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Home My WebLink About1752 FAIRLEAD AVE; ; CB132105; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 08-30-2013 Permit No: CB132105 Building Inspection Request Line (760) 602-2725 Job Address: Pennlt Type: Parcel No: Reference #: PC#: Project Title: Applicant: 1752 FAIRLEAD AV CBAD PME -2150202901 LEAVY RES= ADD NEW NC PRE PLUMBED NO ELECT AERIS MECHANICAL INC #165 9921 CARMEL MOUNTAIN RD SAN DIEGO CA 92129 619-261-2844 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Lot#: 0 Owner: LEAVY SEVDA 760-929-0551 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/30/2013 LSM 08/30/2013 08/30/2013 $0.00 $0.00 $154.00 $0.00 $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: Inspector: FINAL APPROVAL Date: /o · ?: Z / I ). Clearance: ------ $0.00 NOTICE: Please take NOTICE that approyal of your project Includes the 'I mposltlon' of fees, dedlcatlons, reservations, or c(her exactJons hereafter coAectively referred lo as 'fees/~' You have 00 days from the date this permit was Issued to protest Imposition of these fees/exactloos. If you protest them, you must follow the protest procewres set forth In Government Code Section 66020(0), and file the protest and any othel' required Information with the City Manager for processing In accordance with Garlsbad Municipal Code Section 3.32.030. FallW"e to timely folio.¥ that procedure w111 bar any subsequent legal action to attack, review, sat aside, void, or annul their Jmi;osltlon. You are hereby FURTHER NOTIFIED that your right to prctest the spedfled fees/exactbns DOES NOT APPLY to water and sewer connection fees and capacity changes, nor plannlng, zoning, gradlng or othe( slmllar appllcatlon processlng or sem:e fees In connection with this project. NOR DOES IT APPLY to any . :, THE FOLLOWJHG APP~OVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING OEHGINEERtro 0BU1LDING OFIRE OHEALTH OHAZMAT/APCD «~0>\ Building Permit Appllcatlon 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www.car1sbadca.gov Plan Check No. Gs I 5 ~ I os- ~ CITY OF CARLSBAD EXISTING USE PROPOSED USE APPLICANT NAME (Primary Contact) ADDRESS CITY STATE ZIP PHONE FAX EMAJL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE L1C # Est. Value Plan Ck. Deposit GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESQI. NcQ APPLICANT NAME (Sacondery Cont•ct) ADDRESS CITY STATE PHONE FAX EMAJL SWPPP ZJP FIRE SPRINKLERS YESONoO (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, altar, Improve, demolish or repair any structure, prior to Its Issuance, also requires the appllcant for such permit to n1e a signed statement ttiat he Is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending wrth Section 7000 of Division 3 of the Business and Professions Code) or that he ts exempt therefrom, and the basis for the alleged exemption. Any vlolatlon of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than !Ne hundred dollars {$500)). I '(Jorkers' Compooaatlon Declmtlon: I hero by 8fflrm lll1der penell'f of p&/lrt one of the ~ ded8fa//om: [] I have and 111m malnllln I certlflcl!e of C011118flt to self-Insure for v.orkers' compe!lSliloo as provlded t)I' Section 3700 of Ole L..alJor Coda, lor the performance of the \I/Olk for llrtich ttw permit Is Issued. [] I h1V8 IJ1d wm mil ntaln workers' compenilltlon, as l8QIJ1red by Sectloo '3700 of the La.oor Coda. for the perform!llce of the 't\Olk for whJch tis permit Is Issued. My WOl1<ers' compensation ™ranee cooler and pollcy \ number are: Insurance Co. Pol'cf No. Expiration Dale--------- sectlon need rxit be completed U the pe~ Is for one hundred dollarn ($100) or less \ f!cate of Exem ptlon: I certify that In the performance of the l'IOfk for whk:11 this perrrwt Is Issued, I shal not employ any person In any merrier so as to become ~ kl the Woncers' Compensatloo Laws ol WARNING: Failure to 1ecure workers' co nu ovenige II unl1wful, ind 1h1n subj~ 1n 1111ployerto crlmlnll penllt!B11nd civil fines up to one hundred thOll8llnd dollan (&100,000), In I ·, ~ to the coet of compenuUon, d1mag.. ded Section 3706 of the Lib or codt, lntarnst l!ld 1ttomey'1 feel. ~ CONTRACTORSIGNATURE ,_.,..-0AGENT DATE lJ'/:Jo;1 > 'rooreby 8/l!tm thst I irn emnpt frcxn Contrador's License Law for the fo6olling rsason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work and Ille stn.dure Is not Intended or offered for sa\e (Sec. 7044, Busiless and Professlons Coda: The Con!racto!'s License Law does not B!JPly kl 111 owner of property who b!