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Home My WebLink About2812 VIA RICARDO; ; CB133137; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 12-17-2013 Permit No: CB133137 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2812 VIA RICARDO CBAD PME 1673301400 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: DOWLING RES -GAS LEAK REPAIR Applicant: DOWLING TIM 2812 VIA RICARDO CARLSBAD CA 92010 760-41 9-4707 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: DOWLING TIM 2812 VIA RICARDO CARLSBAD CA 92010 ISSUED 12/17/2013 SKS 12/17/2013 12/17/2013 $158.00 $0.00 $0.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: Inspector: 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 Car1sbad 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 • whi • I N 'mil whi h h f Ii i ' h I C ,., / THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD «' Building Permit Application Plan Check No.(b ('s 31'31- 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: building@carlsbadca.gov 7)1';? Plan Ck. Deposit , www.carlsbadca.gov Date /'l,i I 1 /J 1 ISWPPP tzaiz SUITH /SPACEf/UNITI IAPN . V/A ,k!ICAR.Dc>/ CfiJ,eLSB~tA. 9u,1t, --- CT/PROJECT # I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP ~CRIPTION OF WORK: Include Square Feet of Atrected Area(s) / , <74-S,£)//?€ .c:E.4X.. t/-#4.s 8EclJ PXaJ/CAP/Jt!:?O . EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) YES[) I AIR C0NDfTI0NING I FIRE SPRINKLERS N<O YES □ND □ YES□No□ APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE I FAX EMAIL EMAIL I il>ROPER77,;NER NAME -y' M O ,r/t' AJ, .'Z>ot.JL-/,.Jtr-CONTRACTOR BUS. NAME AODREij:JSS/, ADDRESS ~ z. j// ,4-,,(2/C ~0 O CITY STATE ZIP CITY STATE ZIP C,.,a,eL-5/3A£> C'A-clr. 9Z~O PH~E i) , '760 419-41/J? IFAX PHONE I FAX EMAIL et er 77,1.J)~WL/IJt;. {58C&,Lo8AL, N EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# ICLA5S 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 an1 structure, pnor 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 exemp~on. 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)). Work9<1i' Compensation Declaration: / hereby affirm under penally of perjury one of the following declarations: 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 wol1< for which this pennlt is issued. D I have and will maintain workers' compensation, as reQulred bv Section 3700 ol the labor Code, for the perfonnance of the wol1< for which this permit is issued. My workers' compensation Insurance c.mer and policy number are: Insurance Co _____________________ Policy No. ______________ Expiration Date _________ _ ~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 perfonnance of the woil( for which this pennit is issued, I 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, 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. ~ CONTRACTOR SIGNATURE □AGENT DATE ~-----.--..... ,..,,..... ~-~ ,/' > ,,..,,-_,_ ~ • ......,,.,. ----, ~~-:-----,,--,, "<''J' ~-• " VJ -..,.,.,, • ,-' ~... -~ • • •--•~ • -•• "' ._ ~oJ~~~N,..~!!.:..Jt~,.!,.~'?-~-.~""-"'Dk<IIf~~-R~,T!_,<?~;~\, Jo ll«~«•• li,,~l~-,, _ , e-. --~~--••"=-'•A•--· __ _, ,.«,.•~h•--H -~ -1 I hereby affirm that I am exempt from Contractor's License Law for the following reason: [81 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 wol1< 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 pu1Jl058 of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct lhe 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 10 provide the major labor and materials for construction of the proposed property improvement. 0 Yes 0 No 2. I (have / have not) signed an application for a building pennit for the proposed wol1<. 3. I have contracted with the following person (flnn) to provide the proposed construction (include name address I phone/ contractors' license number): 4. I plan to provide portions of the wor1<, but I have hired lhe following person to coordinate, supervise and provide the major wol1< (include name /address/ phone/ contraclOIS' license number): 5. I will of the wo11<, I ve contract {hired) the following persons to provide the woll( indicaled (indude name / address I phone I type of woil(): ,,21:ROPERTY OWNER SIGNATURE DATE /2-17-13 • • Is lhe applicant or future building occupant required to submit a business plan, acutely hazaldous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Ac(I Yes No ts the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No ts 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 wor1<. this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lende(s Address I certifylhatl have read the application and s1a1ethatthe above lnfonnation Is conectand that the Information on the plans Is accurate. I agree10 comply-..ith all City ordinances and State laws relating to building construciion. I hereby authorize representative of lhe City of Carlsbad lo enter upon the above menooned property br inspection purp;,ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL llABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN COO SEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA pennl is requied br excavations over 5'0' deep and demoitbn or construcoon of strudures over 3 stories i1 heiJht. EXPIRATION: Every pennit issued by the Buikling Dffoal under the provisilns of lhis Code shall expire by Imitation and become nu! and voi:l W the buikling or l',Ol1( authorized by such pennij is not commenced v.11hin 100 days from the date of such pennij or if the buicf l',Ol1(au • such penn~ is suspended or abandoned at anytime afterthel',Ol1( is commenced bra period of 100 days (Secoon 100.4.4 Unitlml Bu~ Code). ~ APPLICANT'S SIGNATURE DATE /'Z-/7-13 STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. C E f? r I F I C A r E OF OCCUPANCY /Commcrcr,tl ProJC'CtS 0 11 IV I Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Car1sbad, Building Division 1635 Faraday Avenue, Car1sbad, 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 _g APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB133137 Type: PME Date Inspection Item 12/17/2013 23 Gas/TesURepairs 12/17/2013 29 Final Plumbing Wednesday, December 18, 2013 DOWLING RES -GAS LEAK REPAIR Inspector Act Comments PY AP PY AP Page 1 of 1