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HomeMy WebLinkAbout2506 VIA ASTUTO; ; CB112351; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 11-03-2011 Permit No: CB112351 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2506 VIA ASTUTO CBAD PME 1673600700 Lot #: Status: 0 Applied: Entered By: Reference #: PC#: Plan Approved: ISSUED 11/03/2011 JMA 11/03/2011 11/03/2011 Project Title: Applicant: GLENN JONES GARCIA: GAS LINE REPAIR FROM GARAGE TO HOUSE. 1730 MACHADO ST OCEANSIDE CA 92054 760 433-1495 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: GARCIA ANITA 2506 VIA ASTUTO CARLSBAD CA 92010 Issued: Inspect Area: $150.00 $0.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: FINAL VAL Inspector: Date: __ ,,___.,....., __ Clearance: ______ _ $0.00 NOTICE: Please take NOTICE that 3pproval 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. «~~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Plan Check No. C l • 2~5 Est. Value ~ CITY OF CARLSBAD Fax: 760-602-8558 www.carlsbadca.gov Plan Ck. Deposit ARCH/DESIGNER NAME & ADDRESS STATE UC.# SUITE#/SPACE#/UNIT# # BATHR OMS DECKS (SF) Date NAME FIREPLACE YES □#_ NOD APPLICANT NAME (Secondary Contact) CITY STATE PHONE FAX I I SWPP CONSTR. lYPE AIR CONDITIONING YES D ND D ZIP CllY BUS. UC.# FIRE SPRINKLERS YES D NOD (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 {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exem_et 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 clvll penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: / hereby affinn under penalty of perjury one of the following declara~ons: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 ol the Labor Code, for the pertormance of the work lor which this permit is issued. 0 I have and will maintain workers' compensation, as require tJx Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. My workers' compensation insurance !rrier and policy r numberare:lnsuranceCo l ( r lr!J. PolicyNo.WlLoc'J \4::\S::::\ ExpirationDate '3/:;lt.,/ ae:,\::;}.. This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the pertormance 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 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. _IS CONTRACTOR SIGNATURE □AGENT DATE I hereby affinn that I am exempt from Contractor's Ucense 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 tor 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. It, 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 sate). □ 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 to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have I 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 construction (include name address/ phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address I 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): _IS PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or future building occupant required to submit a business plan, 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 O No Is the applicant or future building occupant required to obtain a penmit from the air pollution control district or air quality management district? D 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 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 infonmation is oonect and that the lnfonmation on the plans is accurate. I agree ID oomplywtth all City ordinances and State laws relating ID building construction. I hereby authorize representative of the Oty of Carlsbad to enter upon the above mentooed property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF CARLSBAD AGI\INST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGI\INST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA penn~ is required br excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every penmit issued by the Buikling Official under the provisions of this Code shall expire by imitaton and become nun and void ff the ooikling ornork authorized by suet, perm~ is not oommenred 'Mthin 180 days from the date of suet, pennit or if the oolding or\\Olkauthorized by suet, pennit is suspended or abandoned at anytime after the \\Olk is commenred for a period of 180days (Seeton 100.4.4 Unifoml Buikling Code). ~ APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 11/04/2011 Permit# CB112351 Title: GARCIA: GAS LINE REPAIR FROM Description: GARAGE TO HOUSE. Type: PME Sub Type: Job Address: Suite: Location: 2506 VIA ASTUTO Lot: APPLICANT GLENN JONES Owner: GARCIA ANITA Remarks: Total Time: CD Description 21 Underground/Under Floor 0 Act Comments wu Inspector Assignment: JtA,,-.._ Phone: 7609087717 Inspector: Requested By: RYAN Entered By: CHRISTINE 22 Sewer/Water Service U U ____________________ _ v3 __ 1A.fa~~~----t~ --i._j_ f-=I.A/LJ -#- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments