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Home My WebLink About2854 RANCHO DIAMONTE; ; CB161328; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 04-06-2016 Permit No: CB161328 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2854 RANCHO DIAMONTE CBAD PME Status: Parcel No: 2218112900 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: PETERSON RES-REPLACE A/C & COIL ALESSIO HEATING & AIR INC STEG 1924 MISSION RD ESCONDIDO CA 92029 760-489-2299 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: PETERSON FAMILY TRUST 08-01-90 2854 RANCHO DIAMONTE CARLSBAD CA 92009 ISSUED 04/06/2016 RMA 04/06/2016 04/06/2016 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: FINAL APPROVAL Date: S-/'/"'/V' Clearance: $0.00 I\OllCE Rease ta<e I\OllCE tt1't ~ cl )<U prtjed irdL.des the "lnµEitiorl' d 1-, decicali<TS, -= cr cthar """'O"S -coledivay refen-ed to as 1ees'"""'<TS-" Yoo l"0'le 9J days franthe -ths pemit w,s iss..ed to prctest inµEitirn cl th3sefees'e>a:licn& If )OJ prctest them )OJ m.,;t foll ON the prctest i,oca:1.res set fcrth in eo...m-.rt Olde Sedirn tm21l(a), a,:t file the prctest a,:t a,y cthar 18'.iJred infamiirn wth the Oty Mragerfcr processirg ;,, amda a,wth calsboo M.ridpa Olde Sedirn 3.32.IID. Faliretotirreyfollo.vtta ~wll bEr a,ysutseq.Jerl legaj !dirntoattoo<, rfMw, sa: aside, \Od, a anJ treir irrp:stion. Yoo ,re heret7; FI..Rll-ER l\011Fl8) It-at )OJ rig-I to prctest the specified fees'~ OCl:S r-.or /IPPL Y toY.ater m:t se.wr CXJTIBdirn-m:t ~ c:tu-ges, ncr ~mrg, :zxrirg, galrg er cther snil,r ~icalirn processirg cr sa,Aca fees in ornn!dirn wth ths prtject. t-1:R OCl:S IT /IPPL Y to a,y i m NOTI · ·1a-th m lini · · THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING C City of Carlsbad JOB ADDRESS 1 1- CT/PROJECT# C'7 31 <o Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEf/SPACEf/UN # OF UNITS # BEDROOMS # BATHROOMS □BUILDING □FIRE Plan Check No. Est. Value SWPPP CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) AIR CONDITIONING YES~No □ FIRE SPRINKLERS YES□No□ APPLICANT NAME Se11<Mo.n STATE cA ZIP 91912 ZIP PHONE FAX PHONE FAX EMAIL . (o,l/1 EMAIL 0 A,! .lh (. ADDRESS ADDRESS :s5,o,, CITY STATE ZIP CITY lS(o;iJ°J ('.) STATE CA ZIP 1 ?0 79 PHONE FAX PH('E ) 7~0~1q-n99 FAX7W~~q-j'1k9 EMAIL EMAIL STATE LIC. # STATE LIC.#s CLASS i C?o, < (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 I suance, also requires tti applicant for such permit to flle a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law fChapter 9, comme_ndingwith 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 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for wof'Kers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wof'K for which this permit is issued. 0 I have and will maintain worke~ compensation, iqu_ired by Section 3700 of the Labor Code, for the performance of the wof'K for which this permit is Issued. My wof'Kers' compensation insurance carrier andnlicy a,mbecare, losoraoce Co. f. \J.( f es~ ~-•II"' 1 J: PS. Pol,cy No. y c J F ◊ 0 0 &pi,atOo Dare eJ7 /cJ I /2o 6 Jl!,i§.section need not be completed if the permit is for one hundred dollars ($100) or less LJ Certificate of Exemption: I certify that in the performance of the wof'K for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Wof'Kers' Compensation Laws of Califomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as P~!tjl/or In S~f the Labor code, interest and attorney's fees. _,6$ CONTRACTOR SIGNATURE ~ QAGENT I hereby affirm that I am exempt from Contractor'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 wof'K and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: Toe Contractor's License Law does not apply to an owner of property who builds or improves thereon, and 'Mio does such wof'K himseif or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is soid 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. Oves 0No 2. I (have I have not) signed an application for a building permit for the proposed wof'K. 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 wof'K, but I have hired the following person to coordinate, supervise and provide the major worll (include name/ address/ phone/ contractors' license number): 5. J will provide some of the worll, but I have contracted {hired) the following persons to provide the work indicated (include name I address I phone I type of wol'K): _M! PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, ocutely hazardous materials ragistration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Prasley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? □ Yes □ No Is the facility lo be constructed within 1,000 feel 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 lS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above infonnatlon is correct and that the infonnation on the plans Is aa:urate. I agree to comply'Mlh all City ordinances and State lav.s relatlngto building construction. I hereby authorize representative of the City of Carlsbad to enter upon lhe aOOve mentioned property br inspecoorl pufJX}SeS. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CAALSeAD AG\INST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AG\INST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA kl OSHA permit is required for excavations over 5'0' deep and demolitk:ln or construction of structures over 3 stories i1 he'Jhl. EXPIRATION: Every pennlt issued by the B.Jilding Oftk:ial under the µmis:Ons of this Code shall expire by limitation and beoome null and void W the lxJilding or v.ork authorized by such pennit is not CXJmmeoced within 180 days from the date of such permit or if the buildrlg or't\OOI: authorized by such permit is suspended or abancbned at any time after the v.ork is CXJmmenced for a perkxl of 100 days (Secoon 100.4.4 Uniform B.Jilding Code). AS APPLICANT'S SIGNATURE DATE 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. CONTACT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL DELIVERY OPTIONS PICK UP: □ CONTACT (Listed above) o OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) MAIL TO: □ CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL/ FAX TO OTHER:---------------~ ,JJ! APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. LIC. No. o ASSOCIATEOCB#•------------ 0 NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Penni!#: CB161328 Type: PME Date Inspection Item _____ _ 05/18/2016 43 AirCond/Furnace Set 05/18/2016 49 Final Mechanical 04/29/2016 43 AirCond/Furnace Set Wednesday, May 18, 2016 Inspector Act PB AP PB AP PB NR PETERSON RES-REPLACE A/C & COIL Comments Page 1 of 1