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Home My WebLink About2837 RANCHO RIO CHICO; ; CB153659; Permit10-27-2015 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB153659 Building Inspection Request Line (760) 602-2725 2837 RANCHO RIO CHICO CBAD PME 2226121800 Lot#: 0 HEGSETH: AJC, COIL, 60 AMP CIRCUIT, REPLACE FURNACE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/27/2015 SLE 10/27/2015 10/27/2015 ACTION AIR COND & HEATING-SD HEGSETH 2012 TRUST 10-02-12 2750 S SANTA FE AV SAN MARCOS CA 92069 760 727 4152 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2837 RANCHO RIO CHICO CARLSBAD CA 92009 $0.00 $38.00 $163.00 $0.00 $201.00 Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due: Inspector: flll. ~s Clearance: $0.00 I\OTICE Aease-l\OTICE that~ ci yru-?tjed irdudes tre "lrrpa;itiori' ci fees, decicaticrs, -= or ctt-er exacticrs -cdlec:lively reterredtoas "fees'exa:licro." Yoo te,,e 9'.ldaysfrcrntre-ths pemit v,as issued to pictest irrµ,si1i01 citresefees'exactiCJ1S If yru pictest ti-em yru rrust fdlootre p-ctest l)1JC8Cires set forth in G:>lerTmrt Co:le Sed01 oo:J:!J(a), ard file u-e p-ctest ard "'Y ctt-er req.jred infcmai01 wth tre Oty Mrager for IJ'OC85Sirg ;., ax:ucta Ce ... th Ca1sboo Mridpa Co:le Sed013.32.03). R:ilLJetO tirrelyfdlootla l"(XEdrewll l:a' Mysubsecµrt legal adi01to atta:l<, reMew, set aside, vtid, er aTU tteir irrp:sition. Yoo ae hlrecy F\RTI-ERNJTIFIEDthal }OJ rigi to pictest trespedfied fees'exacticrs IXES I\Qf APPLYto'Mller ard se,.er=-01 fees ard ~ cta,ges, ra plaTirg, ,oorg goorg or ether sirril..-applicati01 IJ'OC85Sirg ex servoo fees in =-01 wth ths ?tjed. N'.:R IXES IT APPLY to "'Y f · -W'l~ · -·· · ,h,,,,,-,,.,;vena-"lf'TTlrc:!=:inilcrto-+hi.-----·om-•-,._ _ _.___._ ... ,rilim+,,,.i~has · . ....u.v....., ...... ___ , __ __; • !THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: i_JPLANNING !=ENGINEERING C BUILDING □FIRE f_JHEALTH O HAZMAT/APCD f' f City of Building Permit Application Plan Check No.~ \5 2i,e '59 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 \Olu7 /ls iswPPP JOB ADDRESS SUITEf/SPACEf/UNIT# I APN ---223 / ~C-.YV',"'"' \),~ C,\-,..,C"' .T/PqOJECT # LOT # I PHASE # I # OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME r ONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~-=:\-Cl.\\ 'N~ s-\e....._ Ale., Co;\, "° A "(n? C' <""CU\ 4-i? ~c:p\c...c..c.. l(X),OCO ~,u ~vn·'Ace I EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YEs[J, No0 YES 0 No 0 YESO NoO APPLICANT NAME P~ERTY OW~ :,--~ Primary Contact ~ _..,.,...,::- ADDRESS ADDRESS -~ °22'37 1<o....nc.hb V,C) r \..,c..L"\ CITY STATE ZIP CITY STATE ZIP G'('\<..k-l CA q-z.oo~ PHONE IFAX PHONE ' IFAX 7Y::> 57,_ (,,CJ.o{ - EMAIL EMAIL DESIGN PROFESSIONAL col{~f~!:~· N?~ 1-1~~"'" + <;:"-\a.....- ADDRESS ADDRESS , ._, ? 7Sf"'\ C C::-~ "':\-a.. '\=""c.. Ave. STATE ZIP CITY STATE ZIP CITY s-~v--. (Y\ (,.,;(' C. 0 S CA 9'20<o'7 PHONE IFAX PHONE I FAX 7<ao-72,-41S2... EMAIL EMAIL I STATE UC.# STATE UC,# I CLASS I Cl~~sq'aoo SD9~().S-c-z...u (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair an~ structure, prior to its Issuance, also requires the applicant ror 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 DIVlslon 3 of the Business and Professions Code) or ihat he Is exempt therefrom, and the basis ror 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 ($500)). I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for lhe performance of the work for which this permit is Issued. have and will maintain workers' compensation, as required by Section 3700 of lhe Labor Code. for the performance of the work for which this permit is issued. My workers' compensation sur carrier and policy number are: Insurance Co.Ins. Co D~:1\:...c.. L k.$..-\: Policy No. w~ 'b so::z.gL/Cq5 Expiration Date \"2 ~"I ,o:; pi!§, section need not be completed If the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that In the performance of the work for which this permit is issued, I shall nol employ any person in any manner so as to become subject to the Workers' Compensation Laws of Calffomla. