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Home My WebLink About2679 COVENTRY RD; ; CB151388; Permit05-07-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB151388 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2679 COVENTRY RD CBAD PME 2081330221 Lot#: AMON RES- NEW A/C UNIT W/ELECT Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/07/2015 RMA 05/07/2015 05/07/2015 Applicant: AMON GREGORY J Owner: AMON GREGORY J 2679 COVENTRY RD CARLSBAD CA 92010 858 88-0370 2679 COVENTRY RD CARLSBAD CA 92010 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $35.00 $160.00 $0.00 TOTAL PERMIT FEES $195.00 Total Fees: $195.00 Total Payments To Date: $195.00 Balance Due: $0.00 Inspector FINAL APPROVAL Date: ^ ^/^(^ 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 peimit was issued to protest 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 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 attacl<, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified tees/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 previouslv 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 DENGINEERING •BUILDING QFIRE OHEALTH OHAZMAT/APCD 7 X 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 3 it IIT# Plan Check NO. {% 15 f ] Est. Value Plan Ck. Deposit Date SIJIK SWPPP JOBADDRESS ^ ^ SUITE*/SPACE#/UNIT« ' APN ' - CT/PROJECT # LOT# PHASE* # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet ofAtfected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESfn* N0| I AIR CONDITIONING YES I I NO I I FIRE SPRINKLERS YES I |NO| I APPLICANT NAME Primary Contact PROPERTY OWNER ADDRESS ADDRESS 'erv'6'i/VfVf^ r 'STATE CITY STATE ZIP CITY ZIP DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE PHONE FAX EMAIL EMAIL CLASS CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permitto 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 ($500)). •KfRS' COMPentSATIOI Workers' Compensation Declaration: / hereby affirm under penalty ofpeijury one ofthe following declarations: • I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of tlie Labor Code, for the perfomiance of the worit for which this pennit is Issued. • I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfomianceof the work for which this permit Is Issued, li^y workers' compensation Insurance earner and policy number are: Insurance Co. Policy No. Expiration Date 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 employerto 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 Section 3706 of the Labor code, interest and attomey's fees. JS^ CONTRACTOR SIGNATURE • AGENT DATE • • affirm (fiaf / am exempt from Contractor'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 stmcture is not intended or offered for sale (Sec. 7041, Business and Professions Code: The Contractors 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 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 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 praposed praperty impravement. L^Yes I iNo 2<f(iiave / have not) signed an application for a building pennit for the proposed work. JrtiaVe contracted with the following person (finn) to provide the praposed constmction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the worit, but I have hired the following person to coordinate, supen/ise and pravide the major work (include name / address / phone / contractors' license number); 5.1 will pravide some of the work, but I have contracted (hired) the following persons to pravide the worit indicated (include name / address / phone / type of worit): ^eTpROPERTY OWNER SIGNATURE •AGENT DATE terx jrl P't Wt t T H I s" $ 1 C TI O'N "FOR NO N- RKS I D E N T i At' B Utl. 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. CO MIT RUCTION LENDING AGENCY I hereby affinn that there is a constmction lending agency for the performance of the work this pemnit is Issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT ceRTIFtCATiON I certi^ that I have lead the applkatton and state thatthe above infomiation is conect and thatthe InlbnTiation on the p I hereby authorize representative ofthe City of Caristiad to enter upon the atxjve mentbned property for inspectbn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARiyLESS 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. OSHA: An OSHA pennit is required for excavations over 5'0' deep and demolitbn or constmctbn of structures over 3 stories in height. EXPIRATION: Every permit issued t)y the Building Oflicial under the provisbns of this (Me shall expire by limitatbn and become null and void if the building or viorit authorized by such pennit is not commenced within 180 days tiom the date of such pennit or if the building or wortt authorizedby^udjpefhiit is suspended or abandoned at any time after the worit is commenced Ibr a period of 180 days (Sectbn 106.4.4 Unifbmn Building Code). veTAPPLICANT'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 buildlnQ(S)cai1sbadca.Q0V or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Cartsbad, Califbmia 92008. C0#: (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 Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB151388 Type: PME AMON RES-NEW A/C UNIT W/ELECT Date Inspection Item Inspector Act Comments 05/29/2015 43 AirCond/Furnace Set - Rl MORNING BEFORE 11 PLEASE 05/29/2015 43 AirCond/Furnace Set PB AP 05/29/2015 49 FinalMechanical - Rl MORNING BEFORE 11 PLEASE 05/29/2015 49 FinalMechanical PB AP Monday, June 01, 2015 Pagelofi