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Home My WebLink About1006 CARLSBAD VILLAGE DR; ; CB142226; Permit09-02-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB142226 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1006 CARLSBAD VILLAGE DR CBAD PME 2033200400 Lot #: MOTEL 6 - REPAIR 4" SEWER LINE status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/02/2014 LSM 09/02/2014 09/02/2014 Applicant: ARS DBA RESCUE ROOTER STE B 9895 OLSON DR SAN DIEGO OA 92121 858-457-6572 Owner: MOTEL 6 OPEF^TING L P TAX DEPT POBOX 117508 CARROLLTON TX 75011 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $160.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: A Clearance: 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 Govemmenl Code Section 66020(a), and file the protest and any other requined 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 which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. ^y ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 www.carisbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date SWPPP JOBADORESS , , . . t 1 it Or SUITEK/SPACEK/UNIT* APN CT/PROJECT # LOTS PHASE* ) J» OF UNITS # BEDROOMS « BATHROOMS TENANT BUSINESS NAME CONSTR. TVPE OCC. GROUP DESCRIPTION OF WORK: fnc/ude Square Feet of Affected Areafs) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) [ )ECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YEsQ* N0| 1 YESQNOQ YESj | Noj | APPLICANT fntMECPrimary ContaU) i )-^ JnrrY«aJK APPLICANT NAME ^Secondary Contact; ADDRESS . ADDRESS cnr STATE N^^^ip CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPER^ERN^^ J ^^^^^^ ADDRESS _ r " , , . CITY f\ ,1 /» STATE • - « ZIP _ CITY ^ ^ STATE ZIP PHONE FAX PIHONE^ U "1^ ElftAIL EMAIL1 1 . * * ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# CLASS CITY BUS. UC.« (Sec. 7031.5 Business and Professions Code: Any City or Coun^ whioh requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its issuance, also requires the applicantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's Ucense Law (Chapter 9, commendingwlth Section 7000 of Division Sof the Business and Professions Code) or that 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 more than five hundred dollars ($500)). Woikurs' Compensation Declaration: / heieby affirm under penalty ofperjuiy one ofthe following declarations: I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of Ihe Labor Code, for the perfonnance of Ihe work for which this permit Is issued. have and will maintain workq^s' compensation's reouired bv Sectkin 3700 of the Labor Code, for the perfomiance of the work for which this permit is issued. Mv workers' compensatkin insiiance farrier and policy ( number are: Insurance Co PolicyNo. Expiration Date TJiis section need not be completed if the pemiit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the perforniance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Wohters' Compensation Laws of Califomia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousajid dollars (&1OO,OO0), in addition to the cost of compensatipMUmages as provided for in Section 3706 ofjhe Lajw^code, intwest and atfismeyt; fees, JS^ CONTRACTOR SIGNATURE \_J^__^G~1 <Ci_9-> ro6 ofthe LaboMode, intv ^^AGBiT DATE ;atk)n insivance tarher and policy \oTj (M - ' Compensal ! d dollars i heieby affimi thei 1 am exempt from Contractors License Law for the foliomng reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do Ihe work and the stracture is not intended or oflered for sale (Sec. 7044, Business and Professions Code: The Contractor'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, provkled that such improvements are not intended or offered for sale. If, however, the building or improvement is sold wilhin one year of completion, the owner-builder will have the burden of proving that he did nol build or improve for the purpose of sale). I I I, as owner of Ihe praperty, am exclusively contracting with Ifcensed contractors to constmct the projeci (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of praperty who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). f~~j I am exempt under Section Business and Professions Code for this reason: 1. i personally plan to provide the major labor and materials for constraction of the proposed property improvement. Q^Yes I iNo 2.1 (have / have not) signed an application for a building pennit for the proposed woh^. 3.1 have contrxted with the Iollowing person (firni) to provide the proposed constaiction (include name address / phone / contractors' license number): 4.1 pian to provide portions ol the worii, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 wili provide some of the wortt, but I have contracted (hired) the following persons to provide the wori( indicated (inciude name / address / phone / type of wori(): PROPERTY OWNER SIGNATURE • AGENT DATE Is the applicant or luture building occupant required to submit a business plan, acutely hazardous matenals registration forni or nsk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Subslance Accouni Act? QYes [_]NO Is Ihe applicant or fulure building occupant required to obtain a permit from the air pollution conlrol dislric! or air qualily managemenl dislricl? LDYeE Q No Is the lacility to be constracted wilhin 1,000 leet of the outer boundary ol a school site? [HjYes IINO 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, MB ^^^^ 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 ceifi^that i have laad ttie application and slate tiiatthe above Inforniation is conect and thatthe infonnation on the plans is aocurate. I agree to comply with all City ordinances and State laws relatingto building constmction. I hereby authorize lepresentative of the aty of Cartsbad to enter upon the above mentbned pnaperty for inspection puiposes. 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 pemiit is required for excavations over 50' deep and demolition or constmctbn of structures over 3 stories in heighl EXPIRATION: Every peimit issued by the BuiWing Offbial under the pnDvistons of this Code shall expire by limitation and beoome null and void if Ihe building or iwi* aulhorized by such pemiit is not oommenced wilhin 180 days from the date of such pemiit or if the building or worit authorized by such pemiit is suspended or abandoned at any time after the wori< is commenced kir a period of 180 days (Sectbn 106.4.4 Unifomi Buikiing Code). ) APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB142226 Type: PME MOTEL 6 - REPAIR 4" SEWER LINE Date Inspection Item Inspector Act 09/29/2014 29 Final Plumbing PB AP 09/29/2014 49 Final Mechanical - Rl 09/15/2014 22 Sewer/Water Service PY CO 09/11/2014 29 Final Plumbing PB NR 09/10/2014 29 Final Plumbing PB CA 09/05/2014 29 Final Plumbing PB NR 09/03/2014 29 Final Plumbing PB CA Comments AM PLS Tuesday, September 30, 2014 Page 1 of 1