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Home My WebLink About2406 ALTISMA WAY; A; CB112648; Permit12-16-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBl 12648 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2406 ALTISIVIA WY CBAD St: A PIVIE 2152401722 Lot#: BANK OWNED- REPLACE 3 ELECT WALL HEATERS, 2 BEDROOMS /I LIVING ROOM Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/16/2011 LSM 12/16/2011 12/16/2011 Applicant: FLORES AIR 2931 ADRIAN ST SAN DIEGO CA 92110 858-717-0847 Ovmer: HERRADA GABRIELA C 2406 ALT1SMA WAY #A CARLSBAD CA 92009 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, resen/ations, or other exactions hereafter collectively 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 infomiation with the City Manager for processing In accoidance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will tar 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 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 fefi.s/6xactions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslY Qtheiwise exPifS'J, ^ CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax:760-602-8558 www.ca risbadca .gov Plan Check No. Qfc | I P-^V ^ Est. Value Plan Ck. Deposit Date I SWPP JOB ADDRESS CT/PROJECT # I0T# ^""^ PHASE# |#/0FUNITS I # BEDROOMS SUITE#/SPACE#/UNIT# # BATHROOMS | TENANT BUSIN CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /delude Square Feet of AffMted Anads) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPL^E YES 0 # NOD AIR CONDITIONING - YES • Noa FIRE SPRINKLERS YES • NOQ APPUCANT NAME (Primary Contact) _ APPLICANT NAME (Secondaiy Contact) ADDRESS ADDRESS CITY STATE CITY STATE ZIP PHONE PHONE EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAIVIE ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE/. . FAX PHONE E~3 \ i'^ FAX / I EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC.# CITY BUS. Lia# (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 applicantfor such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the 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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers'Compensation DedarOion: I hereby affirm under penalty of perjury one of the Mowing declaraSons: O I have and will maintain a certificate of consent to self-Insure for woriters' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the woiti for which this permit is issued, n I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the work for whk;h this pennit Is Issued. My workers' compensatkin insurance earner and policy number are: Insurance Co. , , Policy No. , , Expiration Date ThiS'S^on need not be completed if the pemnit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the perfonnance 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 Callfomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees. / ^ ./CS* CONTRACTOR SIGNATURE - .^iL^li'^-^ OAGENT DATE / / Q W N E R - B U 11 S i i? OECLARATION / heretiy affimi t/iaf / am exempf from Contractor's License Law for the foilomng reason: • I, as owner of the property or my employees with wages as their sole compensation, will do the wori( and the structure is not intended or offered for sale (Sec. 7044, Business and Prafessions 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 puipose of sale). • I, as owner of the property, am exclusively contracting with licensed contractors to constmct the praject (Sec. 7044, Business and Professions Ckide: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracis for such projects with contractor(s) licensed pursuant to the Contractor's License Law). O I am exempt under Section Business and Prafessions Code for this reason: 1.1 personally plan to pravide the major labor and materials for constmction of the proposed property Improvement. • Yes • No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (fimi) lo provide the proposed construction (include name address / phone / contractors' tense number): 4.1 plan to provide portions of the work, but I have hired the following jierson to coonlinate, supen/ise and provkle the major work (include name / address / phone / contraclnrs' license number): 5.1 will provide some of the worit, but I have contracted (hirod) the following persons to provide the worit indicated (Include name / address / phone / type of woric): >eS'pROPERTY OWNER SIGNATURE •AGENT DATE COMPtETE THIS SECTION rOR N O N - R E S I D E N TI A L 8 O I L O i N e PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration forni 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 pollution control district or air quail ty management district? • Yes • No Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? • Yes ONo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ICTION LENDING AGENCY I hereby affimi that there is a constmction lending agency for the perfonnance of the work this pemiit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address '°A^*P,LT *A MT CtRTlFTCATION I cetti^ that I have read the applteatkin and slate tliat tiie above infonnatton is conect and that tlie infbimatkin on the plans is accurate. I agree to comply witti ail City ordinances and State laws leiating to building consbuction. I hereby authorize representative of the Qty of Carisbad to enter upon the above mentkxied property for inspectkm purposes, i ALSO AGREE TO SAVE, INDEMNII^ AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILmES JUDGMENTS, COSTS AND EXPENSES WHICH l*\Y IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: An OSHA pennit is requited for excavattons over SU deep and demolitton or constiuction of stmctures over 3 stories in heigM. EXPIRATION: Every pemiit issued by the Buikling (Mcial under the provistons of this Code shall expire by Iimitatbn and become null and vokl if the building or worit authorized by such pemnit is not commenced within 180 days from tie date of such pemiit or if the buiWing or wortt authorized by such pennit is suspended or abandoned at any time after the vmrtt is commenced for a period of 180 days (Sectbn 106.4.4 Unifonn Buikling Code). y€f APPLICANT'S SIGNATURE .^"^^^^''^ DATE City of Carlsbad BIdg Inspection Request For: 12/19/2011 Permit# CB112648 Title: BANK OWNED- REPLACE 3 ELECT Description: WALL HEATERS, 2 BEDROOMS /I LIVING ROOM Inspector Assignment: Type: PME Job Address: Suite: Location: APPLICANT FLORES AIR Owner: Remarks: Sub Type: 2406 ALTISMAWY A Lot: Phone: 6193131167 Inspector: Total Time: CD Description 44 Rough/Ducts/Dampers 49 Final Mechanical Act Comments AP Requested By: MARK Entered By: JANEAN Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection Historv Date Description Act Insp Comments