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Home My WebLink About2823 VIA CONQUISTADOR; ; CB120899; PermitI ... 12-04-2012 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: CB120899 Building Inspection Request Line (760) 602-2725 2823 VIA CONQUISTADOR CBAD PME 2225923300 Lot#: MALONE: ELECT TO BACK YARD OUTLETS/ SPA 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/14/2012 JMA 05/14/2012 05/14/2012 PD MALONE JAMES V ll&JANETTE MALONE JAMES V ll&JANETTE 2823 VIA CONQUISTADOR CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2823 VIA CONQUISTADOR CARLSBAD CA 92009 $0.00 $150.!)0 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: Y1'.\-~s OVAL Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "lmpcsition' 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 Cartsbad 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 hi h v r vi I T imil r hi hi h f limi i n h r vi I h rwi ./ --~ «~'»-Building Permit Application Plan Check No. Ch ( 2 0 g-q '1 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718/ 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date s / I t..1-l ,z... lswPP JOB ADDRe SS \Jt A COrJa.1tt1~~0(.2._ 1~.&AD SUITE#/SPACE#/UNIT# I APN ')_ 2~ tJ/A --- CT/PROJECT# I LOT# I PHASE# # OF UNITS r BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) RwJ ~ ~ t CA L. \.-OJ~ FRA>fl'\ p-,u,r,Jf e"P-~ TO -.£-4-t:«. L-J4-/U.) h)~ 1.---ANO.S~ \AN~ ( O~vff-(' ) 4 ~ 1-Wo-fvt-8 t.--ot..A-no,J . • EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES □# __ NOD YES O NO O YES D NO D APPLICA~NT N~E (~mary ntact) . ,-~ '-30<...-<-('vtA-t.-ol---Jt.. APPLICANT NAME (Secondary Contact} ADDR~S 'µ ').,~ \J A C-ON GM \Sft\i) Qz_ ADDRESS crcAfU-~gA-1) STATU ZIP°' l--C)Gr°/ CITY STATE ZIP PHONE I FAX PHONE I FAX t;~t> , ~~'?>-s:\3' y(; --- • 1:MAI\.J.j O SE: i~ @, fJ(O 1.--GotY\ EMAIL PROPE'uiN~ JDS'€ M4-v0rJc CONTRACTOR BUS. NAME ADDRESS ~".).~ VlA c,,o tJ avt, cnw.oa.. ADDRESS CITY STATE oiw0c, CITY STATE ZIP ~ ~ CA- PHONE '11PG ,, tJ,8 ')-G-e ~ I FAX PHONE IFAX tMA000~£1-e e AOL. U)fV\ t.MAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# I CLASS I CITY BUS. LIC.# (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 ,ts 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 (hat 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 {$500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of lhe Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensalion insurance carrier and policy number are: Insurance Co. ______________________ P~icy No. _____________ _ Expiration Date _________ _ This section need nol be completed if the permit is tor one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permil is issued, I shall not employ any person in any manner so as to become subjecl 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. _,g 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 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 therecn, and who does such work hirnselt or through his own employees, provided lhal such improvements are not intended or offered for sale. If, however, lhe building or improvement is sold wilhin one year of completion, the owner-builder will have lhe burden of proving lhat 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 lo an owner ot property who builds or improves thereon, and contracts for such projecls wilh conlractor(s) licensed pursuant to the Contraclor'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 / have nol) signed an application for a building permit for lhe proposed work. 3. I have contracted wilh lhe following person (finn) to provide lhe proposed construction (include name address / phone/ contractors' license number): 4. I plan lo provide portions of lhe work, but I have hired lhe following person to coordinate, supervise and provide the major work (include name I address I phone I contraclors' license number): 5. I will provide some of the work, but I have conlrac(ed (hired) the following persons lo provide lhe work indicaled (include name / address I phone I type ot work): _,g 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 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 AND THE AIR POLLUTION CONTROL DISTRICT. of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify thatl have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comptywith all City ordinances and State laws relating to build Ing construction. I hereby authorize representative of the City of Cal1sbad to enter upon the above mentioned property for inspectia, purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permtt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in heght EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become nuD and void d the building or work authorized by such permit is not commenced within 180 days from the date of such • d the buildi or work au • ed bys penntt is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unnorm Building Code). DATE /4 • 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 (Commercial Projects 0 n I y J Fax (760) 602-8560, Email www.building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. 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. UC. No. DELIVERY OPTIONS D PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) o ASSOCIATED CB#--- 0 MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE / NO CONSTRUCTION O MAIL/ FAX TO OTHER: o CHANGE OF USE / NO CONSTRUCTION _KS APPLICANT'S SIGNATURE DATE , .. Inspection List Permit#: CB120899 Date Inspection Item 11/30/2012 39 Final Electrical 11/30/2012 39 Final Electrical Type: PME Inspector Act RI MC Fl 05/16/2012 31 Underground/Conduit-Wirin PD AP Monday, December 03, 2012 MALONE: ELECT TO BACK YARD OUTLETS//TO FUTURE SPA Comments SPA INSTALLED, GFI PROTECTION & SPA COVER IN PLACE Page 1 of 1