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Home My WebLink About2233 CORTE ANANAS; ; CB121233; Permit06-29-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBl21233 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2233 CORTE ANANAS CBAD PME 2552614200 Lot#: 0 PATTERSON RES- CHANGE OUT FAU Status: ISSUED Applied: 06/29/2012 Entered By: LSM Plan Approved: 06/29/2012 Issued: 06/29/2012 Inspect Area: Applicant: ACTION AIR COND.& HEATING-S.D. Owner: PATTERSON WILLIAM E&NANCY C 2750 S SANTA FE SAN MARCOS CA 760 727 4152 2233 CORTE ANANAS CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mectianical Fees Ottier PME Fees $0.00 $0.00 $150.00 $0.00 TOTAL PERMIT FEES $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: 7V/ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter coliectively referred to as 'fees/exactions.' You have 90 days from the date this pemiit was issued to protest imposition of these fees/exactions. If you piotest them, you must follow the pnjtest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required Infonnation with the City Manager for processing In accoidance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal actbn 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 sen/tee fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitattons has previously othenwise expired. L: ^ CITY OF CARLSBAD III I IWWWrMWI-H\fc, ; ; I lurM, i 11 Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.carlsbadca.gov tirti j Plan Check No. Qg^ ( 3^.1 S>-S 3 Est. Value Pian Ck. Deposit Date SWPPP JOBADDRESS 2233 Corte Ananas, Carlsbad, CA 92009 SUITEf/SPACEf/UNtT* CT/PROJECT # PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Change-Out Furnace (FAU) Same Location EXISTING USE Single Family Res PROPOSED USE Single Family Res GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~1# NOj I AIR CONDITIONING YES I I NO I I FIRE SPRINKLERS YES I |NO| I APPLICANT NAME (Primary Contact) William & Nancy Patterson APPLICANT NAME (Secondary Contact) Glenn Ostmark ADDRESS 2233 Corte Ananas ADDRESS 2750 S Santa Fe Ave CITY Carlsbad STATE CA ZIP 92009 CITY San Marcos STATE CA ZIP 92069 PHONE 760-753-9128 FAX PHONE 760-727-4152 FAX 760-727-0213 EMAIL EMAIL PROPERTY OWNER NAME William & Nancy Patterson CONTRACTOR BUS. NAME Action Air Conditioning. Heating & Solar ADDRESS 2233 Corte Ananas ADDRESS 2750 S Santa Fe Ave CITY Carlsbad STATE CA ZIP 92009 CITY San Marcos STATE CA ZIP 92069 PHONE 760-753-9128 FAX PHONE 760-727-4152 FAX 760-727-0213 EMAIL EMAIL Comfort@actionac.net ARCH/DESIGNEF* NAME & ADDRESS 509805 C-20 CITY BUS. LIC.# 419800 (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 pursuantto the provisions ofthe (Contractor's License Law/(Chapter 9, commending vi/ith Section 7000 of Division 3 ofthe 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 appllcantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penaity of perjury one ofthe foltowing deciarattons: I have and will maintain a certificate of consent to self-in«ure 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 reguired by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit Is issued. My workers' compensation insurance canier ^d policy number are: Insurance Co._ California Contractors Network Policy No.. 4503-093 Expiration Date _ 12/31/2013 This section need nol be completed if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the perfonnance 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 employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damaaes^ipi^vlded for in Section 3706 of the Labor code, Interest and attomey's fees. CONTRACTOR SiGNATUpt-j^^^^^^^tV^ • AGENT DATE ^/•*-<• A O W NER-BUILDER DECLARATION / hereby affirm that I am exempt from Contractor's License Law for the foifowing reason: I I I, as owner of the property or my emptoyees with wages as their sole compensation, will do the work and the stnicture is not intended or offered fbr 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 fbr 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 dkl not build or improve for the purpose of sale). I I I, as owner ofthe property, am exclusively contracting with licensed contractors to constmct 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 Contractor's License Law). I I I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. •Yes I INO 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with Ihe following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / 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 / address / phone / type of work): >£S'PR0PERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR N O N - R E S i D E N T I A L BUILDING PERMITS ONLY Is the applicant or 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? Yes No Is the applicant or future building occupant required to obtain a pemiit from the air pollution control district or air quality management district? Yes No Is the facility to be constnicted 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 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. CONSTRUCTiON LENDING AGENCY I hereby affimn 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 APPLICANT CERTIFICATION Icertifythati have read the application and state that the above Infomiation Is conectand that the Infonnation on the plans Is accurate, lagtee to complywith all Clfyordlnances and State laws relating to building construdkxi. I hereby authorize representative of Ihe Cily of Cailsbad to enter upon ihe al)ove mentnned pn^ AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT. OSHA: An OSHA pennit is required fbr excavations over 5'0' deep and demolifon or constnicfon of structures over 3 stories in height EXPIRATION: Every perniit Issued by Ihe BuiMing Oflk:ial under Ihe praviskxis of this Coie shall expire by Rmitafon and become nul and vokl If the buikltig or woric authorized by such pennit is not commenced wilhin 180 days from the date of such pemiit or if Ihe buMinqopMprit authorized by suc^ ^eTAPPLICANT'S SIGNATUR] DATE 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) 602-8560, Email www.buildina(3icarlsbadca.aov or Mall the completed form to City of Cartsbad, Building Division 1635 Faraday Avenue, Cartsbad, Califomia 92008. C0#: (Offlce Use Only) CONTACTNAME OCCUPANT NAME ADDRESS BUILDING ADDRESS cmr STATE ZiP cnv STATE ZIP Carlsbad CA PHONE Change-Out Furnace (FAU) _ Same Location Q FAX Single Family Res EMAIL Single Family Res OCCUPANT'S BUS. UC. No. DEUVERY OPnONS PICK UP: CONTACT (Listed above) OCCUPANT (Usted above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Usted above) OCCUPANT (Usted above) CONTRACTOR (On Pg.l) 2233 Corte Ananas, Carlsbad, CA 92009 ASSOCIATED CB#- MAIL/FAX TO OTHER: NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION >eS'APPLICANT'S SIGNATURE DATE 1635 Faraday Ave., Carlsbad, CA 92008 Inspection List Permlt#: CB121233 Type: PME PATTERSON RES-CHANGE OUT FAU Date Inspection Item Inspector Act Comments 07/10/2012 43 AirCond/Furnace Set - Rl PATTERSON 07/10/2012 43 AlrCond/Furnace Set PB AP 07/10/2012 49 Final Mectianical - Rl 07/10/2012 49 Final Mectianical PB AP Tuesday, July 10,2012 Page 1 of 1