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Home My WebLink About2539 EL GAVILAN CT; ; CB130190; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 01-24-2013 Permit No: CB130190 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: ASI HASTINGS STE 200 2539 EL GAVILAN CT CBAD PME 2155350800 THORLEY RES-REPLACE FAU 4870 VIEWRIDGE AV SAN DIEGO CA 92123 619-590-9300 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: THORLEY GRAHAM&SUZANNE T 2539 EL GAVILAN CT CARLSBAD CA 92009 ISSUED 01124/2013 LSM 01124/2013 01124/2013 $0.00 $0.00 $154.00 $0.00 $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: Inspector: INAL APPROVAL z-/"t~o 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 tllat 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 I x i h h v r i I 'mil r h f limi i h h i THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BU1LD1NG OFIRE 0HEALTH D HAZMATIAPCD <<~-Building Permit Application Plan Check No. C,8[30\ qc) 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY Of Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck., Depo1 It CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date 1 \"~'tf 13 JswPPP JOB AD;ES2:, ?-, q " I r' -\o..v"I. <'A-SUITEI/SPACE#/UNIT# IAPN --- Cl/PROJECT# LOT1r I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS rENANT BUSINESS NAME I CONSTK. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) /fvrr".Cl{ G cA,,.c,,N~-L. .., t1+ EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE AIR CONDITIONING I FIRE SPRINKLERS YES0, No0 YES0No0 YESDNao APPLICANT NAME (Primary Contact) Betty Gomez APPLICANT NAME (Secondary Contact) Holly Jacques ADDRESS 4870 Viewridge Ave #200 ADDRESS 4715 60th St. CITY STATE ZIP CITY STATE ZIP San Diego CA 92123 San Diego CA 92115 PHONE IFAX PHONE IFAX 619-590-9300 619-590-9363 619-961-3630 EMAIL bgomez@asiheatingandair.com EMAIL PROPERTY OWNER NAME (1,_ :-v... '""' \ CONTRACTOR BUS. NAME ASI Hastings ~,~ o,...-r--.. 0'< . .Pl..../ ADDRESS --1""".l rJ ,, ___, ,,-, I e:..V\ cJ-I ADDRESS 4870 Viewridge Ave #200 0 • CITY(},_ ,/sJ 7evA STrA ZIP CITY STATE ZIP cr20ei er San Diego CA 92123 PHONE PHONE • G, "7( -fl~ '130 -/q{R IFAX 619-590-9300 IFAX 619-590-9363 EMAIL ' EMAIL bgomez@asiheatingandair.com ARCH/DESIGNER NAME & ADDRESS l STATE LIC. # STATE UC.# I 'w,c20,c:\ ,rrv ,us. '"1200804 513115 (Sec. 7031.5 Business ~nd P.rofesslons Code: Any City or C~un.ty which requires a permit to.c9nstruct, alter, improve, (!emohsh or repair any structure, P:nor t? its 1ss1,1ance, also re~i,ures the applicant for such per_m1t to file a signed statement that he is licensed pursu?nt to the provisions oft~e Contra<;:tor's License Law /Chapter 9, comme_ndmg with Sect1~n 70.00 of D1v1s1o~ 3 of the Business and Professions Code} or that he ls exemP.t therefrom, and the basis for the alleged exemption. Any v1olatlon of Section 1031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500}). • -• --_, -• -1 _ WORKERS' COMPENSATION _ . Workers' Compensation Declaration: I hereby affimi under penalty of pe1ury one of the following declarations: 0 I have and will maintain a certificate of consent to self.Insure for workers' compensation as provided by Seclk)n 3700 of the labor Code, for the performance 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 performance of the work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Zenllh Policy No. zo722797o1 Expiration Date 91011201l ~section need not be compteted t the permit is for one hundred dollars ($100) or less. LJ Certificate 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' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage ls unlawful, and shall subject an employer to criminal penalties and civll fines up to one hundred thousand dollars {&100,000), in addition to the cost of compensation, damages provided for in Section 3706 of the Labor code, Interest and attorney's fees. LS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: 0 0 D 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 Contracto(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 foensed 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· 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes Qo 2. I (have I have not) signed an application for a building permit for the proposed work 3. I have contracted wiU, the following person (firm) to provide the proposed construction (include name address I phooe I contractors' license number): 4. l plan lo 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): AS PROPERTY OWNER SIGNATURE 0AGENT DATE COMPLETE THIS SECTION FOR NON~RESIDENTIAL BUILDING 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? 0 Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes O l"«l Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes O 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 application and state that the above information ls correct and that the informatloo on the plans Is accurate. I agree to comply Yfilh all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Ca~sbad to enter upon the above mentioned property for :nspecoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CTTY OF CARLSBAD AG.AJNST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA pemiit is required for excavations over 5'0' deep and demolition or ronstruction of structures over 3 stories in he"ghl EXPIRATION: Every permit issued by lhe Building Official under tie provisions of lhis Code shall expi'e by limitation and become null and void W the building or work authorized by such permit is not commenced withi1 180 days from the date of such permit or Wthe build' or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifoml Building Code). A'S" APPLICANT'S SIGNATURE DATE , . Inspection List Permit#: CB130190 Type: PME Date lnspectio_nJ!em 02/15/2013 43 AirCond/Furnace Set 02/15/2013 43 AirCond/Furnace Set 02/15/2013 49 Final Mechanical 02/15/2013 49 Final Mechanical Tuesday, February 19, 2013 Inspector PB PB THORLEY RES-REPLACE FAU Act Comments RI AP RI AP Page 1 of 1