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Home My WebLink About1204 STRATFORD LN; ; CB152329; Permit' • 07-24-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB152329 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1204 STRATFORD LN CBAD PME Status: ISSUED 07/24/2015 JMA 07/24/2015 07/24/2015 Parcel No: 1561644700 Lot#: o Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: KRAHN: ADD AC & REPLACE FAU Applicant: GUTHRIE AND SONS INC 3914 HICOCK ST SAN DIEGO CA 92110 619 269-3013 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: KROHN 1204 STRATFORD LN CARLSBAD CA 92008 $0.00 $0.00 $160.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTI 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 pem1it 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 infonnation 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 tegal 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 f x Ion f w i h v vi I b n iv n a N TICE imilar hi r whi h h statut f limitati n x i d. THE FOl\..OWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING Ccityof Carlsbad JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUl'Jf:#/SPACE#/UNIT# □BUILDING □FIRE Plan Check No. Est. Value Plan Ck. Deposit CT/PROJECT# # BEOROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Atea(sJ l\ddiY1<3 A \G a R-c_p\o.c.,in::1 Fl'\-u. □HEALTH 0HAZMAT/APCD SWPPP CONSTR. TYPE OCC. GROUP EXISTING USE GARAGE {SF) PATIOS (SF) DECKS (SF) AIR CONDITIONING FIRE SPRINKLERS YES□No□ NcCJ YES □No □ APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL STATE CA- FAX STATE FAX ZIP 9 ZIP STATE LIC. # STATE CPr ZIP 9211D FAX COM CLASS CITY BUS. LIC.# C-20 -2-ooo'So (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 DivIsIon 3 of the Business and Professions Code} or fhat he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicanffor a permit subjects the applicant to a civtl 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 workers' compensation as provided by Section 3700 of the Labor Code, for the perlormance of the worll for which this permit is issued. @ I have and will maintain workers' compensation, as reauired bv Section 3700 of the Labor Code, for the perlormance of the work for whicti this permit is issued. My workers' compensallollnsur,nce carrier and policy numbera~lnsurancecol'be r\o,xJ-fov:d PolicyNo.7;;l.WEC.QRC\09~ ExpiratonDate (_p_ I ) 01(12 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 worll 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 secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penaltin and clvll fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damagn as provided for In Section 3706 of the labor coda, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDl!R Dl!CLARATION I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ 09. □ 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). t, 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 0Yes 2, I (have/ have not) signed an application for a buik:ling pem1it for the proposed work. J. I have contracted with the following person (finTI) to provide the proposed construction (include name address I phone/ 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/ 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/ address I phone/ type of work): ,6$ PROPERTY OWNER SIGNATURE □AGENT DATE , COMPLETE THIS SECTION FOR NON•RliSIDENTIAL 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 Quality management district? Yes No Is the facility to be constructed within 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 AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work ttus permit is 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 aboll8 lnbrmallon is correct and that the lnbrmatlon onlhe plans is accurate. 1 agt9e ID comply\\tth all City on:llnances and State laws relating ID building cons1ructlon. 1 hereby authorize rep-esentative of the City of Carlsbad to enter u~ the alxlve mentioned property tir in~ purposes, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF CARLSBAD AGAINST AU_ LIABILrTIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCR\JEAG/'JNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is required for excavations over 5'0' deep and demolltbn or construction of structures over 3 stories fl he'Jht EXPIRATION: Every permit ~ued by the 0..Jikjing Ofl'dal under the provisk:ms of this O:xfe shall expire by lrTlilalon and bealme nul and vok:l Wthe buikjing orw:irk authorized bysudl permit is not oommenced 'Mthin 180 days from the dale ofsldl permit or if the buildhg orViOrk authorized by sudl permit is suspended or abandoned at any time after the oork is rommenced hr a peood of 180 days (teelion 100.4.4 Uniforrn 0..Jilding Code). _,g 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 buildinq@car1sbadca.gov or Mail the completed fom, 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. DELIVERY OP110NS 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 ASSOCIATEDCB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP . Inspection List Penni!#: CB152329 Type: PME Date Inspection Item __ _ 12/08/2015 43 AirCond/Fumace Set 12/08/2015 43 AirCond/Fumace Set 12/08/2015 49 Final Mechanical 12/08/2015 49 Final Mechanical 12/04/2015 43 AirCond/Fumace Set 12/04/2015 43 AirCond/Fumace Set 12/04/2015 49 Final Mechanical 08/03/2015 43 AirCond/Fumace Set Wednesday, December 09, 2015 Inspector Act RI PY AP RI PY AP RI PY NR RI PY NR KRAHN: ADD AC & REPLACE FAU Comments PERMISSION TO ENTER LEFT SIDE YARD PERMISSION TO ENTER LEFT SIDE YARD no one home Page 1 of 1