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Home My WebLink About2768 BERKELEY AVE; ; CB130954; Permit04-11-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electricai (PME) Permit Permit No CBI 30954 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2768 BERKELEY AV CBAD PME 1675631000 Lot# YUSUFF RES= CHANGE OUT FAU Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/11/2013 LSM 04/11/2013 04/11/2013 Applicant WEST COAST APPLIANCE SERVICES INC DBA WEST COAST SOLAR 1282 FAYETTE ST EL CAJON CA 92020 619-557-0446 Owner YUSUFF FAMILY TRUST 09-09-02 2768 BERKELEY AVE CARLSBADCA 92010 Plumbing Fees Electncal Fees Mectianical Fees Otiier PME Fees $0 00 $0 00 $154 00 $0 00 TOTAL PERMIT FEES $154 00 Total Fees $154 00 Total Payments To Date $154 00 Balance Due $0.00 inspector FINAL APPROVAL Date Z'^^-// Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions " You have 90 days from the date this pemiit was issued to protest imposition ol 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 Carisbad 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 nght 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 previously been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenwise expired THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE • PUNNING • ENGINEERING • BUILDING DFIRE • HEALTH • HAZMAT/APCD r.' ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email buldling@carlsbadca gov www cailsbadca gov Plan Check No.(lS[^f^^ Est. Value Plan Ck. Deposit Date SWPP JOB ADDRESS SUITE«/SPACE#/UNIT# CT/PROJECT # F UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK tnclude Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD # NO • AIR CONDITIONING YES • NOD FIRE SPRINKLERS YES • NOD APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS A O STATE ADDRESS FAX CITY STATE ZIP PHONE EMAIL EMAIL PROPERTV OWNER NAME CONTRACTOR BUS NAME ADDR lESS ADDRESS, ZIP H(dO n^v:) PHONE EMAIL ARCH/DESIGNER NAME & ADDRESS ^It LIU ff _ an BUS LIC# (Sec 7031 5 Business and Professions Code Any City or County wtiich requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires ttie applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor s License Law (Cnapter 9 comnnendingwith 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 / hereby affinn under penalty of perjury one ofthe following declarations n} 1 have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Laboi Code for the performance of the wori< for which this permit is issued ; Code, for the performanjp qf^the ivpfkAl^tlKWtiiSiBafni/t |^ lS8H?(JfVt.'*'efl(5(s,' compensatBUjnSUtanci . Policy No -JD-tliave and will maintain workers^-^impensation, as requiied by SectifllMTCOoUtieLabsir C number are Insurance Co (. "STQ.l/t yl ^ C>XTS>^\€ in^pj^hej^l^[^^j^T^i^i^^t ^j^H|(^^^^^^^^mpensal^^aj^i^c|^ This 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, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure worijeisL^mpensation coverage is unlawful, and shall subject an employer to cnminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damagenas provided for in Section 3706 of the Labor code, interest and attomey's fees ygf CONTRACTOR SIGNATURE __^,__aAGENT DATE / tierehy affirm (fiat / am exempt from Contractor's License Law for the following reason 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 ot proving that he did not build or improve for the purpose ot sale) O 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 ot property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law) O 1 am exempt under Section _ _Business and Professions Code for this reason 1 1 personally plan to provide the major labor and matenals for construction of the proposed property improvement • Yes • No 2 I (have / have not) signed an application for a building permit tor the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / co ntrai tors license number) 4 1 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) 5 1 wii! provide some of the work, but I have contracted (hired) the following persons to provide the wori< indicated (include name / address / phone / type of worii) >gS'pR0PERTY OWNER SIGNATURE •AGENT DATE is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the Presley Tanner Hazardous Substance Account AcP • Yes • No is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncf? O Yes D 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 wori( this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address 1 certily ttiat I have read ttie application and state that tlie above infoimation is coirect and that tlie infoimation on the plans is accurate I agree to comply with ail City ordinances and State laws relating to building constructon I hereby authonze representative of the City of Carlsbad to enter upon the above mentioned property for inspecton 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 peimit is required for excavations over 5'0' deep and demolition or constaiction of stmctures over 3 stones in height EXPIFIATION Every pemiit issued by the Building Oflicial under the provisions of this Code shall expire by limitation and become null and void if the buikling or work authonzed by such permit is not commenced within 180 days from the date of such permit or if theJiiuilding or vioik authonzed by such pemnit is suspended or abandoned at any time after the w)ik is commenced Ibr a penod of 180 days (Section 106 4 4 Unifomi Building (Me) ygS*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. TIFICATE OF OCCUPANCY {Commerc e I Projects Only) Fax (760) 602-8560, Email wvtfw buildinq(5)carisbad(,a gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008 C0# (Office Use Only) CONTACT NAIVIE OCCUPANT NAIVIE ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT S BUS LiC No DELIVERY OPTIONS • PICKUP • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg 1) • IVIAIL TO • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg 1) • IVIAIL / FAX TO OTHER • ASSOCIATED CB# • NO CHANGE IN USE/NO CONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION • ASSOCIATED CB# • NO CHANGE IN USE/NO CONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION jeSAPPLICANT'S SIGNATURE DATE Inspection List Permit* CB130954 Type PME YUSUFF RES= CHANGE OUT FAU Date Inspection Item Inspector Act Comments 04/16/2013 43 AirCond/Furnace Set PD AP 04/16/2013 49 Final Mechanical PD AP Friday, August 23, 2013 Page 1 of 1