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Home My WebLink About2913 CORTE CELESTE; ; CB152084; Permit07-06-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB 152084 Building Inspection Request Line (760) 602-2725 Job Address; Permit Type: Parcel No: Reference #; PC#: Project Title: 2913 CORTE CELESTE CBAD PME 2551464600 Lot#: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/06/2015 RMA 07/06/2015 07/06/2015 WORLEY RES-REPLACE FURNACE Applicant: ACTION AIR COND & HEATING-SD Owner: WORLEY WALTER&KAY FAMILY TRUST 09-10-04 2750 S SANTA FE AV SAN MARCOS CA 92069 760 727 4152 2913 CORTE CELESTE CARLSBAD CA 92009 Plumbing Fees Electricai Fees Mechanical Fees Other PME Fees $0.00 $0.00 $160.00 $0.00 TOTAL PERMIT FEES $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00 Inspector: FINAL Date: _ 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 penmit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment 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 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 oreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has previouslv othew/ise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: nPLANNING nENGINEERING OBUILDING DFIRE nHEALTH •HAZMAT/APCO City of Carlsbad Builciing Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit 2 ' Date SWPPP JOB ADDRESS CorVe- (2e\es-V^ SUITE*/SPACE*/UNIT# APN - CT/PROJECT # L0T# PHASE* # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE occ. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~|* N0| I AIR CONDITIONING YES LI]N0 I I FIRESPRINKLERS YES I |NO| I APPLICANT NAME Primary Contact PROPERTYOWNER ADDRESS 3\ZZS Lcz^c^Hc ADDRESS 2 °»1> C^vV^ CeWsVe CITY CA STATE ZIP CITY STATE ZIP PHONE FAX PHONE EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS •2.150 S- CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE -?u(3- qsz. FAX EMAIL EMAIL STATE LIC.# CLASS CEO CITY BUS. LIC.# YBU; (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permitto construct, alter, improve, demolish or repair any structure, priorto its issuance, alsMequires the applicantfor such permitto file a signed statement that he — •-• . Business and Professions Code) or that he is exempt therel civil penalty of not more than five hundred dollars ($5001). applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business andProfessions Code) ortnat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the applicant to a WOaKMUi- COMf iNS ATION Workers' Compensation Declaration: / hereby affinn under penalty of peijuiy one ofthe foiiowing 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 perfomiance of the work for vihich this pennit is issued. I have and vtill maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the perfomiance of the work for which this permit is issued. My workers' compensatioji insurance canier and policy number are: Insurance Co,_ Co G>£ Tk«^Ue<>\ Policy No. Expiration Date isation insura This section need not be completed if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the perfonnance of the wort( for which this pemiit is issued, 1 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 employer tc 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 .^Jlwi- ^^-t Z^^AGENT DATE ijcli^ m W, HiM H I J. O f R..O EX,.'i; • A R A TI O •» / hereby affimi that I am exempt fmm Contiactoi's Ucense Law for the foilowing reason: I, as owner of the property or my employees wilh wages as their sole compensation, will do the wori< and the stmcture 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 v»ho builds or improves thereon, and who does such work himself or through his own employees, pravided that such improvements are nol 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). • • • 1, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professions Code: The Contractors 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). am exempt under Section _ eBusiness and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvemenL Q^Yes I iNo 2.1 (have / have nol) signed an application for a building pemiit for the proposed work. 3.1 have contracted with the following person (fimi) to 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, supen/ise and provide the major work (include name / address / phone / contractors' license number): 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): >eS'pR0PERTY OWNER SIGNATURE QAGENT DATE "^""^'^llf ¥iiiiilrii'" •! ION FOtt NON-REsioENTIAI. B U I L D I N G i> E I? M I T S OMLV Is the applicant or future building occupant required to submit a business plan, xutely 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 Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No Is the facility to be constnicted 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. TION LENOING AGENCY I hereby affirm that there is a construction lending agency for the perfomiance of the work this pennit is issued (Sec. 3097 (i) Civil Code). Lender's Name APPUCANT CERTIFICATION Lender's Address I certif that I have read the application and state that ttie above infonnation is correct and thatthe Information on the plans Is accurate. I agree to complywith all City oidinances and State laws relatlif to building constmctkin. I hereby auihorize representative ofthe City of Carisbad to enter upon the above mentioned property Ibr inspecfon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CffY OF CARLSBAD AGAINST Aa LIABILfriES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrY IN CONSEQUENCE OF THE GRANTING OF THIS PERMff. OSHA: All OSHA pemiit is required for excavations over 5'0 deep and demolition or constniction of stractures over 3 stories in height. EXPIRATION: Every pemiit issued by the Building Oflicial under the prowsions of this Code shall expire by limitation and become null and void if the building or «ork aulhorized by such pennit is not commenoed within 180 days from the date of such pemiit or if the building or wDri< authorized by such pemiit is suspended or abandoned at any tme after the vmrt< is commenced for a period of 180 days (Section 106.4.4 Unifomi Building Code). >eirAPPLICANT'S SIGNATURE DATE 7 1^1 *^ 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 buildinalScarlsbadca.QOV or Mail the completed fom to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EIVIAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB152084 Type: PME WORLEY RES-REPLACE FURNACE Date Inspection Item Inspector Act Comments 08/25/2015 43 AirCond/Furnace Set - Rl 08/25/2015 43 AirCond/Furnace Set AEK AP 08/25/2015 49 FinalMechanical - Rl 08/25/2015 49 FinalMechanical AEK Fl Wednesday, August 26, 2015 Page 1 of 1