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Home My WebLink About2907 PLATINUM PL; ; CB142203; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 08-28-2014 Permit No: CB142203 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2907 PLATINUM PL CBAD PME 2153604400 Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: EOFF-SNOW: RELACE FAU & A/C Applicant: Owner: AR S AMERICAN RESIDENTIAL SERVICES OF CALI FORNI EOFF-SNOW JUDITH STE 110 8949 KENAMAR DR 2907 PLATINUM PL SAN DIEGO CA 92121-2435 CARLSBAD CA 92009 858-805-0613 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Issued: Inspect Area: • ISSUED 08/28/2014 JMA 08/28/2014 08/28/2014 $0.00 $0.00 $158.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTI E that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit 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 service fees in connection with this project. NOR DOES IT APPLY to any fees/ex i n f whi h have r vi sl been iv n a N Tl E imil r to this r a to whi h he stat f limi i n has r vi sl oth rwi x ired. ·~-<<~}: ~ CITY OF CARLSBAD JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 www.carlsbadca.gov SU ITE#/SPACE#/UNIT# Est. Value Plan Ck. Deposit Date SWPPP -GO CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. lYPE acc. GROUP DESCRIPTION OF WORK: l_nc:lude Square Feet of AHected Area(s) 5j. fo.:nu 2"?J7 11"'. (N.( ()<•' ,,_,_tlJ,.-AlfO'?;> '510 8S1i lex=1s~T=1•••~us=.~--------~=.=o=.~o~.=.=o~u=s=•----~=G-AR=A•G=,-1=s=F1~=P-Ar=1o=s=1=s=F1-~o~,=c-K=s-1s=,-, ~=Fl=ee=P=LA~c=e,....:f~~~A~IR~C~O:N:D:IT:10:N~IN~G~~F~IR:~!;~p°'~Rl:N:Kl:E:R:Sr:/ l'"tS,~«--h'.,,\ f\O cl-.«"¥-YESQ v,s □•o □ YEs □•o□ ADDRESS ( / 89!\ '< '<\tn<>. a br: \Je CITYS:..--1:)l STATE CA- ZIP q).{J.-) PHONE ZIP FAX ss~-305 ,01,, , EMAJL ---------------------< ADDRESS n ::2-,01 PHONE 'l,o -37"--f 001 EMAIL ARCH/DESIGNER NAME & ADDRESS STATE (A.. FAX ZIP '12-0o STATE UC.# ----- CONTRACTOR BUS. NAME '5 ADDRESS ~/10 STATE 0,. ZIP "/:J. (:l-\ EMAIL STATE UC.# CLASS CITY BUS. UC.It i 'l I 'is.2..-o C-.2..-0 (2.'2 'e77 (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 applicant for such permit to file a signed statement that he ls licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of D1vis1on 3 of the Business and Professions Code} or that he Is exempt therefrom, and the basts for the alleged exemption. Any violation of Section 7031.5 by any appllcant for a permit subjects the appllcant to a civil penalty of not more than five hundred dollars {$500}). -Workers' Compensation Declaration: I hemby affirm under penalty of p8fju(y one of the fol/owing declarations: D I have and will maintain a certificate of consent to self-Insure for 'Mlrkers' compensation as provided DY Section 3700 of the LaOOr Code, for the performance of the work for which this permit is issued. ~ I have and will maintain worker,' comoensatlon, as raauired bv Section 3700 of the LaOOr Code, for the pelformance of the work for which this oermit is issued. My worl<ers' compensation Insurance carrier and polcy a,mbera,e: losuraoce Co Li b .. -n . . . . . . . Pol<, No. :zt, '3 I -5 0 g-b 3 I .. 0 / 3' Expiration Dale IO /, 1 ~ I ~ lJ)is.sectlon need not be completed if the permit· for one hundred dollars ($100) or less. LJ Certificate of Exemption: l certify that In the performance of the WOik 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 securewor11.1n' compensation coverage is unlawful, and shall subject an employer to criminal penalUes and clvll fines up to one hundred thousand dollars (&100,000), ln addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. L5 CONTRACTOR SIGNATURE . P< ,0 -r A~'::, I hereby affirm that I am exempt from Contraclor's License Law for the following reason: □ □ □ 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 Professbns Code: The Contracto(s license Law does not apply lo an ownerof 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 wilhin one year of completion, the owner-builder will have the bl.lrden of proving that he did not build or improve for the purpose of sale). t, as owner of the property, am exclusively contracting with licensed contractors lo construct the project (Sec, 7044, Business and Professions Code: The Contracto(s license Law does not apply to an owner of property who builds or lmproves thereon, and contracts for sucll projects with contractor{s) llcenS8d 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. 0Yes Oo 2. I {have I have not) signed a, appUcatlon 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/ phone I contractors' license number): 4. r plan to provide portions of the work, but I have hired the following person to coordinate, supeNise and provide the major work {Include name I address I phone I contractors' license numbe~: 5. I will provide some of the work, but I have contracted {hired) the following persons to provide the war!( indicated (include name I address I phone I type of work): A$ PROPERTY OWNER SIGNATURE □AGENT DATE ' Is the applicant or future buildlng occupant required to submit a business..E@!l, acutely hazardous materials registrafion form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes LJ No Is !he applicant or future building occupant reQUired to obtain a permit from the air pollution control2i§lrict or ai[Jl!.lality management district? Des O No Is the facility to be col'\Structed within 1,000 feet of lhe outer boumla,y of a school site? LJYes LJNo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT SE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and statethatthe above Information Is correct and that the informatton on the plans is accurate. t agree to compty'Mth all City ordinances and State laws relating to building construction. I hereby authorize representati"1! of the City of Car!sbOO la enter upon the above menliooed property for inspection purposes. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH W.Y IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavatklns avar 5'0' deep and demolition or Q'.lf\Slruclbn of structures aver 3 stories in heighL EXPIRATION: Every permit issued by lhe Building Official under the provisions of this Code shall expire by \imitation and become null and vokl if !he building or work authorized by such permit is rot commenced within 180 days from the date of such permit oriflhe building or work authortzed by such permit is suspended oned at any Ume after the 'M>fk is commenced for a period of 180 days (Se::tion 106.4.4 Uniform Buikjing Code). K$ APPLICANT'S SIGNATURE G DA.TE • Inspection List Penni!#: CB142203 Type: PME Date Inspection Item _____ _ 02/11/2015 43 AirCond/Furnace Set 02/11/2015 43 AirCond/Furnace Set 02/11/2015 49 Final Mechanical 02/11/2015 49 Final Mechanical Thursday, February 12, 2015 Inspector PY PY EOFF-SNOW: RELACE FAU & A/C Act Comments RI BEFORE 10 IF POSSIBLE AP RI BEFORE 10 IF POSSIBLE AP Page 1 of 1