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. 2$ CONTRACTOR SIGNATURE ~~ ..., DATE /C> '2...7 I~ I hereby affirm that I am exempt from Contractor's Ucense 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 Professions Code: The Con1raclor'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 lhe b\Jrden of proving that he did not build or improve for the purpose of sale). □ □ □ I. as owner of the property, am exclusively contracting wilh licensed contractors to conslrucl 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 lhereon, and conlracls for such projects with contractor(s) licensed pursuanl to the Conlractor'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. O Yes 0 No 2. I (have I have not) signed an application for a building permil for the proposed work. 3. I have contracted with the following person (firm) lo provide the proposed construction (include name address I phone I contracto/s' license number): 4. I plan 10 provide portions of the work, but I have hired the following person lo coordinate, supervise and provide the major work (include name I address f phone I conlractors' 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 lype of work): fi5 PROPERTY OWNER SIGNATURE □AGENT DATE Is the al)plk:ant of' future building occupant required to submit a business plan, acutely hazardous materials regIstratIon form or rtsk management and prevention program under SecllOns 25505. 25533 or 25534 of the Presley-Tanner H azardous Substance Account Acri Yes No Is the applicant or' future building occupant required lo obtam a permit from the air pollution control d1stnct or air quality management distnct? Yes No Is the facility to tie constructed within 1,000 feet of the outer boundary of a schOol site? Yes No IF ANY OF THE A NSWERS 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 SE:RVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that lhere is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I h<Mt read the application and state that the aboYe lnfonmation is correct and that the infonmation on the plans is i!CC\Jrate.I agree to complyl\ith all City ordinances and State laws relating to building construction. I hereby aulhonZe rep-esentative of lhe City of Cai1sbad to enter upoo the above mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY .ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL Lt.ABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN .ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: /l/1 OSHA penn~ is required for excavations over s·o· deep and demolition or construction of structures over 3 stones ii height. EXPIRATION: Every penmit issued by the Building Official under the provisions of this Code shal expire by linrtalion and become null and vod d the building or v.ork authorized by such penmit is not commenced v.,th1n 180days from the date of such penm,t or 1f the bu11dilg or v.orkauthorized by such penmrt is suspended or abandoned at any time after the v.ork is commenced for a period of 180days (Sectoo 106.4.4 Uniform Building Code). ~APPLICANT'SSIGNATURE ~ ~-----DATE /DI 2.1(15" STOP : THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY jCommercial Projects On I y I Fax (760) 602-8560, Email building@carlsbadca.gov or Mail lhe completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (listed above) OCCUPANT (listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE tN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION .-6 APPLICANT'S SIGNATURE DATE ' . Inspection List Permit#: CB153659 Type: PME Date lnsl)ectio_r,ltem 03/07/2016 43 AirCond/Furnace Set 03/07/2016 43 AirCond/Furnace Set 03/07/2016 49 Final Mechanical 03/07/2016 49 Final Mechanical Monday, March 07, 2016 Inspector Act MC MC RI AP RI Fl HEGSETH: A/C, COIL, 60 AMP CIRCUIT, REPLACE FURNACE Comments CALL B4 ARRIVING WORKS 10 MIN AWAY Page 1 of 1