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Home My WebLink About2645 ABEDUL ST; ; CB132584; Permit10-22-2013 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBI32584 Building Inspecfion Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Titie: 2645 ABEDUL ST CBAD PME 2153502600 Lot#: HAWKINS: REPLACE FURNACE & DUCTING//ADD A/C Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/22/2013 JMA 10/22/2013 10/22/2013 Applicant: CHAMPION AIR CONDITIONG & HEATING Owner; HAWKINS RICHARD J PO BOX 1933 SAN MARCOS CA 92079-1933 760-736-4100 2645 ABEDUL ST CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Ottier PME Fees $0.00 $33.00 $158.00 $0.00 TOTAL PERMIT FEES $191.00 Total Fees: $191.00 Total Payments To Date: $191.00 Balance Due: $0.00 Inspector: INALAPPROVAL Date: f I 1^1 ^. Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen'ed 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 fees/exactions of which vou have previousiv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. THE FOLLOWING APPROVALS REQUiRED PRIOR TO PERMIT ISSUANCE: OPLANNING CJIENGINEERING •BUILDING •FIRE QHEALTH •HAZMAT/APCD it 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. ( 3 • Est. Value Plan Ck. Deposit Date lO ^/l3 SWPPP JOB ADDRESS "ESS , . , jr. , t SUITE*/SPACE«/UNIT* CT/PROJECT # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of A/Tected Mea{s) EXISTINC USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~|# NO| I AIR CONDITIONING YES I |NO| I FIRE SPRINKLERS YES I |NO| I APPLICANTNAME (Primary Contact) APPLICANTNAME (Secondary Contact; ADDRESS 3^^ ADDRESS STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX [LiVlrtil- PROPEI OWNER NAME CONTRACTOR BUS. NAME An ADDRESS ADDRESS CITY '/ STATE STATE ZIP PHONE FAX PHONE 7/^0-")H/d?ry FAX EMAIL EMAIL ivTE Lic.# CLASS CITY BUS. Lifi.i ARCH/DESIGNER NAME & ADDRESS TELIC.# civil penalty of not more than five hundred dollars ($500)) WOltKERS' COMPENSATION Workers' Compensation Oec\!iril3on\ I hetBby afTititi utiiter peitalty of petjuty otte of the Mliming ilei^atations: r^nd will maintain a certificate of consent to self-Insure for worl<ers' compensation as provided by Section 3700 of the Labor Code, for the perfomiance of the work for which this permit is issued. I^l^lhave and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performanceof the work for which this permit is issued. My workers' compensation insurance earner and policy number are: Insurance Co._ Policy No.. 2^7i*^^/ •> Expiration Date <J>~/-<:lJ / -/^ This section need not be completed If the permit Is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that In the perfonnance of the work for which this pennit 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 secure workers' compensation coverage 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, danj^es aj proved fpr^n Section 3706 oftbe Labor code, interest and attomey's fees. JS^ CONTRACTOR SIGNATURE •AGENT DATE ttor.'d DECLARATION / hereby affirm that I am exempt from Contractor's Ucense Law for the follomng 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 not 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 contractor(s) licensed pursuant to the Contractor's License Law). I I I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property Improvement •Yes I INO 2.1 (have / have not) signed an application for a building perniit for the proposed work. 3.1 have contracted with the following person (finn) to provide the proposed constmction (Include name address / phone / contractors' license number): 4.1 plan to provide portions of the worts, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the wort; indicated (include name / address / phone / type of work): >eS'pR0PERTY OWNER SIGNATURE QAGENT DATE COMPLETE THIS SECTION FOR NON-RESIOENTIAL BUILDING 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 Hazanjous 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 guality management district? Yes No Is the facility to be constmcted 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 lending agency for the perfonnance of the work this pennit Is issued (Sec. 3097 (I) Civil Code). Lender's Name Lender's Address RTIFICATION I cetti^ that I have read the applkatnn and state that the above infomration is oonect and that the Infonnation on the plans is accurate. I agree to comply with all CKy oidinances and State laws relating to building constniction. I hereby authorize representative ofthe City of Carlsbad to enter upon the above mentraned property liDf inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrrV IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA pemiit is required for excavations over 5'0' deep and demolition or constnjction of stmdunes over 3 stories in height. EXPIRATION: Every pemnit issued by the Building Oflicial under the piDvisnns of this Code shall expire by limitation and become null and void if the building or wDri< authorized by such pemiit is not commenced within 180 days from the date of such pemiit or if the building or vwtk authorized by such pemiit is suspended or abandoned at any fme after the wort* is commenced for a period of 180 days (Sectton 106.4.4 Unifonn Building Code). ^eJ"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. Fax (760) 602-8560, Email buildinq(Slcarisbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX ElVIAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) ASSOCIATED CB#-. IVIAIL/FAX TO OTHER:. NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB132584 Type: PME HAWKINS: REPLACE FURNACE & DUCTING//ADD A/C Date Inspection Item Inspector Act Comments 11/18/2013 43 AirCond/Furnace Set PB AP 11/18/2013 49 FinallVlechanical PB AP Tuesday, April 01, 2014 Page 1 of 1