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Home My WebLink About2818 RANCHO PANCHO; ; CB161423; Permit04-13-2016 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Tille: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB161423 Building Inspection Request Line (760) 602-2725 2818 RANCHO PANCHO CBAD PME 2225911700 Lot#: 0 JOLLEY: REPLACE AC & FAU Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/13/2016 JMA 04/13/2016 04/1312016 SCOTTY'S HEATING & AIR, INC JOLLEY STEPHEN 915 CIVIC CENTER DR OCEANSIDE CA 92054 760 519-4932 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2818 RANCHO PANCHO CARLSBAD CA 92009 $0,00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: ~ Date: Clearance: $0.00 t\OTICE --t\OTICE that WM cl )OS ptjecl ird~ Ire "lrrµllitiorl' cl fees, dErlcalicm, reservaia,s, or ctl'a' exa:Jic:ns -roleclivay referred to as "fees'exa:Jions." Yoo te.e 00 days franlhl-Ins pemil ""5 issuad to prctest irrµllitia, cl these fees'exa:Jic:ns. If 100 prctest trern 100 llUll fdlONtre prctest procecl.res sa lath in GMmrent Code Seclia, 66020(a), a-d file Ire prctest a-d er,y ctl'a' ""!,ired irfurreioo wlh Ire Qty Mrager for JroOBSsirg ii, axoca u, wlh Calstm M.ridpa Code Seclia, 3.32.IXIJ. Falcre to lrray fdlONthal ?O(:BCl.rewll ta' er,ySLtJseci,.,,rt lega actia, to atta:l<, reliew, set aside, \ad, a an.A tt-eir irrµ:sition. Yoo ae 1-.ret,,, R.RTI-ER t\OTIFIED thal )OS rigt to prctest Ire specified fees'exa:Jic:ns oces r-.or APPLY to'IIEter a-d se,.er a:rre::1i01 leas a-d a,pa:;ty d"<rges, nor plannrg, zrrirg, ga:lrgorctt'<lr srrila-~ica,a, JroOBSsirg orservia,fees in a:rre::lioowlh !tis ptjecl. ~OCES IT APPLY to er,y f . \Ml \a, "nil \r\H lini i THE F-0ll0WING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING ·, □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMATIAPCD Ccityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov BATHROOMS Plan Check No. Est. Value Plan Ck. Deposit SWPPP DESCRIPTION OF WORK: Include Square Feet of Affected Area(&) nf tz..L.t. -y /~-,.__;,, J A./,.vL-L {1'rJ.'u~1. A/ /-l'tU 9~ J-~.A/h'l 0:..-. /2.L yAJ ...L/-1...ICLL,~ C1/a,<J {"~ .... l- OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) FIRE SPRINKLERS YES□No□ APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE UC.# (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 is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of Dw1s1on 3 of the Business 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: I hereby affirm under penalty of pe,jury one of the following declarations· D I hllJe and will maintain a certificate 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 pennit is issued. ~ve and will maintain workers' compensation, as reauired by Section 3700 of the Latxlr Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy aumbe, ara: ln'"rance Co. /'J Die ~ll a t<', ,L Pol;,, No. ft',(.uc (#t> . 149,y E,p;,ation Date l.57 f /(,,, ~sectkln need not be completed if the permit· for one huOOred dollar.. ($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 ln any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages provided for In Section 3706 of the Labor code, Interest and attorney's fees . .Jl5 CONTRACTOR SIGNATURE 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 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 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 the burden of proving that he did not build or improve for the purpose of sale). /, 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 Sectkln _____ .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. \ (have/ have not) signed an application for a building pennll 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. I 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/ 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 work): ..65 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, acutely 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 11uality management district? Yes No Is the fccility to be constructed within 1,000 feet of the outer lxlundary 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. CONSTRUCTION LENDING AGENCY r hereby affirm that there 1s a construction lending agency for the performance of the work tt11s perrrnt 1s issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above infonnadon Is correct and that the lnbrnadon on the plans is accurate. I agree to comply'htth all Clly oldlnanc:es and State laws relatlngto buUdlng construction. I hereby authorize representative of the City of Cartsba:l to enter upon the alxlve mentioned property br ins~n purJX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAA.LS BAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST &-\ID CITY IN CONSEOOENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA pemilt is requred tJr excavations over 5'0' deep and demolioon or 001strucoon of structures over 3 sbries i1 heg,t. EXPIRATION: Every pemilt issued by the Buikling Offdal underlhe provisbns of this Code shall expire by limitation and oocome null and vok:I Wthe buikling or~ authorized by such penntt is not rommenced 'Mlhin 180 days from the date of socll pem1tt or if e OOilding orw:irk authorized by such It is suspended or abarlOOfled at any time after the oork is commenced t:ir a perKXl of 180days (Section 106.4.4 Unifonn 8uilding Code). 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 buHding@carlsbadca.gov or Mail 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. DEINERY OPTIONS 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: _______________ _ ,.15 APPLICANT'S SIGNATURE ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB161423 Type: PME Date ___ lnspectl<>n Item 05/27/2016 43 AirCond/Furnace Set 05/27/2016 43 AirCond/Furnace Set 05/27/2016 49 Final Mechanical 05/27/2016 49 Final Mechanical 05/20/2016 43 AirCond/Furnace Set 05/20/2016 43 AirCond/Furnace Set 05/20/2016 49 Final Mechanical Inspector AEK AEK AEK Act RI AP RI Fl RI co RI JOLLEY: REPLACE AC & FAU Comments AFTER 11 AM PLEASE BREAKER TO BE 35 AMP//TAPE WHITE WIRE AFTER 11 AM PLEASE --------------------------