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Home My WebLink About2433 LA COSTA AVE; D; CB141659; Permit• City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 07-11-2014 Permit No:CB141659 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2433 LA COSTA AV CBAD St: D PME Status: Parcel No: 2162405501 Lot#: o Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: MARSHALL RES-CHANGE OUT NC CONDENSER WI HEAT PUMP & AIR HANDLER SAME LOCATION Applicant: PRO AIR CITY WIDE STE 502 2514 JAMACHA RD EL CAJON CA 92019 858 277-3048 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: MARSHALL WARREN M 3321 CORTE ESPLENDOR CARLSBAD CA 92009 ISSUED 07111/2014 LSM 07/1112014 07/1112014 $0.00 $0.00 $158.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: Inspector: (VI. {,,.,,f,t.;..s Date: 0~ 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 Qf 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. ' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMAT/APCD ~ .. <<..:-4';' ~ CITY Of CARLSBAD CT/PROJ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov # BEDROOMS # BATHROOMS T£NANT BUSI Plan Check No.c.e, Est. Value Plan Ck. Deposit Date 7 •• APN ESSNAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) • a, r !tittrcfler SWPPP CONSTR. TYPE OCC. GROUP C::o~ W ·~ ~ f~rn{J 4r C-VtC\Yt ocJ+ -~coec..._--h~ EXISTING USE APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL PROPOSED USE STATE FAX STATE FAX GARAGE (SF) PATIOS (SF) DECKS (SF) FIRE SPRINKLERS YES □No□ ZIP ZIP STATE UC.# (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty 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, commendmgwith Section 7000 of Division 3 of the Business and Professions Code} or that he is exemP.t 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 clv11 penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declarations: B 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 perfonnance of the work for which this pem1il is issu I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfom1ance of the work for which this permit is issued. My workers' compensation insurance ca"-•·""'""'' ____________________ Policy No. ____________ _ Expira~on Date _______ _._ __ ion need not be completed if the permit ls for one hlmdred dollars ($100) or less. e of Exemption: I certify that in the perfom1ance of the work for which this pennit ls issued, I shall not employ any person in any manner so as to become subject to lhe Workers' Compensation Laws of ifomia. WARNING: Failure to secure workers' compe on coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages provid or in Section 3706 of the Labor code, interest and attorney's fees, ,6$ CONTRACTOR SIGNATURE 'OWNER-BUILDER DECLARATION 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 lk:ensed 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 ttiis reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes ONo 2. I (have I have not) signed an application for a building pem1lt for the proposed work. 3. I have contracted with the following person (f1m1) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the foliowing person to coordinate, supervise and provide the major work (include name/ address/ phone I contractors' license number): 5, I wil\ 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 lype of work)· /IS PROPERTY OWNER SIGNATURE □AGENT DATE • CO 1111 p LET E T ti Is $ Ii! CT ION FOR Ill ON.RE p ti E "'TI A I. 'B "u IL I> ING p ER 11111 Ts' 0 Ill Ly ' ' ' ' ' 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 !tie Presley-Tanner Hazardous Substance Account Act? Yes No Is the applicant or future building occupant required to otltain 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I cerlif/that I have read the appllcatlon and state that the abcwe infonnation is corract and that the lnfonnatlon on the plans is acx:urate. I agree to comply~ all City ordinances and State law.; relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned ~perty br insJ:€COOn 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 M OSHA pennlt is required for excavations over 5'0' deep and demolioon or construction of structures over 3 stories in height. EXPIRATION: Every penn~ issued by the Building Off'cial under the provisk:ms of this Code shall expire by limltation and t:eoome null and vokl ~ the building orv«Jrk authorized by such ~nnit is not oommenced within 180 days from the date of such ~nnil or if the building or WJ · by sudl penntt is sus~nded or abandoned at any Ume after the w:irk is oommenced fcr a peood of 180 days ( ion 100.4.4 Unifonn Buildirg Code) . ...@S' APPLICANT'S SIGNATURE DATE --, -f f "--(. • 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 buildinq@carlsbadca gov 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 Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LlC. No. OELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (listed above) CONTRACTOR (On Pg. 1) MAIL TO: 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 CONSTRUCTION DATE ZIP • Inspection List Permit#: CB141659 Type: PME Date Inspection_ Item 09/11/2014 43 AirCond/Furnace Set 09/11/2014 49 Final Mechanical 09/11/2014 49 Final Mechanical 08/21/2014 49 Final Mechanical 08/11/2014 43 AirCond/Furnace Set 07/29/2014 43 AirCond/Furnace Set 07/29/2014 49 Final Mechanical Friday, September 12, 2014 Inspector Act RI RI MC Fl MC NR MC co MC co MC co MARSHALL RES-CHANGE OUT A/C CONDENSER W/ HEAT PUMP & AIR H Comments UNITD SEE NOTICE NOTICE Page 1 of 1