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Home My WebLink About2802 VIA DIEGO; ; CB163644; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-26-2016 Perm it No: CB163644 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2802 VIA DIEGO CBAD PME 1673003300 Lot#: Status: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/26/2016 JMA 09/26/2016 09/26/2016 Project Title: RICHARDS: GAS LINE REPAIR Applicant: DEEDS KENNETH R&NANCY A 333 ORANGE AVE #47 CORONADO CA 921 18 619-847-5216 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: DEEDS KENNETH R&NANCY A 333 ORANGE AVE #47 CORONADO CA 92118 $163.00 $0.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: FINAL APPROVAL Inspector: Date: 3 ~ 3 -I 7 Clearance: _____ _ $0.00 NOTlCE: Please ta<e NOTlCE that~ ci ',Q..11' f)tjed indudes Ire "ln,:x:sitioo" ci fees, da:icatia,s, resavaticns, CJ' dher ex,dja,s hlreEiter rolectivay ra'erred to as "fees'exoctioos." Yoo rave 9J days fran tre date tlis i;emt w.i.s iSSlm to pretest in,:x:sitioo ci trese fees'eicafuls. If~ pretest then\ ~ rrust fcilo,v the pretest ~ set forth in GNerrrrent Co:le Sedioo 00'.l20(a), and file tre prdest and any dher rec:µroo infc:mmoo wth tre Oty ~ fcr µ-cmssirg in accc:tda-re wth Ca1sboo M..rid~ Co:le Sedioo 3.32.030. PcilLre to tirrely fcilo,v that ~ wll ta any Slb;eq.Jeli legal a:iioo to atta:!<, re-.iiw, set aside, vtid, cr an-' treir in,:x:sitim Yoo are herecy Fl.RlrER NOTlRED that~ rigt to pretest Ire sp3Cifioo fees'exaiioos CO:S NOT .APA... Y to v.eter and ret-.€( cxrrectia, fees and~ c:hcr"g3s, ncr plmrg, zoirg, goorg cr cther sirrilar ~icatioo µ-cmssirg cr servire fees in cxrrectioo wth ths f)tjed. f'.CR CO:S IT AFflL Y to any f • cf wich • ·ven NCJJlCE sirrilar to tlis to wi Ire statute cf lirritatioos has ·oos1 cthav.ise ·roo. , .. / THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH C_cicyof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. cB I b JOB ADDRESS CT/PR JECT # EXISTING USE APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL PROPOSED USE STATE FAX STATE FAX Est. Value Plan Ck. Deposit Date SWPPP SUITEI/SPACEI/UNITI # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE GARAGE (SF) PATIOS (SF) DECKS (SF) ZIP EMAIL CONTRACTOR BUS. NAME ADDRESS ZIP CITY STATE ZIP PHONE FAX EMAIL STATE UC.# STATE UC.# CLASS CITY BUS. UC.# (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 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 fhat 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 ($500}). Wori<ers' Compensation Declaration: I hereby affirm under penalty of perjury one of/he following dec/ara/ions: D I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. D I have and will maintain wori<ers' compensation, as required by Section 3700 or the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance earner and policy number are: Insurance Co. ______________________ Policy No. _______________ Expiration Date _________ _ ~section need not be completed if the permit is for one hundred dollars (SHJO) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fallure to secure wori<ers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000}, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. 2$ CONTRACTOR SIGNATURE □AGENT DATE I hereby affirm /hat I am exempf from Contractor's Lirense 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 sale. If, however, the building or improvement is sold within one year of completiop, the owner-builder wi'I 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). 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. OYes 2. I (have/ have not} signed an application for a building permit for the proposed work. 3. I have contracted with the following person f vide the proposed construction (include name address/ phone I contractors' license number): 4. I plan to provide pqrlioA!tot1fie work, but I have hired the followin n to coordinate, supervise and provide the major work (include name/ address/ phone / contractors' license number): 5. I will provid me or the work, but I have contracted (hired) the followin rsons to provide the ~~rk indicated (include name/ address/ phone I type or work): r ,,€$ PROPERTY OWNER SIG Is Ille 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 Acr? □ Yes □ No Is Ille applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management districr? □ Yes □ No Is Ille 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. I hereby affinm 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 information is oorrectand that the Information on the plans is accurate. I agree to oomply with all City ordinances and Stille laws relating to buildingoonstroction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned pmperty bf inspection purposes. 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 CONSEQJENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA perm rt is required for excavations over 5'0' deep and demolition CJ( oonstruction of structures over 3 stories i1 height. EXPIRATION: Every permit issued by the Building Offbal under the pmvisi:Jns of this Code shall expire by limitation and become null and voo W Ille building CJ( v.ork authorized by such permit is not oommenced wthin 180days from the date of such permrt CJ( if the building orv.ork au • • • nded CJ( abandoned at any time after the v.ork is commenced for a P.eriod of 180days (Section 106.4.4 Unikl!m Building Code). A$ 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. Fax (760) 602-8560, Email building@carlsbadca.gov or Mait the completed fonm 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 Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. l.) MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. l.) MAIL/ FAX TO OTHER: _________________ _ AS APPLICANT'S SIGNATURE o ASSOCIATED CB#------------- 0 NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Permit Typo: BLDG-Commercial Application Date: 09/26/2016 Work Class: P/M/E Issue Date: 09/26/2016 Status: Closed -Finaled Expiration Date: 03/27/2017 IVR Number: 717326 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status 03/03/2017 03/03/2017 March 03, 2017 BLDG-Final Inspection 015321-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Paul Burnette 2802 Via Diego Carlsbad, CA 92008 Reinspection Passed Yes Yes Yes Yes Yes Complete Complete Page 1 of 1 Inspection List Permit#: CB163644 Type: PME RICHARDS: GAS LINE REPAIR Date Inspection Item Inspector Act Comments 09/26/2016 23 Gas/Test/Repairs PB PA Tuesday, March 07, 2017 Page 1 of 1