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Home My WebLink About2371 BUENA VISTA CIR; ; CB121928; Permit09-26-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB121928 Builcling Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2371 BUENA VISTA CR CBAD PME 1552210800 Lot #: FIKES RES- REPLACE FURNACE AND DUCTWORK, SAME SIZE, SAME LOCATION Applicant: PLUMBING DOCTOR Status: ISSUED Applied: 09/26/2012 Entered By: SKS Plan Approved: 09/26/2012 Issued: 09/26/2012 Inspect Area: Owner: FIKES FAMILY LIVING TRUST 2049 FUERTE LN ESCONDIDO CA 92026 760-802-5121 5750 LONE HORSE DR RENO NV 89502 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $154.00 $0.00 TOTAL PERMIT FEES $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: $0.00 Inspector: X. APPR' FINAL APPJ Date: OVAL Clearance: 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/exaptlons. 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 Infonnation 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 fees/exactions of which vou have Pfeviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviousiv othenivise expired. I—^ __ —— [THE FOLLOVyiNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: • PUNNING DENCINEEmNG • BUILDING DFIRE • HEALTH • HAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 ennall: buldllng@carlsbadca.gov v/ww.ca risbadca .gov Plan Check No. Est. Value Plan Ck. Deposit Date SWPP JOB ADDRESS PHASE # I # OF UNITS I # BEDROOMS SUITE#/SPACE#/UNIT# # BATHROOMS rraWjr"BUSiNESri^lMjE COrgSTR. TYPE I OCC GROUP CT/PROJECT # DESCRIPTION OF WORK: /nc/ude Square Faat ofX/ftcMd Anala) EXISTINQ USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESn # NOD AIR CONDITIONING YES • NO • FIRE SPRINKLERS YES • NOD kPBUCANT NAME,iPr/fflary Contact) ^ APPLICANT NAME (Saconifaiy Contact) ADDRESS ADDRESS CITY £5^ ^ ZIP CITY STATE ZIP PHONE EMAIL FAX PHONE EMAIL FAX PROPEI RTY OWNER NAME ss ADDRESS CITY SWE ^ ZIP STATE ZIP PHONE ^^'^ ^v^" ^f<r^ FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS crrv BUS. uc.# (Sec. 7031.5 Business and Professions Code: Any Clly 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 pursuant to the provisions of the Contractor's License Law (Chapter 9, connmendingwith 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 penally of not more than frve hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby afUrm under penalty of peijury one of the follomng declarations: I have and will maintain a certlficata of consent to self-Inaura for workers' compensation as provided by Section 3700 of the Labor Code, for the perfomiance of the work for which this perm it is Issued. I have and will maintain worltera' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the worit for which this pemiit is issued. My workers' compensatbn Jnsuijince carrier and policy Expiration Date V/ f I/< number are: insurance Co. CV/t^^CST" f^inTitKiA . Policy No.. This section need not be completed if the permit is for one hundred dollars ($100) or less. O Certificate of Exemption: I certify that in the perfomiance of the work for which this pemijtJ&issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Caiilbmla. WARNING: Failure to secure workers' compensation coverage Is unlawjut^na shall subject an employerto criminal penalties and cMI fines up to one hundred thousand dollara (&100,000), In Jg£ CONTRACTOR SIGNATURE I OWNER-BUILDER DECLARATION •AGENT DATE f/: I hereby affirm that I am exempt from Contractor's License Law for the follomng 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 Professkins 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, provkled that such Improvements are not intended or offered for sale. If, however, the building or improvement Is soU within one year of completion, ffie owner-builder will have the burden of proving that he did not buiki 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 Professkins Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts tor such projects with contractor(s) licensed pursuant to the Contractor's Lk»nse Law). O I am exempt under Sectton 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 • No 2.1 (have / have not) signed an applicaton for a building pennit for the proposed work. 3.1 have contracted with the following person (fimi) to provide the proposed construction (include name address / phone / contractors' ikxnse number): 4.1 plan to provide portions of the worit, but I have hired the following person to coordinate, supenrise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but i have contracted (hirod) the following persons to provide the work indk:ated (include name / address / phone / type of work): >eS'pROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR N O N - R E S I D E N T 1 A L BUILDING PERMITS ONLY Is the applicant or future buMng occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25S05,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? a Yes 13 No Is the applicant or future buikling occupant required to obtain a pemiit from the air pdluton 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? OYes ONo IF ANY OF THE ANSWERS ARE YES, A HNAL 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 perfomiance of the work this pemiH is issued (Sec. 3097 (I) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I oeit% that I have lead the applkartton and slate that Ihe ab(»e Infnmatlon Is conect and that the In^^ I hereby authorize representativB of Ihe City of Caifetxid to enter upon Ihe above menttaned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE Cmc OF CARLSBAD AGAINST ALL LIABILrTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is lequned ibr excavatkms over S'O' deep and demolition or constmction of sInKluies over 3 stories in height EXPIRATION: Every pemiit issued tiy the Building Oflclal under the provisions of this Code shal esxai^ limitation and become nul and void If the building or wori^ authorized by such pemiit is not commenced wiiin 180 days fom Ihe date ofsuch pennit or if Ihe buMIng or vwikaulftorized by such peff^ yCTAPPLICANT'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 www.buildinaOcaflsbadca.oov or Mall the completed forni to City of Carlsbad, Building Division 1635 Faraday Avenue, Cailsbad, Califomia 92006. C0#: (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 • PICKUP: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) • MAIL TO: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) • MAIL/FAX TO OTHER: • ASSOCIATED CB#.- • NO CHANGE IN USE / NO CONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION • ASSOCIATED CB#.- • NO CHANGE IN USE / NO CONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION ^CfAPPUCANT'S SIGNATURE DATE Inspection List Permit*: CB121928 Type: PME FIKES RES-REPLACE FURNACE AND DUCTWORK, SAME SIZE, SAME LOC Date Inspection Item Inspector Act Comments 09/27/2012 43 AirCond/Furnace Set - Rl 09/27/2012 43 AirCond/Fumace Set MC AP FAU AT EXISTING 09/27/2012 49 Final Mechanical - Rl 09/27/2012 49 Final Mechanical MC Fl Friday. September 28,2012 Page 1 of 1