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Home My WebLink About1673 AMANTE CT; ; CB141813; Permit07-28-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB141813 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1673 AMANTE CT CBAD PME 2159003000 Lot#: SHAFRAN RES-REPLACE A/C UNIT Status Applied Entered By: Plan Approved Issued Inspect Area ISSUED 07/28/2014 RMA 07/28/2014 07/28/2014 Applicant: ASI HASTINGS STE 200 4870 VIEWRIDGE AV SAN DIEGO CA 92123 619-590-9300 Owner: SHAFRAN FAMILY TRUST 06-06-90 1673 AMANTE CT CARLSBAD CA 92011 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $158.00 $0.00 TOTAL PERMIT FEES $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: $0.00 Inspector: FINAL AP Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Impi^sitiof/of fees, dedications, reservations, or other exactions hereafter collectively refen'ed to as "fees/exactions." You have 90 days from the date this pemnit 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 fees/exactions 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 fees/exactions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired. [THE FALLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: gPLANNING •ENGINEERING •BUILDING DFIRE DHEALTH DHAZMAT>APCD CiTY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: bulldlng@carlsbadca.gov www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit )ate JK. Pepo^i' SWPPP SUITE#/SPACE#/UNIM APIC' ' • - CT/PROJECT # L0T# PHASE* # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCCGROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Areafs; EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPUCE YESr~T#, N0| I AIR CONDITIONING YES I |NO[~n FIRE SPRINKLERS YESnNOQ APPLICANT NAIVIE Pf/mary Contac PROPERT\r OWNER ADDRESS ADDRESS CITY STATE ^ ZIP CITY PHONE FAX PHONE EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE PHONE PHONE EMAIL EMAIL too S. LIC.» (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 inquires (he applicantfor such permitto file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law IChapter 9, commendingwlth Section 7000 of Division 3 ofthe 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 liereby affirm under penalty of perjury one of tiie following declarations: I 11 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 perfomiance of the work for which this permit is issued, JtSi} have and will maintain workers'mmpepKition/as r,pguired bv Section 3700 of the Labor Code, for the performance olthe work for which this permit is issued. My woriters' compensation iaij^anfe, carrier and policy iiumber are: Insurance Co O HoC/^ Policy No. 6 3«^0 0 O 3 H t Expiration Date. insurance car This section need not be completed if the permit is for one hundred doiiars ($100) or iess. 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 sation coverage is unlawful, and shall subject an employerto criminal penalties and civil Tmes up to one hundred thousand dollars (&100,000), in Section 31!!ipf the Labor code, interest and attomey's fees. j ^ | I I Certificate of Exemption: I certify that in the perform: Califomia. WARNING; Failure to secure workers' coi addition to the cost of compensation, damages as prj JS^ CONTRACTOR SIGNATURE GENT DATE / hereby affirm that i am exempt from Contractor's Licerke Law for fhe following reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stnjcture 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 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). 1 am exempt under Section _ .Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. •Yes I INO 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed constnjction (include name address / phone / contractors' license number): 4.1 plan lo provide portions of the work, but I have hired the following person to coordinate, supenrise and provide the major work (include name/address/phone/contractors'license number): 5.1 will provide some of the work, but 1 have oontracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration 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 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 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 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certily ttiat I have read the application and state tiiatthe above Information is conectand thatthe Infonnation on the plans Is accurate. I agree to complywith all City ordinances and State laws relating to building construction. I hereby authorize representative of the Cily of Carlsbad to enter upon the abow mentioned property for inspection purposes. 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: An OSHA permit is required for excavations over 5'0' deeoald demolition or constmction of staictures over 3 stories in height. EXPIRATION: Every pennit issued by the Buikiing Ofiicial undeynM)rDvisbn§of this Code shall expire by limitatkin and become null and void if the buikJing or work authorized by such pennit is not commenced within 180 days from the date of such pennit or if the buikJing or vwi1>^utl»rizedj9fsuc\pemiit e suspended or abandoned at any time ater the wotk is commenced for a period of 180 days (Sectbn 106.4.4 Unifbmi Buikiing Code). ^€5"APPLICANT'S SIGNATURE / / \ DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the foilowing ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildina(5).carlsbadca.aov or Mall the completed fomi to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAIVIE OCCUPANT NAIVIE ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE EIVIAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: OCCUPANT (Listed above) OCCUPANT (Listed above) ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB141813 Type: PME SHAFRAN RES-REPLACE A/C UNIT Date Inspection Item Inspector Act Comments 10/01/2014 43 AirCond/Furnace Set - Rl SHAFRAN RES, GALL W ETA 10/01/2014 43 AirCond/Furnace Set SP AP 10/01/2014 49 Final Mechanical - Rl 10/01/2014 49 Final Mechanical SP Fl Wednesday, October 01, 2014 Page 1 of 1