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Home My WebLink About1130 KNOWLES AVE; ; CB132094; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 08-29-2013 Permit No: CB 132094 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1130 KNOWLES AV CBAD PME 1552521300 Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: SOTO RES-REPLACE EXITING TUB W/NEW WALK IN TUB AND ADD DEDICATED CURCUIT Applicant: Owner: GREENWORKS US SOTO RUDY G 4301 LAKESIDE DR RICHMOND CA 94806 925-272-4590 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1130 KNOWLES AVE CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 08/29/2013 LSM 08/29/2013 08/29/2013 $154.00 $0.00 $31.00 $0.00 $185.00 Total Fees: $185.00 Total Payments To Date: $185.00 Balance Due: Inspector: Date: Clearance: $0.00 NOTICE: Please take NOTICE hat 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. !f 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 Carisbad 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 in fwhih rvi I imilr hi r whichh fli i tin vi I h i THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH QHAZMATIAPCD «~;. Building Permit Application Plan Check No.~/ 3 ;;x:,,4 V, 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: building@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date?J/= T,3 ISWPPP A SUITE#/SPACE#/UNITI IAPN" ,,, ---,o. ADDRESS 1 l "3 r ~ "'°' , kc..... CT/PROJECT # LOT# I PHASE# # OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME ICONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ,.._,,ifk<<. e.x;.,, "\-,;_'::)-tub .,.., :-h... ,....,., ~\l i" +,,1:>. Aold Oecl."c,,..W Gf<-.l:' c;,c_,·,t. EXISTING USE PROPOSED USE FIREPLACE I GARAGE (Sf) PATIOS (SF) I DECKS (SF) YESO IAIR CONDITIONING I FIRE SPRINKLERS "'° YES □No □ YES□No□ APPLICANT NAME (Primary Contact/ I t.' {1,,..,.J . I' -1.sz APPLICANT NAME (Secondary Contact) ADDRESS '-' ADDRESS CITY STATE ZIP CITY STATE ZIP PHON¼ fr ,,.4 D'5 _?... (..'-{ '51 I FAX PHONE !FAX EMAIL EMAIL PROPERTY OWNER NAME e_,Jr-1.. <..,-h-, CONTRACTOR BUS. NAME r-I 1 th uc:; -~.,~ AO DRESS V ~ A-. ] \ '2.. ,--.., V'O ~ k C. _,? ADDRESSL{:2,0( I _ 'vc,,,,:.O. /)("~ CIC:°"\ -; ho,._ ol 7'11.-41P c1,,.. ll: Ur ~ '{iDb "l oog \Ch~c---.J PHr1 f#<) \ 7 -i,., ,,. 7 4 q I FA" ~~· ·'I IFAX '2-S-"'2.7Z-'f9! 0 EMAl't" EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE UC.# !°LAS~ I '"f''{}. ~" ~ ,,,,. ~l("t7 (Sec, 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to_construct, alter, improve, demolish or repair any structure, p_rior to its issuance, also requires the applicant for such per_m1t to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law JChapter 9, comme_ndmg with Section 7000 of D1v1sion 3 of the Business and Professions Code} or that he is 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)), WORKIIU' ltOl\ll>flllSATIQN , " Worilers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: □ I have and will maintain a certificate of consent to self•lnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ave and will maintain wo::s' compensatlo~ r;:r bv Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation i urance arrier and policy number are: Insurance Co, ~ k t-u Policy No. O CZ '1 <{ 7'{s: Expiration Date r Pl!§,section need not be completed ii the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance 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 th abor code, interest and attorney's fees. _,g CONTRACTOR SIGNATUR 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 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 bu I Ids 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 sate). I, as owner of the property, am exclusively contracting 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 'ltTIO OOilds 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 construcUon of the proposed property improvement. 0Yes 0No 2, I (have I 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 construction (include name address/ phone I 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 I address I phone I 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 I address I phone/ type of work): _a$ PROPERTY OWNER SIGNATURE □AGENT DATE ' COMPLliTE Tl-llS SECTION FOR NON•ffEUQENJ'.lsi!.L IHHLDING PlffMITS ONtY ,,~ " * * * * * * * Is 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 Acrt Yes No ls 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 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above lnfonnation Is oorrect and that the lnfonnation on the plans Is accura1e. I agree 1D comply with all City ordinances and State laws relating 1D building oonstruction. I hereby aulhorize representative of the City of Carlsbad to enter upon the above mentioned ~perty for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AG\INST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in hek;iht EXPIRATION: Every permit issued by the Building Oflk:ial under lhe provisOns oflhis Oxle shall expire by imitation and beaJme null and vod if the building or'M'Jrk authorized by such permit is not oommenced 'Mthin 180days from the date of such pennit or if the building or 'M)fk aulhorized by suet, permit is suspended or abandoned at any time after the W'Jrk is oommenced iJr a perioo of 180days (Section 100.4.4 Uniform Building Oxle) .Ji5 APPLICANT'S SIGNATURE DATE • 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 Mail 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 STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS 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:---------------~ Lf APPLICANT'S SIGNATURE ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP