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2642 OCEAN ST; ; CB142611; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 10-08-2014 Permit No: CB142611 Building Inspection Request Line (760) 602-2725 Job Address: 2642 OCEAN ST CBAD Permit Type: PME Status: ISSUED Parcel No: 2031410500 Lot #: 0 Applied: 10/08/2014 Entered By: SKS Reference #: Plan Approved: 10/08/2014 PC #: . Issued: 10/08/2014 Inspect Area: Project Title: LADWIG RES - INSTALL NEW HVAC IN ATTIC W/ CONDENSER IN SIDEYARD II REMOVE EXISTING WHOLE HOUSE FAN AND GAS WALL HEATER Applicant: LADWIG TRUST 05-01-89 2642 OCEAN ST CARLSBAD CA 92008 760-729-3327 Owner: LADWIG TRUST 05-01-89 2642 OCEAN ST CARLSBAD CA 92008 Plumbing Fees $0.00 Electrical Fees $0.00 Mechanical Fees $160.00 Other PME Fees $0.00 TOTAL PERMIT FEES $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00 FINAL APR lnsoectoP!4t1 Date:~IVL~Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imfiositiorf 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. 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 V ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING DENGINEERING DBUILDING []FIRE DHEALTH DHAZMATIAPCD I of Cdisbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building©carlsbadca.gov www.carlsbadca.gov S1b Plan Check No. c4 City 3 I Lf 'ZA4' i Est. Value Plan Ck. qepoit Date 1.01 ( (LI Iswppp I JOB ADDRESS I SUITE #/SPACE#/ UNITC IAPN -. - - CT/PROJECT # LOT # PHASE II II OF UNITS I C BEDROOMS C BATHROOMS TENANr BUSINESS NAME CONSTR. TYPE 0CC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) //.J74.. 914C 1,urf/4r' E ic.4L. to ce'n00 -Z5iW1. XIf/#V4 o'c- #AiU. .C/AJ N Cf/Lc ,'?2oi' (A,Jb ,i ,4- •77 14CT(LIc. . Co,' fas'ca • i-). /mc Mg C' X, Stluq W4' L M.4TIt (4 s). /USt'r/ OUT/ri, 7 ALSD L14-,tr iiu A77- /tsE4/L sVcit- pizawD pky'.1,4-L 47 o4D t10412 EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE YES D. NONO[:]YES AIR CONDITIONING [:]NO E] IFIRESPRINKLERS YESJNOLJ APPLICANT NAME Primary Contact - 17PROPERTYOWNER - tQ6PLT C. 4s8,44 A. ADDRESS ADDRESS 2'4-2.. C4(J CITY STATE ZIP CITY STATE ZIPCs4c,4., '32 oc?9 PHONE FAX PHONE ' 760 EMAIL EMAIL ,9e/f Ca. ID C? /. Cosv— DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY . STATE . ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL STATE LIC. C STATE LIC.# CLASS CITY BUS. LiC.# (Sec. 7031.5 Business and Professions Code: Any City or County 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 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 ($5D0fl. vid Workers' Compensation Declaration: thereby affirm under penalty of perjury one of tire following declarations: U 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 walk for which this permit is issued. U I have and will maintain workers' compensation, 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 I section need not be completed if the permit is for one hundred dollars ($100) or less. 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 workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (111,100,000), in . addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE 0 AGENT DATE ?0® - I hereby affirm that! am exempt from ConbBctor's License 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 said 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). [J 1 am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes I1No . I (have! have not) signed an application for a building pemill for the proposed work. 3.1 have contracted with the following person (firm) 10 provide the proposed construction (include name address/phone/contractors' license number): 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! phone contractors' license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name! address / phone! type of work): PROPERTY OWNER SIGNATURE 9lQ'. []AGENT DATE 101SIt I 11, LJfl ©[? 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. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address U1T IcertifythatI have read the application and state thatthe above information Iscorrectandthattheinthrmationon the plans isaccurate. I agree tecompIywith all Cityoidinances and State IawsreIatingto bulldlngconsteiction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY 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. OSHk An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3stories in height. EXPIRATION: Every permit issued by the Building Offidal under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days torn the date of such permit or if the bulidng or work authorized by such permitissuspended or abandoned at anytime alter the work is commenced for period of 180 days (Section 106.4.4 Uniform Buildrng Code). ...APPLICANT'S SIGNATURE ç,j.#tq DATE 17 STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CEf?TIFICATE OF OCCUPANCY (Commercial Projects Only) Fax (760) 602-8560, Email buildina(acarlsbadCa.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. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On P. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE / NO CONSTRUCTION MAIL / FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION APPLICANT'S SIGNATURE DATE Inspëcton List Permit#: CB142611 Type: PME LADWIG RES.- INSTALL NEW HVAC IN ATTIC WI CONDENSER IN SIDEYARD II Date Inspection Item Inspector Act Comments 10/21/2014 43 AirCond/Furnace Set - RI 10/21/2014 43 AirCond/Furnace Set SP AP . .10/21/201449 Final Mechanical - . RI . 10/21/2014 49 Final Mechanical SP Fl . Wednesday, October 22, 2014 . . . . Page 1 of 1