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Home My WebLink About2389 VIA PELICANO; ; CB152844; Permit09-01-2015 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: CB 152844 Building Inspecti on Request Li ne (760) 602-2725 2389 VIA PELI CANO CBAD PME 2155713000 CASSON I RES-GAS LI NE TO Fl REP IT ONLY Lot #: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/01/2015 LSM 09/01/2015 09/01/2015 AAA LANDSCAPE SPECIALISTS CASSONI RICHARD&MARY J 1260 WHITE SAND DR SAN MARCOS 92078 760 295 1980 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees 2389 VIA PELICANO CARLSBAD CA 92009 $163.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $163.00 Total Fees: $1 63.00 Total Payments To Date: $163.00 Balance Due: Inspector: FINAL A Date: __ ....:)..J~="-1--7,,()/ t Clearance: ------ $0.00 NOTICE: Please take NOTI E that approval of your project includes the "lmpositio of fees, dications, 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 fe xacti ns f which ou have reviousl b n iven a N TICE similar t this or as to which he stat t of limitations ha reviousl therwise ex ired. t-THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD 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. c_e ( S ?-~\.f JOB AODRESS 2 J 8 q CT/PROJECT# LOT# DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Ar-lv,4• .. , >\ ' Ir/'. A"t m {tjv~ j b"-t L:I\~ to P.N ,tl,'t EXISTING USE APPLICANT NAME Primary Contact ADDRESS /~6 O CITY s,; ADDRESS CITY PHONE EMAIL PROPOSED USE STATE FAX # OF UNITS # BEDROOMS GARAGE (SF) f1/[lt4l-l tr-I. Ofv'\ ZIP STATE UC.# Est. Value Plan Ck. Deposit Date q / 1~ SWPPP SUITE•/SPACE./UNITI APN # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE QC . GROUP PATIOS (SF) DECKS (SF) FIREPLACE YES[), AIR CONDITIONING N<O YES □No□ FIRE SPRINKLERS YES0 N00 PROPERTY OWNER CA-1' /If I\ i ADDRESS :J..389 U/vi. /Je{iCtf--tO STATE ZIP 1.,1''1!+-0 C.A-q.).od '1 FAX EMAIL CONTRACTOR BUS. NAME " ,-, "/ ""(, , 1 ,o\-4, VrN' u J'CA-11 11.. .j 11: t ,H., I I r-t ZIP ;J.o rl CITY BUS. UC.# ""::! I;,-.;)... J 3S .J (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair ant 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 {hat 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: [:l I have and will maintain a certificate of consent to self-insure tor workers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the wol1< for which this permit is issued. ~ I have and will maintain workers' compensati . as ued bv ~ection 3700 of thl)Labo,Code. for the pertonnaN1~.r.or~~ r~-!~_itjs /rued. My workers' compensation/t,urant ca7r and policy number are: Insurance Co. l :'t.. N' U ' WI t Nf--J Policy No ..... ~~-~ __ U_l)~Q.~_'1.~d-(1~---Expirat10n Date O 'l/ 0 t / ~section need nol be completed if lhe ii is for o undred dollars ($1()()) or less. LJ Certificate of Exemption: I certify I in the pe ance of the wol1< 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 Calnomia. compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In provided for in Se • 06 e Labor code, Interest and attorney's fees. / / □AGENT DATE oq,,{ (/- 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 wol1< 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 himsett 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 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 lo 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. 0 Yes 0 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) lo provide the proposed construction (include name address f phone I contractors' license number): 4. I plan to provide portions of the wol1<, but I have hired the following person to coordinate, supervise and provide the major wol1< (include name /address/ phone / contractors' license number): 5. I will provide some of the work, but I have contracted (hired) lhe following persons to provide the wol1< indicated (include name/ address/ phone / type of wol1<): 2S PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or future building occupant required to submit a business ~an, 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. I hereby affirm 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 tile application and S1atethattlle above lnfonnationis correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and Stilte laws relating to building construction. I hereby aulhorize representative of the Cily of Carlsbad kl enter u~ lhe aoove mentioned properly for inspection p.irposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUOOMENTS, COST D EXPENSES WH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requred for excava • s o r 5'0' deep and iton or construction of slructures over 3 stories ri height. EXPIRATION:.Every permit issued by lhe Bui ng 'al under ions of this Code shall expire by limitation and become null and void ff lhe building or v.ork authorized by such permit is not oommenced IMthin 180 days from lhe date of such permit or if build' orv.ork by such permit is suspended or abandone:l at any time after the v.ork is commenced for ape/· /of 13//~ays/~ioo 106.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE DATE / j STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CEl?TIFICATE O F OCCUPANCY /Commcrc,.,I l'roIccts 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. LIC. 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 ..l!S APPLICANT'S SIGNATURE DATE • I I flO Inspection List Permit#: CB152844 Type: PME Date Inspection Item Inspector Act 03/2112016 29 Final Plumbing RI 03/2112016 29 Final Plumbing PY AP 03/21/2016 29 Final Plumbing PY AP 03/08/2016 23 Gas/TesURepairs PY CA 03/08/2016 31 Underground/Conduit-Wirin PY CA 09/10/2015 23 Gas/TesURepairs PY AP Tuesday, March 22, 2016 CASSONI RES-GAS LINE TO FIREPIT ONLY Comments AM PLEASE Page 1 of 1