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Home My WebLink About1409 TOPAZ CT; ; CB142677; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 10-15-2014 Permit No: CB142677 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 1409 TOPAZ WY CBAD PME 2121915500 SKRINSKA RES-REPLACE A/C & FURNACE ACTION AIR COND & HEATING-SD 2750 S SANTA FE AV SAN MARCOS CA 92069 760 727 4152 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Owner: SKRINSKA JOHN R 1409 TOPAZ WY CARLSBAD CA 92011 Issued: Inspect Area: ISSUED 10/15/2014 LSM 10/15/2014 10/15/2014 $0.00 $0.00 $160.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160 00 Balance Due: Inspector: FINAL APPROVAL Date '(-? -1,< Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project inciudes the "Imposition" of fees, ded'1cations, reservations, or other exactions hereafter collecf1vely referred to as "fees/exactions." You have 90 days from the date this pennit 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, rev·1ew, 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 l'I n f whi h I NOTI E imil r his r whi h h t f limi a ions h THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH D HAZMAT/APCD ·;1;.'~ Building Permit Application Plan Check No. CB I 4 -2, A 7 / ~ ,, 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ Cl r Y o r Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date IOl•S IL/ \SWPPP JOB ADDRESS I q D "-'Pea.-z. u+--b \o,~ SUITE#/SPACE#/UNIT# rPN \N 1.-'-{ --- CT/PRQ.JECT # I LOT# I PHASE# I# OF UNITS 111 BEDROOMS # BATHROOMS .. ! TENANT BUSINESS NAME I CONSTR. TYPE ! occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) G\_~lf.llL }: '{r){ \--,'i A--1( &-" \ V>fV\f<(t EXISTING USE I PROPOSED USE ! GARAGE (SF) PATIOS (SF) I DECKS (SF} FIREPLACE AIR CONDITIONING !FIRE SPRINKLERS YES[), No□ YESONoO YESONoO APPLICANT NAME Janine Butler PROPERTY OWNER NAME .::S-" \.,, II\ ,(Cri115/l4 Prm~-, Contact ADDRESS 2750 s santa fe ave ADDRESS 14 O q_ I b {' 'l ,z__ W"-'f CITY STATE ZIP CITY C,A > k,c_J STc'A z~.lc I/ san marcos ca 92069 PHONE I FAX PHO")t,J -511 l-19 l ~b !FAX 760-727-4152 EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME action air ADDRESS ADDRESS 2750 s santa fe ave CITY STATE ZIP CITY STATE ZIP san marcos ca 92069 PHONE I FAX PHONE IFAX 760-727-4152 EMAIL EMAIL ) STATE UC.# STATE UC.# I CLASS I CITY ~si'lfi'ro 0 509805 c20 (Sec,. 7031.5 Business and P_rofess·Ions Code: Any City or County wh'tch 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 LawjChapter 9, comme_nding with Section 7000 of DivIsIon 3 of the B_usmess and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than ftve hundred dollars {$500 . &liiiii*ifl!fti±if.i Mi¥iM( 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 performance of the work for which this permit is issued -- 0 I have and will maintain workers' compensation, as required by Section 3700 oft abor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co _______ ----· --~~f in~ure~~o~ions ________ Policy No 450J-093 Expiration Date 9-15 Th'1s section need not be completed ·11 the perm'1t is for one hundred dollars ($100) or ss 0 Certificate of Exemption: I certify that in the performance of the work for w h th· 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 covera Is un wful, and shall subject an employer to criminal penalties and cfvil fines up to one hundred thousand dollars (& 100,000), in addition to the cost of compensation, damages as provided for in Sectio 3706 the Labor code, interest ~ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following □ □ □ I, as owner of the property or my employees with wages as their sole co e lion, will do the work and the structure is not intended or offered for sale (Sec. 7044, Btlsiness and Professions Code: The Contractor's license law does not apply to an owner of property who builds or improv hereon, 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 to construe! the project (Sec. 7044, Bus'1ness 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 lo 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 building permit for the proposed work, 3. I have contracted with the follow·ing person (firm) 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 follow·1ng persons to provide the work ind·1cated (include name I address I phone I type of work) 85 PROPERTY OWNER SIGNATURE DATE to submit a business plan, acutely hazardous mater'1als reg·1stralion form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance □ 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 s·1te? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE Of OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR rs MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit ·,s issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address ±J5iiR;tJ:~i%4dlii!<M .,_. · I certify that I have read the application ard statethatthe above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Caffibad to enter upon the above mentioned property to, inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Y WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: An OSHA pennlt S required for excavations over 5'0' deep and demolition or ction of structures over 3 stories in height. EXPIRATION: Every pennit issued by the Building Official under the provisions of !tf e shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of su:.ti pennit or if the building or work authorized by such It is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unilonn Building Code) ~ APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB142677 Type: PME Date Inspection Item 04/01/2015 43 AirCond/Furnace Set 04/01/2015 43 AirCond/Furnace Set 04/01/2015 49 Final Mechanical 04/01/2015 49 Final Mechanical 02/02/2015 43 AirCond/Furnace Set Thursday, April 02, 2015 Inspector Act PB PB PB RI AP RI AP NR SKRINSKA RES-REPLACE A/C & FURNACE Comments PM Page 1 of 1