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Home My WebLink About2826 CHATSWORTH WAY; ; CB140087; Permit01-15-2014 City of Carfsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB140087 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2826 CHATSWORTH WY CBAD PME 1674801943 WELCH RES- REPLACE FAU SAME LOCATION Lot#: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/15/2014 RMA 01/15/2014 01/15/2014 Applicant: Owner: ARS AMERICAN RESIDENTIAL SERVICES OF CALIFORNI WELCH FAMILY TRUST 07-28-93 STE 110 8949 KENAMAR DR 2826 CHATSWORTH WAY SAN DIEGO CA 92121-2435 CARLSBAD CA 92010 858-805-0613 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $158.00 $0.00 TOTAL PERMIT FEES $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: $0.00 Inspector: ^ FINAL APPROVAL ^Date: T^^/j Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen'ed to as "fees/exactions." You have 90 days from the date this pennit 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 information with the City IVIanager 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 attack, 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 previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. ^ Cl CARLSBAD ilding Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.carlsbadca.gov Est. Value Plan Ck.^Deposit ltM7 >ate SWPPP JOB ADDRESS . . su ITE#/SPACE#/UNIT# CT/PROJECT tt 3 # BATHROOMS 2-. TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Includa Squara Feet of Affected Areafs) fo cfa^ (5IZ i^tJ^] JC<x«^^ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YEsQ* N0| I AIR CONDITIONING YES QNO Q FIRE SPRINKLERS YES I |NO| I APPLICANTNAMEfPr/mary Contact) - >A /O / « APPLICANTNAME/Sscondary Contact; ^ ^_ Ck.-.^-L Cofie-W of A.^S Is ' ADDRESS ADDRESS CITY, STATE ZIP '?Mi-) CITY PHONE FAX PHONE FAX EMAIL ^ pa C2-e^ iii> a rS. 'i-'C^v-i EMAIL PROPERTY OWNER NAIVIE —, CONTRACTOR BUS. NAME / S - Sit g / Sec r^ 7\,- ADDRESS 7] I ADDRESS "I STATE / CITY STATE CA ZIP CITY STATE ZIP PHONE FAX PHONE FAX dS?' ^'tT & EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# CLASS CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permitto construct alter, improve, demolish or repair any structure, prior to its Issuance, also requires the applicantfor such permitto file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commendingwlth Section 7000 of Division 3 of the Business and Professions Code) or that he is exempttherefrom.and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicantfor a permitsubjects the applicant to a civll penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / (le/eAy affirm under penalty of perjixy one cf the blowing declarations: SI have and will maintain a certificate of consent to self-insure for vnrkers' compensation as provided by Section 3700 of the Labor Code, for the perfomianea of the wotk for which this pemiit Is issued. I have and will maintain workers' compensation, as reauired bv Section 3700 of the Labor Code, for the perfonnance of Ihe work fbr which this bemiit is issued. My wohcers' compensation insurance canier and policy numberare: Insurance Co L'i^*'"+Y Policy No. 7^"^ i - 5 0 S' 6 37 - O < ^ Exoiration Date < o // /' pennit is k sectnn need not be completed if the pennit is kir one hundrsd dollars ($100) or less. J Certificats of Exemption: I certify that in the perfomiance of the work for which Ihis pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employerto criminal penalties and civil fines up to ona 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 attomey's fees. ^ CONTRACTOR SIGNATURE "j^C-i^^^ "^"^ A'g-'~> •AGENT DATE / /^o/^a^ ^ 3 / hereby affirm that I am exempt from Conlractor's License Law for the following reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stnjcture is not intended or offered for sals (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 empkiyees, provided Ihat such improvements are not intended or offered for sale. If, however, the building or improvement is soU 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 I I, as owner of the property, am exclusively contracting with licensed contractors to constnict the project (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of property who builds or improves ttiereon, and contracts for such projects with contractor(sj licensed pursuant to the Contractor's Ucense Law). I I I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and mateilals for constmction of the proposed property improvemenL I lYes I INO 2.1 (have / have not) signed an appllcatkin for a building pemnit for the proposed work. 3.1 have contracted with the following person (firni) to provkle the proposed constmction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following peison to coordinate, supen/ise and provide Ihe major work (include name / address / phone / contractors' license numberj: 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ) PROPERTY OWNER SIGNATURE •AGENT DATE I,'" 1" f.-'A. ^ « 1 ! 1 Is the applkiant or future building occupant required to submit a business plan, acutely hazardous materials registration forni or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner HazanJous Substance Account Acf? Yes ^3 No Is the applicant or future buikJing occupant required to obtain a permit from the air poilution control district or air oualitv management district? LjYes LJ N° Is the facility to be constructed wittiin 1,000 feet of ttie outer boundary of a school site? I lYes I I 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. '7 - •••7 I hereby aflirm that there is a construction lending agency fbr the perfomiance ofthe work this permit is issued (Sec. 3097 (i) Civii Code). Lender's Name Lender's Address I oerti^ thati have read the application and state tfiat the abc«e infbirnafion is correct aiKl thatthe infbm I hereby authorize repnesentative of the City of Cartsbad to enter upon the above mentkined property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST Aa UABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavatkins over 50 deep and demolition or oonstnjction of stnjctures over 3 stories in heighL EXPIRATION: Every permit issued by the BuikJing OfSdal underthe provisions of this Ode shall expire by limitatton and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or worit authoiized by such pemiit is suspen^dgrabandoned at any ttme after the worit is commenced for a period of 180 days (Sectbn 106.4.4 Unifbmi Building Code). «€S'APPL1CANT'S SIGNATURE Inspection List Permit*: CB140087 Type: PME WELCH RES- REPLACE FAU SAME LOCATION Date Inspection Item Inspector Act Comments 02/13/2014 43 AirCond/Furnace Set PB AP 02/13/2014 49 Final Mechanical PB AP ' Wednesday, July 30, 2014 Page 1 of 1