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Home My WebLink About2604 JACARANDA AVE; ; CB141927; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 08-05-2014 Permit No: CB141927 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2604 JACARANDA AV CBAD PME 2551132700 KOCHER RES-NEW A/C UNIT WI ELECTRIC KOCHER THOMAS Z&JILL A 2604 JACARANDA AVE CARLSBAD CA 92009 760 452-7236 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: KOCHER THOMAS Z&JILL A 2604 JACARANDA AVE CARLSBAD CA 92009 ISSUED 08/05/2014 RMA 08/05/2014 08/05/2014 $0.00 $33.00 $158.00 $0.00 $191.00 Total Fees: $191.00 Total Payments To Date: $191.00 Balance Due: Inspector: £ ,P FINAL Date: ~ Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCD Ccityof Building Permit Application Plan Check No.(--;/-, /l/ / r;/..__ ./ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value . . , Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit, email: building@carlsbadca.gov ,...., I www.carlsbadca.gov l~A uate ri ! <i I 14 ISWPPP JOB ADDRESS ~{pO lf' .7txe.,t\ra,,_.det Av-, .. tf 2.oa°I SUITEf/SPACEf/U ..., IAPN" --- CT/PROJECT# /LOT# I PHASE# I# OF UNITS'/# BEDROOMS # BATHROOMS TENANT BUSINESS NAME ICONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 41de ewi u-1.~ A-JJ A3( u,,,J ;--1-.'o,,; "J w,'14,. EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF} PATIOS (SF) I DECKS (SF) YESO IAIR CONDITIONING I FIRE SPRINKLERS NcCJ YES0No □ YES□No□ APPLICANT NAME PROPERTYOWNERnOW\lll$ f j••/1 Jc'~ Jv._r Primary Contact ADDRESS ADDRESS j :}_ (, 0 '-( . /JoU..,tt "-,/ e-.. .4-,,-L CITY STATE ZIP ciTY CA ri sl. "-d c:+-ZIP "i' -zo,,q PHONE I FAX PHONE I FAA 7~o --45" 2-7 ;i31,, EMAIL EMAIL : , : ti @_ ko &1.e r p ' l'AW\ tC'lfMO DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE [FAX PHONE [FAX EMAIL EMAIL I STATE UC.# STATE UC.# lwss I CITY BUS. 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 hcensed pursuant to the provisions of the Contractor's license Law /Chapter 9, commending with 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 civil penalty of not more than five hundred dollars {$5001). WORl(ERS' COIIIPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury 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 performance of the won< for which this permit is issued. 1 have and wll1 maintain workm' compensatloo, 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. ______________________ Policy No.-------------~ Expiration Date _________ _ ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption; I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure wori<ers' compensation coverage Is unlawful, and shall subject an employer to criminal penaltles and clvll fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ,8$ CONTRACTOR SIGNATURE □AGENT DATE OWNER,BUILDl!R DECLARATION I hereby affirm that I am exempt from Contractor's License Law for the fo6owing reason: 0 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 htmselt" 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-buikler 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 contract·ng with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not appty to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) lk:ensed pursuant to the Contractor's license Law). □ I am exempt under Section _____ ,Business and Professions Code for this reason: 1. I pE1rsonally plan to provide the major labor and materials for construction of the proposed property improvement. Oves $0 2.@ / have not) signed an application for a building permitfor the proposed worlc . . , f . ~ ,\ , 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone/ contractors' license number): S ~ I Yh..e'\11 ~ ~'I ~ ..th r 4. I plan to provide portions of the worl<, but I have hired the tallowing person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license num,r): 5. I will provide some of the work, but I have contracted (hired) the folloWing persons to provide the work Indicated (include name I address/ phone I type of wo!I(): _65 PROPERTY OWNER SIGNATURE □AGENT DATE I c"oMPl;iE0TI! TIii$ Sl!,CTIO-N FOR NON•R,l!SIDEN,TIAt BUILDING PERMITS ONLY" ' , C , 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 constructed within 1,000 feel of the outer boundaiy 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 application and state that the above lnfonnation is oonectalld that the infonnation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter UJXln the atxive mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF C.ARLSBAD AG',INST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG',INST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA: kl OSHA permtt is required for excavations over 5'0' deep and demo\itk:m or construction of structures over 3 sbrtes in height. EXPIRATION: Every permit issued by the B.Jiki'ng Offdalunder the provisk:ms of this Code shall expire by linitation and recome null and vod tt the buik:ling or w:irk authorized by such permit is not commenced 'Mlhin 180 days from the date of such permit or if the buik:ling oroork authorized by such permit is suspended or abandoned at any time after the 'AOrk is commenced for a perbd of 180 days {Section 100.4.4 Uniform Building c.ode). A!S°APPLICANT'SSIGNATURE ,;; 0 . ~l____,,__,-DATE ?Ir/✓!¥ 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 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. LIC. No. DELIVERY 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: _______________ _ ,,6S APPLICANT'S SIGNATURE ASSOCIATEDCB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB141927 Type: PME Date lnspection_ltem 08/25/2014 43 AirCond/Furnace Set 08/25/2014 43 AirCond/Furnace Set 08/25/2014 49 Final Mechanical Friday, August 29, 2014 Inspector Act RI PD CO RI KOCHER RES-NEW A/C UNIT W/ ELECTRIC Comments Page 1 of 1