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Home My WebLink About135 ACACIA AVE; ; CB150300; Permit01-28-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBI50300 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 135 ACACIA AV CBAD PME 2042311100 Lot#: FRADIN: INSTALL A/C MINI SPLIT Status: ISSUED Applied: 01/28/2015 Entered By: JMA Plan Approved: 01/28/2015 Issued: 01/28/2015 Inspect Area: Applicant: GLOBAL HEATING AND AIR CONDITIONING Owner: FRADIN LIVING TRUST 03-05-09 5805 WATER ST LAMESA CA 91942 619-564-0122 POBOX 2014 CARLSBAD CA 92018 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $160.00 $0.00 TOTAL PERMIT FEES $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00 Inspecti FINALAPPROVAL Date: 2-'3^f5 Clearance: NOTICE: Please take NOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively 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 Govemment Code Section 66020(a), and file the protest and any other required infonnation with the City IVlanager 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 attacic, 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 to any fees/exactions of which vou have oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: nPLANNING OENGINEERING nBUILDING OFIRE nHEALTH •HAZHAT/APCD ^Cityof 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. C&\'S• Est. Value Plan Ck. Deposit Date SWPPP CT/PROJECT # |L0T# | PHASE # I # OF UNITS l#BEDR00t^S SUITEf/SPACEf/UNIT* # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s) wwnn. iiitfiuuc ^ifuafo rcci ui Mfiobicu fvca\9j • EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~|# NOj I AIR CONDITIONING YES I |NO| I FlRESPRINKLERS YES I |NO| I APPLICANT Prima ADDRESS •M.'L-'nCOO I ADDRESS 31 CITY ^ STATE ZIP STATE ZIP PHWJE / „ EMAIL DESIGN PROFESSIONAL CMTBACTOR BUS. NAIME , ^ If < 1 ADDRESS CITY STATE ZIP 2; r PHONE FAX FAX EMAIL STATE LIC. # STATE LIC.# CLASS CITY BUS. LIO* ^ intiirp nrinr tn ite; is;^iiannp akn rpniiirp<; thp " (Sec. 7031.5 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 applioantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of xne Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applioantfor a permit subjects the appiicantto a civil penalty of not more than five hundred dollars ($500)). mmRIt«««' comPKHSATioH am workers' compensation, as required by Section 3700 of the Labor Code jor theperformance of the work for which this permit is issued. My workers' compensation insurance earner iCo Nc^O-{j^iyg 0 ftM^UP^hMCE °"pAy??o.^ASq 8'\ S1 ^^3^Date jZ/Jy IS impleted't the permit is for one hundred dollars ($10(5) or less. Workers' Compensation Declaration: / hereby affirm under penalty ofpeijury one ofthe following declarations: Bi 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 perfomnance of the work for which this pernilt is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code^^orjhe^rformance of the workfor which this permit is issued. My workers' compensation insurance canier and policy number are: Insurance C TJjis section need not be completed 'it the permit is for otie hundred dollars ($10 ertificate of Exemption: I certify that in the perfomiance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of ITfomia. WARNING: Failure to secure woijieisUiompensation coverage is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damd^s as pfovided for in Section 3706 of the Labor code, interest and attomey's fees. CONTRACTOR SIGN ATUBU. ' Y^^^^-=^~ QAGENT DATE [J^Sf \ I hereby affirm that I am exempt from Contractor's License Law for the following reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture 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 I I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of pnoperty who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I I I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. ^Yes I INO 2.1 (have / have not) signed an application for a building pennit for the proposed work. 3.1 have contracted with the following person (flrni) to provide the proposed constmction (include name address / phone / contractors' license number): 4,1 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 / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of worts): PROPERTY OWNER SIGNATURE •AGENT DATE CS»««?l.6Tf THIS SiCTtON FOB NOM-»iSID8NTIAi BUil.OINe PERMITS ONIY Is the applicant or future building occupant required to submit a business plan, acutely hazanlous materials registration form or nsk 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 fxility to be constmcted 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. CONSTeilCTiON LEHBiHG AGEHCY I hereby affirm that there is a construction lending agency for the perfomiance of the work this permit is issued (Sec. 3097 (i) Civil Codp). Lender s Name L L "T^ ice of the work this permit is issued (Sec. 3097 (i) Civil Code). f AA Lender'sAddressSgdS \^ W J LAI^^<^^ C^^WAZ I certify that I have read the appl'ication and state thatthe atxwe infomiation Is conect and that the infonnation on the plans 'is accuiate. I agree to comply with all City ordinances and State laws relating to building constmction. I hereby authorize representative ofthe City of Carisbad to enter upon the above mentioned property fbr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST Aa LIABILfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA pemnit is required for excavations over 5'0' deep and demolitbn or constmction of stnictunes over 3 stories in height. EXPIIWTION: Every pemiit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such pennit is not commenced within 180 days from the date of such Demiloriflhebuildina or WDri< authorized by such pennit is suspended or abandoned at any time after the worts is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code). vgfAPPLICANT'S SIGNATj 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 buildina(S)carlsbadca.qov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califbmia 92008. C0#: (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) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB#-. NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION vg?APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB150300 Type: PME FRADIN: INSTALL A/C MINI SPLIT Date Inspection Item Inspector Act Cornments 02/03/2015 34 Rough Electric PD AP 02/03/2015 39 Final Electrical PD AP 02/03/2015 43 AirCond/Furnace Set PD AP 02/03/2015 49 FinalMechanical PD AP Tuesday, February 03, 2015 Page 1 of 1