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Home My WebLink About2795 WOODWIND RD; ; CB154023; PermitI l l _J City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 11-19-2015 Permit No: CB 154023 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2795 WOODWIND RD CBAD PME Status: Parcel No: 1563310200 Lot#: 0 Applied: ISSUED 11/19/2015 JMA 11/19/2015 11/19/2015 Reference #: PC#: Project Title: Applicant: GROVES: REPLACE WTR. HTR. & ASS SINK IN GARAGE GROVES GILBERT L&ALISON W 2795 WOODWIND RD CARLSBAD CA 92008 858-245-7841 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: GROVES GILBERT L&ALISON W 2795 WOODWIND RD CARLSBAD CA 92008 $163.00 $0.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: ~ Date: Clearance: _____ _ $0.00 I\ICJTICE Aease tale I\ICJTICE th.:t ~ r:i ~ prtjed indudes the "lni:n,itioo'" a fees, doocaions, resavctioos, ex ctr« exa::tions herectter cnledivay retared to as "fees/exa:licns." Yoo rave 00 days fran the date tlis poorit ....as iSSU:ld to pretest ini:n,iti01 r:i these fees/exa:licns. If~ pretest then'\ ~ rrust fcilON the pretest ~ set forth in 0:MJnra"t OX2 Sedi01 60020(a), a-"d file the pretest a-"d a"'rf ctr« req..ired infarrai01 wth the Oty IVa1ager fex ~rg in oc.cada-re wth Ca1sboo M.nd~ OX2 Sedi013.32.cro. PcilLre to trray fcilo,vth:i p-cireo.re wll ba" a"'rf su:EEqJErt legal octi01 to attro<, re.iew, set aside, \tid, ex anj treir ini:n,ition. Yoo a-e herEbj FlRTl-ER I\ICJTIRED that~ ri(tt to prctest the specified fees/excdions C::O:S NOT APPLY to 'lviJ..f:r a-"d 00Net cx:Tl100i01 fees a-"d ~ cta1ges. ru pmrg, zairg, gcdrg a-ctr« sirrila-wicma, ~rg ex savioo fees in CXJT1Etii01 wth tlis prtjed. I'm C::O:S IT APPLY to a"'rf f excdionsr:iv.hch ti.Ml • ·va, I\ICJTICEsirrila-totlis exast v.hchthest.ahler:flirritctionst-as • "red. • THE FOLLOWING?IPPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING C cicyof Carlsbad JOB ADDRESS /<.. Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEI/SPACEf/UNITI □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD Plan Check No. C',:B( 23 Est. Value Plan Ck. Deposit CT/PROJECT# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) APPLICANT NAME CITY PHONE EMAIL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY PHONE FAX PHONE EMAIL EMAIL STATE UC.# STATE UC.# FIREPLACE YESO AIR CONDITIONING No[] YES □NO □ STATE ZIP FAX STATE ZIP FAX Cl.ASS CITY BUS. UC.# FIRE SPRINKLERS YES□No□ (Sec. 7031.5 Business ano Professions 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 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 !hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$5001). Workers' Compensation Declaration: I hereby affirm under penalty 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 pertormance of the work for which this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. My workers' compensation insurance earlier and policy number are: Insurance Co. Policy No._______________ Expiration Date _________ _ ~section need not be completed ~ the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pertormance 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 in Section 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE DATE 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 wilh 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 of 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 to 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 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 to 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 permit for the proposed work. 3. I have contracted with the foliowing person (firm) to provide the proposed construction (include name address I phone / 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 worl<. (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 worl<. indicated (include name/ address I phone I type of work): Ji$ 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 p<evention p<ogram 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 penmit 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. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the application and S1atethatthe above infonmation is conectand that the lnfonmation on the plans is aa:urate. I agree to comply with all Cityordinanoes and Slate laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned~ br inspection purlX)S85. 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 requred for excavations over 5'0' deep and demolitoo oc cooslr\Jdoo of structures over 3 stories i1 height. EXPIRATION: Every penmit issued by the Building Offcial under the provisoos of this Code shall expire by linitaoon and becolre null and voi:l ff the building ocv.ork authorized by such permit is not oommenced v.ithin 180days from the date of sudl permitoc if the buildilg orv.ork au • by sudl permn is suspended or abandoned at any time after the v.ork is oommenoed bra period of 180days {Sectoo 100.4.4 Uniform &Jilding Code). _NS APPLICANT'S SIGNATURE DATE ( f Al (J ti ~ II 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 r, l I l r C /, l E 01 C' C C U fl /\ i~ C Y /Cornr11c1 c1,1I l' r o J c c t 5 o " r v 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. DELMRY 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 A$ APPLICANT'S SIGNATURE DATE ., Inspection List Permit#: CB154023 Type: PME Date Inspection Item ____ _ 03/11/2016 25 Water HeaterNents 03/1112016 25 Water HeaterNents 03/1 1/2016 29 Final Plumbing 03/11/2016 29 Final Plumbing 02/26/2016 25 Water HeaterNents Monday, March 14, 2016 Inspector AEK AEK AEK GROVES: REPLACE WTR. HTR. & ASS SINK IN GARAGE Act Comments RI EARLY AM PLEASE AP RI EARLY AM PLEASE Fl co ADD SEDIMENT TRAP Page 1 of 1