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Home My WebLink About2516 VIA ASTUTO; ; CB141751; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-22-2014 Miscellaneous Permit Permit No: CB141751 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2516 VIA ASTUTO CBAD MISC 1673600200 $0.00 Subtype: REPAIR Lot#: 0 GLEISBERG RES-FIRE DAMAGE REPAIR IN KITCHEN. DRYWALL, SAFE OFF ELECTRIC & Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Applicant: AMERICAN RESTORATION GLEISBERG ROBERT E&MARY L 8444 MIRALANI DR 92126 619-562-7730 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES 1936 PALMER DR OCEANSIDE CA 92056 INSPECT FEE PLUMB/ELECT FEE ISSUED 07/22/201 4 RMA 07/22/2014 07/22/2014 $130.00 $66.00 $0.00 $196.00 Total Fees: $196.00 Total Payments To Date: $196.00 Balance Due: Inspector: Date: 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 s/ex ti ns of whi h hav r vi usl been iv n NOTI E similar to thi or as to which the statute f limitations has reviousl oth rwise ex ired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD· ~ ~. "(·= ~ C I TY OF CARLSBAD AS7U\O CT/PROJECT# LOT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEI/SPACEI/UNITI # BEDROOMS # BATHROOM DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) r"J.,~ ~/'•<f:::i(c; ~ _ c,,A~~--t"S Atv'D ~,,vi(_,~~ 1 ~~ .A.Nb Plan Check No. Est. Value SWPPP CONSTR. TYPE ROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) AIR CONDITIONING NoCJ YES □No □ FIRE SPRINKLERS YES□No□ APPLICANT NAME DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP STATE ZIP PHONE FAX FAX EMAIL EMAIL STATE LIC. # C (Sec. 7031.5 Business and Proress,ons Code: Any C11y or County which requires a permit to construct. alter. improve, demolish or repa,r an~ structure, prior to ,ts issuance, also requires the applicant for such permit to file a signed statement that he ,s licensed pursuant to the provisions of the Contractor's License Law (Chapter 9. commending with Section 7000 or D1v1s1on 3 or the Business and Professions Code) or !hat he Is exempt therefrom, and the bas,s for the alleged exemption. Any v1ola11on or Section 7031.5 by any applicant for a permit subJects the applicant to a cIvII penalty or not more than r,ve hundred dollars ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' 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 workers' compensation, as re<iuired by Sect1011 3700 of llleJ:abor Code, for~ ~ormance of the w011< for which this permit is issued. My workers' compensa~nsurance Cf1er and policy number are Insurance eoJ;A-~ (J:z • ,or :® ~~rr ~1NG0. WV o l 5',$515' ~ \ Expiration Date ~ -\-\~ ~ 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 Cahfom1a. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penal1ies 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. 25 CONTRACTOR SIGNATURE □AGENT DATE 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 Contractors License Law does not apply to an owner of property who b\J11ds 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. II, however, the bu11d1ng or improvement is sold within one year of completion, the owner-b\Jilder will have the b\Jrden of proving that he did not b\Jild 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 Contractors License Law does not apply to an owner of property who b\Jilds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Ucense Law). I am exempt under Section _____ ,Business and Professions Code for this reason- 1. I personally plan to provide the ma)Or labor and materials for conslfucllon of the proposed property improvement. 0 Yes 0 No 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed con ruction (include name address I phone I contractors' license number): 4. I plan to provide port10ns of the work, bill I have hired the following person to 5. I will provide some of the work, b\Jt I have c lfacted (hired) the following per rdinate, super.,se and provide the major w0l1< (include name /address / phone/ contractors' license number) s lo provide the work ,ndicated (include name / address / phone / type of work); 25 PROPERTY OWNER SIGNATURE DATE 7...,d, 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 managemenl 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 APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the application and state that the above infonnation Is correct and that the lnfonnation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize represenlative of the City of Carlsbad to enter upon the above mentioned property b< inspecton purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennit is required for excavations over 5'0' deep and demolition or cons ion of structures over 3 stores n height. EXPIRATION: Every pennil issued by the Building Ofli::i under \he provisions of this shall expire by limitation and become null and void if the building or v.ork authorized by such pennit is no\ cornrrenced v.1thin 180days from the date of such pennit or if \he building o r1< authorized by such pennit suspended or abandoned at any tirre after the v.ork is comrrenced for a period of 180 days (Section 106.4.4 Unifonn Building Code) • .JiS 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 jCommcrcial Projects Only 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 l 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 LS APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB141751 Type: MISC Date Inspection Item 10/24/2014 19 Final Structural 10/24/2014 19 Final Structural 10/06/2014 23 Gas/T esURepairs 10/03/2014 23 Gas/TesURepairs 10/03/2014 89 Final Combo 08/19/2014 34 Rough Electric 07/24/2014 33 Service Change/Upgrade Monday, March 16, 2015 REPAIR Inspector Act PY AP PY AP MC NS MC AP MC co PD AP PD AP GLEISBERG RES-FIRE DAMAGE REPAIR IN KITCHEN. DRYWALL, SAFE 0 Comments EMERGENCY GAS RELEASE DONE 10/03/14 EMERGENCY GAS REPAIR, RELEASE CALLED IN TO KAREN SEE CARD Page 1 of 1