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Home My WebLink About2840 CEBU PL; ; CB151067; Permit04-09-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB151067 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2840 CEBU PL CBAD PME 2153102301 Lot #: GUILLAUMIN RES-REPLACE FAU & A/C UNITS Status; Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/09/2015 RMA 04/09/2015 04/09/2015 Applicant: WEST COAST APPLIANCE SERVICES INC DBA WEST COAST SOLAR 1282 FAYETTE ST EL CAJON CA 92020 619-557-0446 Owner: GUILLAUMIN IGNATIUS E&TERESA INTER VIVOS TRUST 1 2840 CEBU PL CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $160.00 $0.00 TOTAL PERMIT FEES $160.00 Total Fees: $160.00 Total Paynnents To Date: $160.00 Balance Due: $0.00 NOTICE: Please take NOTICE that apjuioval of your project includes the "Imjbosition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed to as "fees/exactions." You have 90 days from the date this pemnit 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 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 attacl<, review, sel 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 aiven a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired. ^ CIT' CARLSBAD • Y OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2717 Fax 760602-8558 email: bunding@carlsbadca.gov www.carlsbadca.gov Plan Check No. (^JS/^l/^ Est Value I Plan Ck. Deposit DESCRIPTION OFWORK: ItiolttiSe Square Feet Of Affecie<l Area(s) surra/SPACBtAiNnw - CT/PR0JECr# LOT# PHASE# # OF UNns # BEDROOMS • BATHROOMS TENAItrr BUSINESS NAME CONSTR. TVPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) RREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # NO D YES O NOD YES n NO • APPUCANT NAME (Prfmaiy CootacQ ADDRESS IT ~ ; W STATE zip PHONE 1/ APPUCANT NAME (Secondaiy Contact) STATE ZIP PHONE EMAIL EMAIL PROPERTY OWNER NAME ADDRESS r\ i /-M CONTRACTOR BUS. NAME ADDRESS 5 / ^ ZIP PHONE U [wx "T" oj^E // FAX X> ^ EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC. # t|g?3a Crrv BUS. ijc# IZlllU^ civil penattir of not more than five hundred dollars ^500}). W ORKEU S C O fW P E N S A T { O W Workers' Compensation Dedaratiofl: I hereby affirm under penaty of peijury one of Oie foOomg dedaralkms: O I have and vriU maintain a certificate of consent to self-insure fbrwortefs'c^ 3700 of the Labor Code, for the perforniaice of the vwirk for whii^ tills pei^ VJPPI have and will maintain vofnm' compensation,^^uire(^ ^f^cfon^OO of the Labor Ckide, for Ihe performance of Ihe work for whidiSiis pernvtjs issued. My vtoiteis' compensationmsui^nce carrier and policy number are: Insurance In wockers' compensation, as lequired^ %Kfon ^00 of tl r the performance of Ihe wont for whidi Ihis pennit is issued. My vtoiteis compensation insuiance c PoliCYNo.f>yl^^f -g^f-Of CgCp Expiration Date '^/l^f Thisjection need not be completed if the permit is for one hundred dollars ($10(» or less. Certificate of Exemption: I certiiy that in the peiformance 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 WARNING: Failure to secure woiters* compens^giuevnaue Ij iiiiliin||(j,and shall subject an employer to ctiminai penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensatio^^amag^ as nrnviHaiMiyiri SeeHon 3706 of thel^or code^ interest and attomey's fees. JS^ CONTRACTOR SI6MATURE V^^ENT DATE O W N B R - B U I L D E R DECLARATION ; teeiy affirm ftaf / am exernpf km CoiTftactor's ii*nse for ite foto^ O I, as ownerof the properly or my employeeswith wages as thelrsoleeompensalion, will do the work and License Law does not apply to an owner of pnsperty who builds or improves thereon, and who does such work hinis^ K sale. If, however, the building or improvement is sold within one year of complefcn, the owner-buikJer will have the burden of proving that he dkl not buHd or improve for the purpose of sale), a I, as owner of the property, am exclusively contracting with Dcensed contractors to construct the project (See. 7044, Business aid Professtons Code: The Contractor's Lfcense Law does not apply to an owner of property who buikls or improves thereon, and conlracts for such projects with contractor(s) Iteensed pursuant to the Contractors License Law). a I am exempt under Secdon Business and Professtons Code for this reason: 1.1 personally plan to provkle the nisjor labor and materia for conslnx:Son of the proposed property impro^ DYes DNo ZI (have / have not) signed an applicalion for a buiWing pennit for the proposed work. 3.1 have contracted with the foltowing peison (firm) to provide the proposed construction (include name address / phone / contractors' Ficense number): 4.1 plan to provide porttons of the work, but I have hired the foltowing person to coonlinate. supervise and provkle the major work findude nane / address / phone / contractors' lteense number): 5.1 will provide some of the work, but I have contracted (hired) the foltowing persons to provide the work indicated (include name / address / phone / Srpe of work): ^PROPERTY OWNER SIGNATURE •AGENT DATE COSSPL^TE tHIS SECTION FOR NON-l?ESID£NTIAL BUILDING ?EI?BS!TS ONIY Is the applteant or future building occupant required to subnut a business plan, acutely hazanlous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? OYes ONo Is the applicant or future building occupant required to obtain a pemiit ftom the air pollution control district or air quality management district? • Yes • No Is the ^lity to be constructed within 1,000 foet of tiie outer boundaiy of a school site? DYes DNo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTiFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS TTIE APPUCANT HAS HET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLUmON CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a cxmstruction lending agency for the perfonnance of the work this permit is issued (Sec. 3097 (I) Civil Code). Lendei'sName Lender's Address APPLICANT CERTrFJCATION I certifythat I have lead the applxatton and state that the above infomiation is conectand lhatthe info^ I hereby authorize nepresentafiw of tiie of Calsbad to eraer upon 8ie above mention^ AGAINST All LIABILITIES, JUDGMBfTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQIENCE OF THE GRANTING OF THIS PBm. n'![\r\ /liiO~llft[ aiiiii|iiiiiillhfririiiinfinniniirrTfri1rrpj[^ liiii inliiiijlil EXPRATION: Breiy pemt issued by the Bd^!S^|(ialJtR^^ 180 days km the date of such paT)oft«Hf^E5^iai^ authorized ^gTAPPUCAHTS SIGNATlM" DATE Inspection List Permit#: CB151067 Type: PME GUILLAUMIN RES-REPLACE FAU & A/C UNITS Date Inspection Item Inspector Act Comments 04/28/2015 43 AirCond/Furnace Set - Rl 04/28/2015 43 AirCond/Furnace Set SP AP 04/28/2015 49 FinalMechanical - Rl 04/28/2015 49 FinalMechanical SP Fl Tuesday, April 28, 2015 Page 1 of 1