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Home My WebLink About1190 PINE AVE; MULTI-PERMIT FILE; CB121090; Permit06-12-2012 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: CB121090 Building Inspection Request Line (760) 602-2725 1190 PINE AV CBAD PME 2050203200 Lot#: 0 SCANLON: INSTALL GAS WALL HEA Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/12/2012 JMA 06/12/2012 06/12/2012 SCANLON FAMILY TRUST 12-18-90 SCANLON FAMILY TRUST 12-18-90 7306 BORLA PL CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 7306 BORLA PL CARLSBAD CA 92009 $0.00 $0.00 $150.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: FINAL APPROVAL Date: 0 · I f' · I 2--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 permit 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 nght 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 . n f hi h v I Tl w i h h fli h h «~~ Building Permit Application Plan Check No. LB I 2 I O q 0 ~ CITY OF CARL~~~p JOB ADDRESS LOT# DESCRIPTIO~ORK: Include S 1635 Faraday Ave .. Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov .. ( fl) /3. PHASE# are Feet of Affected Area(s) Y-£/.< SU ITE#/SPACE#/UNIT # Est. Value Plan Ck. Deposit Date z__ f 1 ;;z__ $WPP APN OCC. GROUP EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESD #_ NOD YES D NOD YES O NOD APPLICANT NAME (Primary ContactJ APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL STATE O,t1 CITY ~4 FAX PHONE EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# CLASS CITY BUS. LIC.# (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, prior to its issuance, also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the B_usmess 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 crv11 penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: I hereby affirm under penally 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 performance of the work for which this perm it is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this pemiit is issued. My workers' compensation insl!rance carrier and policy number are: Insurance Co. _______________________ Policy No.----------------Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less D 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 the Labor code, interest and attorney's fees . .fl:! CONTRACTOR SIGNATURE 0AGENT DATE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: a 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 'K 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 ex.elusively 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 who builds or improves thereon, and contracts for such projects with conlractor(s) licensed pursuant to the Contractor's License Law). a 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 a No 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 (fimi) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but l 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 I type of work): 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 ttie Presley-Tanner Hazardous Substance Account Act:? D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 lnfonnation is conectand that the information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Car1sbad to enter upon the atxive mentioned property for inspection purposes. 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 permit is required for excavations over 5'0' deep and demolltk:ln or construction of stn.Jctures over 3 stories in he~ht. EXPIRATION: Every permit issued by the Building Official under the provisk:lns of this C.ode shall expire by limitation and become null and void if the building orv.ork autho bys ch permit is not commenced within 180 days from the date of such permit ding orv.ork authorized by sudl permit is suspended or abandoned at any time after the IMJrk is commenced for ape of 180 d 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 www.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 Carlsbad STATE ZIP CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS D PICK UP: o CONTACT (Listed above) o OCCUPANT {Listed above) LJ CONTRACTOR (On Pg. :1.J o ASSOCIATED CB# n MAIL TO: o CONTACT (listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION Cl MAIL/ FAX TO OTHER:----------------o CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB121090 Date Inspection Item 06/18/2012 29 Final Plumbing 06/18/2012 49 Final Mechanical Monday, June 18, 2012 Type: .PME SCANLON: INSTALL GAS WALL HEA Inspector Act Comments RI AM ABOUT 11 AM PLEASE PD AP Page 1 of 1 PLUMBING PERMIT APPLICATION Permit No. City of CARLSBAD, CALIFORNIA Applicant to complete numbered spaces only. JOB ADDPI ES5 tfoe /0 ,,A/£ LOT NO, I eLK I TIIACT LEGAL I ,Jl4 (0S£.E. ATTACHED SH~ETJ 1 DESCI\. ' OWNCfll MAIL ADD11£$S ZI p PHONE 2 .,... A ,.