITY PHONE EMAIL Building Permit Application 1635 Faraday Ave .• Garlsbad. CA 92008 Ph: 7--72.11 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT # Plan Check No. Est. Value Plan Ck. Deposit Date PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME GARAGE (SF) PATIOS (SF) DECKS (SF) NOD PROPERTY OWNER NAM ADDRESS2..ZO s ST?:),-4ltt 'j),,r{) FAX 9J /J • Ot/ ctJ.-FAX STATE ZIP FAX STATE LIC. # oS7J J,, SWPP CONSTR. TYPE OCC. GROUP AIR CONDITIONING FIRE SPRINKLERS YES □ NO □ YES □ NO □ (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 per_mIt to file a signed S¼ltement that he Is licensed pursu~nt to the provisions of the Contraytor's License t.,awJChapter 9, commending with Section 7000 of Division 3 of the Bus mess and Professions Code} or that he Is exempt therefrom, and the basis for the alleged exemption. Any vIolat1on 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: I hereby affirm under penalty of peryury one of the fo/lo'Mng declarations: D 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. D 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. ______________________ Policy No, ______________ Expiration Date _________ _ ection 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 work for which permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of WARNING: Failure to secure wo rage is awful, and shall subject an employer to criminal penalties and civil fines up to one hundred lhousand dollars (& 100,000), in lo the cost of compensation, ion 31 of the labor t and attorney's fees. I hereby affirm that I am exempt from Contractor's License 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 Controctor'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 wi111in one year of completion, the owner-builder will have the burden of proving 111at he did not build or improve for the purpose of sale). □ I, as owner of the property, am exclusively contracHng 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 111ereon, 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. □ Yes □ No 2. I (have/ 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/ 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/ address/ phone/ 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/ phone/ type of work): ..Jt5 PROPERTY OWNER SIGNATURE □AGENT DATE COMPL,ETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business p,lan, acutely hazardous materials registraUon form or risk management and prevention 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 D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. I certify that I have iead the application and state that the above infomlation Is oorrect and that the infoonation on the plans Is accurate. I agree to cornply'Mth all City on:llnaoces and State laws relating 1D building construction. I hereby authorize representa~ve of the City of Carlsboo to enterur:xm the al:x:Jve mentioned property br inspeclioo pul'J'.X)SeS. I .AJ...SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH M Y IN ANY WAY ACCRUE AGAINST SAIO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: Ari OSHA permit is required br excavatbos over 50' deep and demoI1t· oonstruclion of structures over 3 stories in height. EXPIRATION: Every pefllllt issued by the Building Official under the provis" of is Code shall expire by limitaoon and become nul and voi::l W the building or'MJrk authorized by sud! permit is notoommenced Wthin 180days fi'om the date of sucil peflllit or if the buik1ing or uthorized s permit is suspended or abandoned at any time after the 'Mlrk is oommenced bra period of 180days (Section 100.4.4 Uniform Building Code) _,1$ APPLICANT'S SIGNATURE DATE Inspection List Pennit#: CB163345 Type: PME Date I nspectio11 Item 09/16/2016 43 AirCond/Furnace Set 09/16/2016 43 AirCond/Furnace Set 09/16/2016 49 Final Mechanical 09/16/2016 49 Final Mechanical Friday, September 16, 2016 Inspector JW JW Act RI AP RI AP VIZCARRA: INSTALL A/C TO PREP HOME Comments LATE AM PLEASE LATE AM PLEASE Page 1 of 1