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Home My WebLink About2612 CABRILLO PL; ; CB121415; Permit08-01-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB121451 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2612 CABRILLO PL CBAD PME 1552714103 Lot#: BIGGS RES-REPLACE A/c UNIT SAME LOCATION Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/01/2012 RMA 08/01/2012 08/01/2012 Applicant: ACTION AIR C0ND.& HEATING-S.D. Owner: BIGGS MILLARD R TR&BIGGS EVELYN TR 2750 S SANTA FE SAN MARCOS CA 760 727 4152 2612 CABRILLO PL CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $150.00 $0.00 TOTAL PERMIT FEES $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: ^-S^^Z-Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to piotest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth In Govemment Code Section 66020(a), and file the protest and any other required infomiation with the City Manager for processing in accordance with Carist>ad 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 that your right to protest the specified fees/exactlons DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or senrice fees in connection with this project. NOR DOES IT APPLY to any fees/exactlons of which vou have Dreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMITISSUANCE: •PLANNING •ENGINEERING • BUILDING • FIRE • HEALTH • HAZMAT/APCD CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date SWPPP JOB ADDRESS 2612 Cabrillo Place, Carlsbad, CA 92008 SUITE*/SPACE#/UNIT» APN - CT/PROJECT# LOT# PHASE fr # OF UNITS # BEDROOMS # BATHROOMS TI;NANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s) Change-Out A/C Same Location EXISTING USE Single Family Res. PROPOSED USE Same GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES I |# N0| I AIR CONDITIONING YES f/l NO I I FIRESPRINKLERS YES I |NO| I APPLICANT NAIVIE (Primary Contact) Millard & Evelyn Biggs APPLICANT NAIVIE (Secondary Contact) Glenn Ostmark ADDRESS 2612 Cabrillo Place ADDRESS 2750 S Santa Fe Ave CITY Carlsbad STATE ZIP CA 92008 CITY San Marcos STATE CA ZIP 92069 PHONE 760-720-9131 FAX PHONE 760-727-4152 FAX 760-727-0213 EMAIL EMAIL PROPERTY OWNER NAIVIE Millard & Evelyn Biggs CONTRACTOR BUS. NAIVIE Action Air Conditionina, Heating & Solar ADDRESS 2612 Cabrillo Place ADDRESS 2750 S Santa Fe Ave CITY Carlsbad STATE CA ZIP 92008 CITY San Marcos STATE CA ZIP 92069 PHONE 760-720-9131 FAX PHONE 760'727-4152 FAX 760-727-0213 EMAIL EMAIL comfort@actionac.net ARCH/DESIGNER NAME & ADDRESS STATE LIC. # 509805 C-20 CITY BUS. LIC.# 419800 (Sec. 7031.5 Busmess and Professions Code: Any City or Countv which requires a permit to construcL alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permitto 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 exempt 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 ($500)). Vl/orkers' Compensation Declaration: / hereby affirm under penalty of perjury one olthe lollowing declarations: 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 perforrrance of the work for which this permit is issued, J_| I have and will maintain workers' compensation, as required by Section 3700 of the Labor (Me, for the performance of the work lor which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co._ California Contractors Network Policy No. 4503-093 Expiration Date _ 1231/2012 This section need not be completed if the permii is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the performance of Ihe work for which this pemiit 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 is unlawful, and stiall subject an employer to criminal penalties and civil fines up to one liundred thousand dollars (&100,000), in addition to the cost of compensation, damjg^jas provided fo; in Section 3706 of the Labor code, interest and attomey's fees. . • AGENT DATE B'/ 0 / JS^ CONTRACTOR SIGNAT OWNER-BUILDER DECLARAT IQ I hereby affimi that I am exempt from Contractor's License Law for the following reason: I I I. as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture 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 nol build or improve for the purpose of sale). I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct 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 contraclor(s) licensed pursuant to the Contractor s License Law). I I I am exempt under Section _ _Business and Professions Code for Ihis reason: 1.1 personally plan to provide the major labor and materials for conslruction of the proposed property improvement. QYes I |No 2.1 (have / have not) signed an application for a building permii for the proposed work. 3.1 have contracted with the following person (firm) to provide lhe proposed conslaiclion (include name address / phone / contractors' license number): 4.1 plan lo provide portions of the work, but I have hired the tollowing person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provkle some of the work, but I have contracted (hired) the following persons to provWe the work indicated (include name / address / phone / type of work): jS^PROPERTf OWNER SIGNATURE QAGENT DATE Is the applicant or future building occupant required lo submll a business pian, acutely hazardous malerials 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 lo obtain a permit from the air pollution conlrol district or air quality managemenl dislricl? Yes No Is the facility lo 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. ,,JLSmiJ:,,R.M.i:,,I.|JLM.«AJJ!Jl.L^ 1 hereby affimi that there is a constnjction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). j Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above infbmiation Is connect and that the infbmiation on the plans is accurate. I agree to comply with all City onjinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CriY 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; An OSHA pemit is required for excavations over 5 0' deep and demolition or construction of stnjctures over 3 stories in heighL EXPIRATION: Every permit issued by the Buikiing Official under the provisions of this (Me shall expire by limitation and become null and void if Ihe building or wori( authorized by such peimit is not commenced within 180 days from the date of such permit or if the buiding-er work autfiorizeiJ by such pemiit is suspended or abandoned at any time after the wori( is commenced for a period of 180 days (Sectkjn 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY (Commercial Projects Only) Fax (760) 602-8560, Emaii www.buildinqO)carlsbadca.qov or IMail the completed fomi to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAIVIE OCCUPANT NAIVIE ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE Change-Out A-'C _ .Same Localion U FAX Single Family Res. EMAIL Same OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ..... /.-.vT»r.TL..rr. 2612 Cabrillo Place, Carlsbad, CA 92008 IVIAIL / FAX TO OTHER: ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION >ef APPLICANT'S SIGNATURE 1635 Faraday Ave., Carlsbad, CA 92008 Inspection List Permit#: CB121451 Type: PME BIGGS RES-REPLACE A/C UNIT SAME LOCATION Date Inspection Item Inspector Act Comments 09/04/2012 43 AirCond/Fumace Set - Rl 09/04/2012 43 AirCond/Fumace Set PB AP Wednesday, September 05, 2012 Page 1 of 1