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Home My WebLink About1015 CHESTNUT AVE; B3; CB121291; Permit07-11-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBl 21291 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: Applicant: BOB JENSEN A/C 1347 BROADWAY EL CAJON CA 92021 619-440-3634 1015 CHESTNUT AV CBAD PME 2051902501 Lot#: INTER-LINGUA, REPLACE AIR HANDLER UNIT @ INTERIOR - LIKE FOR LIKE Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: LUIS CARRANZA UNIT B3 1015 CHESTNUT CARSLABD CA 92008 760-434-3383 ISSUED 07/10/2012 RMA 07/10/2012 07/10/2012 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $150.00 $0.00 TOTAL PERMIT FEES $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: ;^'//-/^ Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition'' of fees, dedications, reservations, or other exactions hereafter collectively refen'ed to as "fees/exactlons.* You have 90 days from the date this pemnit was Issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required Infonnation with the City Manager for processing in accordance with Carisbad 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/exacttons DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or sen/ice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previousiv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenivise expired. |THE FOU.OWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING DENGINEBWiG • BUILDING • RRE • HEALTH • HAZMAT/APCD I ^ CITY OF CARLSBAD Building Permit AppHcalion 1635 Faraday Ave., Carlsbad. CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 www.carisba(lca.gov JOBADDRESS to\r cKesVuc^ Ave CT/PROJECT# |LOT# DESCRIPTION OF WORK ffwftHfe Square Faef of/IffitetMfArMfs; PHASE # |#OFUNnS « BEDROOMS Plan Check NO. /^CJ^ Est. Value /pv 4 Plan Ck. Deposit « BATHROOMS B3 litiwitm»to»<uiiiii I SWPPP IbONsTft.TYPe OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE YESFTO N0| I AIR CONOmONING YES I |NO| I FIRE SPRINKLERS YES| |NO| I APPUCANT NAME (Prluary Contaet) APPUCANT NMIE (Secondary Contaet) ADDRESS ADDRESS CITY STATE ZIP OTY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONIRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP <J ^ FAX ' , C4 ^^p^| PHONE FAX PHONE EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC. # STATE LIC.« dTITBUS. U0.# (Sec. 7(331.5 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 Ucense Law (Chapter 9. commending with Section 7000 of Division 3 of the Business and Professions Code) or niat he it exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5by any appllcantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars pESOO}). WORKERS' COMPENSATION Workers' CompentMon Declanion: I hereby alSrmur)dar penally of peijury ona of the fok^alrigdeclmulk^ EnUuveandwWimhitrinaearWieiteofo^ 3700 oflfae Labor Code, for the pacfonrance of the «wik to wIM ^a^^liwe and wHI iraNrtaln worinrt'eonventalion, as required by Sact^ nunbsr are: Insurance Co. Pdfcy No. _CSTi3o23Ji5_ ExpiratonDalB. Bsedion need not be conipleM if the pennit is to one hundred doOa« ($100) or less. Cwtiricale of Exwnptfon: I certif Oiat m teoerio^ Caifbmia WARMNG: Filluit tejeeaw ifwlwty cenyeiwalleii coveiage It unhwftil. and ilW eatjact m mftoftt te emnlnal pawWea and cMI flnw up te one hundred BiouMnd delliw (t100,000). In addttlon to tht Gott of eompM^Hon, danAMtWidad for In CONTRACTOR SBNATURE V/ __J^X-- «v •A8ENT OW N E R - BUILDER DECLARATION ((lerety aflhn hat f am exeri^rf floffl (>onfracto'« Urnne Ijw to0^ I I LasotmeroflhepiopertywmyenvloyaatiathMqiasaslheirsolecai^^ — License