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Home My WebLink About2290 COSMOS CT; ; CB130462; Permit02-26-2013 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/IVieclianical/Electrical (PIVIE) Permit Permit No: CB130462 Building Inspection Request Line (760) 602-2725 Job Address Permit Type' Parcel No Reference # PC #• Project Title 2290 COSMOS CT CBAD PME 2130504400 Lot# VIASAT REPLACE 27 A/C UNITS ON ROOF LIKE FOR LIKE Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 02/26/2013 MDP 02/26/2013 02/26/2013 Applicant PACIFIC RIM MECHANICAL CONTRACTORS INC Owner GRANDONA INVESTMENT ASSOCIATES L P 7655 CONVOY CT SAN DIEGO CA 92111 619-843-3815 2610 HARRISBURG AVE FREMONT CA 94536 Plumbing Fees Electncal Fees Mechanical Fees Other PME Fees $0.00 $0.00 $154.00 $806 00 TOTAL PERMIT FEES $960.00 Total Fees $960 00 Total Payments To Date. $960 00 Balance Due: $0.00 Inspector f^-(jM^^ FINAL APPROVAL Date Clearance NOTICE. Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed 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 nght 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 previously been given a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE nPLANNING OENGINEERING nBUILDING ClFIRE IZlHEALTH IZlHAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email building@carlsbadca gov www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date SWPPP JOB ADDRESS ^Aoi/ SUITE#/SPACE#/UNIT# CT/PR0JECT# « OF UNITS I » BEDROOMS tt BATHROOMS I TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK: /nclude Square Feet of Affected Area(s) 21 uV EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES[~|# N0| I AIR CONDITIONING YES I |NO| I FIRE SPRINKLERS YES| |NO| I APPLICANT NAIVIE (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS '7 ^ ^ S (Lo^ I/O C ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP 7 ^oo I CITY STATE PHONE FAX PHONE ARCH/DESIGNER NAME & ADDRESS CITY BUS LCjj^ (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolisti or repair any structure, priorto 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)) C?®CB'G3SC&0.° (S®.ClDI?@C}8^If'0®C3. Workers' Compensation Declaration / Aereby affirm under penalty of perjury one of the following declarations 1^ 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 pemiit is issued 1 have and will mamtain 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 earner and policy number are Insurance Co t^/'^^OiC. <ysr--/fS" Policy No l/L/d- 3 6 "7 A "7 3 S Expiration Date //~/ ~/ >7 This section need not be completed if the permit is for one hundred dollars ($100) or less Ll Certificate of Exemption. I certify that in the perfomiance of the work for which this perniit is issued, I shall not employ any person many 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 (4100,000), in addition to the cost of compensation, damages as provided for m Section 3706 of the Labor code, Interest and attorney's fees ^ CONTRACTOR SIGNATURE ^•'^^ -g^gA-^ QAGENT DATE '3^-^ 5— / 3 ®C9G0@B = CDtS0ftli)S(x! ®SeilZ;iEi:Ji'irO®CO / hereby affirm that I am exempt from Contractor's Ucense Law for the following reason I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stnjcture 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 I I, as owner of the property, am exclusively contracting with licensed contractors to constnjct the project (Sec 7044, Busmess 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 pursuani 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 matenals for construction of the proposed property improvement •Yes I INO 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firni) to provide the proposed construction (include name address / 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 / contractors' license number) 5 I will provide some of the work, but I have contracted (hired) the followmg persons to provide the wori( indicated (include name / address / phone / type of work) I PROPERTY OWNER SIGNATURE QAGENT DATE Irispection List Permit*: CBI30462 Type: PME Date Inspection Item 08/07/2013 43 08/07/2013 43 08/07/2013 49 08/07/2013 49 03/22/2013 43 AirCond/Furnace Set AirCond/Furnace Set Final Mechanical Final Mechanical AirCond/Furnace Set 03/19/2013 43 03/14/2013 43 03/13/2013 92 AirCond/Furnace Set AirCond/Furnace Set Compliance Investigation Inspector Act Rl MC MC MC MC MC MC AP Rl Fl PA PA CA PA VIASAT REPLACE 27 A/C UNITS ON ROOF. LIKE F Comments UNIT 18, 29 UPPER/LOWEWR ROOF UNITS, SEE CARD LOWER ROOF UNITS, 9-26 PER CONTRACTOR Ttiursday, August 08, 2013 Page 1 of 1