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Home My WebLink About2810 JACARANDA AVE; ; CB153669; Permit10-28-2015 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical {PME) Permit Permit No: CB 153669 Building Inspection Request Line (760) 602-2725 2810 JACARANDA AV CBAD PME 2551031800 Lot#: MOORE RES-REPLACE FAU, ADD NEW A/C UNIT-WITH ELECTRIC 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/28/2015 RMA 10/28/2015 10/28/2015 GUTHRIE AND SONS INC MOORE FAMILY TRUST 09-29-11 3914 HICOCK ST SAN DIEGO CA 92110 619 269-3013 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2810 JACARANDA AVE CARLSBAD CA 92009 $0.00 $38.00 $163.00 $0.00 $201.00 Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due: Inspector: FINAL APPROVAL Date: 2 -/2--; t, Clearance: $0,00 r-.lJ!lCE A--r-.lJ!lCE that W'(Mi ci )OJI' e<tjed irdcdes Ire "lrrposi1iorl' ci fees, dedcalicn3, -= or ctrer exa:lioos -a:lledivay raerred to as '1ees'exa:!i=" You rave 00 da)s from tre-ttis pemit "8S iss..ed to p,'dest irrµ,sition ci tha,a fees'exa:liOl'l5 If )00 p,'dest tren'\ )00 mst fcilo.vthe p,'dest ~ set forth in G:Mamm-1 Code Section 60020(a), mi file tre p,'dest mi ,rryctrer r,q.ired infonmtionv.ithtreOtyllllr<gerfcr proressrg in aoocrdarev.ith Qrtstal M.ridpa Code Section 3.32.030. Falcretotirrayfcila,,,that prro,clrewll Ila' a,ysubseqJent lega edionto~ re.,;eN, set asiOO, vcid, er a-ru treir irrp::sition. You"" taet,y F\RTl-ER r-.lJ!lFtEDthat yor ri(tt to p,'dest trespedfiedfees'exa:licn3 OCES NCJf APPLYtov.eter mi,,,_ oonnedionfees mi~ crmges, nor ptmrg, ming ga:trg or cther snrila-application proressrg er senire fees in oonnedion wth ttis e<tjed. i'l'.R OCES IT APPLY to ,rry widi ·rus1 sinil wic:hthe Ii . i I'm THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCD { City of Building Permit Application Plan Check No. IA1c; ?/ L? 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value V I Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit , email: building@carlsbadca.gov liA--www.carlsbadca.gov Date /h /_) J! // r-,!WPPP JOB ADDRESS 'lacczrc.u· tCl<-l '.) + SUITEI/SPACEI/UNITI lAPN ' _c/ ~ "'if I 0 --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BA1HROOMS I TENANT BUSINESS NAME rONSTR. TYPE ! OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affeded Area(s) ~ /c, C <-h,< ,,u:; c. .,, 1 A clo f /J, f:' a. def fo ,u.,,_, f(J 1/4 (.Lrtt?( A)·<' LJ ')'{1 -"r,<-1 u 5 +f+ _ . I EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF} FIREPLACE [AIR CONDITIONING I FIRE SPRINKLERS YESO NO□ YES0No □ YES □No□ APPLICANT NAME PROPERTY OWNER /)c,_1/,C'( cl-') !1 Cr{'d /'-(,,,o,,., Primary Contact ADDRESS ADDRESS I /'") ..... ,.. .. _-,o .:1 'o Ir") , \ ll C. C<.J'Cu 1 d Cl , C\1Y STATE ZIP CITY I STATE ZIP r"c., I c:; hac ,.., "I ol <]c:''] c, , PHONE IFAX PHONE FM EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME 6,"... /. ,J..-/, , ¢ 5'a-,,i<: ,,.,...,, 1/'1c ADDRESS ADDRESS !I I CC,(' I(_ 5/ 'J9 /'( CITY STATE ZIP CITY S'!). I::__ ATE ZIP l);'//() PHONE l'M PHONE FM ~ 11 :J..&1 ~C,/) EMAIL EMAIL I STATE LIC. # STATE UC.# 5?7 5~7'7 CLASS r CITY BUS. UC.# C,·-~ c;; / ,,;z. .-; "j 1/ 3 <] (Sec, 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_mit to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License LawJChapter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~I 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. ~ I have and will maintain workt~' yompensatl , as requiry~ bv Seer n 3700 of the Labor Code, for the performance of the w~rk for which this permit is i~ued. My workers' compensation insurance carrier and policy oombe,ara,lcsocacceCo. 771~ ,µ,//-t>-,i. Policy No ].:Jiu£ C t)t,'90,;2 ExpicabocDate ac,, .~ {)/-;l()J~, ~section need not be completed if the permit is for one hundred dollars ($100) or less. it:::! 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 covera e 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)s p,...ided for In 706 of the r code, interest and attomey's fees. £5 CONTRACTOR SIGNATURE A_./4~-, I hereby affirm that I 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 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 b 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 t11e major labor and materials for construction of the proposed property improvement. OYes 0No 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/ phone I contractors' license number): 4. I plan to provkle portions of the work, but I have hired the following person to coordinate, supervise and provkle the major work (include name/ 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/ type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE • ' COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY • 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 ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air ciuality 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, I certify that I have 188d the application and state that the above lnfonnatlon Is correci: and tllat the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authori2e representative of the City of Carlsbad to enter upon the above mentioned property 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 As1 OSHA perm rt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void W the building or'Mlrk authorized by such permit is not oommenced 'Mthin 180 days from the date of sucti permrt or if the b~ldin91r'Mlrk authori s ch pem,rt is su nded or abandoned at any time after the 'Mlrk is oommenced for a period of 100 days (Section 106.4.4 Uniform Building Code) . ..#6 APPLICANT'S SIGNATURE /LA,/, -DATE /{) -c? 1;-/< 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,qov 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 Carlsbad STATE CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ A! APPLICANT'S SIGNATURE ASSOCIATED CB#------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB153669 Type: PME Date Inspection Item _____ _ 02/12/2016 43 AirCond/Furnace Set 02/12/2016 43 AirCond/Furnace Set 02/12/2016 49 Final Mechanical 02/12/2016 49 Final Mechanical Tuesday, February 16, 2016 Inspector Act PB PB RI AP RI AP MOORE RES-REPLACE FAU, ADD NEW A/C UNIT-WITH ELECTRIC Comments AM PLEASE AM PLEASE Page 1 of 1