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Home My WebLink About1130 CAMINO DEL SOL CIR; ; CB111687; Permit08-03-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB111687 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1130 CAMINO DEL SOL CR CBAD PLUM 2062611200 Lot#: 0 Construction Type: NEW NICHOLAS: GAS, ELEC, WATER & SEWER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Applicant: NICHOLSON JOANNA 1130 CAMINO DEL SOL CIR CARLSBAD CA 92008 Owner: NICHOLSON JOANNA 1130 CAMINO DEL SOL CIR CARLSBAD CA 92008 ISSUED 08/03/2011 JMA 08/03/2011 08/03/2011 Plumbing Issue Fee $20.00 Fixture or Trap 0 $0.00 Building Sewer 1 $15.00 Roof Drain 0 $0.00 Install/Repair Water Line 1 $7.00 Water Heater and/or Vent 0 $0.00 Gas Piping System 1 $7.00 Vacuum Breaker 0 $0.00 Other Plumbing Fees $20.00 Master Drainage Fee $0.00 Sewer Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $69.00 Total Fees: $69.00 Total Payments To Date: $69.00 Balance Due: $0.00 Inspector: FINAL Date PPROVAL Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively refened to as "fees/exactlons." You have 90 days from the date this pemfiit 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 pnjtest and any other required information with the City Manager for processing in acconjance 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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been given q NOTICE similar to thif or as to which the statute of limitations has previously othenvise expired. ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/2719 Fax: 760-602-8558 www.ca risbadca .gov Plan Check No. (^g) ( j ( 6? ^ 7 Est. Value Plan Ck. Deposit Date SWPP JOB ADDRESS . Ol/PKuittl # ILOT* IfiHASE* |#OF UNITS |#BEDR0C SUnE#/SPACE#/UNn# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCt GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of A/hcted Areata; EXiSTiNG USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES • # NOD AIR CONDITIONING YES • NO • FIRE SPRINKLERS YES • NO • APPLICANT NAME (Primary Contact) APPLICANT NAME (Sacondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE EMAiiT EMAIL FAX PROPERTY OWNER NAME A / i CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL CH/DESIGNER NAME & ADDRESS ISTAI EMAIL CLASS CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a siaied statement that he is licensed pursuant to the provisions of the Contractor's License Law (Cnapter 9, commending with Section 7000 of Division 3 of 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)). WORKERS' COMPENSATION Workers' Compensation Dedaration: / heieby iMrm under penalty of perjury one of the following dedara6ons: n I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, fbr the performance of the worl< for which this permit Is issued, n I have and will maintain woriters' compensation, as required by Section 3700 of the Labor Code, for the performance of the worit for which this permit is issued. My workers' compensation insurance carrier and policy number are: insurance Co. Policy No. Expiration Date This section need not be completed ifthe pennit Is for one hundred doiiars ($100) or less. [!) Certificate of Exemption: I certify that in the perfonnance of the work for which this pennit Is issued, I shall not employ any person in any manner so as to become sutiject to the Woriters' Compensation Laws of Caiifomia. WAIUiiNG: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code. Interest and attomey's fees. je$ CONTIUCTOR SIGNATURE •AGENT DATE OWNER-BUILDER DECLARATION / hereby affirm that 1 am exempt from (^tractor's Ucense Law for the following reason: XS.^ as owner of the property or my employees with wages as their sole compensation, will do the worit and the stmcture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense 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 nol intended or oflered for sale. If, however, the building or improvement is sold within one year of completon, the owner-builder will have the burden of proving that he did not bulk! or improve for the purpose of sale). • I, as owner of the property, am exclusively contracting with licensed contractors to constnict the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buikts 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: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement • Yes • No Z I (have / have not) signed an application for a building pennit for the proposed worit. 3.1 have contracted with the following person (finn) to provide the proposed constnjction (Include name address / phone / contractors' Iteense number): 4.1 plan to provkle portions of the vrarit, but I have hired the fbllovnng person to coonJinate, supervise and provkle the major work (include name / address / phone / contractors' license number): 5.1 will pnwide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name (address / phone / type of work): I PROPERTY OW SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or futuro building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sectkins 25505,25S33 or 25534 of the Presley-Tanner Hazardous Substance Account Act? OYes ONo is the applicant or future building occupant required to obtain a perniit from the air pollution control district or air quality management district? • Yes • No Is the facility to be constnicted within 1,000 feet of the outer boundaiy of a school site? OYes ciNo 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 DISTRia. CONSTRUCTION LENDING AGENCY I hereby affinn that there is a constmction lending agency for the perfomiance of the wodt this pennit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address PPLICANT CERTIFICATION I certif that i have lead the applkatkin and slale that tlie above Infbmiatkin is conect and tliat the Inlbin^ I hereby authorize representative of Ihe City of Carisbad to enter upon the above mentioned property tar inspection puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAf^LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGH^ENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT. OSHA An OSHA pennit is requiied fbr excavations over SO" deep and demditbn or construction of stnictures over 3 stories in height EXPIRATION: Every pemiit issued by the Building Ofllcial under the piovisbns of this Code shall expire by imitation and become nul and VOKI tf the building or worit authorized by such permit is not commenced wilhin 180 days from the date of such permit or if Ihe building or worit authorized by such pemiit is suspended or abandoned at any time after the viortt is commenced for a period of 180 days (Sectbn 106.4.4 Uniform BuikJing Code). ^CTAPPUCANT'S SIGNATURE DATE Inspection List Permlt#: CBl 11687 Type: PLUM NICHOLAS: GAS, ELEC, WATER & SEWER Date Inspection Item Inspector Act Comments 06/08/2012 29 Final Plumbing -Rl 06/08/2012 29 Final Plumbing PD AP 06/08/2012 39 Final Electrical PD AP 12/22/2011 29 Final Plumbing PD NR 12/22/2011 39 Final Electrical PD NR 08/19/2011 31 Underground/Conduit-Wirin PD AP 08/17/2011 22 Sewer/Water Service PD AP 08/17/2011 23 Gas/Test/Repairs PD AP 08/17/2011 31 Underground/Conduit-Wirin PD NR Monday, June 11, 2012 Page 1 of 1 City of Carlsbad BIdg Inspection Request For: 06/08/2012 Permits CB111687 Title: NICHOLAS: GAS, ELEC, WATER & Description: SEWER Inspector Assignment: PD 1130 CAMINO DEL SOL CR Lot: 0 Type: PLUM Sub Type: Job Address: Suite: Location: OWNER NICHOLSON JOANNA Owner: NICHOLSON JOANNA Remarks: Phone: 85834240 Inspector/ Total Time: n Requested By: CHRIS Entered By: JANEAN CD Description 29. Final Plumbing Comments Comments/Notices/Holds Date 12/22/2011 12/22/2011 08/19/2011 08/17/2011 08/17/2011 Associated PCRs/CVs/SWPPPs Original PC# CV070592 UNROUND H- ALLEGED ILL CONST; PCR07157 ISSUED NICHOLSON RESIDENCE; STRUCTURAL REVISIONS Inspection Historv Description 29 Final Plumbing 39 Final Electrical 31 Underground/Conduit-Wiring 22 Sewer/Water Service Act Insp Comments NR PD 23 Gas/Test/Repairs NR AP AP AP PD PD PD PD