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Home My WebLink About2340 TERRAZA RIBERA; ; CB151345; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-04-2015 Permit No: CB151345 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2340 TERRAZA RIBERA CBAD PME 2155821700 Lot#: RATCLIFF RES-REPLACE A/C UNIT NO NEW ELECTRIC-NO NEW DUCT WORK 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/04/2015 RMA 05/04/2015 05/04/2015 SCOTTYS HEATING & AIR, INC RATCLIFF GARY&BRENDA FAMILY TRUST 02-28-08 915 CIVIC CENTER DR OCEANSIDE CA 92054 760 519-4932 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2340 TERRAZA RIBERA CARLSBAD CA 92009 $0.00 $0.00 $160.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: FINALt:PPROVAL Date: · )... · f S--Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the '!mposition" of fees, dedications, reservations, or other exactions hereafter collecf1vely 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 lo any fees/exa lions of which ou have r vi usl been iven a NOTICE imilar th·1s r as to which the st te of limit ti ns as revi usl therwise ex ire . THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING □BUILDING □FIRE l . ( City of Carlsbad JOB ADDRESS,;; 3 y O CT/PROJECT# LOT# EXISTING USE APPLICANT NAME /..Al' (/2\e. EMAIL':;l__O++ DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL Building Permit Applkation 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUrTBf/SPACHI/UNIT# Plan Check No. Est. Value Plan Ck. Deposit PHASE# # OF UNITS # BEDROOMS #BATHROOMS PROPOSED USE GA.RAGE (SF) PATIOS (SF) DECKS (SF) AREPIACE STAlE c.,__ FAX YV\CL. \, LQVV\ STATE ZIP FAX STATE UC.# YES0, NcCJ 1'!11/PERlYOWNERIIAME,a_ -~ ./ <=',t(.✓ 'c. C}J~ ADDRESS _,......, 31-t b 1-err-er2A- STATE CA FAX EMAIL EMAIL STATE q □HEALTH D HAZMA T/APCD SWPPP CONSTR. TYPE OCC. GROUP r (Sec. 7031.5 Business and Professions Code: Any City or County whk:h requires a pennit to constructl alter, improve, demolish or~e ir any structure, prior to its ce, also requires the applicant for such pennit to file a si ed statement ffiat he is licensed pursuant to the provisions oftne Contractor's License Law a r9, commendin with ti_ 7000 of Div1sron 3 of the Business and Profess10ns Code} or Ct he is exempt therefrom, and the basts for the alleged exemption. Any violation of Section 03~ by any applicanftor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Worlleni' Compensation. Declaration: I hereby affirm underper&ltyof peljury one of the following dedamtlons: I llaYe and WiH maintain a certlficattt of consent to •If.insure for workers' compensatiOn as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is isslled. IIIMI and wtn maintain worbrs' CClmtJ....tlon, as l"EQllred by Section 3700 of the Labor Code, for tile performance of the wol1t br which this oennit ts issued. My 'M>rkels' compensatim Insurance carnet and policy oombe,are l"'"~"ceCo i Jo.,rg\..--LL\. ,rz£.__ Paq,Nn SC Vv L fa Q '3 84 4 Exp4raloaDate '5-q-d O I If? ~section need not be completed if the permit is for one huOOred dalars ($100) orless. LJ Certificate of Exemption: I certify that ln the perfonnance of the M>rt. for wtlCh this pennil: iS isslled, I shall not emplOy any person in any manner so as to become subject to the Worters' C'.ompensatlon Laws of California. WARNING: Failure 1o secun worbrs' compenaatk)n coverage is unlawful, and shall slabjlcl • employarlo criminal penalin and cMI finas up to one hlmdntdthousand dollan (&100,000), in addition to the cost of compenutfon,-,,.""