*Js or nµo"6S thereoo, and who does such work twnse~ or ttrough his own en1)loyees, prov'ded that such lmprowments are not Intended or offered for sale. tt, howe¥er, the oolkflng or Improvement Is sokl Within one year ol complelloo, the 0\111let'-buider wl have the burden of proving that he dd not bulkl or Improve for the purpJSB of sale). D D I, as owner of the property, cM11 exclusl\<ely contracting with licensed C011tracioo to construe! the project (Sec. 7044, Business and Professions Code: The Contracto~s L.Jcoose Law does not apply kl 111 owner of property who buids or mproves thereon, and contracts for such projects wlh contracto,,(s) l!censed pursuant to the ContrackJJ's License Law). I <111 exempt under Section Busiless and Profass!oos Code for this reasoo: 1. I personally plan to provide the major labor and mate!lals for construction of the propJSBd property Improvement. Oves 0-lo 2. I (have I have noQ signed at1 iwlca!loo for a bulking permJt for Iha proposed work. 3. I have cootracled will the following person (finm) kl provide Ille pro,.osed coostructlon (Include 1'111110 address I phooe I contraclO!S' llcense numbe~: 4. I plan to provide portions of the YllllX, but I have hired the folowf ng peraoo to coO!drale, supeiVlsa and provide the l!Uljor \I/Olk (i1clude na:ne I oodrass I phone I contra:lora' lcense numbe~: 5. I '*11 prov1de some of the Ml!k, but I have C011tra:ted (hired) the follc:J¥,bJ persons to provide the l\OJlk lrd;ated Oncluda nirne I addres8 I phone I type of Ylllrx): ,NS PROPERTY OWNER SIGNATURE [JAGEHT DATE ' I. Is the appicant or f u!ll1l b\Jldng occupant reqlired to sulxnlt a business plan, EK;U!efy hazardous matertaJs reglstrallon form or r1si management and prevention prog11111 under Secllons 25505, 25533 or 2553-C of the Presley-Tanner Hazardous Subst!rlca Account Acri Yes No Is the app»cant or fulure bund1ng occupant reqlired to obtain a permt from the air poMloo control d!sb1ct or air QUality management dlstrtt1 Yes No Is tile facfflly to be constructed IIA!hln 1,00J 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 U"-ESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL D!STRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit Is Issued (Sec. 3097 (l) CMI Code). Lender's NEl!le Lender's Address I certify that I haw read the applk:at!on and state that the above lnbmation Is cotreetood that the Information 00 the plans Is accurai1. I agree 1D comply'Mlh all City onfuances and Slate l8\loS ralatirrg ID bu!!dl~ construction. I ht1eboj aulhooze repeseoo!tiYe ~ the City of Car1sboo to em3r UiXJ,1 ~ al:ove mentbned ~ br klspedbn p..rp'.JS0S. I ALSO AGREE TO SAVE, NDEMNIFY At,O KEH' HPPMLESS THE CITY Cf CARI..SBAD ~ST .All LJ/IBIUTIES, JU)GMENTS, COSTS AND EXPENSES ICH W.Y IN NN WAY ACrnuE PG/>JNST &JD aTY IN CONSECAJENCE Cf Th'E GRANTING CF THIS PERMIT. 09-!A: NI OSHA perrnl Is req.ired for excavations (NfJf 5'0' deep aoo ltbn or constructkln ~ sructJres 0\'01' 3 S003S kl hEtjll TION: Every perm; Issued by the &l(iig Ofrcial the bis of 1111s Code shall expie by l'mlcton cl1d re,:JJ!'OO nul me! voi:J f the b.tilg or lliai< illtln'ized by slX!1 ~ Is no! OJmroorceci v.lthkl 1 ~ rom lhe daa of such ~ or If t.e bulfug by sudl i:emil is sus~ or abanooned at any thne afl3r the \\Olk Is corrmoo:;oo b' a pero:1 of 100 days {Sedbo 100.4.4 lkiform &rdng Code). /,e APPLICANT'S SIGNATURE 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. CEllTIFICATE OF OCCUPANCY jCommcrcial Projects only I Fax (760) 602-,S560, Email bui!ding@cartsbadca,qov or Mall the completed form to City of Carlsbad, BuDdlng Division 1635 Faraday Avenue, Carlsbad, Callfomla 92008. COf: (Office Use Only) \;UIIIACT NAME OCCUPANT NAME ADDRESS BUILDING ADuttt:SS CITY STATE ZIP CITY STATE ZJP Csrlsbad CA PHONE I tAA EMAIL OCCUPANT'S BUS. UC. No. DB.JVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. :I.) ASSOCIATED CBI MAIL TO: CONTACT (Listed 11bove) OCCUPANT (Listed above) CONTRACTOR (On Pg. :I.) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION .A5 APPUCANrs SIONA TURE DATE Inspection List Permit#: CB132105 Type: PME i;>ate___ Inspection Item 10/21/2013 43 AirCond/Furnace Set 10/21/2013 43 AirCond/Fumace Set 10/21/2013 49 Flnal Mechanical 10/21/2013 49 Final Mechanical 09/30/2013 49 Final Mechanical Tuesday,October22,2~13 lns~~~ct RI PB AP PB PB RI AP NR LEAVY RESe2 ADD NEW A/C PRE PLUMBED NO ELECT Comments Page 1 of 1