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Home My WebLink About2525 WILSON ST; ; CB150204; Permit01-22-2015 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 150204 Building Inspection Req uest Line (760) 602-2725 2525 WILSON ST CBAD PME 1561301300 Lot#: KEMMER RES-REPLACE GAS LINE Status: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: FROM GAS METER, AROUND GARAGE CORNER & THEN ENTERS IN TO HOUSE. SDG&E SHUT OFF DUE TO LEAK. Owner: ISSUED 01/22/2015 RMA 01/22/2015 01/22/2015 MEDNICKS PLUMBING 862 S. MELROSE DR VISTA CA KEMMER LIVING TRUST 07-19-91 181 1 CALIFORNIA ST OCEANSIDE CA 92054 92081 760-630-424 7 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: $160.00 Total Payments To Date: Inspector: Date: $160.00 $0.00 $0.00 $0.00 $160.00 $160.00 Balance Due: Clearance: $0.00 I of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 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 whi h hav reviou I been iven a N Tl E similar t thi or as to which th tatute of limitations has reviousl otherwise ex ired. ' T~WING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING C_ City of Carlsbad JOB ADDRESS CT/PROJECT# LOT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buildjng@carlsbadca.gov www.carlsbadca.gov s SUITEf/SPACU/UNIT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS □BUILDING □FIRE Plan Check No. Est. Value SWPPP CONSTR. lYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) AIR CONDITIONING FIRE SPRINKLERS YESO N0O NoCJ YES ONO □ APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL STATE FAX STATE FAX ZIP ~ ; /. ~ co AD ZIP ZIP '7 t.c) I STATE UC.# (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 issu applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Cha'f.ter 9, commending with Sectio Business and Professions Code) or {hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 703 .5 by any applicant for a permit civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of pe,ju,y one of the following declarations: □ 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 perlormance of the work for which this permit is issued. ~ have and will maintain workers' compensation, a reQuired by Se ion 3700 oft ~r Code, for the perlormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ;./(I-. IV\ ).-,, ... f_ Policy No. s w c... I 0 r1i2? Expiratk>n Date YI :J -/J ~ section need not be completed if the permit is for one hundred dollars ($100) or less. • LJ Certificate of Exemption: I certify that in the perlormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for· Sect n 370 of the La •. Interest and attorney's fees. ,If$ CONTRACTOR SIGNATURE O AGENT DATE I hereby affirm that I am exempt from Confractor'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 work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself 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 or 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 lo construct the project (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contraclor(s) licensed pursuant to the Contraclo(s License Law). I am exempt under Section _____ ,Business and Professions Code for lhis reason: 1. I personally plan to provide lhe major labor and materials for construction of the proposed property improvement. O Yes • O No 2. I (have f have not) signed an applicalion 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 f phone f contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address I phone / contractors' license number): 5. I will provide some of the work. but I have contracted (hired) the following persons to provide the work indicated (include name / address f phone f type of work): £5 PROPERTY OWNER SIGNATURE □AGENT 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. of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify that I have read the application and state that the above information Is correct and that the information on the plans is accurate. I agree to comply"1th all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO 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 GRANTING OF THIS PERMIT. OSHA An OSHA permn is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories il height. EXPIRATION: Every permit issued by the Building Official under e provisions of this Code shall expire by limnation and become null and void ff the building orv.ori< authorized by such permit is not commenced l'oithin 180days from the date of such permit or if the build119 mrk a • such • • suspended or abandoned at any time after the v.oik is commenced for a period of 180days (Section 106.4.4 Uniform Building Code). Ji5 APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE: Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY /Commercial Projects On 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. 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 ,IS APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB150204 Type: PME Date Inspection Item 01/22/2015 23 Gas/Test/Repairs 01/22/2015 29 Final Plumbing 01/22/2015 39 Final Electrical Wednesday, January 28, 2015 Inspector Act PY AP PY AP RI KEMMER RES-REPLACE GAS LINE FROM GAS METER, AROUND GARAGE C Comments EMR Page 1 of 1