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Home My WebLink About168 WALNUT AVE; ; CB112338; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 10-3 1-2011 Permit No: CB112338 Building Inspection Req uest Line (760) 602-2725 Job Address: Permit Type: 168 WALNUT AV CBAD PME Status: Parcel No: 2041 230702 Lot #: 0 Applied: Reference #: PC#: Project Title: MILLER: REPLACE & RELOCATE FAU Applicant: ASI HASTINGS 1250 GREENFIELD DR EL CAJON, CA 92 167 619-223-9016 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Owner: MILLER BRYAN R 168 WALNUT AVE CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 10/31/2011 JMA 10/31/2011 10/31/2011 $0.00 $0.00 $150.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: y'V\' lc:,,..,,U;-S 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 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 f x i n f whi h h v r vi I n iv n N Tl imil hi r whi h h f imi • n h h i -~ ' <<~'>'> Building Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No. ~ CI T Y OF Est. Value CARLSBAD Fax 760-602-8558 www.carlsbadca.gov Plan Ck. Deposit Date ~ ~ I DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~ ~ f?.uo~ ~ I EXISTING USE PROPOSED USE ;,RC:?LACE YES[), A1R :ONDITIONING F RE SPRINKLERS Y:S ONo □ YES□Nc□ CONTACT NAME (If Olffer•nt Fom Applicant) ADDRESS APPLICANT NAME ,;ff;, u...n ADDRESS B10 Vi CITY STATE PHONE FAX EMAIL EMAIL rt' tl..Y) fh i J/ ..e.y-CONTRACTOR BUS. NAME f} EiJ:__ I Ph0:3o6 °17 B 0-/ U) ZIP '1 :;lOO D EMAIL E FAX I CJ {59 Q -'9&Jo .-AC>1/DESIGNER '<AME & -IODRESS ST>TEclC • SUTE UC • 6 13 116' 1sec. 703 l .5 Business ana Professions Code: Any City or Counr1 wnIcn requires a permit to construct. alter, improve. demohsn or repair any structure. p11or to its issuance. also requires the aoohcant for such permit to file a s1gnea statement tnat ne Is licensed pursuant to the orovIsIons of tne Contractor'~ License Law rcnapter 9. commenaIng NItn Section 7000 of D1v1s1on 3 or the Business ana Professions Codel ,r that ne ,s exempt therefrom. ana tne basis for tne aIIegea exemption. Any vI0Iaoon of Section 7031.5 by any applicant for a permit sub1ects the applicant to a cIvII penalty or not more tnan five nundred dollars ($5001). WORKERS • CO ■PENSATION Won:e~· Comp,nsation Declaration I hereOy affirm under penalty of pequry one r:l /he follow,ng aadarafions: a I havt and wil maintain , certificate ot consent to self-insure 'or •NOrkers compensanon as proviaed by SectKJn 3700 of :t,e Laoor Code for lhe performance of lhe ..or1< f0< NhlCh 1h1s pem111 is ISSUed I havo and will maintain work r 7~.-f'/:/!.o ,~,A!QW,ed ov Secoon 3700 or !he Labor Code 'er lhe ;ieriormaot'-e ~ for NOC_~ :1115 :,erm,t s ISSLed \4y NOrkers ~pensaoon_insul nce came'/nd poltcy numbe<arelnsuraiceCo t,(5 (//,//1"" Policy ',d ..,~C J ()CjO::J.-/() ExpiratKJn Dale JO Ju ta. ~;ection nee<! not be ccmpleted t itle permits rurone hundred dollars (SIOO) 0< less I LJ Certificate of Exemption: I cerofy ihaI rn !he performance ot !he NOr1< tcr ,Nfi,:h lh1s perm,1Is issued, I shall nol errplcy ary perscn ,n any manner sc as to become ;ubIect to lhe Worl<ers Comcensaticn Laws of CaHomia. WARNING: Failure to secure 'NOrkers' 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, dam es~• provided for in Section 3706 e Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNAT RE I 'lereOy affirm /hat I am gxemp/ 'Tom Conuacrors License Law 'or ihe 'ollolMng ll!ason □ □ □ I. as owner of :he orooeny or "'Y employees Ni1!1 Na<;es as illeir ;ole :omoensaoon. 'NII :lo lhe NCr< ilrld lhe s1nJC:vre s 101 mended or Jffered 'or sale ,Sec 7C44 ausmess ano P'tlfessicns Code me Conuac1on l.Jcense Law ~es net ai::oly :o an owrer of ;iroi:erty •no budas or mproves :nerecn and Nho does such NOr'< himseIf Jr :hrouqn his Jwn emoklyees provided :hai 5uch mprovements a,e noI nienoed Jr offered 'or sale t ho~ever :he ou1kl1ng or mcrovemen1 ,s sold Mtlun one ,ear of comcleoon. Ille owner-builder NIii have :he ouroen or ;;roving :11a1 he c,o 1e1 ouilo or mprove '0< !he purpose of sale) I as owner of ille orocer71 3f11 exelusively conuac~ng •1th ,icensea ccnuactors :o conslnJCt :11e proIec1 1Sec 7044 Bus:ness and ',:fess.ens Coce The Con1rac:ors Lcense Law does not acoly 10 an owrer or prcper1'f NhO OUilcs or mcroves thereon ana conuac:s for such ;ircIe<:ts •1th conuactortsl lcensed pursuant :o :he :omractor's Lcense Law• I am exempt Jnder Sec:1cn _____ Business and ?roress1ons Code 'or !his reascn. I I personally .Ian 10 provice :he maier Iacor and ma1enals 'or cons1rue:ion of !he proposed procer1Y morovemenI O vas O r-o 2 I ,have have 101) ,l(Jned an acolicatMJn 'or a :iu1kling :iennu 'or ille proposed NOrl< 3 I nave .:onuac:ed N1!h ihe '.ollcW111(J :ierson (firn) :o orcvlde :ne Jrocosed consirucncn Inclt£e 1ame 3COress ~ncne comrac:crs icense 'umcerl: ~ I J,an ·o :irovlCe Xr"JOes Jf :11e NOn< bu!' nave iirec :ne 'ollcwmg oerscn :o ;ooroinate sscer,ise drd =rovice :r,e '!latar NOril Incil,(]e ,ame aa~ress er.one comrac:ors icense 1umoer' 3 t Mil crovlde ><:ne Jf :re .vor< !lul 'have :tnttaCted hired) :he 'c,lcwmg :,e~ns :o =rcvlCe :l'e NCr1< noicateo ,nc:ude ,a,,,e aacress onore ty~e Jf NOil<! DATE Is :he applicant or future bu11di.ng cccupanl required 10 ,ubm,t a business olan, 3Cutely hazaraous materials registration fonm or nsk rana<;ement and oreventMJn program under Sections 25505 25533 or 25534 of the Presiey-T anner Hazardous Substance .ic::ouni Act" O Yes 0 No Is '.he a~plicant or ~uture bu1lc1ng occupant re<;cired to -'bta1n a .:ermit :rem the air xnu11cn con1rc1 jistnct er aR alit'/ -nana<;ement.dis:r.ct? Dv~s D No Is 111e '.aclli~/ :o be consi/lJcted Nil/1,n 1 OCO feet of the Juter boundar1 of a school Sile? O ves LJNO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET CR IS MEETING THE REQUIREMENTS CF THE OFFICE CF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read tile application and ;tate that the atioveinformation is correct and that the infonmation on tile plans is accurate. I agree to comply•Mth all City ordinances and State laws relating to building construc:Jon. I hereby aulhorize represe~tative cf :l1e Cty of Ca1sbad :o enIer u~n the atove menocred pro~erty fer ns;;ec-JCn p~rposes I ALSO ACRE:: TO SAVE INDEMNIFY ANO KEP rl/lRMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY 'NAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Cf THE GRANTING Cf fr1IS PEilMlf OSHA An OSi-'A oermit s rec;urred for excavalicns over 5'0' ceeo and .:emclioon or ccns:n.coon of slllJC!ures over 3 sIcnes n he,ght EXPIRATION. Ever1 permil ISS~ed by ihe 8udcing Official uooer the prc111SKJ11s of this Cece shall expire by lirrntaton and become null and ,cd ,f ;he bullding orwor1< authcnzed by such pemut Is not commenced ,.,tt,,n t 80 days from ihe date of such ;iennil or ,f the builcng er 'NOr1< aithcrized by such permit ,s suspended or abandor€d at any time after ;he wcr1< is commenced for a pencd of 180 cays (Secoon 106 4 4 Unifcnn Bu1lcing Coce) _g APPLICANT'S SIGNATURE DATE /0 28 It ~ '1:1 City of Carlsbad Bldg Inspection Request For: 12/20/2011 Permit# CB112338 Title: MILLER: REPLACE & RELOCATE FAU Description: Type:PME Job Address: Sub Type: Suite: 168 WALNUT AV Lot: Location: APPLICANT ASI HASTINGS Owner: ELBAUM JACQUELINE L Remarks: EARLY AM PLEASE Total Time: CD Description 25 Water HeaterNents 29 Final Plumbing AA-~ 0 Act Comments lic(L. l ~ tz~LP<.ATu Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: MC Phone: 3059782168 Inspector: -~{Vt_l __ Requested By: BRIAN Entered By: JANEAN '.E~U ,"1 ~'tt S"t'ltJ.'9 A::ftl,l. 11/29/2011 43 AirCond/Furnace Set CO MC NO ACCESS, CALLED HO