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Home My WebLink About1235 Pine Ave; ; CBR2018-0300; Permit{City of Carlsbad Print Date: 02/07/2018 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 1235 Pine Ave BLDG-Residential 2050521400 $0.00 TRIMBLE: GAS LEAK REPAIR Owner: Residential Permit Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Contractor: Permit No: CBR2018-0300 Closed -Finaled 02/06/2018 02/06/2018 2/7/2018 2:20:56PM SYLVIA L TRIMBLE A-1 PRESTIGE PLUMBING INC PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $170.00 1632 Dichoso Dr ESCONDIDO, CA 92025 Total Payments To Date: $170.00 13200 Kirkham Way, 115 Poway, CA 92064-7126 858-748-3448 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 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 you have previously been given a NOTICE similar to this, or as to which the · statute of limitation has previously otherwise expired. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 t I www.carlsbadca.gov $170.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: QPLANN!NG 0 ENGINEERING O BUILOING 0 FIRE 0 HEALTH O liAZMAT!APCO (City of Building Permit Application Plan Check No.Qf:R2.0\~ -0 300 1635 Faraday Ave., Cartsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date 2-lb-~ lsWPPP JOB ADDRESS 1235 Pine Avenue Carlsbad CA 92008 SUfTE•/SPAa:f/Ullllf IAPN --- CT/PROk"'' # ILOT# IPIW>t # rOfUNt,,, r IIBATHK= l'""""'-NAME l~~•n. ·~ I IK.C, GROUP 2 1 DESCRIPTION OF WORK: Include Square Feet of Affected Atelt(s} -------. -. . . . ... • . ____ ._ ,1a;, \Ult v\.t UII lit .... ~ \IIIC, plvt,1oe.ny ......... 1111,c; UIIUIC,I 11UIIIIC, IVUIIU t<>anu,~ CUIU ............ I ..... --~· .. EXISTING US£ I PROPOSED USE I GARAGE (SF} 1 car PATIOS (SF) I DECl<S (SF) FIREPLACl: I AIR CONDmONING I ARE SPRINKLERS YESO-N<{Z] YES 0No (ZJ YesO No(ZJ APPUCAHT NAME JT Thiry PROPERTY OWNER Sylvia Trimble Prlman Contact ADDRESS ADDRESS 13200 Kirkham Way, Suite 115 1235 Pine Avenue Cl1Y STI\TE ZIP CllY STATE ZIP Powav CA 92064 Carlsbad CA 92008 PHONE IFAX PHONE IFAX 858.748.3448 858. 7 48.4489 760.839.0346 EMAIL EMAIL a1 prestige@sbcglobal.net sltinesc@gmail.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAME A·1 Prestige Plumbing ADDRESS ADDRESS 13200 Kirkham Way Suite 115 CITY STATE ZIP OTY STATE ZIP Powav CA 92064 PHONE PHONE rAX 858.748.3448 rAX 858. 7 48.4489 EMAIL EMAIL a1 prestige@sbcglobal.net 1STATEUC. # STATE UC.# lcv.ss C36 1 Cl1Y BUS. UC.# 850343 3718 orocessina (Sec. 7031.5 Business and Professions Code: Arty City or County which requtres 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 signed statement that he is licensed pursuant to the provisions of the Contractor's License Lew (Chapter 9. commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exem)lt therefrom, and the basis for the alleged exemption. My 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)). Wor1<ers' Compensation Oeclnlion: I hereby affltm under penalty of perjury one ol the foltowing dedaratiOns: D I have and wttl maintain • certificate of consent to self-lnsure for wori<eis' compensation as provided by Section 3700 ol lhe Labor Code, for the pelfoonance of the worlt for ~ich this penntt is issued. [ZJ I have and will maintain woncers' compensation, as required by Section 3700 <t the labor Code, for the pelfoonance ci the wo,1( for IIOilidl this permit is issued. My worters' compensalion insurance carrier and policy number are: Insurance Co. Falls Lake Fire and Casualty Policy No. FL>.00435200 Expiralion Date 0310112018 Jl).!i.seciion need not be completed n lhe pennlt is for one hundred dollars ($100) or less. LJ Certificate of Exemptlon: I ce!lify that in 1he performance of the worl< ?' which this penntt is issued, I shall not employ any person in any mannet so as to become subject to the Woncers' Compensa!ion Laws of California. WARNING: Failure to secure wortun' compen on cov e Is unlawful, and shall subject an employer to criminal penalties and civll fines up to one hundred thousand dollan. (&100,000~ In addition to the cost of compensation, d provided f 'n on 3706 of the Labor code, lnten!!st and attorney's fees. ? l.i /1 t JiS CONTRACTOR SIGNATURE /,..,.--,. 