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Home My WebLink About2272 CAMINO ROBLEDO; ; CB160708; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 02-23-2016 Permit No: CB160708 Building Inspection Request Line (760) 602-2725 Job Address:2272 CAMINO ROBLEDO CBAD Permit Type:PME Status:ISSUED Parcel No:2552703900 Lot #:0 Applied:02/23/2016 Entered By:RMA Reference #:Plan Approved:02/23/2016 PC #:Issued:02/23/2016 Inspect Area: Project Title:PINELL RES-REPLACE 2 NC UNITS Applicant:Owner: COASTAL REFRIGERATION PINNELL WILLIAM J&DENISE G APT I 6525 PASEO FRONTERA 2272 CAMINO ROBLEDO CARLSBAD CA 92009-4534 CARLSBAD CA 92009 760-683-5683 Plumbing Fees $0.00 Electrical Fees $0.00 Mechanical Fees $163.00 Other PME Fees $0.00 TOTAL PERMIT FEES $163.00 Total Fees:$163.00 Total Payments To Date:$163.00 Balance Due:$0.00 FINAL APPROVAL Inspector:PI' (cagusi Date:0 /Cy Clearance: NOTICE Reese take NoncE that approva a` your project irdudee the "Irrixsitiorf cites,clecicaticrs, reservation% or ether exatonshereafter cats:lively referred to as less/ezzcaons"You have 50 days from the dateIlls pant vies issued to pniest inweitim cf thesefees/ea:5cm If you protest them, you rust follonthe attest prow:kits set tooth in CaDvernment Code Sadism 83320(a), andfile the protest and any ether required infansticn Aith the City Malaga for accessing in a:cadenceWEN Carlsbad Minicipa Cabs Section 3.32030.Failtre totin)* fdla v fret pi:mireWI bar anysubsequent legal action to attack, eerie,set aside, void,a aril their irrposition. You are hereby RETI-ER NOTIFIED that yar right to protest the specified fees/ewe:tiers ITFS NOT APPLY tovoter at saner ccmedicn fees and capacity changes, nor planing,arks gaing or ether similar application prooessing cr service fees in cameo:ionwth this pried.NCR DCES IT APFLY toay fees/ere:rims ofWith vw have crevicudv teen riven a NOTICE similar to this cr as to Withthe statute of linitaticns hascrekusly othennS coined. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:OPLANNING DENGINEERING DBUILDING DFIRE OHEALTH ElHAZMAT/APCD (-Building Permit Application Plan Check No.04i ...e.7..City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Pb:760-602-2719 Fax: 760-602-8558Carlsbademail: building@carlsbadca.gov Plan Ck. Depos't www.carlsbadca.gov )1_1 Date a/17 /4 SWPPP JOB ADDRESS 7..g /J#/Nor Ze /Filo SUITEVSPACEVUNITI APIs - CT/PROJECT 4 LOT 4 PHASE 4 4 OF UNITS 4 BEDROOMS 4 BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP I DESCRIPTION OF WORK:Include Square Feet of Affected Area(s).----...------ ":„7:-.q5/4 -1//AAP /4/e C(e7-j11 ted:57:s'1 Lai 412/16.17CC 5--CYAA-U1-- EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SE)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESOft NC YES DNO El YESEI NOD APPLICANT NAME PROPERTY OWNER )'Primary Contact /sem..4 J'.'7 ......e /2/c-.....„..,"141 ADDRESS ADDRESS 010.7?614-f. ;rya Ze5/Alo CITY STATE ZIP CITY „SIIALE ZIA ..--(riArd -41-%;700 7PHONE FitOrr PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME 6griate.-/..09/f:-4-.0.-40117 sJ d-• ADDRESS ADD5ESS tr ,---- 605(2—S—..Ikeir-oerel .0 -7-0;440:41"-4-- CITY STATE ZIP ZIP ,CntcCITY."74nete STAI PHONE FALC P NI/1 FAX 6 4/.1-S6 82 EMAIL EMAIL STATE LICK STET 0.4 IC487 CITY BUS. p;.„._ - c•47.990.29 ic ---20 ,/ay 203 (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 theapplicant 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 theBusiness and Professions Code) ort at 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 acivil penalty of not more than five hundred dollars ($5001). WORKERS'COMPENSATION Workers' Compensation Declaration: I hereby affirm under penally of perjury one of the following declarations: aye 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.R<I have and will maintain workers'ensaUon, as reoulipd by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.y workers' compensation i .urance c '-rand potty number are: Insurance Co.//Lard Policy No.16 ed../e-6-.c.ify/Expiration Date ._a t T14.jsection need not be completed if the permit is for one hundred dollars ($100) or less.U Certificate of Exemption:I certify that in the pert nce 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 Worke 'Compensation Laws of California.WARNING: Failure to secure workers'mpensation c verage is unlawful, and shall subjectan employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation,da provided for i 'n 3706 of the Labor code, interest and attorney's fees. .ES CONTRACTOR SIGNATURE ElAGENT DATE d „../3 ow/0. I hereby affirm that I em exempt from C tractor's license Law for the following reason:DI,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).DI,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 Contractor's License Law).0 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.ElYes EINa 2.1 (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 I phone / 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 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 nameIaddress I phone / type of work): .XESPROPERTY OWNER SIGNATURE DAGENT DATE • COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or tuture 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 ar future building occupant required to obtain a permit from the air pollution control district or air quality management district?Yes No Is the facility to be constructed 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 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 APPLICANT CERTIFICATION IcerlifythatIhave read the application and stem thatthe above information is conectandtattleinformation on the plans is accuraR.I agree tocampinith all City ordinances and Statelays relating to building consbuction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly for inspection purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EWENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID Cr!?INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA:M OSHA permit is required for excavations over 5'0'p and demolition •es struclion of structuresOVer3 stades h height. EXPIRATION. Every permit issued by the Building Official ;.i lithe provisions of "shall expire by limitation and become null and void ifhe building orveorkauthorized by such permit is no/commenced Wthin 180days from the date of such permitor /hi 'irk authorized by 0-it is suspended or abandoned at any time after the work is commenced for a period of 180di (Section 106.4.4 Unifomi Building Code). ,APPLICANT'S SIGNATURE IS 4 DATE P „/ STOP 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 buildina@carlsbadca.eov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CBS 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 ..ECAPPLICANT'S SIGNATURE DATE Inspection List Permit#:C8160708 Type:PME PINELL RES-REPLACE 2 A/C UNITS Date Inspection Item Inspector Act Comments 07/18/2016 43 AirCond/Furnace Set -RI PM PLEASE 07/18/2016 43 AirCond/Fumace Set MC AP 07/18/2016 49 Final Mechanical -RI PM PLEASE 07/18/2016 49 Final Mechanical MC Fl Tuesday, July 19, 2016 Page 1 of 1