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Home My WebLink About2410 TRONA WAY; ; CB110760; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-12-2011 Plumbing Permit Permit No: CB110760 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2410 TRONA WY CBAD PLUM Parcel No: 0000000000 Lot #: 0 Construction Type: NEW Reference #: PC#: Project Title: SHORT: GAS TO FIREPIT Applicant: QUALITY LIVING LANDSCAPE 1054 BRIGHTWOOD DR 92078 760 730-0508 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Total Fees: $27.00 0 0 0 0 0 1 0 Owner: Total Payments To Date: FINAL APPROVAL Inspector: ffl · l'..P~c Date: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/12/2011 JMA 04/12/201 1 04/12/201 1 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 $27.00 Balance Due: 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 / ~ «(~ ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 /2718/2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. Est. Value Plan Ck. Deposit Date SWPP LOT# PHASE # # OF UNITS # BATHROOMS TENANT BUSINESS NAME 33 DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) n EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Appllcan;lf1 / h EMAIL LJ _ roTJ'G"t PROPERTY OWNER NAME r ->0{.,;(.) utvT CITY CA1uJBA STc! FAX STATE LIC. # PATIOS (SF) DECKS (SF) APPLICANT NAME ADDRESS CITY PHONE EMAIL CONTRACTOR BUS. NAME ADDRESS </ /US" FIREPLACE YES □#_ NOD STATE FAX AIR CONDITIONING YES O NOD ZIP ZIP C) Cl:S>5 \ CITY BUS. LIC.# <-· "7 l~3 u OCC. GROUP FIRE SPRINKLERS YES O NOD (Sec. 7031.5 Business and Professions 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 fCha'fter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 703 .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 hereby affirm under penally of perjury one of the following declarations: 0 I have and will maintain a certificate of consent lo self-insure tor workers' compensation as provided by Section 3700 of the Labor Code, f~ormance of the work for which this permit is issued. I have and will maintain w 'com ensation as required by Section 3700 of the Labor Cod , for the performance of the work for which lh1 i~ issued. My workers' compe •• n.=sa~li~on~-•=~:::'"g~m~·-~ln:=..:'.ni.<'· number are: Insurance Co. Policy No.~!=i;&~::i22:i:~!!l!~~:;,ry-, Expiration Date )t = ~ ~··r··, This section need not be completed n the permit is lor one hundred lars ($100) or less. IA-I$" L 'f l,.J C O 7 0 / )... J J ,)--/-) J-O Certificate of Exemption: I certify thal in the performance of the work for which this permit is issued, I shall not employ an/person in any manner so as to becom subjeci 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 civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE □AGENT DATE r-~~,,,-.-.-'?'-· ·---'"'"'•#---.. ~-----o/!',...,..~":!'l'~"!"T""!:f".".,"""'"'~~~~~~ ";,,~-··, --_,,.,.._~----.-" ............ ~.~~~ L <t'!'!U'.t~~ .. :.~ .. ~.~ L ~_E}!_ D E_C_ L ~RA_ ~.• .. ~-~-1.,~.s.i:~~ ,.,.;_. ·-J., ...... ·~--i:_..,.:c;,;;__u.f"-·~"'-,;:;, ,,__,, . : _.. , ·--•·.lli•-•~-·~l.k,.;=--••••..::C:- I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ I, as owner of the property or my employees v.ith wages as their sole compensation, v.ill do lhe worl< and lhe structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contracto,'s License Law does not apply to an owner of property who builds or improves thereon. and who does such work himseW or lhrough his own employees, provided that such improvements are not intended or offered fo, sale. If, however. the building o, improvement is sold within one year of completion, the owner-builder v.ill have the burden of proving that he did nol build or improve for the purpose of sale). □ I, as owner of the property, am exclusively contracting v.ith 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 fOf such projects with contraclor(s) licensed pursuant to lhe Contractor's License Law). □ I am exempt under Section _____ Business and Professions Code tor this reason: 1. I personally plan to provide the major labor and materials fo, construction of the proposed property improvement. □ Yes □ No 2. I (have / have not) signed an application for a building permit fo, the proposed work. 3. I have contracted v.ith the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan lo provide portions of the work, but I have hired the following person lo coordinate, supervise and provide the major work (include name I address/ phone I contractors' license number): 5. I will provide some ol lhe work, but I have contracted (hired) the following persons lo provide the work indicaled (include name I address / phone/ type of work): -~ PROPERTY OWNER SIGNATURE □AGENT DATE f Is the applicant or future building occupant required lo submit a business plan, acU1ely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 Yes O No Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air qualily management district? 0 Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes O 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 ANO THE AIR POLLUTION CONTROL DISTRICT. Lender's Name Lender's Address f certify1hat I have read the application and state 1hat 1he above information Is correct and !hat 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 representative of the City of Carlsbad to enter upon the above mentioned property f0< nspecoon purposes. I Al.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AI.L LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT. OSHA: An OSHA perrnlt is required for excavations <J,ie< 5'0' deep and demolition 0< construct.on of structures (J,/ef 3 stories i1 height. EXPIRATION: Every perrnlt issued by the Building Official under the provisions of this Code shall expire by Imitation and become nun and void tt the buidi1g 0< wDf1< authorized by such permit is not coovnenced v.ithin 180 days from the date of such permit 0< ttthe buidi1g 0<wori< authorized by such pem,n is suspended 0<abandoned at any time after the WOO< is commenced f0< a period of 180 days (Section 106.4.4 Uniform Buildilg Code). e.j-,J)..-/) ,Ji$ APPLICANT'S SIGNATURE DATE -~- .·_ .• 1-~ •."'c.: .... ~ ·,. --~ C IT Y O F CARLSBAD PERMIT#: t.e Ito '71o0 UNSCHEDULED BUILDING INSPECTION B-44 Develooment Services Building Division 1635 Faraday Avenue Carlsbad CA 92008 760-602-2700 INSPECTOR: --~"-'1,_<. ___ _ CONTACT: -------- PHONE#: _______ _ JOB ADDRESS: 2.~Lo :t)Zo~P.. DESCRIPTION: ____________________ _ CODE ,z..g. ·Bldg Inspection Form DESCRIPTION Page 1 of 1 ACT £~ COMMENTS ~~Dy~""'\"V ~ S11J~ D IL Rev. 06/09