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Home My WebLink About2320 LA COSTA AVE; ; CB132582; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 10-22-2013 Permit No: CB132582 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2320 LA COSTA AV CBAD PME Status: Parcel No: 2163101409 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: NGUYEN RES-REPLACE EXISTING 4 TON A/C UNIT-SAME LOCATION WEST COAST APPLIANCE SERVICES INC OBA WEST COAST SOLAR 1282 FAYETTE ST EL CAJON CA 92020 619-557-0446 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: MOLLER BRYCE 2320 LA COSTA AVE #A CARLSBAD CA 92009 ISSUED 10/22/2013 RMA 10/22/2013 10/22/2013 $0.00 $0.00 $158.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: Inspector: FINAL APPROVAL Date: //-It/-( J 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 f fw i vi I i h h f Ii i i h THE' F0LLOYilrifG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □FIRE '«,1, ·~ 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 SWPPP JOB ADDRESS SUITE#/SPACE#/U CT/PROJECT# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK, lnc/udeSque,eFeet~J Cf!J EXISTING USE PROPOSED USE PATIOS {SF) DECKS (SF) FIREPLACE YES0, AIR CONDITIONING No0 v,s □NoO FIRE SPRINKLERS YES0NO□ APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ARCH/DESIGNER (Sec: 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct. alter, improve, demolish or repair an>'. structure, prior to its ssuance, 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 LawjChapter 9, commend mg with Section 7000 of Division 3 of the Business and Professions Code) or fhat he is exempt therefrom, and the basis for the alleged exemption. Any vIolatIon 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 Declaration: / hereby affirm under penalty of perjury one ofth6 following declarations: 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. I have and will maintain wo n 7 of he Labor Code, for the performance of the work for which this permit is issued. My workers' compensation lnsura carrier and policy number are: Insurance Co.__.l.:._1__..,'l.-c:210/.U...:l:...C...-~4.qai;ll...A'----~ Policy No.(.L( .,...,rm' -tfj-Mr.e, Expiration Date L ection need not be completed if the permit is for one hundred dollars ($100) or less. · rtlflcate 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' Compensatkln Laws of a. WARNING; Failure to secure worker,' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar, (&100,000), ln addition to the cost of compensation, damages as provided for I~ Sect~f the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE ~ QAGENT 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 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 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 am exempt under Section ____ Business and Professions Code for this reason: 1, I personally plan to provide the major labor and materials for construcUon Of the proposed property improvement. OYes 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. 1 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): 8$ PROPERTY OWNER SIGNATURE □AGENT DATE ... Is the aj)plicant e,tluture building occupant required to submit a business plan, acutely hazardous mater1als registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acr? Yes t>b Is the applicant or 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. I certify that I have read the appllc.atlon and state that the above information Is correct and that the lnfmmatlon on the plans is accurate. I agree to comply with all City ordinances and State laws relating to bulldlngconstruction. I hereby authorize representative of the City of Ca~sbad to enter upon the aOOve mentioned property for inspectioo purposes. I 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: N1 OSHA permij is required for excavations over 5'0' deep and demolitOn orronstruction of structures over 3 stories in height. EXPIRATION: Every pennij issued by the Building Offk:ial under the provisOns of this Code shall expire by limitalkxl and become nul and void if the building orv.ork authorized by such pennil is not commenced within 180 days from the date of such penn11 or if th · orv.o authorized bys · or abandoned at any time after the 'Mlrk is commenced bra period of 180day-s {Seeton 100.4.4 Unifonn Building Code), ~ APPLICANT'S SIGNATURE 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 building@carlsbadca.gov or Mail the completed form to City of Car1sbad, Building Division 1635 Faraday Avenue, Car1sbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) MAIL TO: CONTRACTOR (On Pg. 1) CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ ,.IS APPLICANT'S SIGNATURE ASSOCIATED CB#•------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSfflUCTION DATE ZIP Inspection List Permit#: CB132582 Type: PME Date Inspection Item -------- 11/13/2013 43 AirCond/Furnace Set 11/13/2013 49 Final Mechanical 11/08/2013 43 Ai rCond/F urn ace Set 11/08/2013 43 AirCond/Furnace Set 11/08/2013 49 Final Mechanical Thursday, November 14, 2013 Inspector Act PB AP PB AP RI PB CA RI NGUYEN RES-REPLACE EXISTING 4 TON AJC UNIT-SAME LOCATION Comments CALL FOR ACCESS GATE CODE IS 8100 Page 1 of 1