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Home My WebLink About2613 LA GOLONDRINA ST; ; CB120980; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-25-2012 Permit No: CB120980 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2613 LAGOLONDRINA ST CBAD PME Parcel No: 2155621800 Lot#: 0 Reference #: PC#: Project Tille: Applicant: AIRMAXX, INC INGRAHAM RES-CHANGEOUT FURNACE AND AJC 1865 JOHN POWERS AVE EL CAJON CA 92020 619 655 3010 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/25/2012 LSM 05/25/2012 05/25/2012 $0.00 $0.00 $150.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: FINAL APP QV, L Date: IO .3o 2-ol 2--Clearance: $0.00 that approval of your project includes the "Imposition" of fees, dedications, reseivations, or other exactions hereafter collectlvely 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 anr other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timety 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/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar appWcation processing or service fees in connection with this project. NOR DOES 1T APPLY to any 'h hi fim'inh «~ Building Permit Application Plan Check No. Cf,/~@ 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 I 2718 / 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.c§:rl~badca.gov Date 5/:Js1t'? ,)swPP JOB ADDRESS 2b\~ LA 60\01,Yt>r .l NA. ~ ~UITE#/SPACE# /UNIT# IAPN --- CT/PROJECT# !LOT# I PHASE# I# OF UNI I~ I# BEDROOMS # BATHROOMS rENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(sJ ,,.-, • r,,_~ 'Ac:e:. ~ A--/c. c+l ,A-N66lDc.e.t EXISTING USE l PROPOSED USE I GARAGE (SF) PATIOS (SF} I DECKS (SF) I FIREPLACE 'AIR CONDITIONING !FIRE SPRINKLERS YES □#_ NOD YES O NOD YES O NOD APPLICANT NAME (Primary Contact) AU--\A..l />.)CY: r,-.ic__ APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE · IFAX EMAIL t:.MAIL PROPERTY OWNER NAME ';>ALU.t& _!:'Ne, (( AH-A-M CONTRACTOR BUS. NAME Alr-Y1'1AX:)( . ::tN.C.. ADDRESS 2bl3 LA Go[oµc:>rl!-'A-~ AODRES1US JC:>!-\-~ T"aweo-s. Ave#B CITY UtisE:>AD STCjl.. ct[nra CITYt7l 0---P:-To,-...i s~ ZIP _, -1LUZ--O PHONE Vt6 l~FAX • PHb {q -bSS'-~0 rolFAX 160 · -10 EMAIL t:.MAIL ARCH/DESIGNER NAME &ADDRESS I STATE UC.# STATELIC.# '1I'S 327 I'~-2cf11J.,;l '~ "A 9 v ;;i.___ Workers' Compensation Declaration: I hereby affirm under penalty of pwflT'f one of the following declarations: 0 I 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 pertormance of the work for which this permit is issued. Jd._1 have and will maintain worEe'IS' compensation as re uired by S 3 00 ..SI! \he labor Code, for the ,pertorman(j: ~.IN?,~ wh~~~'P!,it iW.td~ wor~e~' compensatio ins ance c number are: Insurance Co. NO S. Policy No. ~l:"s.~•..l..=~•~==~~l~?~·=--=~~~==~~ / Exp1raMn Date_:C....-'-cf-llt:2J--'-;:L_ Th:s section need not be completed if the permit is for one hundred dollars ($100) or less. · 0 Certificate of Exemption: I certify that in the pertormance of the work for which ttiis permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage ls unlawful, and shall subject an employer to crlminal penalties and civil fines up to one hundred thousand dollars (&100 ,000), In addition to the cost of compensation, damages as provided for;~~ the labor cod~, Interest and attomey's fees. kf CONTRACTOR SIGNATURE ll!IIIE~ □AGENT DATE ?· zs. 12- / hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ I, as owner of ttie property or my employees with wages as their sole compensa~·on, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's license Law does not app~ 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 Of 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 who builds or improves thereon, and contracts tir such projects with contractor{s) licensed pursuant to the Contractor's license Law). □ I am exempt under Section _____ &lsiness and Professions Code for this reason: 1. I personal~ plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 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/ phone I contractors' license number): 4. I 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' license number}: 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address I phone/ type of work): ,A$ PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk man;,;iement and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substaf\Ce Account Act? □ Yes □ No Is the ~plicant or future 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 feel of the outer boundary of a school site? O Yes □ No 1F 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. I certify that I have read the application and state that the above lnfonnatlon is conect and that the infonnation on the plans Is accurate. I agree to comply v.ittl an City ordinances and State laws relating to building cons1ruction. I hereby authorize representative of the City of Carlsbad lo enter upon the above mentioned property for inspection pul]Xlses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AlL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA pennlt is required fer excavations over 5'0' deep and demol~ion or construction of structures over 3 stories in height. EXP\R/fflON: Every pennit issued by the &lilding Official under the provisOns of this Code shall expire by limitaOOn and rerome null and void if the 'outing or 'Mlrk authorized by such permit is notcommer.ced 'Mthin 180 days from the date of sud, pennit or if the building or'Mlrk authorized~}~ suspended or abandoned at any time after the 'Mlrk is commenced for a perod of 180 clays (Section 100.4.4 Unifonn &lildlllg Code) A5 APPLICANT'S SIGNATURE ~ DATE 5. Z=>. 1 z_ • 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 WWW building@carlsbadca.gov or Mail the completed form to City of Car1sbad, Building Division 1635 Faraday Avenue, Carlsbad, Ca~lania 92008. ADDRESS CITY STATE PHONE FAX EMAIL DELIVERY OPTIONS □ PICK UP: o CONTACT {Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On pg_ 1) □ MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above) o CONTRACTOR (On pg_ 1) ZIP □MAIL/FAX TO OTHER: ________________ _ A$ APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. LIC. No. D ASSOCIATED cs~------------ □ NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB120980 Type: PME Date Inspection Item 10/23/2012 43 AirCond/Furnace Set 10/23/2012 43 AirCond/Furnace Set 10/23/2012 49 Final Mechanical 10/23/2012 49 Final Mechanical Tuesday, October 30, 2012 Inspector Act PY PY RI AP RI AP INGRAHAM RES-CHANGEOUT FURNACE AND A/C Comments 2-4 PM PLS Page 1 of 1