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Home My WebLink About2758 INVERNESS DR; ; CB161150; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-20-2016 Permit No: CB 161150 Building Inspection Request Line (760) 602-2725 Job Address: 2758 INVERNESS DR CBAD PME Status: Permit Type: Parcel No: 2081021800 Lot#: 0 Applied: ISSUED 03/24/2016 JMA 03/24/2016 03/24/2016 Reference #: PC#: Project Title: Applicant: CAMPBELL: INSTALL NEW NC W/30 AMP II REPLACE FURNACE & DUCTS ACTION AIR COND & HEATING-SD 2750 S SANTA FE AV SAN MARCOS CA 92069 760 727 4152 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOT AL PERMIT FEES Entered By: Plan Approved: Owner: CAMPBELL KATHY 2758 INVERNESS DR CARLSBAD CA 92010 Issued: Inspect Area: $0.00 $38.00 $163.00 $0.00 $201 .00 Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due: Inspector: ~ Clearance: ------ $0.00 NOTICE: Rease ta<e NOTICE that~ (i ,ur ~ect irdudes tre "lrrpcstion' d fees, derlcatia-.s, resavations, cr ctha-exa:tia-.s rerea'ter oolectively raerred to as ''fees'exa:tia-.s." Ycu rave oo days frcrn tre date tns pemit 'MIS iSSUld to prctest irrpcstion ct these fees'exa:iia-.s. If~ prctest ttan. ~ rrust fdloo tre prctest J)"CXl?dres set foth in C?oJernrent am Section 00l20(a), a-'d file tre prctest a-'d any ctrer ra::µred infooraticri 'Mth tre Oty IValager fcr p,:xllSSirg in ocwdcrce 'I.4th Ca1sboo Mridpa am Secticri 3.32.<ro. Faih.re to tirrely fdloothat J)"OOlCire 'MIi tEr any sua;a:µrt lega .dim to atta:k, review, set aside, vcid, cr an.I trar irrpcstim THE FOL~OWING 'APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: O PLANNING 0 ENGINEERING O BUILDING O FIRE 0 HEALTH O HAZMAT/APCD I C Cityof Building Permit Application Plan Check No. Cl~ f ~ • I I S-0 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph : 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date .~, 2,t.,/. I I-ISWPPP JOB ADDRESS 275~ SUITEI/SPACEI/UNITI IAPN .. .. .. J.._ V\" e. V' V\e. :$~ 1:::x- CT/PROJECT# l LOT# I PHASE# 1 # Of UNITS r BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) T ~!'.:.-t ~\\ Ne.w 3 'To "" A)c.. Co ,\ ~c.p\=c..~ ' C ,r c..--i,t-/ 7o.c:x:o~,v f::-3 0 Aini=> I ~'1°'{'\~C.e.. &-.. ~ D vc..."\ ~ EXISTING USE I PROPOSED USE I GARAGE (Sf) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YEsO _ No[] YES0 No 0 YESO NoD APPLICANT NAME .S-e.vc.v-.. S:-c.. ~~; e-r e.r PKPERTYOWNER ,\-. 1' Primary Contact ~,\-\_'-' ~~ If'\ ,P ADDRESS L c;...... °ls a.."i c.. "l::::i ~ . ADDRESS I 3\22.S ±ZJ3 27S~ IV'\Ve.t'{\C.SS.. Dr CITY /.,).-d\c-.\.-c. \/1\\a..-c.. STATE ZIP CITY STATE ZIP CA q l ~b "2-Ca. r-\-s b ~d CA 9 Z.01 0 PHONE ...... IFAX PHONE IFAX ~)~-7 3$ -787l..o 1 r.. o-'i?-4S-ho Ol EMAIL EMAIL DESIGN PROFESSIONAL CiTRACTOR BUS. NAr.E . .-_~,· O n A C.. 1-l e o..l , Y"• 4 S'o\o..r ADDRESS ADDRESS - 27S D ~-~~-~C),.. r-;,_ Ave:. CITY STATE ZIP CITY STATE ZIP l<::c.Y'\ Ma.rc.O':.> CA cn .. DCo9 PHONE IFAX PHONE I FAX J(pb-1-Z 1 -'-/-1 !::. '2.... EMAIL EMAIL I STATE UC.# STATE UC.# I CLASS I c~ 8t~1 ~ CO ..so q'2.-o <: C"2.o (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 ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 work for which this permit is issued. e and will maintain~· compensation, as_re~ired by Section 3700 of the Labor Code, for the performance of the work__'..or which this permit is issued. My workers' compensation iruranr carrier and policy number are: Insurance Co . .-L ~ G • Co ~ ::J'bc:... U e. S't Policy No. W S D 5 0 '2.. g 't<..., ..5 0 ) Expiration Date I ?. 3) 1 (q ~ section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. R$ CONTRACTOR SIGNATURE s::.c:--S7-- I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D 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 Conlractor'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. O ves 0 No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. 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 I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): R$ PROPERTY OWNER SIGNATURE 0AGENT DATE 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? D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 I certify that I have read the application and state that the above Information is cxmectand that the information on the plans Is accurate. I agree to comply with all City ordinances and State law.; relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned ~perty for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE GrTY OF CARLSBA.D AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demoliti:ln or construction of struclures over 3 stories n height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and voo if the building orv-.oil\ authorized by such permit is not commenced v.ithin 180days from the date of such permit or if the build~ orv-.oil\ authorized by such permit is suspended or abandoned at any time after the v-.orl< is commenced for a period of 180days (Sedi:ln 100.4.4 Uniform Building Code) . ...@5'APPLICANT'SSIGNATURE ~~ ~ DATE 3) 2-4--(] l,.. • 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. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELNERY OPTIONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL/ FAX TO OTHER:----------------- A! APPLICANT'S SIGNATURE o ASSOCIATED CB#------------ o NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE / NO CONSTRUCTION DATE ZIP .. Inspection List Permit#: CB161150 Type: PME Date Inspection Item 05/23/2016 43 AirCond/Furnace Set 05/23/2016 43 AirCond/Furnace Set 05/23/2016 49 Final Mechanical 05/23/2016 49 Final Mechanical Monday, May 23, 2016 Inspector Act AEK AEK RI AP RI Fl CAMPBELL: INSTALL NEW AJC W/30 AMP II REPLACE FURNACE & DUCTS Comments AM PLEASE AM PLEASE Page 1 of 1