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Home My WebLink About1126 LARKSPUR LN; ; CB143437; Permit' 12-09-2014 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: CB143437 Building Inspection Request Line (760) 602-2725 1126 LARKSPUR LN CBAD PME 2054300200 CAVENEY: TEMP. POWER ON Lot#: 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: PERM. BASIS FOR CONSTRUCTION DUE TO FIRE DAMAGE Owner: ISSUED 12/09/2014 JMA 12/09/2014 12/09/2014 IMRS ELECTRIC & SERVICE CAVENEY YVONNE M 14849 CIRCLE HILL RD EL CAJON CA 92021 619-7 49-0934 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 8809 E HERNDON AVE CLOVIS CA 93619 $0.00 $160.00 $0.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: FINAL APPROVAL Date I-Z-ts:-' 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 pemiit 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 ·nth· h Tl hir hih fr lh f THE F0LL6W1NG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMATIAPCD ( City of Building Permit Application Plan Check No. CR!t.l-3431- 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date 1,__/ q f 1.J lswPPP LN SUITEf/SPACEf/UNIT, IAPN ---JOB ADDRESS // ? & I ///!.K sit.I~ CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME ICONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(S) # n;,.Ae,t£._ e{,fc,rt4CAL -f<.csn::,.U />ow,r./L f=v/2.. /2,e_ -6::..vST72-vcrlVN i:7,:. r/4: EXlSTIN~ I PROPOSED USE I GARAGE (SF) PATIOS (SF} I DECKS (SF} FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS lt}li/i, c.{_ v,so NO□ v,s □No □ YES □No□ APPLICANT NAME Po.aur L~€-PROPERTY OWNER C,-~ /?/,I -, , •eu Primary Contact '£. 'C,VV,;t, c ADOR;}rfl'7 {:/£.CL< /~(..L.. I& ADDRESS CITY !°.-,...J<;,,,v /'s;TE ZIP CITY STATE ZIP Ge_ ,::; ,,,,~ I PHON&/'7 5o7 · ~<JoS IFAX PHONE I FAX 5"5"'J -2"i"i -6'J&4 EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR!~_:..N!M: EUC17i4£- ADDRESS ADDRESS e,;za-1t 1/t t'-~ Iii~'? CITY STATE ZIP CITY /ZL t°.4Jc,,v ;;;;_ ZIP "'1).tJ::,. I PHONE IFAX PHONE z;·.:; -< CJ7. J'ltJS 1'1,., 7'1"'J-CJ'?Jc./ EMAIL EMAIL -/ lf,?L!..S.l!t.ecr/VC.....2.. e ,4ot.. , u,,.,., I STATE LIC. # STATE '2' '1-'7 nt/ ICLASS ICITYBUS.LIC.#1/, J (!'-/ u LL,_,,.. ',,,,. (Sec, 7031,5 Business and P_rofessIons Code: Any City or Coun_ty which requires a permit to construct. alter, improve, demolish or reRair any structure, prior to its issu~so requires the a !leant for such ermit to file a s1 ned statement that he 1s licensed ursuant to the rovisions of the Contractor's license Law C a ter 9 commend1n with Section 0 of D1v1s1on 3 of the pp P .• ,. P. p . l''· .• B_us1ness and Professions Code) or that he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: / hereby affinn undBf penalty of perjury one of the following declarations: Q1 have and will maintain a certificate of con,ent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performarice of the work for which this permit is issued. jXI I have and wm maintain worken' ~ompensatlon, as reQuired bv Section 3700 of the Labor Code, for 1he _performance of the work for which this permit is issued, My workers' compensation insuran~ carrier and policy ,ombe,a,e lnsurnnceCo. :ST4Tli:. £Vivi> Policy No. /75 7,2.,27 faplratlonDat, /,:? -/ ,2.0/5 ~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 per1ormance 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 ers' compensation coverage~1s un , 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, m !lfS asy~e~ S I O ~Labz;f!Sde, interest and attorney's fees, Ji.'S CONTRACTOR SIGNATURE ~K-. ,.. ~ □AGENT DATE I hereby affirm that/ 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 work 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 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 contrac~ng with licensed contractors to construct the project (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 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. Oves 0No 2. I {have/ have not) signed an appHcation for a building permit for the proposed work, 3. I have contracted with the followijng person (firm) to provide the proposed construction (include name address/ 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 work {include name/ address/ 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 I phone/ type of work): ..f'5 PROPERTY OWNER SIGNATURE □AGENT DATE t f COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ls 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 srte? 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 read the application and state that the above infonnation Is correct and that the lnfonnatlon on the plans is accurate. I agree to comply with all City ordinances and StalB laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property k:ir inspection purp:)SeS. 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: M OSHA permtt is required for excavations over 5'0' deep and demol~ion or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this C.ode shall expire by limita~on and become null and vod l the building or v.ork authorized by such permit is not commenced Wthin 180 days from the date of such permit or i "lding orv.o~ au~ by such frn~n~ abandoned at any time after the v.ork is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ,@S'APPLICANT'SSIGNATURE ~~ , , :f../~ DATE 2 --/ STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY Carlsbad STATE CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY Ol'l'IONS PICK UP: CONTACT (listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (listed above) MAIL/ FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE ASSOCIATED CB#------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP I Inspection List Permit#: CB143437 Type: PME Date Inspection Item 01/06/2015 32 Const. Service/Agricultural 01/06/2015 32 Const. Service/Agricultural 01/06/2015 39 Final Electrical Wednesday, January 07, 2015 Inspector Act PB PB RI AP AP CAVENEY: TEMP. POWER ON PERM. BASIS FOR CONSTRUCTION DUE Comments Page 1 of 1