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Home My WebLink About2855 CARLSBAD BLVD; ; CB112342; Permit11-02-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBl 12342 Builcling Inspection Request Line (760) 602-2725 Job Address: Pemriit Type: Parcel No: Reference #; PC #: Project Title: 2855 CARLSBAD BL CBAD PME 2032310100 Lot#: CARLSBAD BY THE SEA: REPLACE CHILLER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/02/2011 JMA 11/02/2011 11/02/2011 Applicant: SOUTHCOAST HEATING & AIR CONDITIONING 2373 LA MIRADA DR VISTA CA 92081 760-941-7000 Owner FRONT PORCH COMMUNITIES AND SERVICES 303 N GLENOAKS BLVD #1000 BURBANKCA 91502 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: $0.00 Inspector: FINAL Date: PROVAL if Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" ot fees, dedications, reseivations, or other exactions hereafter collectively referred to as lees/exactlons." You have 90 days from the date this pennit was Issued to protest Imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or seivice fees in connection with this project. NOR DOES IT APPLY to any ffifis/exadions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired. ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. CS>/ I ' ^^^'^ Est. Value Plan Ck. Deposit Date SWPP JOB ADDRESS 2 C/^/*^^7$^ P /U.S/^ SUnE#/SPACE#/UNIT# TENANT BUSINESS NAME CT/PROJECT # # OF UNITS # BEDROOMS # BATHROOMS CONSTR. TYPE OCC GROUP DESCRIPTION OF WORK: fncfuda Square Feet orxfftcted Areafs) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES • # NOD AIR CONDITIONING YES O NO • FIRE SPRINKLERS YES • NOD APPUCANT NAI AlUEVPrbnary Contact) APPLICANT NAME (Sacondaiy Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE _ FAX ^ 1^0- T^^p ^/r.^yf^ PHONE FAX EMAIL EMAIL PROPEI iRTir OWNER NAME "I / ~ CONTRACTOR BUS. NAME ADDRES: ESS ADDRESS <P/'^J CyA Ay^/xytp/^ /VI.. CITY STATE ZIP CITY STATE PHONE ^ ^ ^ ^ FAX _ PHONE , FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS CLASS CITY BUS. UC.# I. (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 appiicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter a, commending with 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 appiicant for a permit subjects the applicant to a civii penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workept' Compensation Declaration: I hereby affimi under penalty of peijury one ofthe 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 pemiit Is issued. O I have and will maintain worfcei;' compensation, as required by Section 3700 of the Labor Code, for the perfomiance ofjhe work fOT,whichtj^is pemiit issued. My workers' compensation insurance carrier and policy ^ number are: Insurance Co. ^^^^ i£g Policy No. ^ ^ QC^^Ci^ 7 Expiration Date. This section need not be completed if the permit is for one hundred dollars ($100) or less. O Certificate of Exemption: 1 certify that in the perfomiance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become sutqect 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 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 ^^^^ OAGENT DATE /^' <^ ' ^/ WNER-BtliLOER DECLARATION / heretiy affimi fhaf / am exempt from Contractor's Ucense Law for the foltowing reason: • I, as owner of the property or my employees with wages as their sole compensation, will do the worit and the structure Is not intended or oflered for sale (Sec. 7044, Business and Professkins 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 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 buikl or improve for the purpose of sale). • I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of property who buikls or improves thereon, and contracis for such projects with contractor(s) licensed puisuant to the Contractor's Ucense Law). O I am exempt under Sectkin _ .Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and matehals 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) hi provide 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 person to coordinate, supenrise and provkle the m^or woric (include name / address / phone / contractors' license number): 5.1 will provkle some of the worit, but I have contracted (hired) the following persons to provide the worit indicated (include name / address / phone / type of wortt): VSTPROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR N O N - R E S i D E N T I A L BUILDING PERIMiTS ONLV Is the appiicant or future building occupant required to submit a business plan, acutely hazardous materials registration fomi or risk management and prevention program under Sections 25505,25533 or 25534 of the Prosley-Tanner Hazardous Substance Account Act? ClYes ONo is the applicant or future building occupant required to obtain a pernilt from the air pollution control district or air quali ty management district? • Yes • No Is the facility to be constnicted within 1,000 feet of the outer boundary of a school site? • Yes ONo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRia. CONSTRUCTION LENDING AGENCY I hereby affinn that Ihere Is a constmction lending agency for the perfonnance of the worit this pemiit is issued (Sec 3097 (I) CMI Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certl^ that I have raad the applkatton and state that the abate infbmiatkin is collect and that the Infbimatto I heieby aulhorize representative of tie City of Carisbad to enter upon the above mentioned property for inspecfon puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST Aa LIABILfriES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CriY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemnit is required for excavations over 50' deep and demolition or constmctbn of stmctures over 3 stories in height EXPIRATION: Every pemnit issued by the Building Official under Ihe provisions of this Code shall expire by limitation and become nul and void if the building or vmrtt authorized by such pemiit is not commenced wilhin 180 days from the date of such permit or If the buiding or work authorized by such peimit is suspended or abandoned at any time after the work Is commenced for a period of 180 days (Sectbn 106.4.4 Uniform Building Code). >erAPPLICANT'S SIGNATURE DATE City of Carlsbad BIdg Inspection Request For: 11/29/2011 Permit* CB112342 Inspector Assignment: Title: CARLSBAD BY THE SEA: REPLACE Description: CHILLER Type: PME Sub Type: Phone: 7609417000 Job Address: 2855 CARLSBAD BL Suite: Lot: 0 Location: Inspector: OWNER FRONT PORCH COMMUNITIES AND SERVICES Owner: FRONT PORCH COMMUNITIES AND SERVICES Remarl^s: Total Time: Requested By: SHELLY Entered By: CHRISTINE CD Description Act Comments 49 Final Mechanical Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection Historv Date Description Act Insp Comments