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Home My WebLink About1211 WIND STAR WAY; ; CB140406; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-05-2014 Permit No: CB140406 Building Inspection Request Line (760) 6Q2-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 1211 WIND STAR WY CBAD PME 2122121100 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: VANDENBREE RES-GAS LINE TO BBQ AND FIRE PIT/ ELECT TO BBQ & ISLAND Applicant: NEW VISION HARDSCAPE UNIT 5 261 4 PIRENEOS WY CARLSBAD CA 92009 619 987-0377 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: VANDENBREE JAY&LINDA 157 ASHLEY PL PARK RIDGE NJ 07656 ISSUED 02/21/201 4 LSM 03/05/201 4 03/05/2014 $158.00 $33.00 $0.00 $0.00 $191.00 Total Fees: $191.00 Total Payments To Date: $1 91.00 Balance Due: Inspector: FINAL Date: L 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 • n f whi h h v r vi I Tl imil r whi h h f limi i n h I h rwi THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING . ~-«."» ~ CITY OF □ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD Plan Check No. Est. Value Plan Ck. Deposit CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SWPPP JOB ADDRESS SUITH/SPACEI/UNITI \ZI\ W1µ't> CT/PROJECT# LOT# UNITS # BEOROOMS # BATHR MS DESCRIPTION OF WORK: Include Square Feet of Afrected Atea(s) ::::t:::"NS~L..L.. --pS ~ L-,',-J-€ s ~e-r:s GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES[J' AIR CONDITIONING NU vEs O NoD APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP FIRE SPRINKLERS vesO NoD PHONE FAX PHONE FAX EMAIL EMAIL STATE CA'r ZIP 5'J 2.o l 1 STATE ZIP I.-> 13+r1> Gf'r ct2-c:>o 9 EMAIL EMAIL ,rv'D11t.V .....,_,oorv-s?&Ee... t-' ~\J ~S~o ,J H~oSc.-€:' <Z 'f~GO-CO STATE UC.# CITY BUS. UC.# 12-3573~ ec. 7031.5 Business an fessions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair any structure, prior to its issuance, also requires the plicant for such permit file a signed statement that he is lk:ensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the iness and Profess· Code) or !hat 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 ore than five hundred dollars ($500)). penu tlon Declaration: I hereby affirm under penrilty of pequry one of the fo/lowmg declarations: I have and will maintain a certificate of consent to self-Insure for-1<ers' compensation as provided by Sect.ion 3700 of the Labor Code, for the performance of the WOik for which this permtt is issued. I have and will maintain workers' compensatl~, as required by Section 3700 of the Labor Code, fo, the perto,mance of the WOik fo, which this pennit is issued. My-1<ers' compen~surah Ca'lier and policy number are: Insurance Co. ,S E" c.--,,., ,.. • ±"'i I-? ,.:::;-(' o r' 19'" L-, Policy No. "'::> \/V C::::.. l O Z. LI C> 20 Expiration Date ...::±::/-( fl L../ ~sect.ion need not be completed tt the permtt is for one hundred dollars (S1CJO) or less. LJ Certificate of Exemption: I certify that in the performance of the worf< for which this permit is issued, I sh~I not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Calltomia. WARNING: Failure to secure worlters' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (& 100,000), In addition to the cost of compensation, damag vided for In Secti 3706 of the Labor code, interest and attorney's fees. ,1/:S CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the worf< 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 o, improves thereon, and who does such WOik himseff or through his own employees, provided that such improvements are not intended or offered fo, sate. If, however, the building o, Improvement is sold within one year of completion, the owner-buifde< will have the bu Iden of proving that he did not build or improve for the purpose of sate). I, as owner of the property, am exclusively contracting with licensed contractO<s to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds o, improves thereon, and contracts for such projects with contractor(s] lioensed pursuant to the Contractor's 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 ves 0 No 2. I (have / 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 constructioo (include name address / phone I contractors' license number): 4. I plan to provide portions of the worf<, but I have hired the following person to coordinale, supervise and provide the major WOik (include name I address/ phone I contracto,s' license number): 5. I wil provide some of the work, but I have contracted (hired] the following persons to provide the worf< indicated Qndude name / address / phone I type of work]: ,1/:S PROPERTY OWNER SIGNATURE DATE ~ -1_=,,7 f(:-''•/ T "~:: •n;;,•T: , ..... •r:,: ...,~--7''""' ~ lo ~r '"'"Pr""' 0;7 ~•..._,..,_.-"('."""Jlil"'~~,.«~~n.~y,, ,... -<'""("'O<~,~Y•,,cs '1J "'.,"f ~ .,.-~"",'1C_"1,¥-''t_ "< '.':'f<"+~~~ , •,, .,.._ 4'\'l'<'T•• ••-• -,. :"• 0 • ll)~.,• ,••~ ►'COMPLETE TH IS SECTION FOR , NON· R'E SIDE NT I AL· BU IL DING · PERMITS ONLY • • • r' ' Is the applicant or future building occupant required to submit a business plan. acutely hazardous materials registration fOfm or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acri Yes No Is the applicant°' future building occupant required to obtain a permit from the air pollution control district Of air Quality management districrl Yes No Is the facility to be conslructed 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 certify that I have lllild 1he application and stltethatlhe aboYe information is correct and that the Information on the plans is aa:urate.I agree ID comply with all City ordinances and State laws relating ID buHding cons1ruction. I hereby au1horize reiresentative of the City of Carlsbad kl enter upon the aoove mentioned JXoperly bf inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS TI-iE CITY OF CARLSBAD AGAINST AL1 UABILfTIES, JUOOMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN C()'JSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA perml is requied bf excavations 0Vef 5'0' deep and demoition or construcfun of slr\Jctures 0Vef 3 sklries n heght. EXPIRATION: !:wry permit issued by the 0.Jitling Offcial under the prow;ilns of this Code shall expie by fmitation and become nul and voo i the ruik:fng or ',\Olk authorized by such pemit is not commenaid Yoithn 100 days from the dail of such pennit or ff the • : ~ by such ~pended or miooned at ar,y line after the ',\O!kDisATE~ brza perod!. \ oil 100 days (Secoon 103.4.4 Unibm 0.Jttig Code). ,IS APPLICANT'S SIGNATU p--/ ~r---k-I STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. r " ' ' ~ , .-r -f"~ ~ l r • ' r :1 / t C : 0 n 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. DELNERY 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 OTlfER: CHANGE OF USE / NO CONSTRUCTION LS APPLICANT'S SIGNATURE DATE ln-spection List Permit#: CB140406 Type: PME VANDENBREE RES-GAS LINE TO BBQ AND FIRE PIT/ ELECT TO BBQ & ISL Date Inspection Item Inspector Act Comments 04/14/2014 29 Final Plumbing RI VANOENBREE RES 04/14/2014 29 Final Plumbing PO AP 04/14/2014 39 Final Electrical RI 04/1 4/2014 39 Final Electrical PO AP 03/06/2014 23 Gas/T esURepairs PO AP 03/06/2014 31 Underground/Conduit-Wirin PO AP Tuesday, April 15, 2014 Page .1 of 1 l----------,t::.,-------------"7 g ..... , -➔) I .,3n"'td a~ cu... ~J..er-,.1-c-,c, .., '-,...i. ~.., a ~ d.o"" • 4----s ' ~---------th---------4 I i,.a,...!::::=:=:=..._-J -ie~& B"'S a,C"u...,,,cs 9r1 ,, '5..,.._, 3d. ...,,.,J.c;;uc:3 ' I \ I GI I I •' • , )