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Home My WebLink About2117 TWAIN AVE; ; CB121284; Permit07-09-2012 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB121284 Building Inspection Request Line (760) 602-2725 2117 TWAIN AV CBAD PME 2081811100 YOELIN RES-REPLACE A/C CONDENSER Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/09/2012 RMA 07/09/2012 07/09/2012 ANDERSON PLUMBING INC.WALTER YOELIN FAMILY TRUST 02-08-85 11 50N MARSHALL EL CAJON, CA 92020 619-449-3852 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 21 17TWAIN AVE CARLSBAD CA 92008 $0.00 $0.00 $150.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: Clearance: _____ _ $0.00 NOTICE: Please take N t 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 pennit 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 I 2718 / 2719 Fax 760-602-8558 www.carlsbadca.gov SUITE#/SPACE# Est. Value APN # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) oo n oU-nf..eL-e ~ EXISTING USE PATIOS (SF) DECKS (SF) FIREPLACE YES[]II APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY CITY PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # SWPPP CONSTR. TYPE DCC. GROUP rn oO (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 of the Contractor's License Law (Cha'f.ter 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: / hereby affirm under penalty ol pe,jury one o/ lhe following declarations: D I ~ave and will maintain a certificate of consent lo self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pelformance of the work for which lhis permit is issued. ~ave and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the pelformance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co ' , ,-. ' • Policy No. '::I I j:? y 5 3 Expiration Date I a I J.5 / 1 a ]l!i§. section need not be completed if the permil is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify Iha! in the performance of the work for which this permit is issued, I shall not empioy any person in any maMer so as to become subject to the Workers' Compensation Laws of Calnornia. WARNING: Failure to secure wor1<ers' 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 ges as provided for In Sectlo 6 of the Labor code1 Interest and attorney's fees. ,€S CONTRACTOR SIGNATUR I hereby affirm that I am exempt from Contractors Ucense Law for lhe following reason: □ □ □ I, as owner of the property or my employees with wages as lheir sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Cootractor's License Law does nol apply lo an O'Mler of property who builds or Improves thereon, and who does such work himseff or through his own employees, provided that such improvemenls are not intended or offered for sale. If, however, the building or Improvement is sold wilhln one year of completion, the owner-builder will have the buruen of proving lhat he did nol build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting wilh licensed contraclors 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 !hereon, and contracts for such projects with contractor(s) licensed pursuant to lhe Contractor's License Law). I am exempt under Section _____ Business and Professions Code for lhis reason: 1. I personally plan to provide the major labor and matelials for construction of the proposed property improvement. Oves ONo 2. I (have I have not) signed an application for a building pennil for the proposed work. 3. I have contracted with the following person (firm) to provide lhe proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the wor1<, but I have hired the following person to coonlinate, supervise and provide the major work Dnclude name/ address / phone/ contractors' license number): 5. I will provide some of the WOO<, but I have conlracted (hired) the following persons lo provide the work indicated (include name / address I phone I lype of work): ,€S PROPERTY OWNER SIGNATURE DATE ~'·c OM PL ET E TH I S S EC TIO N FOR NON• RES I DENT I A L B U IL O IN G PERM ITS O NL Y , , ; .i..;...,_ --•.. •'~ ~ -.<, ¼c• ~,,,,,.,..~ •"' •-•-• .... ,A.;/ ¼ ~ ~ ~~• .,._ .. .<,_,_ .. ,,._. .. •• ~ 4 ~-Y -~ ' -~A ...... ,-,.1,,..,;;.it'i Is the applicant or future building occupant required to submit a business..J!!2.n, acutely hazardous materials registration fonm or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 Yes LJ No Is the applicant or future building occupant required to obtain a permit from the air polluUon con~ol district or a~alily management distlict? O Yes O No Is the facility to be constructed within 1,000 feet of the outer boondary of a school site? O Yes LJNo 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. I certify that I have read the application and state lhatlhe above lnf01T11ation Is correct and that lhe lnfonnation on the plans Is •=rate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative ol lhe City ol carlsbad lo enter upoo the above mentioned property for inspection 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 permt is requred for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Eveiy permit issued by the Building Official under the provisions of Iris Code shall expire by lirritaUon and become nun and void d the buildng or WOO< authorized by such permit Is nol commenced v.ilhin 180 days from lhe date ol such pennit or dthe building orwori< authorized by such pennit is suspended or abandoned at any time afterlhe work is oonvnenced for ·oc1 c:J days (Section 106.4.4 Undorm Building Code). 25 APPLICANT'S SIGNATURE \,__J,, DATE q / 0-- Inspection List Permit#: CB121284 Type: PME Date Inspection _!!em 07/24/2012 43 AirCond/Furnace Set 07/24/2012 43 AirCond/Furnace Set 07/24/2012 49 Final Mechanical 07/24/2012 49 Final Mechanical 07/17/2012 43 AirCond/F tJrnace Set 07/17/2012 43 AirCond/Furnace Set 07/17/2012 49 Final Mechanical 07/17/2012 49 Final Mechanical Wednesday, July 25, 2012 Inspector PY PY PY PY Act RI AP RI AP RI NR RI NR YOELIN RES-REPLACE A/C CONDENSER Comments YOELIN-CALL W/ETA YOELIN RES need contractor to meet inspector on job need contractor to meet inspector on job Page 1 of 1