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Home My WebLink About2723 WATERBURY WAY; ; CB141353; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 06-16-2014 Permit No: CB 141353 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: 2723 WATERBURY WY CBAD PME 1674321 100 Status: Lot #: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: LAIRD RES-ADD LIGHTS, PLUGS & SWITCHES IN KITCHEN. RE MOVE FRENCH DOOR & WALL-IN THE OPENING IN KITCHEN, REPLACE EXISTING WINDOW IN NOOK AREA W/ NEW FRENCH DOOR-SAME SIZE OPENING Applicant: WORTHING INC, B. A. STE G 640 GRAND AV CARLSBAD CA 92008 760-729-3965 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: LAIRD FAMILY TRUST 05-03-11 2723 WATERBURY WAY CARLSBAD CA 92010 ISSUED 06/16/2014 RMA 06/16/2014 06/16/2014 $0.00 $158.00 $0.00 $65.00 $223.00 Total Fees: $223.00 Total Payments To Date: $223.00 Balance Due: Inspector: FINAL APPROVAL Date: f -l'I -/<( 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 been iven a NOTI this or as to wh ~ «-,~» ~ CITY OF CARLSBAD JOB ADDRESS-2. 12.e:, CT/ J # ·-po. ADDRESS CITY PHONE EMAIL Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value FIREPLACE YES □#_ NOD I D4-\ FIRE SPRINKLERS YES O ND □ (Sec. 7031.5 Business and P fesslons Code: Any City or County which requires a permit to construct, e~er, Improve, demolish or r~p•lr enr structure, prior to Its Issuance also requires the applicant for such permit to o 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 end Professions ode) or that ho Is exempt therefrom, end the basis for the alleged exemption, Any vloleUon of Section 7031.5 by any appllcent for a permit subjects tho applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declarallon: / hereby affi,m under penBlty of per/u,y one of the lollowl"fl declarations: 0 I havt and wUI maintain a certlOcale of consent to self-Insure for wori<ers' compensation as provided by Secti:>n 3700 of Iha labor Code, for the perfonnance ol lhe wOf1( lo, which lhls permit ls Issued. ~ I have and will maintain worktr1' comoonsallon. es rSQuired by Section 3~00 of the Labor Code, for lhe oerformance of Iha wOf1( fol which lhls permit is Issued. Mr worurs' con,pensa'°'1 lns1nnca calrier and poky numberare:lnsuranceCo ~-te (o ~~ON "11\)7 A>r-Jd C/oiaLt-J(] l/ ,;, .• ·_ y, · This section need not be competed I the peimlt Is lor one ::fed dollars ($100) or less. 'f / t5 0 Certificate of Exemption: t certify Iha! In lho perfonnance ol lho work for which this permit Is luued, t shall not employ any po,son In any manner so es lo become su~acl tollie Wmers' Compensabon Laws of Calif01nla. WARNING: Failure to secure workers' compensation cover1ge ts unlawful, and 1halt ,ubjoct an employer to criminal ponaltias and ctvil llnu up to one hundred thousand dollars (& tOO,D00), In addition to Iha cost of componntlon, da vlded f In Sect on 370G of tho Labor coda, Interest and attorney's fen _,eS CONTRACTOR SIGNATURE ...-c,..-,.-□ AGENT I hareby affirm Iha/ I am exempt from Cotllrector'• Ucanse Law for Iii folowl reason: □ I, es owner of the property or my omptoyeos \\ith wages as their e compensation, wm do the work and the structurn Is not Intended or offered for sale (Sec. 7044, Business •nd Prolenlons Code: The Con1rador'1 License Law does not apply Jo an owner ol property who blllds or Improves thereon, and who does such work timsell or Uvough his own employees, provided that such Improvements are not intended or ottered for sale H, howev8l, the bulking or lmp(ovement is sold \\ilhin one yeat ol completion, the owner-builder 1<1il have Ile burden ol proving that he did not bufld or Improve !or the J>UfPOSe ol safe). □ I, es owner of tho property, am exclusively contracting \\ith licensed contractors lo construct the project (Sec. 7044, Business and Prolessions Code: The Contractor's License law does not apply to an owner ol property who builds or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to lhe Contractor's license law), □ I am exempt under Section ____ __.Business and Professions Code tor this reason: 1. I personally plan to provide the major labor and materials for construction ol the proposed property Improvement. D Yes O No 2. I (have/ have not) signed an application for a buftdlng permit for the proposed work. 3. f have conlracted .,;1h tho following person (fiim) to provide lhe proposed construction (Include name address/ phone/ contractors' license number): 4.1 plan to provide portions ol the work, bul t have hired lhe folowing per'°" to coordinate. supervise and provide lhe major WOIX Qnctude name/ addfcss I phone I contractors' license number): 5. t will provide some of Iha work. but I have con~actod (hired) the rotto..ing persons to provide the work Indicated ~nctude name I address/ phone I type or work): ,£$ PROPERTY OWNER SIGNATURE □AGENT DATE ,. Is lhe applicant°' future bulding occupant required to submit a business fll_in: •~tely hazardous materials registration form°' risk management and prevention program under Sections 25505, 25533 °' 25534 of lhe Presley-Tamer Hazardous Substance Account n t? O Yes ~ Is lhe appticanl 01' future building occupant required to obtain a permit from lhe air pollution control district°' air~! anagement district? 0 Yes ~ Is lhe facility to be constructed within 1,000 feel of the outer boundary of a school site? O Yes o IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLES THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OFTHE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I ha'ie read the appOcation and state that the above lnfoll!lation is conect and that the lnfoll!ladon on the plans is aca,rate.1 agree to complywi111 all City ordinances and State law.; relating to building conswction. I hereby aut.orize represeolawe of lhe Cily ol Carlsbad kl enter upon '1e above meolbned property for nspedion purposes. I Al.SO 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 GRANTWG OF THIS PERMIT. OSHA: AA OSHA pennit is required for excavations over 5'0' deep and demolition°' conslruction of sbucu'es r:Ner 3 stories n height. EXPIRATION: Every pemlit issued by the Bu'kling Offdal under the provisionsof lhis Code shallexpre by Imitation and become ru andvoo i t.e buidi,g Q'WOO( autaized by Sldl penrit is notoomnenced v.ittli1 180days from tie date of such perml orW lhe buidilg °' v.<lC1< authorized by such permit is suspended°' abandoned at any line aflerlhewcrt is oorm,enced for a perod ol 180days (Secoon 106.4.4 Uo!b1n Butlng Code). _,/l$ APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB141353 Type: PME Date Inspection Item 08/13/201 4 19 Final Structural 08/13/2014 19 Final Structural 07/01/201 4 17 Interior Lath/Drywall 06/27/201 4 84 Rough Combo 06/27/201 4 84 Rough Combo Thursday, August 14. 2014 Inspector PB PB PB PB Act RI AP PA PA AP LAIRD RES-ADD LIGHTS, PLUGS & SWITCHES IN KITCHEN. REMOVE FRENC Comments Page 1 of 1 Job cv~·. L.Afrd . Adel~: t2..12.-!J w.er+evbv""'1 w1 -(Ax'l-?bn1 (A,