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Home My WebLink About2508 LA GOLONDRINA ST; ; CB150673; Permit• City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-03-2015 Permit No: CB150673 Building Inspection Request Line (760) 602-2725 Job Address: PermitType: Parcel No: Reference #: PC#: Project Title: Applicant: 2508 LA GOLONDRINA ST CBAD PME 2155612300 Lot#: 0 MANGAN RES-REPLACE FAU & ADD A/C Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/03/2015 RMA 03/03/2015 03/03/2015 STILLMAN HEATING AND AIR CONDITIONING SUITE A MANGAN BRENDAN&COLLEEN FAMILY TRUST 04-26-13 7200 PONTO DR CARLSBAD CA 92011 760-431-3266 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2508 LA GOLONDRINA ST CARLSBAD CA 92009 $0.00 $35.00 $160.00 $0.00 $195.00 Total Fees: $195.00 Total Payments To Date: $195.00 Balance Due: Inspector: ~ Clearance: $0.00 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 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, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified feesfexactions 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 f xac i ns f wh'ch u have re · u I b n iven N TIC similar thi or as t wh·ch tatu o limit ion ha rev·ou I o d. THE FOLLOWING APPROVALS ReQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMAT/APC0 Building Permit Application Plan Check No. ( 1 fA ) 'J 1) ;;., 7 i 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value V - Ph: 760-602-2719 Fax: 760-602-8558 Ccityof Carlsbad email: building@ca~sbadca.gov www.carlsbadca.gov (/} Plan Ck. Deposit 1 ?t--1-D-a-te------,f>-+ ;--' ?~ /' /~,~~ls_w_PP-P --~ /'" SUITEt/SPACEt/UNITi [APN ~0!011dr111- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSlR. TYPE I occ. GROUP EXlSTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 'AIR CONDITIONING 'FIRE SPRINKLERS vEsO Ne{] mONoO vesONoO APPLICANT NAME (\ { {/ ff / /4 Mma,,Coot,ot t/"f"( M4r,. l+t4"t1= 'f-,f C:... PROPER1Y OWNER A 1 • A , ~ flr--e~ o"-" /rt6..,u-,·AIIJ ADPRESS (/ \ ( I " • 191./J (',.~ ,_ d 1().-... tub.._ G- PHONE 71,o tfJ/ EMAIL I\+ ( V 1/ ,.,,-,1 DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL STATE C,t STATE FAX ZIP 9 A.0 oJ> ZIP !STATE LIC. # ADDRESS "+ (' &,(,, (,. l,\ /J ~ /' V · r-v_,r Cll):., J',,_,.,_ PHONE 7 l, () EMAIL CONTRACTOR B~-,MAME. JlllfN'l~/l ADDRESS .. -/ ? 'fJ t.\. /><I,,_, FAX STATE (;A-- PHONE FAX ,Go Y.JI ,1,--,r '),o ZIP 9'.lDIJ • G--. 0 zIP A_ r Loq.,,- (Sec: 7031.5 Business ~nd P_rofes~ions Code: Any City or C(?un_ty which requires a permit to.construct. alter, improve, ~emolish or repair any: structure, prior to its is!uafice, also r4qu?es the 7 applicant for such permit to file a signed s~tement that he Is licensed pursuant to the provisions of the Contractor's license law {Chapter 9, comme_nding 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 apphcantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPEI\ISATIOI\I Workers' Compensation Declaration: I hereby affirm under pena/f'/ of perjury one of the following declarations: ~ I have and will maintain a certificate of consent to self-Insure for wor\lers' compensation as provide(i by Section 3700 of the Labor Code, for the per1ormance of the work for which this permit is issued. '[] I have and wll1 maintain workers' com;rsation, as reQuired bv Section 370l},of the Labor Code, for the perform. ance of the wo,for ~tµtl1s permit is issued. My wor\lers' compensalkln i carrier and policy numberare:lnsuranceCo. J.J:,t L ~~f/\r,.i..--+zf"~ Policy No 9 6 ~ ( 1 Expiration Date/ rJ I l.. IJ I/ ~section need not be completed if the permit is for one hundred dollars ($100) or less. U Certificate of Exemption: I certify that in the pertormance of the wonl for which this pellll\t is issued, \ shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California. WARNING: Fallure to secure ,io,kffl.,.1mpen&ation coverage Is unlawful, and shall subject an employer to criminal penalties and clvil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, da es as ovided for in Section 3706 of the Labor code, interest and attorney's fees. ,N! CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Conlractor's License Law for the follrrwing reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the wonl and the structure 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 tis own employees, provided that such improvements are not intended or offered for sale. ll, 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 construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property wtio builds or improves thereon, and contracts for sucti projects with contractor(s) licensed pursuant to the Contractor's License Law). ! 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 I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction {include name address I phone/ contractors' license number): 4. l plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' lk:ense number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the wor\l indicated (include name/ address/ phone I type of wor\l): ,8$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials regisll'ation form 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 Mure 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 site? Yes No IF MY 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work this perrmt 1s issued (Sec 3097 (1) C1v1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certtfythatl have read the appllcatlon and state that the above lnfonnatlon Is correct and that the lnfonnallon on the plans is accurate. I agree tD romply'Mth all City on::llnances and Sta1e laws relating ID bull ding construction. I hereby authorize representative of the City of Carlsbad b enter upon lhe aOOve mentioned property Dr inspectbn pu~ses. I ALSO AGREE TO SAVE, INDEMNIFY ,AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU_ LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT. OSHA: M OSHA permn is requred t>r excavations over 5'0' deep and demolltbn or construction of structures over 3 sbries in height. EXPIRATION: Every pennil issued by the Buik:ling Offi:::ial under the prm,isllns of this Code shall expire by limitaOOn and become null and vet! if the buik:ling orViOl'k authorized by sudl p:irmit is notoommenced 'Mthin 100 days from the date of sudl p:irmlt or if the buildr'IQ or ....ork authorized by sudl permit is sus~nded or abandoned at any lime after the w:irk is cximmenced fiJr a p:irod of 180 days (Sectk'.ll'l 100.4.4 Unifonn Building Code). IS 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. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Garlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. OELNERY OPTIONS PICK UP: CONTACT (listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: ______________ _ ,.65 APPLICANT'S SIGNATURE ASSOCIATED CB#•------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP • Inspection List Permit#: CB150673 Type: PME Date Inspection item 03/04/2015 43 AirCond/Furnace Set 03/04/2015 43 AirCond/Furnace Set 03/04/2015 49 Final Mechanical 03/04/2015 49 Final Mechanical Wednesday, March 04, 2015 Inspector Act SP SP RI AP RI AP MANGAN RES-REPLACE FAU & ADD A/C Comments Page 1 of 1