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Home My WebLink About2739 CYPRESS HILL RD; ; CB161493; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 04-19-2016 Permit No: CB161493 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2739 CYPRESS HILL RD CBAD PME Status: Parcel No: 1563323700 Lot#: 0 Applied: Reference#: PC#: Project Title: ROMERO: REPLACE FURNACE Applicant: ANDERSON PLUMBING INC,WAL TER 1150 N MARSHALL AVE EL CAJON CA 92020-1831 619-449-7646 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: BRADFORD THERESE 0 2739 CYPRESS HILL RD CARLSBAD CA 92008 ISSUED 04/'19/2016 JMA 04/19/2016 04/19/2016 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 $163.00 Balance Due: Inspector: FINAL APPROVAL Date: Clearance: $0.00 N011CE: Rease take NOllCE that appuval of your prqect includes the "lrrpcsition" ct fees, da:Jications, reservatioos, or cther exactions hereafter collectively referred to as "fees' exactions." You have 00 days fr0111 the date this pemit WclS issued to prctest irrpcsition of these fees/exactions. If you protest them you mrs! fall em the protest prcl03dures set forth in GDvemmant Code Section 66020(a), ard file the protest and any cther required infonration wth the Oty llt1anagerfor prcx.ESSing in aco:roancewth Carlsbad MJnidpal Code Section 3.32.030. Failuretotirre/yfdlcmthat p-ocedurew/1 bar any subsequent legal action to attack, review, set aside, void, or annul their irrpcsition. You are hereby FlRTHER NOll RED that ycu right to protest thesr:OOfied fees'exactions OOES NOT APA..Ytowater and SEMercxmection fees ardcapadty dlanges, nor planning, zoning, grading or other sinilar application prooessing or servioe fees in cmnection wth this prqect. NOR OOES IT .APPLY to any fees' exactions of W'lic:h vou have oreviouslv been dven a NOTICE sinilar to this or as to Wlic:h the statute of linitations has oreviouslv othe!Wse exPired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0 ENGINEERING 0BUILDING OFIRE 0HEALTH 0 HAZMAT/APCD Building Permit Application Plan Check No. CB (to. 1 l.fct.? 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date '1 ( r tt I I I. lSWPPP -- JOB ADDRESS ']._ \ ~O\ c~\~'fs-7 \t \\\ lL~\ ~ SUITE#/SPACE#/UNIT# rPN --- CT/PROJECT # LOT# _I PHASE# _I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I ace. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) CHANGEOUTFURNACE EXISTING USE I PROPOSED USE JGARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPlACE II AIR CONDITIONING I FIRE SPRINKLERS YESO NoD YES 0No 0 YESD NoD APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME CAROL ROMERO Prinarv Contact ADDRESS ADDRESS 3645 RUFFIN ROAD # 330-335 2739 Cypress Hill Rd Carlsbad 92008 CITY STATE ZIP CITY STATE ZIP San Dieao CA 92123 CARLSBAD CA PHONE I FAX PHONE I FAX 888-991-4377 (206} 963-0328 EMAIL EMAIL JERMAINE@WEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ANDERSON PHA ADDRESS ADDRESS 1150 N MARSHALL AVE CITY STATE ZIP CITY STATE ZIP ELCAJON CA 92020 PHONE rAX PHONE I FAX 8008301102 EMAIL EMAIL THERESA@ANDERSONPHA.COM I STATE LIC. # STATE LIC.# I cc2o/C361 CITY BUS. uc.1 07 4400 493163 (Sec. 7031.5 Busrness and Professrons Code: Any Crty or County whrch requrres a permrt to construct, alter, rmprove. demolrsh or reparr any structure, prror torts rssuance, also requrres 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 exemP.t 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 than five hundred dollars ($500]). Workers' , Declaration: I hereby affirm under penalty of perjury one of the following declaraffons: 0 I have and will taintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. [{] 1 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. ACE AMERICAN INSURANCE Policy No. WLRC48578238 Expiration Date 312/2016 This section need not be completed if the permit is for one hundred dolla~$1 00) or less. 0 Certificate of Exemption: I certify that in the performance of the wor 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 co ' rag ·s unla ul, 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 as provided for inS io '37 the Labor code, interest and attorney's fees. {" \ { j "--"\' _..e:S CONTRACTOR SIGNATURE [Z)AGENT DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: 0 D D 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 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 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. DYes 0No 2. I (have I have not) signed an application for a building permit for the pr posed work. 3. I have contracted with the following person (firm) to ov. e the prop ed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hire t e I owin erson to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracte (. ired) tlie allowing persons to provide the work indicated (include name I address I phone I type of work): J 1 _..e:S PROPERTY OWNER SIGNATURE 0AGENT DATE ,, I certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly 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. OSHA: An OSHA penni! is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pennitissued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or'M)rk authorized by such pennitis not commenced within 180 days from the date of such pennit or if the building or'M)rk authori d by such penn it is suspended or abandoned at anytime after the 'M)rk is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code). ~APPLICANT'S SIGNATURE DATE