!ll"'i' ~ for ._ Section 370G of ttle Labor de, lnlerest and attorney's fees. AS COHTRACTOR SIGNATURE I hereby affirm that I ~ exempt hom r.ontractor's license Law for the bllowitlg reason: □ I, as owner of the property or my employees with wages as theirsde compensation, wil do the wo111: Md the struaure Is not intended or offemd for sale (Sec. 7044, lllsiness and ProfessiDwi.Code: The Contraetots License LIM' does not appyto an owner of property who bulds or improws thereon, and who does such wcrt himself or through his own empoyees, proviled that such Improvements are nd intended or offered for sale. If, however, the bulding or Improvement is sold within ooe year of oompletion, the O'Mler..l)uilder wll have the burden of proving that he did ool buld or ifTlproW for the purpose cl sale). 0 I, as OW11er of the property, am exduslvely oontracting wi:h licensed contract>rs lo construct the project (Sec. 7044, Business and ProfessDlls Code: The Contrado(s LlaMlse Law does not apply to an owner of property who bulds or improves thereon, and contracts for such J)l'Ojects will oontractor(s) licensed pulSllant to the Contractor's License Law). □ I am exempt under Section_ __._ l:\Jslness and Professions Codeforthts reason: 1. I personaly plan to Pf(Niie the major labor and materials for construcoon d the proposed property impmvemef1t. C]ves Q.«> 2. I (haw/ have not) signed an applkaoon for a bulding pennil for the proposed wort 3. I have contracted with the falowing person (firm) to provide the proposed construction {indixte name address/ phone/ contractors' license oomber): 4. I plan to prowle po,oons cl the wort, but I have hired the following person to axm:linale, superviSe and provile lhe major work (include name/ a<itress/ lilone/ contractora' license oomber): 5. I wll provde some of lhe work, but I have contracted (hired) the following persons to pr<Mde the wort Indicated (indude name/ address/ lilone I type of work): ,k$ PROPERTY OWNER SIGNATURE []AGENT DATE 1,'<:0llllf'l;E1'_E TJ!IS Slfl;'tlON f'OR NON•RESIDlilNTJAL BUI_LDING ,.IIMITS ONLY Is the awticant or rub.re lxilds!g ocx:upant required to sutmt a business plan, ao.rtely hazcWdous materials regislra1ioo fonn or risk management and preve~oo pro!Jan under Secilons 25505, 25533 or 25534 of the Preslf!j-Tanner Hazardous Substaoce ACCOUfll Ad? □ Yes □ No Is the aJ)picanl or future blildng oocu~r~ to obtari a permit from tie air pdlution contrd district or air quality mar1agemenl dstrid? □ Yes D No Is the facltlytobeCMStrud:edwilhin 1,000feet dlheouterboundayofa sctml site? □ Yes D No IF ANY OF Tl-IE ANSWERS ARE YES, A ANAL CERTlflCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREIIENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT. I certify that I have ,eadthe applcation and stale that the above informalion is coned. and that the information on Ute plans Is acmrate. I aglee to C001)lyMd'I all Cityoldinaflces and State Ins iefatingto buldingo:>nstruction. I hereby aulhoria>..,,....,,,.,.. ctlhe CllyctCarlsbad beoJBrupon >iealxM,menliJoo<I ~for r\SJ)ediln JlUlll(lSe5s I ALSO AGREE TO SAVE, NDEMNFY AND KEEP HARMLESS 1IE CITY OF CARLSBAD AGAINST AU UABJlJllES, JUDGMENTS, CCSTS AND EXPENSES WilCHMAY N ANYWAY ACCRUE AGAINST SAJDCITY IN CONSEQUENCE OF THE GRAIITNGOF TiiS PERMT. OSHA: hi OSHA pennit is requred for excavations Olt'8I' SfY deep and demoioon or construcoon ct strud.uresover 3 st>ries il heglt EXPIRATION: Ewry permt BSU0d by the Buld~ Offi:ial under lhe prtMSi:lns ct tlis Coda shaH expl'e by imil8li>n aOO becofoo nul and YOO fthe buik:lilg or \Wik authorimd by sud! permit is nd commenced Within 1ro days tan lhe da'1 of""" pe!Tllio-Wlhe bui<Jing .--aulharizoo by strli pemit • suspeooed .-abao<modatanytiloo _.,._•"""""""'for a pe,ro of 1rodays(Sedilo 106.4.4 Uniform Bu~ Code). AS° APPLICANT'S SIGNA1\JRl1,/ DATE 0/ t.../ I/) Inspection List Permit#: CB151345 Type: PME Date Inspection Item 06/02/2015 43 AirCond/Furnace Set 06/02/2015 43 AirCond/Furnace Set 06/02/2015 49 Final Mechanical 06/02/2015 49 Final Mechanical Tuesday, June 02, 2015 Inspector Act PD PD RI AP RI AP RATCLIFF RES-REPLACE A/C UNIT NO NEW ELECTRIC-NO NEW DUCT WOR Comments Page 1 of 1