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Home My WebLink About2611 JACARANDA AVE; ; CB130316; Permit02-05-2013 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: AIRMAXX, INC STE B City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB130316 Building Inspection Request Line (760) 602-2725 2611 JACARANDA AV CBAD PME 2551140700 Lot#: 0 SIKORA RES -REPLACE FURNACE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: SIKORA CHRISTOPHER&AMY ISSUED 02/05/2013 SKS 1865 JOHN TOWERS AVE EL CAJON CA 92020 2611 JACARANDA AVE CARLSBAD CA 92009 619 655 3010 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees Total Fees: Inspector: $154.00 FINAL APPROVAL Date: $0.00 $0.00 $154.00 $0.00 $154.00 Balance Due: Clearance: $0,00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition• of fees, dedicab'ons, 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 NOT!FIED 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 whi h I E r hi wh· • □PLANNING D ENGINEERING □BUILDING OFIRE □HEALTH OHAZMAT/APCD THE F0LL0WINGAPPRC:VALS REQUIRED PRIOR TO PERMIT ISSUANCE: ~ Building Permit Application Plan Check No. (1 J,; ( '30 ·s \ Co «(#;> 1635 Faraday Ave .. Garlsbad, CA 92008 Est. Value ~ CITY 0 F Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: buldllng@carlsbadca.gov Plan Ck. Deposit www.carl§Qs:!dQ~.gov <;,i~ Date), ~ IC> iswPP JOB ADDRESS ;;>~A,rz.ANt;),,.. A~,e_ SUITE #/SPACE#/UNIT# APN ---Zbll CT/PROJECT# I LOT# I PHA.5E # I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Squate Feet of AIJ&cted Area(s) ~A.c:5 c+f~ o-u, EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPtACE I AIR CONDITIONING I FIRE SPRINKLERS YES □#_ NOD YES O NO □ YES □ NO □ APPLICANT NAME (Prlmery ~ ..c.> /lo C{lµl"7l:AA • U . APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE IFAX eMs,L eM/>JL PROPERTY OWNER NAME A-WlJ '?sl \C0~-6r-CONTRACTOR BUS. NAME At n--<-l P.-X1,r ADORESSZb( I df'rCAT'l-A~ PP--A've__ ADDRrus.-~~ 00,'"r:," Q . CITY ~ ~ h t~,Ai::) STU otw.oq CB-'-•~ -·~ STU Brzsoz..o Pl ~)z_-z,2,-b960IFAX I b"&;lq \ b~;--~ _; \fAX 'c, IL lt:MAIL ------:::;;, ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# '1 I 'S:,~ 7-.-7 lc"'-v0lc'f-7'~-~ "'l l./Z- (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 1s licensed pursuant to the provisions of the Contractor'_s License Law /Chapter 9, commending with Section 70_00 of Division 3 of the Business and Professions Code} or that he is exemQt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicanffor a permit subiects the applicant to a civil penalty of not more than five hundred dollars {$500}). Workers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declarations: 0 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 work for which this permit is issued. ~e and wlll maintain woik~'.on1oeo,llltl"1,J3S ~d bJ3ection 3700 of the Labor Code, for the _performa'N~ )'IIQr)-4111" vjq~f~it'1l._isAA~o~e~• compensatioljinturarq-carrier r~cy number are: Insurance Co._,_~-=~~~~=~ ___l(,Q_ __ ~"-----------Polley No. L::I:\..lAJ't----l L-";;>:J_ e_;>'{) _J Expiration Date ~ ~ '=::> " ~ ]is section need not be completed if the permit ls for one hundred dollars ($100) or less ~fic:ate 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 Callfornia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an emptoyer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Sectl~or code, Interest and attorney's fees, ~ CONTRACTOR SIGNATURE □AGENT DATE DZ -OS . I ...:S I hereby affirm that I am exempt from 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 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 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, 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. I personally plan to provide the major tabor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have/ have not) signed an appltcation for a building permit for the proposed work 3. I have contracted with the following person (firm) 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 following person to coordinate, supervise and provide the major work (include name/ address I phone/ 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): _.@$ PROPERTY OWNER SIGNATURE □AGENT DATE • 'COMPt.l!TE y'1us SECTION FOR NON-Rl!StDl!NTt'AL BUILl>ING PERMITS ONLY • ' ' ' Is the applicant or future building occupant required to submit a business plan, acutely hazardous materlals registration form or risk management arid 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 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. I certttythat I have mad the application and state that the above infonnation is correct and that the infonnatlon on the plans is accurate. I agree tD comply with all City ordinances and State laws relating tD building construc:tlon. I hereby authorize representatiVe of the Oty of Carlsbad lo enter up:,n the above mentioned property br insi:ecoon purposes. I ALSO AGREE TO SAVE, INDEMNIPf AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CD'<SEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: An OSHA perm~ is required for excavations over 5'0' deep and demolition or 001slruction of structures over 3 sbries in heght. EXPIRATION: Every permit issued by the Building Qffcial under the pro'visk:ms of this Code shall expire by limitation and become null and vokl Wthe buikjing orv.ork authorized by such permit is not rommenced within 180 days Imm fue date of sucl1 pennlt or if fue bui~'II or Wllk •~ pennit is suspended or abandoned at any time after the "'~ is oommenced for a period of 180 days (Seeton 1116.4.4 Unironn Bui~ing Code) ..@S'APPLICANT'SSIGNATURE . DATE 'l)Z,. 0..r: /_3, • 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 www.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 ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIV£RY OPTIONS □ PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) u CONTRACTOR {On Pg. 1) □ MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) □ ASSOCIATED CB#------------ □ CONTRACTOR (On Pg. 1) □ NO CHANGE IN USE/ NO CONSTRUCTION □MAIL/FAXTOOTHER: ........ ". "a•· □ CHANGE OF USE / NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE