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Home My WebLink About2853 RANCHO RIO CHICO; ; CB153917; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 11-12-2015 Permit No: CB153917 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2853 RANCHO RIO CHICO CBAD PME Status: Parcel No: 2226122200 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: GANZ: ADD 2 A/CW 40A CIRCUIT AC W/ NEW 50A CIRCUIT OAK ISLAND HEATING AND AIR STE 103 1250 PACIFIC OAKS PL ESCONDIDO CA 92029 760 839-8383 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: GANZ FAMILY TRUST 12-07-01 3815 ALDER AVE CARLSBAD CA 92008 ISSUED 11/12/2015 JMA 11/12/2015 11/12/2015 $0.00 $38.00 $163.00 $0.00 $201.00 Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due: Inspector: Date: 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 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 whi h hi f Ii i • iHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD '~ Building Permit Application Plan Check No. ('PJ I)-1~q 111h ,,~ 1635 Faraday Ave., Cartsbad, CA 92008 Est. Value • '~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAQ •. Ir-/.lo email: building@cartsbadca.gov -tf-.1 C> (,-J Jt 11NWW.carlsbadca.gov Date ( / I z.._,I s ISWPPP JOBADDRESS1.. ;;;' 5 1 ,, .. 3BU .0.1:BER 3'-'tl:, 2 ~ ~ :5 SUrTU, -PACH/UNrT• IAPN --- CT/PROJECT# rOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TBANT BUSINESS NAME I CONSTR. lYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s) ADD 2 NEW A/C UNITS & 1 NEW 20 AMP CIRCUIT AND 1 NEW 40 AMP CIRCUIT EXISTlNG USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESO •<O YESQ•oO YESQ•oO APPLICANT NAME TOM WOOD PROPERTY OWNER NAME BRIAN GANZ p ADDRESS ADDRESS 1250 PACIFIC OAKS PL. #103 3815 ALDER AVE. CrTY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 CARLSBAD CA 92008 PHONE IFAX PHONE I FAX 760 839-8383 760 839-8380 760-525-9791 EMAIL EMAIL INFO@OAKISLANDAC.COM DESIGN PROFESSIONAL CON'IRACl'OR BUS. NAME OAK ISLAND HEATING AND AIR ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103 CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 PHONE PHONE l'AX 760 839-8383 l'AX 760 839-8380 EMAIL EMAIL INFO@OAKISLANDAC.COM I STATE LIC. # STATE LIC.# ICLASSC-20 I CITY BUS. LIC.1212710 745400 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, p_nor to its 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 exem_1;>t therefrom, and the basis for the alleged exemption. My 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 Wor1lers' Compensation Declaration: I hereby affirm under penalty of perjury one of lhe following declarations: D I have and wlll maintain a certificate of consent to self-Insure for M:lrkers' compensation as i:rovkled by Section 3700 of the Labor Code, for the pem)nnc11ee of the work for which this permit is issued. 0 I hav9 and will maintain workers' comr>enSlllon. as reauired bv Sectioo 3700 of the labor Code, for the performance of the work for which !his pennlt is issued. My workers' compensation insurance carrier Md pot icy number are: Insurance Co. EVEREST NATIONAL INSURANCE Policy No. 7600000635141 Expiration Date 01/01/2016 Jl!W.sectlon need not be completed if the pennit is fer one hundred doUars ($100) Of less. LJ Certificated Exemption: I certify that in the performance of the 'M:lrk for vAlich this pe,'mit is issued, I shall not employ any person in any manner so as to become suqect to the Workers' Compensation Laws of Gatlfomia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall sub}ed: an &n"41loyer to criminal penalties 11\d clvtl fines up to one hundred thousand dollani (&100,000), in addition to the cost of compenutlon, dam~ as provided for In Section 3706 o\the Labor code, interest and attorney's fees. / J .· ./ NS CONTRACTORSIGNATURE tii~iii!L,vu-u[A @AGENT / / / 2--;t J J I hereby at1ltm that I am exempt from c.ontractor's License Law for lhe following reason: □ r, as O'Mler of the property or my employees with wages as their sole compensation, wiH do the work and the structure is not intended or offeted for sale (Sec. 7044, Business and Professions Code: The Contractor's liceose Law does not apply to ell owner of property who Wilds or improves lhefeon, and who does such M3l"k 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-buikler will have the burden of proving that he did not build or improve for the porpose of sale). D I, as owner of the property, am exclusively contracting with licensed cootractors to construct the project (Sec. 7044, Business and Professions Code: Toe Conlraclor's License Law does not appy to an owner ot property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). □ t am exempt under Section ____ ,Business and Professions Code for this reason: 1. I personally plan to provide the ma;or labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have I have not) signed an BJ)plication for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide lhe proposed conslrucllon (include name address/ phone I contractors' license number): 4. I plan to provide portions of the 'M>rk, but I have hired the following person to coordinate, supervise aOO provide the major work Onclude name I address/ phone/ oontractors' license number): 5. r will provide some of the wen, 001 I have contracted (hired) the following persons to provide the v«lrk indicated (include name I address/ ptKJne I type of wait): NS PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or Mure building occupant required lo submit a business plan, a::utely haz!l'dous materials registration tom, or risk management and JX'BV9ntion 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 bouJX:lary 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there rs a construction lending agency for the perfo,mmc:e of the woo: this permit is issued (Sec 3097 (1) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I oertlfythatl have read theappllcatlon and slate that the above Information Is correct and that the lnfonnatlon on the plans is ac:cuiate. I agree to 00l1'C)lywth an Cllyordnances end Stale laws ielatingtD building construction. I hereby au~CI02ll represen1a1Ml of ~e ClyofCaloboo t, enErul')II ~e ,.,.,. rnenooned i:ropel1y for nspecoon l'JfPOSOS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Am WAY ACCR\JEAG.AJNST SAID CITY IN CONSEOJENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is required b excavations owr 5'0' deep and dendk:ln or ronstrucoon of structures owr 3 stores in height. EXPIRATION: EYElry permit issued by the Building Ofi::ial under the provisions of lhis Code shall expire by linitaton and become nun and ~ if lhe l:xJiklllg or m autiorized by such permit is not oommeored 'Mlhin 100days from the date of such permit a if the building or 'MJrk authorized by slrl'l it 6 suspended orabanct>ned at anytime afterthe'Nlfk is c:ommenrecl bra perKXl of 100 days (Secoon 100.4.4 Unibm 0.Jilding Code). ,lfS APPLICANT'S SIGNAl\JRE DAlE . . Inspection List Permit#: CB153917 Type: PME Date ln_11_pection Item 02/01/2016 43 AirCond/Furnace Set 02/01/2016 49 Final Mechanical Friday, February 26, 2016 Inspector Act AEK AP AEK Fl GANZ: ADD 2 AJC W 40A CIRCUIT AC W/ NEW 50A CIRCUIT Comments Page 1 of 1