-in/ 2 "I 'J u.l'., ,~ :/ 1'11 l 5 " ("_ .. CONTfllACTOPI: MA I L ADD .. ESS PHONE. . LICENSE NO, 3 I "'"-A .. CHITE.CT OR DESIGNEfll MAIL. ADDf111£SS PHON E LICENSE NO, 4 El~GINEEA MAI L ADDRESS PHONE LICENSE NO, 5 L.ENOlt't MAIL ADDlltt.SS lfllANCH 6 USE Of' BUILDING 7 8 Class of work: ONEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: _. ~ )"l.t lr-.-t'V" fl PERMIT FEES No. Type of Fixture or Item SPECIAL CONDITIONS: WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. DISHWASHER APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY /}f /._It CLOTHES WASHER WATER HEATER " -NOTICE URINAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· SLOP SINK MENCED. GASSYSTEMS:NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM SEWER zl CESSPOOL L I I 1 SEPTIC TANK & PIT siGNATURE OF' CONTAACTO" OR AUTHORIZ.ED AGENT (DATEI PERMIT SIGNATURE 0,-OWNER-TIP' OWNER BUILDER (OAT£} TOTAL FEE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. INSPECTOR 0 ~ z (Tl lJ -1/~ - Fee $ $ $ CASH I.. 0 Ill > 0 0 '"Cl (I) 3 :z 0 lJ. (Tl "' "'' J ) / ... ' ;· I I I APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM CITY OF CARLSBAD N? SE 151 BUILDING DEPT. ENGINEERING DEPARTMENT 729-1181 EXT. 35 FOR APPLICANT TO FILL IN ISSUED BY l . t.. q _ \-;.,. I ~. DATE ISSUED BUILDING /r)/1 ADDRESS ' I rd ,=" A d r;. VALIDATION "" OWNER I r".l (ti1.JLt,r,.J . -E J fl I •• ,:, ..., j'\. MAILING ADDRESS r',YI/ , LATERAL CHARGE COMPUTATION CONTRACTOR -STANDARD 4" (Max. H. 30', V. 10') OVER 30' H. @ FT. CONTRACTOR'S -OVER 10' V. @ FT. ADDRESS STANDARD 6" (Max. H. 30', V. 10') OVER 30' H. @ FT. NEW BUILDING I EXISTING BUILDING I x OVER 10' V. @ FT. LEGAL DESCRIPTION TOTAL CONSTRUCTION COST • .,. ,( ' I <.I SERVICE CHARGE (REPAVING ETC.) ' / , t. r, ~I I ,_ J ~ . TOTAL LATERAL CHARGE REMARKS: LINE COST DATA I L. ASSESSMENT DIST. NO. FRONTAGE COST PER FT. { TOTAL OTHER LATERAL LOCATION CONNECTION FEE ..: I I i...: I C/) C/) NO. UNITS COST PER UNIT TOTAL /"I\ ,f"\ PUMP STATION FEES \. L.I '-V NO. UNITS COST PER UNIT TOTAL I ST. I LATERAL NO. INSTALLATION DATE TOTAL CHARGES (LATERAL ETC.) ~;J-, ~ - .. -u 0 (I) :i; 0 ?" ,,,_. ~ r ' -7749•,a,-·, " • 3 City of CARLSBAD, CALIFORNIA 92008 ... ..,--~-.; -·· ), -·" Permit No. ··., -J I .' g .... "Z Applicant to complete numbered spaces only. Phone 7 29-1181 :o .. . ELECTRICAL PERMIT APPLICATION Joa ADDIII ES9 . I I ~ --,tv~ 1-... Is -I LOT NO. d Im I Tlll.i.CT / ,~, LEGAL (. .,{j tO•u: ATT.i.CHEO SHE&Tl if., 1 DUCIII. f: • I C.. -r ') J f A _,., .d A,,,.#, ".f' ~ J OWNEIII rf MAIL AODIIIES'l ZIP PMOH& -I"\ 2 \. 1M~ ( II ..... 'l1 (V vi.JI -!tffn! df. /A t"~ I - COHTflACTO" MAIL ADOfllESS PHONIC / LICl:NSI. NO, ;~ 3 (',/ .• ~ 4 AIIICHITICCT 0111 OESIGNEIII () MAIL ADDllltlS9 PHONE LICENSE WO. ~ :~ ~" fly «.NGINE.E.fl I MAIL ADOllll£.S9 PHONE L.ICENSI. NO, 5 f' , 'l.e", ~ LI.MDI. .. V MAIL AODIIIIESS I I .. ANCH 6 ~ ~~ V•E Of" aUILDINI. ~ 7 .... , K ·-0 8 Class of work: ONEW OAOOITION .,.[] ALTERATION 0 REPAIR ~ t{J & ?U,4~£ 9 Describe work: ' 'lt~c, /'~ ' *"-.*"f /./( ;; ,..:...A ~ /v (, V PERMIT FEES ~ ,, No. Each Fee SPECIAL CONDITIONS: ~ ..-. ;, ,. t41f"'Oh ISSUANCE OF EACH PERMIT //,~ i'C) £Jt [id NEW CONSTRUCTION, FOR EACH APPLICATION ACCEPTED BY: PLANS CHECKED av APPROVED FOR ISSUANCE av AMPERES OF MAIN SERVICE, SWITCH, I 1~/{lj FUSE OR BREAKER l~_n ?l 1J Y-"t NEW SERVICE ON EXISTING BLDG. ---'.¥ ----c-' -. FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICE, SWITCH, FUSE ' THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· OR BREAKER ~ ...... -· .... ~,_,.,, I, ____ TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF -. --.. --I -CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· REMODEL, ALTERATION, NO CHANGE MENCEO. IN SERVICE, FOR EA. AMPERE OF I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. INCREASE ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT,. THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. cJ, /7',,, TEMP. SERVICE OVER 200 AMP. ' PER 100 ·'Jo SIGNATUIIIE OP' CONTIIIACTO~ 0111 AUTHOIIIIZCD AGENT (D~TC) 1,1/ "'I 1 / /j MINIMUM PERMIT FEE /":> ( •1""u•Tu"• o, OWN1t.fll 1, owN~" au1Loc" '(OAT£) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION cK. M.o. CASH PERMIT VALIDATION cK. M.O. CASH INSPECTOR