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Home My WebLink About2894 RANCHO RIO CHICO; ; CB131796; Permit07-26-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB131796 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2894 RANCHO RIO CHICO CBAD PME Status: ISSUED 07/26/2013 JMA 07/26/2013 07/26/2013 Parcel No: 2226101400 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: AIRMAXX, INC STE B OBRADOVIC: REPLACE A/C 1865 JOHN TOWERS AV EL CAJON CA 92020 619 655 3010 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: SEIDEN SCOTT A&BARREIRO NATALIE M 2732 OBELISCO CT CARLSBAD CA 92009 $0.00 $0.00 $154.00 $0.00 $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: Inspector: FINAL APPROVAL Date /I) '3°· I 1 Clearance: $0.00 NOTICE: Please take NOTICE 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 ·n f rvi I N ilr hi r whihh THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMATIAPCD ,(i;f. ' Building Permit Application Plan Check No<'P,{3, J-Zq ,b <~,~,. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY Of Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: building@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date --7/-z,✓_ /, ~ ISWPPP JOB ADDRESS 2.f',... ,I T7.,..; :;:C,,C-lc:> (Z{c, C,µ_ \C-D SUITEf/SPACEf/UNITf IAPN --- CT/PROJECT# LOT# TPHASE# T# OF UNITS I# BEOROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) A(c 6~A~"E-c;;tQ_"\ EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE TAIR CONDITIONING I FIRE SPRINKLERS YES[), "'° YES □No □ YES □No□ APPLICANT NAME (Prl~ ,AQ._ J'f/nL--Cbl-l~~ APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE I FAX EMAIL EMAIL PROPERTY OWNER NAM~TT" ~t.De~ CONTRACTOR BUS. NAME A\Y-\.,UAK.K ADDRZ1?0q ~~o B-\ D C..\flCO ADDRET~"S ~~ ~e'c'S Ave.. CITY C,p,..TZ,\~ STATE~ ~ -Cl~ ~ ~ "GA-ZI~ I p"'o/.&D · 2-t I -I I ~ IFAX p"S't9 ~~·~olFA" EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE "'q l ~ '?-1 le-~CITYBUS.LIC.# (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he ts licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, comme_nding with Section 7000 of Division 3 of the B_usiness 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 Workers' Compensation Declaration: / hereby affirm under penalty al perjury one of the following declarations: B I have and will maintain a cartiflcate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pennil is issued. I hava and wm maintain workers' co.'fl~~ ~i~ bv SPQ!L3700 ~ the Labor Code, for the 'performa'i.84ibP 'fQ[kt_Yf~ii.N,._er.lf WO~~· compensation. uranbrrie,, number are: Insurance Co. ~-GU.Ai~ Pohcy No. ,B:_~~J.-~~W~--· \~C=_;::,=~ ~~cc..c..)~ f Expiration Date ' • ~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 perfonnance of the work for which this pennit 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 cov n ful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the coat of compensation, damages as provided for In S r.,,t;;,,i:~ e Labor code, Interest and attorney's fees. 85 CONTRACTOR SIGNATURE □AGENT DATE OWNER•BUl~DER DECLARATION I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ □ I, as owner of tt,e 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 himseH 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 tliereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). ! am e~empt under Section _____ ,Business and Professions Code for this reason: 1. I personally plan to provide the major labor aOO 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 work. 3. I have contracted with the foliowing person (firm) to provide the proposed construction (include name address/ 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/ 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/ type of wofll)· ,..S PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY ls the applicant or future building occupant required to submit a business plan, acutely hazardoos materials registration form or risk management and prevention progrcm under Secbons 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No ls 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 constructed wtthin 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have iead the appllcatlon and state that the above lnfonnatlon Is conectand that the lnbnnatlon on lhe plans Is accurate. I agree to complyYotth all Cityoldinances and Sta1e laws relating to building oonstruction. I hereby au~orize represenlati-, of~e Ci~of Gar1stoo b enter upon lhe above mentioned properfy llr inspection i>Jrposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AG'.INST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Afr/ WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT. OSHA: M OSHA ~rmlt IS requiroo for excavations over 5'0' deep and demolltk:ln m:oostruction of structures over 3 stories il heght. EXPIRATION: Every permit issued by the Building Offk:ial under the provisions of this Code sha!I expire by limitation and berome null and vokl W the building orv.ork au1horized by such ~rmit is not oommenred 'Mlhin 180 days from the date of such ~rmlt or if the build~g or v.ork authorized by ~spended or abandoned at any time after the 'Mlrk is oommenced for a period of 180 days (Section 100.4.4 Uniform Building Code). ,ISAPPLICANT'SSIGNATIJRE ~~-----DATE 7. Zb ,(3 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 Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DEUVERY DPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB131796 Type: PME Date lnsp~tion Item 10128/2013 43 AirCond/Furnace Set 10/2812013 43 AirCond/Furnace Set 10/2812013 49 Final Mechanical Wednesday, October 30, 2013 Inspector Act PD PD RI AP AP OBRADOVIC: REPLACE A/C Comments TENANT: MATT 252-349-6493 EARLY AM Page 1 of 1