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Home My WebLink About1705 TAMARACK AVE; ; CB161220; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-29-2016 Permit No: CB161220 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 1705 TAMARACK AV CBAD PME 2072606900 Lot#: 0 GREEN: REPLACE FURNACE & DUCT WORK Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/29/2016 SLE 03/29/2016 03/29/2016 A & G HEATING AND AIR CONDITIONING GREEN JOHN&BILLIE FAMILY SURVIVORS 1991 TRUST 12 4526 BERKLEY AVE HEMET CA 92544-7826 909-936-6466 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1705 TAMARACK AVE CARLSBAD CA 92008 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: Clearance: $0.00 NOTICE Aease ta<e NOTICE that~ ct )OOf prcject ind.-th, "ln,:x,;itioo' ct fees, dedcaliors, reseMltiai,; or cther exa:tiors hereafter cctlooivay referred to as 1eesiexa:tiors." You rave OOca,,;frcmthl-tns pemit v.as iSSlEdto pretest inµ,sitiai ctthesefeesiexa::lia1s. If you pretest lrerT\ you rrust fdlo,vtt-e pretest ,xucsci..res set forth in~ Code Sectiai 60020(a), a-dfilethl pretest a-d enycther reqjred infamiiai wth thlOty Mreg,,for i:,ucessing i,, axud:t re wth Ca1sba:J M.ndpa Code Sectiai 3.32.cro. Falu-etobrreyfdlo,vthal pu:ea.rawll ti..-enysutEeq..ient r~ a:liai to attack, review, set asiOO, vtid, or anj tt-eir irrp:isition. You ae t-erecy FlRTl-ER NOTIFIED that ycu ri(tt to prctest thl specified feesiexa:tiais OCES NOr N'PL Y to v.ater a-d SfMer oorrec!iai fees ard ~ ~ n:r plaTirg, zairg, g-cdrg or ether sinila ~iratia, p-o:essirg crsavirefees in CXlT19dia, Wth tlis ptjed:. t-rn c:x:ES IT ~Ytoarr; f exoc:ticnsciwich hav-e ·rus1 bea7 ·l/€flal\OTICEsirrilatoth crastowidl utecilinitati ras ·oos1 ·rec:1. - \ THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD ('city of 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 Plan Check No. (1,61 (.QI Z Z:0 LOT# DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE GARAGE (SF) APPLICANT NAME EMAIL DESIGN PROFESSIONAL ADDRESS CITY STATE ZIP PHONE Ff,Y, EMAIL STATE LIC. # Est. Value Plan Ck. Deposit SUITE#/SPACE#/UNIH PATIOS (Sf) DECKS (SF) PROPERTY OWNER EMAIL A'""C.. STt'A- FAX 5'ATELIC9 J> 'f 106 CU>SS ('-lD SWPPP CONSTR. TYPE acc. GROUP FIRE SPRINKLERS YES □No□ ZIP q,z_s-(/ '/ QOplud (Sec: 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair anr 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, commendmgw1th Section 7000 of Division 3 of the B_usmess and Professions Code) or fhat 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 cIvII penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations D J 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 performance of the work for which this permit is issued D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No.______________ Expiration Dale __________ _ t be completed if the permit is for one hundred dolla Exemption: I certify that in the performance ING: Failure to secure workers' t of compensation, dam a ssued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in 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) I, as owner of the property, am exclusively contracting with licensed contractors lo construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo 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 0No 2. I (have I have not) signed an application for a building permit for the proposed work 3. I have contracted with the following person (firm) lo 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 lo coordinate, supervise aid 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 I address/ phone / type of work): JiS PROPERTY OWNER SIGNATURE □AGENT DATE ( C =~W{"'" ~7 -= =0 "" ~ ""'A½J§lff,S,~> • e ,_ --=~-S ~ -"'-__ ,,, -~~~• ,,_ -a, '<W<" ---~ ---, COMPLETE TBIS SECTION FOR NON-Rl!SIDl!NTIA( BUii.DiNG PERMl1"5 ONLY _, ~ --"1!1"-@ 0-""-'---= ~'-~ .;, __ kdllii&rllii-.,h ,;,.~---~, ~-___ -~' • _,,, •= _ ,_ = -• -__ ,_ ,_MS' 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 constl'\Jcted within 1,000 feet of the outer boundary of a school site? □ Yes D 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. I certify that I have read the application and state that the above info,mation is correct and that the info,mation on the plans Is accurate. I agree to comply v.ith all City ordinances and State law.. relating to building construction. I hereby authorize representative of the City of Carlsbad to enter up::in the at:ove mentioned property for ins~n purp:ises. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AG<IINST ALL LIABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY CCRUE AG<IINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: M OSHA permij is required for excavations over 5'0' deep and demolition es in height EXPIRATION: Every permit issued by the Building Ofocial under the p of this berome null and vod ~ the building orv.ork authorized by sudl permit is not oommenced 'Mthin 180 days from the date ofsudl permit or if the building oroo onzed by su<?ti ny time after the oork is commenced for a period of 180 days (Section 100.4.4 Unfform Building Code) ..Ji$ APPLICANT'S SIGNATUR 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 CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: □ CONTACT (Listed above) n OCCUPANT (Listed above) u CONTRACTOR (On Pg. 1) MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) MAIL/ FAX TO OTHER: _______________ _ ,15 APPLICANT'S SIGNATURE □ ASSOCIATED CB#•------------- 0 NO CHANGE IN USE/ NO CONSTRUCTION G CHANGE OF USE/ NO CONSTRUCTION DATE Inspection List Permit#: CB161220 Type: PME Date Inspection Item 08/03/2016 43 AirCond/Furnace Set 08/03/2016 43 AirCond/Furnace Set 08/03/2016 49 Final Mechanical 08/03/2016 49 Final Mechanical Wednesday,August03, 2016 Inspector Act AEK AEK RI AP RI Fl GREEN: REPLACE FURNACE & DUCT WORK Comments Page 1 of 1