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Home My WebLink About2315 TERRAZA RIBERA; ; CB150641; Permit03-02-2015 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB 150641 Building Inspection Request Line (760) 602-2725 2315 TERRAZA RIBERA CBAD PME 2155813400 Lot#: 0 AIMONE: REPLACE FAU Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/02/2015 JMA 03/02/2015 03/02/2015 R&C HEATING & AIR, INC 23935 BERRYESSA CT RAMONA AIMONE SCOTT L&MEEGHAN D FAMILY TRUST 06-08-02 CA 92065 760-484-2116 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2315 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: $0.00 Inspector: Date: Clearance: roval of your project includes the "Imp sition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You ve 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 oonnection 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 fees/exactions of which ou have reviousl been iven a NOTI E similar to this or as to which the statute f limitation has revi usl otherwise ex ired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATJAPCD {city of 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 SUITEt/SPACEt/UNITt I Est. Value Plan Ck. Deposit SWPPP PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) f?epllice FAy EXISTING USE APPLICANT NAME Primary Contact ADDRESS Z-~"\ 3 Cli;:( t'LA1,c..ui ,v t; ADDRESS Cl1Y PHONE EMAIL > t GARAGE (SF) l A I l<. :nvc. cf STATE ZIP CA-qzo1,,r FAX f'70- H STATE ZIP FAX STATE UC.# CONTRACTOR BUS. 2!t! C ADDRESS Cl1Y STATE PHONE FAX EMAIL CLASS AIR CONDITIONING YES □No □ ZIP FIRE SPRINKLERS YES□No□ (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, prior to its issua e lso requires the applicant for such per_mit to file a signed statement that he Is licensed pursuant to the provIsIons of the Contractor's license Law (Chapter 9, comme_ndIng with Section 70 0 of D1vIsIon 3 of the Business and Professions Code} or that he Is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subiects the applicant to a cIvI/ penalty of not more than five hundred dollars ($500)). WOllKl!IU' COMPl:fUA'tlOH Workers' Compensation Declaratlon: I hereby affirm under penalty of perjuf'/ one offhe following declarations: B 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 performance of the work for which this permit is issued I have and will maintain workers' compensation, as reQuired by Section 3700 of the Labor Code, for the performance of the work for wh·rch this oerm'1t is ·issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No _____________ _ Expiration Date _________ _ ~lion need not be completed rfthe permit is for one hundred dollars ($100) or less . ..t::] Certificate of Exemption: I certify that in the performance of the work 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 Calrfomia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penaltJes and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, ~es as provided for in Section 3706 of the Labor code, interest and attorney's fees. JiS CONTRACTOR SIGNATURE lP 11. □AGENT I hereby affirm that I am exempt from Contractor's Ucense 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 himsetf or through his own em~oyees, 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 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. OYes ONo 2. I (have/ have not) signed an application for a builcfing perm·I1 for the proposed work. 3. I have contracted with the tallowing 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 h'rred the tollow'1ng person to coorcf1nate, supervise and provide the major work (include name I address/ phone/ contractors' lice rise 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): Ji:S PROPERTY OWNER SIGNATURE □AGENT DATE ;** *-jM *-, H,<¢,.c\ ** '*'"' > * j W* '<{ *\ *Cf 1 \ * j j C P'** **s.,''1CMs,*'f''.'1 4"' ,K * * 1 COMIHl!TI! THIS Sl!Cl"ION FOR NON•Rl!JIPl!Nl"IAL IIUILDING PIRM11"$ ONLY " * ' * * * * ~ * " " * * ' * ' * ' "'--~1c'----* Is the applicant or furure 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 pollufion 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. I certify'that I have read the application and state that the above info,mation Is correct and that the Information on the plans Is accurate. I agree to comply with all City oltlinanc:es and State laws relating to building construction. I hereby authorize representative of the Grty of Car1sbad to enter up:m the atove mentKJned property br inspection purposes. I ALSO A~EE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY a= CARLSBW AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CON SE OJ ENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA pennlt is required for excavations over 5'0' deep and demolrtOn or construc!Jon ofstructuresover 3 stol"Es in heigh!. EXPIRATION: Every permit issued by the Building Official under the provisKlns of this Code shall expire by limila~on and beoome null and void ff the building orv.ork authorized by such permit is not commenced wttiin 180 days from the date of sucti permit or if !he building or v.ork authorized by such pennlt is suspended or abandoned al any time after the v.ork is commenced bra period of 180days (Section 100,4.4 Unibnn Build",ng Code) ,15 APPLICANT'S SIGNATURE --;2 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@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. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT {Listed above) CONTRACTOR (On Pg . .1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg . .1) MAIL/ FAX TO OTHER: _g APPLICANT'S SIGNATURE OCCUPANT (Listed above) ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB150641 Type: PME Date Inspection Item 03103/2015 43 AirCond/Furnace Set 03/03/2015 43 AirCond/Furnace Set 03/03/2015 49 Final Mechanical 03/03/2015 49 Final Mechanical Wednesday, March 04, 2015 Inspector Act PY PY RI AP RI AP AIMONE: REPLACE FAU Comments Page 1 of 1