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Home My WebLink About2503 VIA ROJO; ; CB150822; Permit03-19-2015 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: CB1 50822 Building Inspection Request Line (760) 602-2725 2503 VIA ROJO CBAD PME 1674110600 Lot #: 0 FAGAN RES-GAS REPAIR OF LEAK SDG&E SHUT-OFF Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/19/2015 RMA 03/19/201 5 03/19/2015 BILL HOWE PLUMBING STEA FAGAN JANET M 1364 MORENA BLVD SAN DIEGO 92110 619 286 6348 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2503 VIA ROJO CARLSBAD CA 92010 $160.00 $0.00 $0.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160 .00 Balance Due: Inspector: FINAL APPR~VAL- Date: 3 · /lf· IJ 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 ·tees/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 fees/exactions of which ou have r viousl been iven a NOTICE similar to this or as to which the stat le f limitation has r viousl therwise ex ired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING C cityof Carlsbad JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEt/SPACU/UNITt □BUILDING □FIRE Plan Check No. Est. Value Plan Ck. 1?eposit CT/PROJECT # # BEDROOMS # BATHRO MS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s) ~l-CJ<!__({_cJ cJTl3 l EXISTING USE PATIOS (SF) DECKS (SF) ZIP PHONE FAA EMAIL STATE LIC. # SWPPP FIRE SPRINKLERS YES □N0□ 0 (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 lhat 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: I hereby affirm under penalty of perjury one of the following declarations: ~ 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. ~ve and will maintain wo ers' co ensation, as r uired ection 3700 of the Labor Code, for the performance of lhe work f~~tt: :~ My workers' compensation insurance carrier number are: Insurance Cc. Policy No. '4J., /,J,J C..--~ "fL. Expiration Date -+-"'e:....,.~+~.J..-- ~ section need not be completed tt the permit 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 issu shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Calttomia. WARNING: Failure to secure workers' compensation coverage is unlawful, an all toyer to criminal penalties and civil fines up lo one hundred thousand oiiars (&100,000), in addition to the cost of compensation, damages as provi In Section 3706 e L r co , I terest and _g CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for lhe 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 Ccntractors 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 Ccntractors 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 Contractors 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. O Yes 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) to provide the proposed construction (include name address I phone / contractors' license number): 4. I plan to provide portions of lhe work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone I contractors' license number}: 5. I will provide some of the work, but I have contracted (hired) the following persons t r1< in icated (include name / address I phone I type of work): _g PROPERTY OWNER SIGNATURE 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. 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 the application and state that the above lnfonnation Is conect and that the Information on the plans is aa:urate. I agree 1D comply with all City ordinances and State laws relating 1D building construction. I hereby authorize representative of the City of Carlsbad to enter upon the aoove mentoned property br inspection purix,ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSB4.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 pemntt is required for excavations over 5'0' deep and demolition or oonstruction of structures over 3 stores in height. EXPIRATION: Every pemnit issued by the Building Official under the provisions of this Code shall by Im· nd become null and~ tt the building or 'Mll1< authorized by such pemnit is not commenced v.1thn 180 days from the date of such pemn~ or if the buldi authorized by such is at any tme after the 'Mll1< is commenced bra period of 180days (Section 100.4.4 Unioon Buildng Code). J!5 APPLICANT'S SIGNATUR DATE g --;)eJ - STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CEflTIFICATE OF OCCUPANCY /Commerc1<1I ProJect, 0 n I y I Fax (760) 602-a560, Email buildinq@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. l.) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. l.) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION A!$ APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB150822 Type: PME Date Inspection Item 03/19/2015 23 GasfT est/Repairs 03/19/2015 29 Final Plumbing Monday, March 23, 2015 Inspector Act PD AP PD AP FAGAN RES-GAS REPAIR OF LEAK SDG&E SHUT-OFF Comments Page 1 of 1