0 AGENT DATE I hereby afmm that I am exempt from Cc l.ialnse l.i1w for the follcwing reason: D I. as O'Mlef of the property or my employees with wages as lhelr sole compensaooo, will do the worl< aod the structure is not inlended or offered for sale (Sec. 7044, Business and Professions Code: The Cootractor's Uoense Law does nol apply to an owner of propeny who builds or improves lh,m,on, and who does such work himself or lhn:,ugh his own employees, ptOllided that such Improvements ate not intended or offered tor sale. If, however, the building or improvement Is sold willlin one yea of completion, lhe owner-builderw!I have lhe burden of l)l'O'ling that he did not build or improve fol the purpose of sale). D I, as owner of the property, am exclusively contracting with licensed contractors to construct lhe project (Sec. 7044, Business and Professions Code: The Cootradol's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projecis wiUl contractor(s) licensed pursuant to lhe Cootractor's License Law). I am exempt under Section 3 Business and Professions Code for this reason: 1. I personaly plan IO provide lhe major labor and materia~ for construction of tile proposed property improvement Q Yes Ola 2 ave I have not) signed an applicalJon for a building pem11t for the proposed wori<. contracted With Ille following person {firm) to provide the proposed construction Qnclude name address I phone I contractors' license number): . I l)lan to provide portions of the work. but I have hired the folowin9 peroon to coordinate, supel\'lse and provide the major won< (mclude name I address I phone I contractors' license numbe~: 5. I will l)l'O'lide some ol the WOif<, but I have contracted (hired) the f to l]rovide the Wlllf< indicated {111ctude name I address I phone I type of work): / Ji!5 PROPERTY OWNER SIGNATURE @AGENT DATE Is the appicant or futlJ'e blJiking occupant reqlired 10 submit a business plan, acutely hazadous materials registration form or risk management and prevention progr1111 under Sections 25505, 25533 or 2553<4 of lhe Presley-Tamer Hazardous Substance Account Act? CJ Yes CJ No Is lhe applicant or future buildi09 cxx;upant required to ob(aln a petmit from lhe air polMion control dislrid or air quality mooagement dls11ict? CJ Yes CJ No Is the fajlity to be conslrucled within 1,000 f~t of the outer boundcl"f of a school site? CJ Yes CJ No If ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUEO UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGEHCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency fOf the pertormance of the work this pennit is issued (Sec. 3097 0) Civil Codei lende(s N.-ne Lender's Address I ceitifytlat I hM iead the eppllcation and stacelllat the abow lnfolmatlon Is comdand 1llat the lnbmation on the plans Is acarate. I ~ to aln1Jfy v.lth al~ Oldinances and Stal8 '-relatl~ 11> bullding oonslluction. I hereby auVlorize ~ ot the City ot Ca1sbad to en~rlJlllll tie atx,;e menooned p-operty tir ilspectiolT pirposes. I Al.SO AGREE TO SAVE, INOEMNFY AND KEEP HAAMU:SS THE CITY Of CARLSBAD AGAJ.IST A1.L UA81.ITIES, JUDGMENTS, COSTSN{) EXPENSES MilCH MAY IN ANY WAY ACCRUE AGtllNST SAD CITY IN CONSEWENCE ()f THE GRANTING ()f THIS PERMIT. OSHA: An OSHA peimil is ~red tir excavatioos CNef 5'0' deep and demc:lmn or cooSVIJdm of sUUttires <M!r 3 mies i'I heig!L EXPIRATION: EYetY pennit issued ~119 aidal unde<lhe . s of this Code shalexp;e trJ fmilatkJl and becxlme nul and Yo.l iflhe ruttig orv.ak authori1.ed bysudl permit is notamnenced v.ittwl 100days tom tie dale of such~ ex if~ or v.ak ao trisudl perm: suspended or almdaled al filly line after lhe v.ak is coovnena!d tir a · of 100 days (Sedkln 100.4.4 Unibm aitt,g Code). A5 APPLICANT'S SIGNA I 't[rtlb . DATE (J I ( STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. ' t ' t ' ( .. • ... ? ' :j I ( l ( ' :, p ( . ( ' > /fr II! ' ,· ·'' ( \J ,, Fax (760) 602-8560, Email budding@car1sbadca.gov or Mail the ccmpleted fo,m to City of Carlsbad, Building Division 1635 Faraday Avenue, Car1sbad, California 92008. j CO#: (Office Use OnlY) I CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANTS BUS. UC. No. DEl.lVERY OPT10NS PICKUP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On PC, 1) o ASSOCIATED CBI MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE I NO CONSTRUCTION MAIL / FAX TO OTI4ER: o CHANGE OF USE I NO CONSTRUCTION ,1/5 APPUCAHT'S SIGNAnJRE DATE Permit Type: BLDG-Residential Application Date: 0210612018 Owner: SYLVIA TRIMBLE Work Class: P/M/E Issue Date: 0210612018 Subdivision: PATTERSONS ADD Status: Closed -Finaled Expiration Date: 0810612018 Address: 1235 Pine Ave Carlsbad, CA 92008-1939 tVR Nun1ber: 9382 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete ----- 02(0712018 02107/2018 BLDG-23 048246-2018 Passed Tim Frazee Complete Gas/Test/Repairs Checklist Item COMMENTS Pas sod BLDG-Building Deficiency Yes BLDG-Final 048245-2018 Passed Tim Frazee Complete Inspection Checklist ltom COMMENTS Passed BLDG-Plumbing Final Yes ---------------------·-·--·--------------------------· February 07, 2018 Page 1 of 1