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Home My WebLink About2603 VIA ECO; ; CB151462; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-13-2015 Permit No: CB151462 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2603 VIA ECO CBAD PME 1673004700 Lot#: Project Title: NICHOLSON RES= GAS LINE REPAIR 0 Applicant: Owner: LISA NICHOLSON 2603 VIA ECO CARLSBAD CA 92010 858-829-9836 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: $160.00 Total Payments To Date: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/13/2015 LSM 05/13/2015 05/13/2015 $160.00 $0.00 $0.00 $0.00 $160.00 $160.00 Balance Due: Inspector: FINAL, Date: f/7=-+-+-....:+---'-Clearance: $0.00 NOTICE: Please take NOTI pproval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction ." 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 fees/exaction f which o have reviousl b n iven a N Tl E similar to this or a to which th slat le f limitati ns has reviousl otherwise ex ir d. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD (~cicyof Building Permit Application Plan Check No. ffi/S J 4t,,;,;.:::). 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Caflsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov S\,-;z...l , lswPPP www.carlsbadca.gov Date 1.::, JOB ADDRESS V/A t= c.o SUITEf/SPACEf/UNITI r PN (>L~O~ r,4 ,R,L%"-9 I) CA --- CT/PROJECT # I LOT# r=E# I# OF UNITS # BE~ttOOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I DCC. GROUP DESCRIPTION OF WORK: Include Square Feet or Affected Area(s) -. &AS le-Ak /<epA,~ . EXISTING USE I PROPOSED USE GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES[]# No[J YES □No □ YES□ NO□ APPLICANT NAME fROPERTY OWNER S. #/ C /.IO l_ .JO A./ Primary Contact ,: .... /J ~ A ADDRESS ADDRESS o26C :9 v,, ·.o ~co CITY STATE ZIP CITY STATE ZIP C.-4,.et_S/sA 9 CA CJ_?,,../ a PHONE I FAX PHONE I FAX IRS"S · 8ol9-°J 8~-6 EMAIL EMAIL YAf-loo. bJ' L~f..BE e C..o/t"7 DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE I FAX EMAIL EMAIL I 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 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 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: 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' compensalion as provided by Seclion 3700 of the Labor Code, for the performance of the work for which this permit is issued. D 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 oormit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. _______________ Expiration Date _________ _ ~section need not be completed rt the permij 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 sh~I not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Calrtomia. 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. _ES CONTRACTOR SIGNATURE DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ I, as owner of lhe property or my employees with wages as their sole compensalion, will do the work and lhe structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's icense Law does nol apply to an owner of property who builds or improves thereon, and who does such work himse~ or through his own employees, provided that such improvements are not intended or offered for ale. If, however, the building or improvement is sold within one year of complelion, the owner-builder will have lhe burden of proving that he did nol build or Improve for the purpose of sale). as owner of the property, am exclusively contracting with licensed contractors 10 construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol apply to an owner of property who builds or improves thereon, and conlracls for such projects wilh contraclor(s) licensed pursuant to the Contractor's License Law). I am exempl under Section _____ Business and Professions Code for this reason: 1. I personally plan lo provide lhe major labor and materials for construction of lhe proposed property improvement. 0 Yes 0 No 2. I (have/ have nol) signed an applicalion for a building permit for lhe proposed work. 3. I have contracled wilh lhe following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan lo provide portions of lhe work, but I have hired the following person lo coordinale, supervise and provide the major work (include name I address / phone / contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide lhe work indicaled (include name/ address /phone/ type of work): ' _ES PROPERTY OWNER SIGNATURE DATE 1.r fi • ·.a ,_ ••:■ ......... ,_._'11. I,•■•-"· t••·•-·· ·-·-~-···-··-'.na •····- Is the applicant ~,.future building occupant required to submit a business plan, actJtely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Ac(! 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 facir,ty 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. T r-•••••._ J■--■•••l ·-.·-•• !-~ .. .::.,1■ I hereby affirm that there is a constnJction lending agency for the performance of the wor1< this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address ,,. --•-=-, __ .,.. __ , , ..... I certify that I ha'le read the application and state that the above lnfonnation Is correct and that the infonnation on the plans Is accurate. I agree to comply with all City ortfinances and State laws relating to building cons1ruction. I hereby aulhorize representative of the City of Carlsbad to enter upon the above mentioned property for inspedion puJJX)SeS. 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 permtt is requred for excavations over 5'0' deep and demotitoo or construction of structures over 3 stories i1 heght. EXPIRATION: Every permit issued by the Buikling Ofocial under the provisions of this Code shall expire by liTination and become nuH and void W the buikling or v.OI\< authorized by such permit is not commenced v.ilhin 180 days from the date of such permit or if the buildilg orv.OI\< authorized by such permit is suspended or abandoned at any time after the v.OI\< is rommenoed for a peood of 180days (Section 106.4.4 Unoonm Building Code). ~ APPLICANT'S SIGNATURE D~ ") .,,..>'!?_ --::t]_ DATE 5 I I 3 I I S" V u -, 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 (Commcrc,,,1 Pro1ect, 0 n I y 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 I FAX EMAIL OCCUPANT'S BUS. UC. 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 .65 APPLICANT'S SIGNATIJRE DATE lnspe'ction List Permit#: CB151462 Type: PME Date Inspection Item 06/19/2015 23 Gas/Test/Repairs 06/19/2015 29 Final Plumbing 05/13/2015 23 Gas/Test/Repairs Friday, June 19, 2015 Inspector Act PY AP PY AP MC PA NICHOLSON RES= GAS LINE REPAIR Comments METER TO GARAGE ONLY, LEAK BETWEEN GARAGE AND DWELLLING. GMR CALLED IN TO DEBBIE. Page 1 of 1