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Home My WebLink About2739 CYPRESS HILL RD; ; CB161326; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 04-06-2016 Permit No: CB161326 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2739 CYPRESS HILL RD CBAD PME Status: Parcel No: 1563323700 Lot#: 0 Applied: Reference #: PC#: Project Title: ROMERO:CHANGEOUTFURNACE Applicant: ANDERSON PLUMBING INC,WAL TER 1150 N MARSHALL AVE EL CAJON CA 92020-1831 619-449-7646 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: ROMERO RAMON L & CAROL M M319 9253 REGENTS RD LA JOLLA CA 92037 ISSUED 04/06/2016 SLE 04/06/2016 04/06/2016 $0 .. 00 $0 .. 00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: rJr#/? FINAL Date: Clearance: $0.00 NOTlCE: Please take NOllCE that app-oval of your prqject includes tre "lf11JCSitiori' r:i fees, dedications, resetvations, or otrer exactions rereafter rollectively referred to as "fees' exactions." You rave 00 days from the date this penrit 1M:1S issued to protest irrp'JSition of trese fees' exactions. If you protest them, you rrust fdiONtre protest procEdures set forth in C?ovemrrent Code Section 66020(a), ard file tre protest and any otrer required inforrration IMth the Oty rvlanagerfor processing in accadance\Mth Carlsbad MJnidpal Code Section 3.32.030. FailuretotirrelyfdiONthat proaldure\t\41/ bar any subsequent legal action to attack, rfNieN, set aside, void, or annul treir irrp'JSition. You are hereby F\...IRT}IER 1\iJllRED that your ri~ to protest the specified fees' exactions !:XES NOT APPlY to v..ater and reNer connection fees ard capacity dlarlgls, nor planning, zoning, grading or otrer sirrilar application processing or service fees in cmnection \Mth this prqject. NOR !:XES IT APPLY to any fees' exactions of W1id1 have ·ous1 been "vena NOTlCE sirrilar to this or as to Wlidl the statute of /irritations has fNiousl ol:henMse "red. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING 0BUILDING OFIRE 0HEALTH D HAZMATIAPCD Building Permit Application Plan Check No. CJ61LJ> \ 3'C..Lt> 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date L\_ -~ -l(j) ISWPPP JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 2739 Cypress Hill Rd Carlsbad 92008 --- CT/PROJECT # I LOT# I PHASE# J# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME rONSTR. TYPE 1 DCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) changeoutfurnace EXISTING USE rROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESO. NoD YEs0No0 YEsONoD APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME carol romero Prinarv Contact ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 2739 Cypress Hill Rd Carlsbad 92008 CITY STATE ZIP CITY STATE ZIP San Dieao CA 92123 CARLSBAD CA PHONE I FAX PHONE I FAX 888·991·4377 (206) 963·0328 EMAIL EMAIL JERMAINE@WEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ANDERSON PHA ADDRESS ADDRESS 1150 N MARSHALL AVE CITY STATE ZIP CITY STATE ZIP ELCAJON CA 92020 PHONE rAX PHONE I FAX 8008301102 EMAIL EMAIL THERESA@ANDERSONPHA.COM I STATE LIC. # STATE LIC.# I cc2otC361 CITY BUS. LIC.1 07 4400 493163 (Sec. 7031.5 Busmess and Professions Code: Any City or County Which reqUires a permit to construct, alter, 1m prove, demolish or repair any structure, pnor to 1ts Issuance, also requires the applicant for 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 Declaration: I hereby affirm under penalty of peljury one of the following declarations: 0 I have and will maintain a certificate of consent to self·insure tor workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. [Z] I have and will maintain wor1<ers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this penrit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ACE AMERICAN INSURANCE Policy No. WLRC48578238 Expiration Date 31212016 This section need not be completed if the permit is tor one hundred dollars ($100) or Jess. 0 Certificate of Exemption: I certify that in the perlonrance work for which this 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' 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 of the Labor code, interest and attorney's fees. [\ b RS CONTRACTOR SIGNATURE IZJAGENT DATE • I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D D I, as owner of the property or my employees with wages as their sole compensation, 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 apply to an owner of property who builds or improves thereon, and who does such work himseff 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, 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 for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I 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. DYes 0No 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 I contractors' license number): 4. I plan to provide portions of the work, but I have hire 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 contracte (hir ) the lowing persons to provide the wor1< indicated (include name I address I phone I type of work): j RS PROPERTY OWNER SIGNATURE 0AGENT DATE I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.! 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: An OSHA penntt is required for excavations over 5'0' deep and demolition or construction of structures over 3 slories in height EXPIRATION: Every penni! issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void ~the building or work authorized by such penni! is not commenced within 180 days from the date of such penni! or ffthe buHding or work authoriized by such permit is s~nded or abandoned at anytime after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ~APPLICANT'S SIGNATURE l Lr---DATE L\ ~ I pection ist Permit#: CB161326 Type: PME Date -~lnspection__l!_~m ~-----~~ 05/02/2016 43 AirCond/Furnace Set 05/02/2016 43 AirCond/Furnace Set 05/02/2016 49 Final Mechanical 05/02/2016 49 Final Mechanical Monday, May 02, 2016 ROMERO:CHANGEOUTFURNACE Inspector Act Comments Rl AEK AP Rl AEK Fl Page 1 of 1