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Home My WebLink About2778 CARLSBAD BLVD; 207; CB120982; Permit05-25-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB120982 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2778 CARLSBAD BL CBAD St: 207 PME 2031722501 Lot#: WIELAND RES- INSTALL NEW A/C PRE PLUMBED ROOF MOUNTED Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Applicant: RICHARD WIELAND STE 207 2778 CARLSBAD BL CARLBAD CA 92008 760-696-3386 Owner: ISSUED 05/25/2012 LSM 05/25/2012 05/25/2012 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $150.00 $0.00 TOTAL PERMIT FEES $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: Clearance: NOTICE: Please take w)TICE tpt approval of your project irKludes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred 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 infomiation 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 attaci<, 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 oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has Dreviouslv othenwise exolred. ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit SWPP JOBADDRESS CT/PROJECT # L0T# PHASE* # OF UNITS # BEDROOMS SUITE#/SPACE#/UNIT# # BATHROOMS <ao2> -n:^ ^ -D I TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: (nclude Sqiiare Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESa # NOD AIR CONDITIONING YES • NO • FIRE SPRINKLERS YES • NOD APPUCANT NAME (Primary Contact) APPUCANT NAIVIE (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME . . ( CONTRACTOR BUS. NAME ADDRESS CITY . , STATE ZIP ADDRESS STATE ZIP CITY STATE ZIP PHONE FAX raAtL PHONE mmr ; - — - 'HT ARCH/DESIGNER NAME & ADDRESS j ST/TE LIC. # FAX EMAIL CUSS CITY BUS. LIC.# (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 mth 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' CO M F i N $ A Tl ON Workere' Compensation Declaration: / hereby affiim under penalty of perjwy one ofthe following declarations: m I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of tiie Labor Code, for the performance of tlie work for which this permit is issued. 1^ I have and will maintain workere' compensatian, as required by Section 3700 of ttie Labor Code, fbr ttie performance of the work for which this permit is issued. My workers' compensation insurance carrier 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. d 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 employerto criminal penalties and civil fines up to one hundred thousand dollare (&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. JB^ CONTRACTOR SIGNATURE •AGENT DATE O W NB B-B tit to E R O E C t. A R A TION / hereby affirm that I am exempt from Contractor's License Law for the foiiowing reason: O 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 pmperty who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or oflered 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 puipose of sale). JlCv 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: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement • Yes • No 2.1 (have / have not) signed an application for a building permit for the proposed work 3.1 have contracted with the following person (fimi) to provide the proposed construction (include name address / phone / contractors' license number): 4. Manio provide portions of the wCrk but I have hired the following person to coordinate, supenfise and provide the major work (include name / address / phone / contractors' license number): 5. Ml provide some of the wori(, till have contracted (hired) the following persons to provide the work indicated (include nanne/address/phone/type of work): X)PERTY OWNER SIGNATURE •AGENT DATE vC^O.MPLE:ti;::tH:rs: SECTION. FO'R- NO'N-RESIO-IW'fl.A't SO'ILDING. PCRM'IT 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 ofthe Presley-Tanner Hazardous Substance Account Act? n 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 constwded 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 IMET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. •C C>iN':S'Tte O C Ti 0'N/„tE'N O i N G 'A G E N C Y"-^" I hereby affimn that there is a construction lending agency for the perfomiance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I C'A;W-f E;B T I, F.I C A T I O H I certlly 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 Ci^ ordinances and State laws relating to building constmction. I hereby aulhorize representative of the City of Cailsbad to enter upon the above menttoned propei^ fbr inspection puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CFTY OF CARLSBAD AGAINST ALL LIABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CFTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT. OSHA: An OSHA pennit is required fbr excavations over 5'0' deep and deinolitran or constmction of stmctures over 3 stories in height EXPIRATION: Eveiy pemiit issued byUie Building Ofik^l under th^roviskins of this Code shall expire by imitatkxi and become nul and vokl if the buiding or woik aulhorized by such pennit is not commenced within 180 days from the date of such per|por1ftte buiding or wok auponKd by such pennit is suspended or abandoned at any time after the woric is commenced fbr a period of 180 days (Sectbn 106.4.4 Unifonn BuiMing Code). veTAPPLICANT'SSIGNATUREX / . ^ V^^jsJ^^^^^ DATE 5^51 ; 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 www.buildinaOcartsbadca.aov 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 EMAIL OCCUPANT'S BUS. LIC No. DELIVERY OPTIONS • PICK UP: • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) • IVIAILTO: • 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 • ASSOCIATED CB# • NO CHANGE IN USE / NO CONSTRUCTION • CHANGE OF USE / NO CONSTRUCTION vefAPPLICANT'S SIGNATURE DATE Inspection List Permit#: CB120982 Type: PME WIELAND RES-INSTALL NEW A/C PRE PLUMBED ROOF MOUNTED Date Inspection Item Inspector Act Comments 06/22/2012 43 AirCond/Furnace Set - Rl AN PLS HAS KEY FOR ROOF ACCESS 06/22/2012 43 AirCond/Furnace Set PY AP 06/22/2012 49 Final Mechanical - Rl 06/22/2012 49 Final Mechanical PY AP Monday, June 25, 2012 Pagel of 1