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Home My WebLink About2609 VIA ECO; ; CB121314; Permit07-12-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB121314 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2609 VIA ECO CBAD PME Status: ISSUED 07/12/2012 JMA 07/12/2012 07/12/2012 Parcel No: 1673004400 Reference #: PC#: Project Title: HANKIN: GAS LEAK REPAIR Applicant: HANKIN FRANK&KARLA 2609 VIA ECO CARLSBAD CA 92010 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: HANKIN FRANK&KARLA 2609 VIA ECO CARLSBAD CA 92010 $150.00 $0.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: FINAL APPROVAL Date: z . I r . / 2-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 THE FOLL0W!NG APPROVALS REQUIREO PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING «1~ ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov □BUILDING □FIRE □HEALTH O HAZMAT/APCD Plan Check No. C,5 l 2 Est. Value Plan Ck. Deposit Date SWPP SUITE#/SPACE#/UNIT# # BATHROOM TENANT BUSIN SS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # --NO D YES D NO D YES D NOD APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX IL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX E AL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE UC.# CLASS 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 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 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 or not more than five hundred dollars {$500)). Workers' Compensation Declaration:/ hereby affirm under penalty of perjury one of the following declaralions: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 ot the 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' compensation insurance earner and policy number are: Insurance Co. Policy No._______________ Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 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 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 . .Jt5 CONTRACTOR SIGNATURE □AGENT DATE 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 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such Improvements are not intended or offered for J sale. If, 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 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 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). D 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. D Yes D 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 (iirm) 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/ phone/ contractors' license number): .Jt5 PROPERTY OWNER SIGNATU ' □AGENT DATE ,. Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and l)fevention l)fogram under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes D 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 D 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 information is conectand that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby aulhorize representative of the City of Carlsbad to enter upon the above mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBI\D 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 permn is required for excavations over 5'0' deep and demolition or constructon of slructures over 3 stories in heigh I. EXPIRATION: Every permit issued by the Building Official under the provisons of this Code shall expire by limitation and become null and l/0id ~ the building or \\Ori< authorized by such permit is not commenced withn 180days from the date of such permit ·1 the buiklin authorized by ch penmn is sus nded or abandoned at any time after the \\Ori< is commenoec bra period of 180days (Section 106.4.4 Uniform Building Code). RS 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 O F OCCUPANCY f Commercial Projects Only I Fax (760) 602-8560, Email www.buildinq@carlsbadca.gov or Mail the completed fonm 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 I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS □PICKUP: o CONTACT (Listed above) o OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) o ASSOCIATED CB# -· ...... -----·- D 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 _LS APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB121314 Type: PME Date Inspection Item 07/13/2012 23 Gas/Test/Repairs 07/13/2012 23 Gas/Test/Repairs Friday, July 13, 2012 Inspector Act RI PD AP HANKIN: GAS LEAK REPAIR Comments PM PLEASE Page 1 of 1