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Home My WebLink About2605 JACARANDA AVE; ; CB132013; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 08-20-2013 Permit No: CB132013 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2605 JACARANDA AV CBAD PME 2551141000 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: CARTER: REPLACE FAU/SAME LOC Applicant: WEST COAST APPLIANCE SERVICES INC OBA WEST COAST SOLAR 1282 FAYETTE ST EL CAJON CA 92020 619-557-0446 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: CARTER FAMILY TRUST 12-21-09 2605 JACARANDA AVE CARLSBAD CA 92009 ISSUED 08/20/2013 JMA 08/20/2013 08/20/2013 $0.00 $0.00 $154.00 $0.00 $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reseivations, or other exactions hereafter cciloctively 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. Fal!ure to timejy 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 f fw. h i I N I E i if r whi flimi i h I ' ~ . ~~4 '~ CITY OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 78CHI02-2717 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www.carlsbadca.gov PlanCheckNo.CB I~-"20(3 Est. Value CARLSBAD Plan Ck. Deposit Date g zo SWPP JOB ADDRESS ~(,,OS- CT/PR ECT# LOT SUITE#/SPACE#/UNIT# # BATHROOMS APN .;,s S'" -I l'--1 TENANT BUSINESS NAME -e,e;, DESCRIPTI N OF WORK: Include Square Feet of EXISTING USE PRO ED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NOD YES □ NO □ YES O NO □ APPLICANT NAME (F'r#mary Contact) APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP PHONE FAX EMAIL CllY BUS. LIC.# /z.t,'-1 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or r~pair any structure, prior to its issuance, arso 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, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exem_i;,t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {-i500}). WORKERS' COMPENSATION Workers' Compensation Declaration: f hereby affirm under penalty of perjury one of the following <reclarations: □ 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 perfoonance of the work for which this permit is issued. 7!11 have and will maintain w,ftten' compensation.JS required>, jpcti?'!J70Q of the Labor Code, for the _penoITD~ce of_!Je work ~r ~hich,.t~pe;~:-My~· compens.iDQ.11 in,,rance carrier and policy number are: Insurance Co.~ ~ :t R , ~ Pol,cy No.~ k (tO I OLf l}1J1ll-, Expiration Date · L _ & ~tion need not be completed if the permit is for one hundred dollars ($100) or fess. (JJ""'"Cenjficate of Exemption: I cerlify 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 Califomia. WARNING: Failure to tecure workers' compensation coverage is unlawful, and sh subject an employer to criminal penalties and civH fines up to one hundred thousand dollm (&100,000), in addition to the cost of compensation, damages as provided for In Section 37 or code, Interest and attorney's fees. JtS CONTRACTOR SIGNATURE J hereby 8fflrm that Jam exempt from Contractols License Law for the following reason; □ I, a owner of the property or my employees with wages a their sole compensation, will do the work and the structure is oot 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-buHder wll have the burden of proving that he did not build or improve for the purpose of sale). □ l, a owner of the property, am excluslvely contracting with licensed 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, aid contracts for such projects with contractor{s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section _____ ,Bus·1ness and Professions Code for this reason; 1. I personalty plan to provide the mclfOr labor and materials for construction of the proposed property improvement □ Yes □ No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (finn) to provide the proposed construction (include name address/ phone/ contractors' license number): <'◄ 4. f plan to prov'de portions of the work, but I have hired the following person to coordinate, supervise and provide the major work Onciude name/ address/ phone I contractors' license number): 5. I will provide some of the work, but I have contra:ted (hired) the following persons to provide the work indicated (include name I a:ldress /phone/ type of work): JtS PROPERTY OWNER SIGNATURE □AGENT DATE COMPL.f:TE tHIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ls the applicant or future building occupant required to submit a business plan, acutely hazardous matertals registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No ls the applicant orfutura building occupant required to obtain a permit from the ar 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 TllE 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 SERV1CES AND THE AIR POLUJTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certtfythat I have read the appllcatfon and state that the a bow infonnatlon is correct and that the lnfonnation on the plans Is acx:urate. I agree to complywlth all Cifyordlnancesand State laws relating to building construction. I hereby aJlhorize represen1ativedlhe Cfy dCalsbad lo enlerupoo lheabove mentioned propelfyfori,spedkln purposes. I ALSO AGREE TO SAVE, INIJEM>JIFY AND KEEP HARt.LESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA pennl is requred for excavations CM!S 5'0' de!rdtioo or conslruclion ct slrucru'"5 a,er 3 stories il height EXPIRATION: Every pennlt issued by lhe IUding . . . ie by onllalian il1d become nul il1d void ;lhe buH<i'Jg or-au1haized by such pemit is notco111,e,<8<1 .ithn 180 days from lhe datt, of such pem,itor olhe bu ""'~9''""' by such pem,i1 is suspended.-at any Im! aflerlhe-is a,m,e,<8<1for a period of 180 days (Section 106.4.4 Unifoon liliklng Code) ..@! APPLICANT'S SIGNATURE DATE lnsp~ction List Permit#: CB132013 Type: PME Date Inspection _Item 09/20/2013 43 AirCond/Furnace Set 09/20/2013 49 Final Mechanical Wednesday, January 29, 2014 CARTER: REPLACE FAU/SAME LOC Inspector Act Comments PB AP PB AP Page 1 of 1