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Home My WebLink About1013 TULIP WAY; ; CB142867; Permit,. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 10-28-2014 Permit No: CB 142867 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 1013 TULIP WY CBAD PME 2144022300 RANGUS RES-GAS LINE FOR Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: FUTURE BBQ & FIRE PIT, 3 ELECTRIC OUTLETS Applicant: KIMOS LANDSCAPING PO BOX 793 CARLSBAD CA 92018 760-729-5466 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: RANGUS KATHRYN F 1013 TULIP WAY CARLSBAD CA 92011 ISSUED 10/23/2014 RMA 10/23/2014 10/23/2014 $160.00 $35.00 $0.00 $0.00 $195.00 Total Fees: $195.00 Total Payments To Date: $195.00 Balance Due: FINAL APPROVAL Inspector: Date: _,_,Ii~~-..__.__ 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 f es/ xaction f whi h h v r vi I n iv n N Tl E imilar t this r as to whi the statute of limitati n has revi I otherwise x ired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE (City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph : 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov Plan Check No. JOB ADDRESS • C' CT/PROJECT# LOT# DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL PROPOSED USE STATE FAX STATE FAX ZIP Est. Value www.carlsbadca.gov SUITEt/SPACEf/UNITI # BEDROOMS # BATHROOMS GARAGE (SF) PATIOS (SF) CONTRACTeR BUS. NAME ~ \J'--S..-..C ' ~ ADORESS "?. ZIP CITY SWPPP NSTR. TYPE OCC. GROUP AIR CONDITIONING YES □No □ ZIP FIRE SPRINKLERS YES□No□ STATE UC.# STATE LIC.# CLASS CITY BUS. UC.# 'i3~s--i.::.--z...,. '2_ "'Z....~c (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 requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions or the Contractor's License Law (Chapter 9, commending with Section 7000 or Division 3 of the Business and Professions Code) or ihat 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 ($5001). Workers' Compensation Declaration: I hereby affirm under penally of peryury one of the following declarati:Jns: 0 I have and will maintain a certificate of consent to self-Insure for wor1<ers' compensalion as provided by Seclion 3700 of lhe Labor Code, for the performance of the work for which lhis permit Is Issued. jg I have and will maintain workers' compensation, as reQuired bv Section 3700 of the Labor Code. for the performance of the work for which lhis permit Is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ~ C..~ Policy No. '4 c.4 7Q' CSA 77 0 ' Expiration Date (1 -\ -t,o \ S.- ]lii,section need not be completed tt the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work tor which this permij is issued, I shall not employ any person in any manner so as to become subjec1 to the Workers' Compensation Laws of Calrtomia. 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, dam~• as provided for In Section 3706 of the Labor code, Interest and attorney's fees .. 25 CONTRACTOR SIGNATURE ~_Q ISIAGENT I hereby affirm thal 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 struelure 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 himsett 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 lo provide the major labor and materials for construction of the proposed property improvement. O Yes O No 2. I (have/ have not) signed an applicalion 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 / contractors' license number): 4. I plan lo provide portions of the work, but I have hired the following person to cooroinate, supervise and provide the major work (include name/ address I 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 / address / phone / type of work): 25 PROPERTY OWNER SIGNATURE □AGENT DATE 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 bcundary 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. of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify that I have read the application and state that the above lnfonnatlon is correct and that the infonnation on the plans is accurate. I agree ID comply with all City ordinances and State laws relating ID building construction. I hereby aulhorize representative of the City of Carlsbad b enter UIX)(l the atxive mentioned property for inspedion purp)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGA.INST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA perm~ is requred for excavations over 5'0' deep and demolit.on or cmstruction of structures over 3 st>ries i1 height. EXPIRATION: Every permit issued by the 0.JikJing Offcial under the provisions of this Code shall expire by rmitation and beCXJme null and voo W the buikJing or v.ork aulhorized by such permit is nol commenced l'.ithn 100 days from the date of such permij or if the buidng or v.ork authorized by such permij is suspended or abandoned at any time after the v.ork is oommenced for a period of 100 days (Section 100.4.4 Uniform Building Code). ~ 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. CERTIFICATE OF OCCUPANCY (Commcrc1.~f Pr0JC'CtS 0 n I y I Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION ,l!S APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB142867 Type: PME RANGUS RES-GAS LINE FOR FUTURE BBQ & FIRE PIT, 3 ELECTRIC 0 Date lnseectlon Item Ins ector Act Comments 11/14/2014 29 Final Plumbing RI 11/14/2014 29 Final Plumbing PB AP 11/14/2014 39 Final Electrical RI 11/14/2014 39 Final Electrical PB AP 10/31/2014 23 Gas/T esURepairs PB AP 10/31/2014 31 Underground/Conduit-Wirin PB AP Monday, November 17, 2014 Page 1 of 1