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Home My WebLink About2874 ANDOVER AVE; ; CB154583; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical {PME) Permit 12-28-2015 Permit No: CB154583 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2874 ANDOVER AV CBAD PME 1674801822 ANDREWS: REPLACE HEATER MOOR CO SERVICE INC STEA 3239 ROYMAR RD OCEANSIDE CA 92058 (760) 722-1541 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: ANDREWS PIENGPORN&MICHAEL 220 PLUM AVE BREA CA 92821 ISSUED 12/28/2015 JMA 12/28/2015 12/28/2015 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take f\OllCE that app-oval ct your prcjed: irdudes tre "ITT"{nitiori' ct fees, cle:icaticns, resavaticns, or cther exacticns hereafter oolled:ively referred to as "fees'exacticns." You have 00 days from tre date this pemit ~ iss.ed to protest irrj:X)sition ct trese fees'exalicns. If you protest them, you llUSt fdiOJVtre protest p-ocOO.res set forth in G:Mmrent Ca:le Section 60020(a), ard file tre protest ard any cther rEq.ired infooration wth tre 0\y rv"a"lagerfor p-ocessing in aa:orc:lancewth Caisba:l M.nidpal Ca:le Section 3.32.030. FaiiLretotirrely fdiOJVtrat pu:;ecirewll bel" arrysul:seqJent le;Jal oction to attock, re.ileN, set aside, void, or arnJ thair irT"{nition. You are het"ecy FL.RTI-ER f\OllRED that your right to p-otest tre ~fied fees'exacticns IJCES NOT APPLY to \M3ter ard ~ C011ledion fees ard capa:lty cll2rgls, ra planing, wing, grOOing or cther sinilar appication p-ocessing or service fees in C011ledion wth this prcjed:. f\.CR IJCES IT AFR Y to any fees'exacticns ct\t\hch have ·ru:;~ beal ·vena NOTICE sinilar to this or as toW"lch tre statute ct linitations has ·ru:;~ ctherMse ·red. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OFIRE OHEALTH 0HAZMAT/APCD (City of Building Permit Application Plan Check No. ffi\~--Lf~~<~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date [·2-/ '1.---fi/( I \ ISWPPP JOB ADDRESS , -'ll t/ 4', d /] 1/ SUITE#/SPACE#/UNIT# IAPN ..,)-f) . '/1 Vt? I --- CT/PROJECT # I LOf # I PHASE #l IY I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP D~~.CRIP~ION OF WORK;;,c/ude Slre F~et or..cted Ar~a(s)) lr:· 1£/, 1-k;ir f ~ I, ) , j t> /)/ LJ £._ ;;v't.'v ,I ·r llti.; I / Jll .J( EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE lAIR CONDITIONING I FIRE SPRINKLERS YEsO_ NoD YES0No0 YESONoO APPLICANT NAME ~~' ), /A . t Primary Contact I "'" .J / rt {) (';I At: ')_ PROPERTY OWNE~..-{-/r;_. A /\rJ,·~ A' ADD~ ft. / ADDRESS '"i. //)I. J ....J .j _)..; . I~-,.,_ ,. J...J/J I -<{1\.l J.l CITY / STATE ZIP & c.STATE 7'){J-J VJL(dQ i'(l.F p l PI'IONE 1"0-; )_ . ('-(;'1 PHONE ---, lx[1-)) r.r-171f /t:d· JJ J /\'i I / ' -) ) . 0) ·f ' )~ 0 :) )).~ 7-i, ( EMAIL EMAIL "' DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ~ . . , fir_ I 4: II. ,, ?C!;X/) ADDRESS ADDRESS /{; 7 , ? J-.~{ c; ,-1/ 'W\A r CITY STATE ZIP rc~. . r j STATE ZIP {_.J Cr.h /1.[, C. , C.e-~ c. )0 f(" PHONE rAX PHONE lJ£-CJ )J.-). CJj'f't{ )i':_tJ ·)) J IS" 'I J EMAIL EM AlL I STATE LIC. # ;.j7J-b} I 'ClASS l.:~~ ,;_ . 11 <-- (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or re air an 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 (Cgapter ~.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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}). Workers' Compensation Declaration: I hereby affrrm under penalty of perjury one of the following declarations: 0 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 pertormance of the work for which this permit is issued. [fl1 have and will maintain w.o~rs: compens lion, a quir~1ly Sec~ion 3700 of the Labor Code, for the pertorman.~e of the<;:,~ for hie th~ermit i~ issued. My workers' compensation ins~;ance carrier and policy number are: Insurance Co. · /t," ,vi · t:/.c: /-' Policy No./ )--f ~' ·-'J5 "). _ Expiration Data.> ··){I-/.{ · . . . This section need not be completed if the permit is for one hundred dollars ($1 00} or less. 0 Certificate of Exemption: I certify that in the pertormance 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 employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, provided for in Section of the Labor code, interest and attorney's fees. ~CONTRACTOR I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D D D 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 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes 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 I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I 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 I type of work): ~PROPERTY OWNER SIGNATURE 0AGENT DATE I I certify that I have read the application and state that the above infonnation is conectand that the infonnation on the plans is accurnte. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.! 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: An OSHA penn~ is required for excavations over 5'0' deep and demolition or oonstruction of structures over 3 stories in height EXPIRATION: Every penn it issued by the Building Official under the proviskms of this Code shall expire by limitation and beoome null and vokl if the buikling or IMlrk authorized by such pennit is not oommenced Vvithin 180 days from the date of such pennit or if the building oriMlrk authorized by such penn it is suspended or abandoned at any time after the IMlrk is oommenced for a period of 180 days (Section 1C6.4.4 Unifonn Building Code). _A$APPLICANT'SSIGNATU~.:;;~~7,{/ DATE }6 ~ -- , ;'_,.- ,/ :_/ 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.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) OCCUPANT (Listed above) MAIL/ FAX TO OTHER:----------------- A$ APPLICANT'S SIGNATURE (Office Use Only) CA ASSOCIATED CB#------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE Inspection List Permit#: CB154583 Type: PME Date Inspection Item _ 01/06/2016 43 AirCond/Furnace Set 01/06/2016 43 AirCond/Furnace Set 01/06/2016 44 Rough/Ducts/Dampers 01/06/2016 49 Final Mechanical 01/06/2016 49 Final Mechanical Thursday, January 07, 2016 Inspector PD PD PD ANDREWS: REPLACE HEATER Act Comments Rl AP AP Rl AP Page 1 of 1