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Home My WebLink About2381 BUENA VISTA CIR; ; CB150172; Permit01-20-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB150172 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2381 BUENA VISTA CR CBAD PME 1552211800 Lot #: BEIM RES- REPLACE FAU LOCATION SAME Status: ISSUED Applied: Entered By: Plan Approved- Issued: Inspect Area: 01/20/2015 RMA 01/20/2015 01/20/2015 Applicant: WILSON HEATING & AIR Owner: BEIM STEVEN D&LINDA M 3270 MADISON ST CARLSBAD CA 92008 760 415-4380 2381 BUENA VISTA CIR CARLSBAD CA 92008 Plunnbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $160.00 $0.00 TOTAL PERMIT FEES $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00 inspector: FINAL APPROVAL Date: ^ ^^7-/ T 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 Govemment 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 fees/exactions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenAiise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMrr ISSUANCE: •PLANNING nENGINEERING • BUILDING •FIRE •HEALTH •HA2MAT;APCD PlanCheckNo. (^^ j^p Ccity of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: buildlng@carlsbadca.gov www.carlsbadca.gov Est. Value Plan Ck. Deposit mi Date i SWPPP CT/PROJECT # LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP / y .3 JOB ADDRESS SUITE#/SPACE#/UNIT# DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Areafs) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD* N0| I AIR CONDITIONING YESnN0[2f PROPERTYOWNER r7 ^ / FIRE SPRINKLERS YES I |NO| I APPLICANT NAME Primary Contact ADDRESS SS ^ I STATE ADDRESS 7 3gl Bue^^ V/sr/^ CH-- , STATE . ZIP CITY Oh ZIP CITY PHONE FAX PHONE EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAIVIE ADDRESS ADDRESS CITY STATE ZIP CITY ^^^^ S (84/9 STATE PHONE FAX PHONE FAX EMAIL EMAIL STATE LIC.# CLASS (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 issuahe(B, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License LavK (Chapter 9, commending with Sectimi COOO 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 applicant for a permrt subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS COMPENSATION Workers' Compensation Declaration: / /leredy affirm unrfer pena/f>' ofpeijury one ofthe following declarations: Bl have and will maintain a certificate of consent to self-insure for worlters' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. My workers' compensation insurance canier and policy number are: Insurance Co. Policy No. Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less. iTlpertiBcate of Exemption: I certify that in the perfomiance 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 Califomia. WAI^NING: Faiiure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages«sprovided for in Section 3706 ofthe Labor cmie, interest and attomey's fees. ^eS" CONTRACTOR SIGNATURE / '^'T ' • AGENT DATE 'il««-BUII.OER OECI.ARATIO« • • / hereby affinn that I am exempt fmm Contractor's Ucense 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 Ihe 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 pnjjecf (Sec. 7044, Business and Professions Code: The Contractors Ucense 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 pemiit for the proposed work. 3.1 have contracted with the following person (fimi) to provide the proposed constmction (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, supervise and provide the major work (include name / address / phone / contractors license number): 6.1 will provide some of the work, but I have contracted (hired) the foltowing persons to provide the work indicated (include name / address / phone / lype of work): >eS'pROPERTY OWNER SIGNATURE QAGENT DATE COMPLETE THIS SECTION rOR N O N - R t S I O E N T I A L BUitOINO 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 permit from the air pollution control district or air quality management districT? Yes No Is the facility to be constmcted 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 afflrni that there is a constmction lending agency for the perfbnnance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the applk:atk>n and state that the above infoimation is conect and that the infomiation on the plans is accurate. I agree to comply with all Ci^ ordinances and State laws relating to building construction. I hereby auttiorize lepresentative ofthe City ot Carisbad to enter upon the above mentioned property for inspection 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 An OSHA pemnit Is required for excavations over 50' deep and demolition or constaiction of stractures over 3 stories in height. EXPIRATION: Every pennit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or wori< authorized by such permit Is not commenced within 180 days from the date of such pemnit or if the building or viori( authorized by such pennit is suspended or abandoned at any time after the vwrtc is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE 'V' 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(5)cai1sbadca.gov or Mall the completed forni to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, California 92008. 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 PICK UP: 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 jgf APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB150172 Type: PME Oate Inspection Item 01/26/2015 43 AirCon(d/Furnace Set 01/26/2015 43 AirCond/Furnace Set 01/26/2015 49 Final Mechanical 01/26/2015 49 Final Mechanical 01/23/2015 43 AirCond/Furnace Set Inspector Act Rl PD PD PB AP Rl AP CA BEIM RES- REPLACE FAU - SAME LOCATION Comments AFTER 9/ SMALL DOG THAT BITES/ WAIT FOR HO AFTER 9/ LET HO PUT DOG AWAY BEFORE ENTERING Tuesday, January 27, 2015 Page 1 of 1