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Home My WebLink About111 TAMARACK AVE; 207; CB120880; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-11-2012 Permit No: CB120880 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 111 TAMARACK AV CBAD St: 207 PME Status: Parcel No: 20601121 .. \3, Lot#: 0 Applied: Reference #: PC#: Project Title: MCCULLOUGH RES -REPLACE FAU Applicant: CAL-WEST AIR CONDITIONING 2366 VINEYARD AVE 92029 735-6898 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: BONES KELLY F 16154 CRESTROCK CT PARKER CO 80134 ISSUED 05/11/2012 LSM 05/11/2012 05/11/2012 $0.00 $0.00 $150.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $0.00 Balance Due: Inspector: f\1. ~' FINAL APPROVAL Date: d!( '%.,I II Clearance: $150.00 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. lf 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. NOA DOES IT APPLY to any I fwhih Tl ilr h' h Iii «~ Building Permit Application Plan Check No. ffi ( ~0'6&) 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY 0 F 760-602-2717 / 2718 / 2719 CARLSBAD Fax 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date5/t i/12... lswPPP JOB ADDRESS SUITE#/SPACE#/UNIT# rPN 111 Tamarack Ave, Unit #207 --- CT/PROJECT# TLOT# 1PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replaced defective furnace EXISTING USE 1PR0POSED USE IGARAGE (SF) PATIOS {SF) I DECKS {SF) FIREPLACE 1 IAIR CONDITIONING I FIRE SPRINKLERS YES(]# Nc0 YES □No □ YES□No□ APPLICANTNAME(Pr/ma,y Contact) Cal-West Air Conditioning, Inc APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS 2366 Auto Park Way CITY STATE ZIP CITY STATE ZIP Escondido CA 92029 PHONE lFAX PHONE IFAX 760-735-6897 760-735-6303 EMAIL EMAIL christy@,calwestair.com PROPERTY OWNER NAME CONTRACTOR BUS. NAME Donald McCullough Cal-West Air Conditionina. Ince ADDRESS ADDRESS 111 Tamarack Ave., Unit #207 2366 Auto Park Way CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 Escondido CA 92029 PHONE PHONE 760-729-5372 l FAX 760-735-6897 I FAX 760-735-6303 EMAIL EMAIL christy@,calwestair.com ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# ICLASSC20 1 rz.:, s·s-SlJl 570964 (Sec: 7031.5 Business and P_rofessions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an)' structure, prior 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 B_usiness and Professions Code} or [hat he is exempt 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 ffve hundred dollars {$5001). WOIIKEIIS' COMPiNSATION Workers' Compensation Declarallon: / hereby affirm under penalty of perjury one ofths following declarations: D I have and will maintain a certificate of consent to self-Insure for wor11ers' compensation as provk!ed by Section 3700 of the Labor Code, for the performance of the wonr. for which this permit Is issued. [Z] I have and will maintain workers' compensation, as reQulred by Section 3700 of the Labor Code, for the performance of the wor11 for which this permit Is Issued. My workers· compensation insurance carrier and policy number are: Insurance Co Markel Insurance Polley No. MWC0014831-01 Expiration Date 10/29/12 ~secUon 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 wor!l for which thiS permit is issued, I shall not employ any person In any manner so as to become subject to the Wor!lers' Compensation Laws of California. WARNING: Failure to secure workers' compensation 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, da rovlded for In Section 3706 of the Labor code, interest and attorney's fees. Ji:S CONTRACTOR SIGNATURE ~~ I hereby affirm that I am exempt from Contractor's License Law for /he following reason: □ □ □ l, as owner of the property or my employees with wages as their sole compensation, will do the worl( 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 wtlo builds or improves thereon, and who does such wonr. 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 contracUng 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 Soclion _____ 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. Oves Oo 2. I (have/ have not) s"Jned an application for a build Ing permit for the proposed wor!l. 3. I have contracted with the following person (!inn) to provide tile proposed construction (include name address I phone/ contractors' license number): 4. I plan to provk!e portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ 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 I address/ phone I type of work): 25 PROPERTY OWNER SIGNATURE □AGENT DATE - ' COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY j Is the applicant or future building occupant required to submit a buslness.m!n, acutely hazardous materials registration form or nsk management and prevention program under Sectlons 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes LJ No Is the applicarit or future building_occupant required to obtain a permit from the air pollution control dlstriet or a~ality management district? Oves D No Is the faclllty to be constructed within 1,000 feet of the outer bour.dary of a school site? Oves UNo IF MY 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 Is a construcUon lending agency for the performance of the work this perlll!t Is issued (Sec 3097 (1) CIvII Code) Lender's Name Lender's Address APPLIC:ANT CERTIFICATION I certify that I have read the application and state that the above lnfonnatlon 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 rep-esentative of the City of Carlsboo to enteru~ the above memione::I prq.>ertyf<X' ins~ioo 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 pefmil is rEKJuil'OO RX' excavatklns over 5'0' deep and demolrtioo or ronstruclion of structures over 3 stories in height EXPIRATION: Every pennlt issued by the Buildi'lg Official under the pra-.isions of this Code shall expire by limitation and become null and ',00 K the buk:ling orwolk authorized by such 1)31"mlt is oot oollYllenced within 180 days from the date of suet, permit or lxlilding or work authoriZOO by such pernit is suspended or abanooned at any tirre after Ire work is rommenced for a period of 100days (Section 100.4.4 Uniform Building Code), ~APPLICANT'S SIGNATURE DATE y :2-2rl 1·2- . . . City of Carlsbad Bldg Inspection Request For: 05/23/2012 Permit# CB120880 Title: MCCULLOUGH RES -REPLACE FAU Description: Type:PME Job Address: Suite: Location: Sub Type: 111 TAMARACKAV 207 Lot: OWNER BONES KELLY F Owner: ALBRIGHT HELEN V TR Remarks: Total Time: 0 CD Description Act Comments Inspector Assignment: Phone: 7607356897 Inspector: _ _.~----- Requested By: WENDY Entered By: BINSPECT 43 49 AirCond/Furnace Set Final Mechanical PR __ tskc=.__C._4~"~C~-------- Date f:.L _____________ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# ft.ZA~ ~ t;,fa'( oF ~~ \ZG:-~ tv .µ.D, Inspection History Description Act lnsp Comments