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Home My WebLink About1545 REGATTA RD; ; CB163536; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-15-2016 Permit No: CB163536 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1545 REGATTA RD CBAD PME Status: Parcel No: 2150715200 Lot#: 0 Applied: Reference #: PC#: Project Title: KUZNIK: REPLACE 2 AC UNITS Applicant: BILL HOWE PLUMBING HEATING & AIR CONDITIONING STE B 9085 AERO DR SAN DIEGO CA 92123-2378 619-245-5469 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: KUZNIK LIVING TRUST 05-10-02 1545 REGATTA RD CARLSBAD CA 92011 ISSUED 09/15/2016 JMA 09/15/2016 09/15/2016 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: FINAL APPROVAL Date: //?' l.lJ• t6 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 inf hv iii hi whihh Iii I THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH □HAZMAT/APCD Ccityof Building Permit Application Plan Check No. OB ( e:,. -::z.6 3~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date Gf, ( (o, I b lswPPP JOB ADDRESS 1-S~S '?--<1..(\q,...\-\~ \2--b -SUITEf/SPACEf/UNITI IAPN --- CT/PROJECT# I LOT# V I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME ICONSTR. TYPE l occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Qo,--.,\-r>o(•-j\Jr{r ··-~ ~ -+ ,-,,r, ---' \ ' .,I EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF} I DECKS (SF) FIREPLACE I rAIR CONDITIONING 1 FIRESPRINKLERS YESQ_ No[] YES □No □ YES□No□ APPLICANT NAME rJ~ ~t-c'-'\ 'D I vl V\,/\.o-J\ PROPERTY OWNER 0 O"" V"\. \<( l,l £,-Q"/ ( is Primary Contact ADDRESS ' e~u~ Q( -~ ,'\ J ADDRESS 15'15 ~qi:,:-\-+~ ¥'.cS. 3l7?_r; L;,.. CITY CJ e s.\-l a. \.az. V: \ \""'f:, STATEc-:A ZIP~ I 3~ V CITYWISbo-,15 JSTATE CA. ZIP C} 201 I PHONE '6 /'g" -7 '5 s -7'f:ih IFAX PHONE I I-, D-5 ?Cl -! (/J3 I FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME 61\\ \-\:ow-e ADDRESS ADDRESS q~ A:u6 De. ~~ CITY STATE ZIP CITYS Ore&:~ STATE GA ZIP q ') 12_,:Z t'1>"\. PHONE IFAX PHONEC,t ~ -2%"-v_ 0'5 L/'l I FAX EMAIL EMAIL I STATE LIC. # STATE LU 9D l, 7 OY I CLASS C,20 I '(2~\'~q {o (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an:i structure, prior to its issuance, also requires the applicant for such permit to file a s1wied statement that he is licensed pursuant to the provIs10ns of the Contractor's License LawJChapter 9, commending wIt11 Section 7000 of DIvIsIon 3 of the Business and Professions Code) or that he Is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: OJ have and will maintain a certificate of consent to self-insure for mr1<ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued ~ I have and will maintain work~rs• fq_mp~atlon, a~ required ~tion_..3700 of the Labor Code, for the _perfo~ance of the work for which this permit is issued. My workers' compensation insurance carrier and policy nomber are lnsuraoce Co CA\ , <'>,;-A'~ "l .,__,,,:> , ( t, Po Irey No 1 '31,' 7 l;,'ll-f 1;0 \ fap1raUon Date 3 / fl I / 11 ~section need not be completed if the permit is for one hundred dollars ($100) or less, LJ Certificate of Exemption: I certify that in the performance of the 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' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages asp vid Section 3706 of the Labor code, interest and attorney's fees. _65 CONTRACTOR SIGNATURE :.__--~AGENT I hereby affirm that I am exempt from Contractor's license Law for the following reason: □ □ □ 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 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 contrac~ng 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. 0Yes 0No 2. I (have/ have not) signed an application for a building pennit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ 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/ phone/ 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 I address/ phone I type of work) /IS 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 registraUon 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 appficanl 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 AP Pl I CANT 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 oonstruction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1v1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above infonnation Is oonec:tand that the infomlation on the plans Is accurate. I agree to oomplywith all City ordinances and Slate laws relating to building oonstructlon. I hereby authO<ize representative of the City of Carlsbad to enter u~ the alxlve mentoned proi:erty Klr inspectioo pufJXlses. 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 CONSEOJENCE OF THE GRANTING OF THIS PERMIT. OSHA: All OSHA permit is required for excavations over 5'0' deep and demolition or ronstrudion of structures o\l:!r 3 stories in height. EXPIRATION: Every permit issued by the Buik::ling Offi::ial under the provisk:lns of this Oxle shall expire by limitation and become null and void if the buik:ling or'Mlr'K authorized by such permit is not commenced wthin 180 days from the date of such permit or if the buik::ling or r'K aulho · uch permit is susi:ended or abandoned at any ~me after the wr'K is commenced for a peood of 180 days (Se::tbn 106.4.4 Uniform Building Ccx:le). ,.6! 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 buildinq@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CONTACT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL DELIVERY OPTIONS PICK UP: □ CONTACT (Listed above) o OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) MAIL TO: □ CONTACT (Listed above) o OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) 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. □ ASSOCIATED CB#------------ o NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Penn it#: CB 163536 Type: PME Date Inspection Item 10/20/2016 43 AirCond/Furnace Set 10/20/2016 43 AirCond/Furnace Set 10/20/2016 49 Final Mechanical 10/20/2016 49 Final Mechanical Friday, October 21, 2016 Inspector JW JW KUZNIK: REPLACE 2 AC UNITS Act Comments RI AM PLS AP RI AP Page 1 of 1