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Home My WebLink About2626 LEWIS LN; ; CB160903; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical {PME) Permit 03-08-2016 Permit No: CB160903 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2626 LEWIS LN CBAD PME Status: Parcel No: 1552722200 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: BERMAN: REPLACE FAU / ADD NC PRE-PLUMBED AT YOUR SERVICE COMFORT SYSTEMS INC OBA MAJOR LEAGUE COMFORT SYSTEMS 1664 SEATTLE SLEW WAY OCEANSIDE CA 92057-5621 760-945-0975 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Owner: BERMAN ARLENE S 2626 LEWIS LN CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 03/08/2016 SLE 03/08/2016 03/08/2016 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: Af/l Clearance: $0.00 111'.JllCE Aease ta<e 111'.JllCE Iha 'W"M d yoor ?tjed irdudes tre ""lrrpalitiori" d fees, declcalicrs, """"'1aicns or ctt-,r ex,rlicrs liere!tler aJledivefy referred to as "feeslex,rlicrs." Ycu rave OOdays frcrntredatetlis pemit..,. issuedtoJ>'(lest irrpaliti01 dtresefees'ex,rliCJ1S If ){JU J>'(lest 1IBT\ )00 rrust fdlOA'tl"e prdest i:roc,,ciJes set forth in C?oielTTrert Qxla Sedi01 Effl20(a), a-d file tre J>'(lest a-d "'f cther reqjred infcmmoo wth treaty Mmgerfor l)tl(ESSing i,, a:wda cewth ca\sboo Mridpa Qxla Sedi013.32.030. Falu-etotirrayfdlOA'ti"at pn:x:eci.rawll ba' "'f ~ legal ooi01 to~ review, set aside, vcid, er anJ tteir irrpcsition. Ycu a-e l"ereby FLRTI-ER 111'.JllFIED If-at ya.,: nitt to J>'(lest tre specified feeslex,rliCJ1"1S DCES NOT APA.. Y to""1Er a-d se.wr cxmecli01 leas a-d c:ap,aty dmges, ror i,amng, ID"ing ga:lng or cther sinila-~ic:ali01 l)tl(ESSing or SM/ire fees in cxmecli01 wth tlis ?tjed. t-m DCES IT APA.. Y to "'f f 'Ml 'nil Ii . THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/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 NoC£) I LQ (RQ;3 JOB ADDRESS CT/PROJECT# PHASE# DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE APPLICANT NAME ADDRESS CITY STATE PHONE FAX EMAIL Est. Value Plan Ck. Deposit Date 3-8-Ju, SUITEI/SPACE#/UNITI APN # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME GARAGE (SF) PATIOS (SF) ZIP STATE UC.# SWPPP CONSTR. TYPE OCC. GROUP FIRE SPRINKLERS YES0NO□ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolis or repair any structure, p_rior to its issuance, also requires the applicant for such per_m1t to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License LawJChapter 9, comme_nd1ngwith Section 7000 of D1v1smn 3 of the Business and Professions Code) orfhat he 1s exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declaf8t1ons: J:l1 have and will maintain a certificate of consent to self-insure for mrl(ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the worl( for which this permit is issued, Tfll hav. e and will maintain work,~' ~mpe/on, as requi~iY Section 3700 of the labor Code, for the performan of the ~rk for which is rmit is issu . yworl(ers' compensation insu nee carrier a d policy number are: Insurance Co. lJ/d,C_ t:::/-l//ll'1LJ Policy No. --'--'-Ll"'-""-"-'"'---1------'-.U.'-'lr:..£,J___ Expiration Date --''-J""'U.LJ:..C,.«-- ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Cert.Jflcate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worl(ers' Compensation Laws of California. WARNING: Failure to secure workers' com e ti age Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages ed f Sectio 3706 of the Labor code, Interest and attorney's fees. ,1$ CONTRACTOR SIGNATURE 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 worl( 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 ttlat 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 labor and materials for construction of the proposed property improvement. OYes ONo 2. I (have I have not) signed an application for a building permit for the proposed worl(. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the worl(, but I have hired the following person to coordinate, supervise and provide the major worl( (include name I address I phone/ contractors' license number): 5. I will provide some of the worl(, but I have contracted (hired) the following persons to provide the worl( indicated (include name/ address/ phone/ type of worl()· 6$ PROPERTY OWNER SIGNATURE □AGENT DATE COMP L1E TE TH IS SECTION FOR NON -RESIDENTIAL BU IL DING 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? □ 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lendmg agency for the performance of the work this permit ts issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the appllcatlon and state that the aba.oe information Is correct and that the lnfonnatlon on the plans Is accurale. I agme to oompl'j with all City ordinances and S1ate laws relating to bulldlng construction. I hereby authorize representative of the City of Ca~sbad to enter upon the above menooned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY /I.ND KEEP HARMLESS THE CITY OF CAALSMD AGAINST AU. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA As1 OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every J)9ITTllt issued by the Building · the provisi::ln of this Code shall expire by limitaOOn and OOC:Ome null and void if the buikling orv.ork authorized by such permit is not commenced Wthin 180days from the date of such permit or if v.ork au such It is suspended or abandoned at anytime after the v.oli<. is O)fl'lmenced t,r a riod of days (&!coon 100.4.4 Uniform Building Code). ,.6$ APPLICANT'S SIGNATURE ..-1--..;;::-,c. DATE 8 J t:, 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. CONTACT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL DELIVERY OPTIONS PICK UP: o CONTACT (Listed above) □ OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL TO: c CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR {On Pg. 1) MAIL/ FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. LIC. No. □ ASSOCIATED CB#------------- O NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB160903 Type: PME Date Inspection Item 08/10/2016 43 AirCond/Furnace Set 08/10/2016 43 AirCond/Furnace Set 08/10/2016 49 Final Mechanical 08/10/2016 49 Final Mechanical Thursday, August 11, 2016 Inspector AEK AEK Act RI AP RI Fl BERMAN: REPLACE FAU / ADD A/C PRE-PLUMBED Comments Page 1 of 1