Law does not ^jply to an ownw of property who buMs or inproves thereon, and »<KidoM sele tf, haimer.thebuidingaimpromniantissaldwilNnoneyterorcoi^ I I l,asownerorthtprape(fy.amexclusivelyconlia(«ngtMiicansidcontactostoconsk^ notapptytoanomierar proptrty who bidds cr improves thtreon, and contracts to such prpjects with contract Businatt and FYolaniant Coda totHs rsason: • I am exempt under Seclion 1.1 personally plan to provide the mejor labor and metorieb to oinsliuctian of Ihe pnyot^ I lYes ^Jto 2.1 (have / have not) eigntd an applnaiion to a bulMtog pennit for tht propottd woriL 3.1 have eonlrai«d with the following person (linn) to proMde iht propel 4.1 piai to provide portions of the woric, but I have Mred Iht Mowing person to «x^^ 5.1 w« pnwide some of lha worii, but I have contracted (Nrtd) Iht Mowing persons to pnMdt tht wok ^PROPERTY OWNER SIGNATURE QUSENT DATE COMPLETE THIS SECTION FOR NON-RESIOENTIAL BUILDING PERMITS ONLY Is the applicant or fiiture building occupant reqiired to submit a business pbn^mtely hazanlcus materials registalian torn oriisk managamant and pravenlian proown under Saetions 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes (^\J> — nieSrpalut Yet {3> IHE APPLICANT HAS MET OR IS MEETING THE REQUIRBIBrrS OF THE OFFICE OF Is the applicant or fiiture building occupant reqiired to obtain a perniit from tfieir pduton cofftol dskict or eir quMitjrantgemont disUct? Is the facility to be constracted wittan 1,000 feet of the outer boundaiy of e school site? Yes Uto\> IF ANY OF THE ANSWERS ARE YES, A RNAL CERTFICATE OF OCCUPANCY MAY NOT BE I8SUB) UNLBStHE APPUO EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CO 14 S TRU CTION LENDING AGENCY I hereby affimi that there Is a construcfion lending agency for the performance of the wori( SHS pennit is issued (Sea 3097 (I) CMI Code). Lender's Name Lender's Address AP PLICANT CERTIFICATION lcertitytt\atlluwe mad theappfcatkm and state that tte above infonnBtx)ni^ (hereby aulhorize represenMw ofthe CiVorCarisbadtoenlBf upon he abcw mentioned A(3AINST Ali LIABILrTES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY K ANY WAY ACCRUE AGAWST SAD CTTV N CONSEQUBCE OF THE (3RANTNG OF THIS PERMfT. OSHAAnC)SHApem«i5requiredtoexcavafansaw5V'deepanddennailonvcanshx^ EXPtWION: Eveiy pemiit issued by fteBuMngOia 180 days fixn the date of such pe7i1ffwi{lie1SDU^B ^APPUCANTS SI6NATV1RE DATE ~7 STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the foiiowing ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email www.buildinttacariafaadca.ciov or Mail the completed form to Oily of Cail^ Buildina 1^ Famday Avenue, Carisbad, Califomia 92008. CO«:(0rno« Uta Only) CONTACTNAME OCCUPANTNAME ADDRESS BWLDHIG ADDRESS cmr STATE ap cmr STATE ZIP Carisbad CA PHONE FAX EMAIL OCCUPANTS BUS. UC. No. DOJVEIVyOPTnNS PICKUP: CONTACT (Ustad above) OCCUPANT (Ustad above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT OJattd above) OCCUPANT (Listed above) CONTRACTOR (On Pg.1) MAIL/FAX TO OTHER: ASSOCIATED CB« ——— NO CHANCE IN USE/ NO OONSTRUCTION CHMMIE OF USE/NO CONSntUCnON ASSOCIATED CB« ——— NO CHANCE IN USE/ NO OONSTRUCTION CHMMIE OF USE/NO CONSntUCnON ^APPUCANTS SIGNATURE ""^ 1635 Faraday Ave., Carlsbad, CA 92008 Inspection List Permit#: CB121291 Type: PME INTER-LINGUA, REPLACE AIR HANDLER UNIT @ INTERIOR - LIKE FOR Date Inspection Item Inspector Act Comments 07/12/2012 43 AirCond/Furnace Set - Rl AM PLEASE - UNIT B3 07/12/2012 43 AirCond/Furnace Set PB AP 07/12/2012 49 Final Mechanical - Rl 07/12/2012 49 Final Mechanical PB AP Friday, July 13, 2012 Page 1 of 1