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Home My WebLink About1305 BUENA VISTA WAY; ; CB132325; Permit09-26-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No CBI32325 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 1305 BUENA VISTA WY CBAD PME 1562311600 Lot# REILLY RES- EMERGENCY GAS LEAK REPAIR status Applied Entered By Plan Approved Issued Inspect Area ISSUED 09/26/2013 LSM 09/26/2013 09/26/2013 Applicant REILLY JOHN C&EMY Owner REILLY JOHN C&EMY 1305 BUENA VISTA WAY CARLSBAD CA 92008 760-720-2315 1305 BUENA VISTA WAY CARLSBAD CA 92008 Plumbing Fees Electncal Fees Mechanical Fees Other PME Fees $158 00 $0 00 $0 00 $0 00 TOTAL PERMIT FEES $158 00 Total Fees $158 00 Total Payments To Date $158 00 Balance Due: $0.00 Inspector FINAL A Date ^ .P'PROVAL Clearance 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 ms 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 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 fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othena/ise expired ILOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE nPLANNING nENGINEERING •BUILDING •FIRE ] HEALTH •HAZMAT/APCD ^ CITY Of CARLSBAD Building Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email building@carlsbadca gov www carlsbadca gov Plan Check No. C£>/'5'3-3>^ Est. Value Plan Ck. Deposit SWPPP SUITE#/SPACE#/UNIT# APN CT/PROJECT # 1 LOT # PHASE# # OF UNITS # BEDROIIMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESfltf N0| I AIR CONDITIONING YES QNO I I FIRE SPRINKLERS YES I |NO| I APPLICANT NAIVIE (Primary Contact) APPLICANTNAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER CONTRACTOR BUS NAIVIE ADDRi ADDRESS CITY STATE . CITY STATE ZIP FAX PHONE EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS CITY BUS LIC# (Sec 70315 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 signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Criapter 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 Declaration / hereby affinn under penalty of perjury one of the following declarations ^ 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 permit is issued ^ I have and will maintain woriiers' compensation, as required bv Section 3700 of the Labor Code, for the perfomiance of the work for which this permit is issued My workers' compensation insurance camer 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 I I Certificate of Exemption I certify that in the performance of the work for which this perniit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failureto secure workers' compensation coverage is unlawful, and shall subject an employer to cnminal penalties and civil fines up to one hundred thousand dollars (&iOO,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey's fees CONTRACTOR SIGNATURE • AGENT DATE / herebyaffatSiat I am exempt from Contractor's License Law for the following reason 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) rLAfas owner of the property, am exclusively contracting with licensed contractors to constmct 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 td the Contractor's License Law) I I I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement •Yes I INO 2 I (have / 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 constmction (include name address / phone / contractors' license number) 4 I plan to provide portions of the work, but I have hired the following person to coonlinate, 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 (tiiie9)>Jhe following persons to provide the work indicated (include name / address / phone / type of wort) /fiS'pROPERTY, QAGENT DATE '1 Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account AcP Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncP Yes No Is the facility to be constmcted 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 AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm tfiat there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address IcertifythatlhaveiBadtheapplicatonandstatethattheaboveintbimationisconectandthattheinfbnnatononttieplansisac^ I agree tDcomplywith all City ordinances and State laws relating to building constmction I hereby authonze representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST Aa LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA pennit is required for excavations over 5'0' deep and demolition or constwction of stmctures over 3 stones in height EXPIRATION Every perniit issued by the Building Official under the pnaflSBQScf this Code shall expire by limitation and become null and void if the building or viiort< authonzed by such perniit is not commenced within 180 days from the date of such pemiit or if the building or vwrk authonzed bysilSipemiit is suspended or abandoned at any time after the «ork is commenced fora penod of 180 days (Section 106 4 4 Unforni Building Code) I APPLICANT'S SIGNATURI DATE w tora penod ot 180 days ^Section lUb STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. C E R T I F I C , Fax (760) 502-8560, Email buildinqtSlcarlsbadca gov or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008 C0#' (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EIVIAIL OCCUPANTS BUS LIC No DELIVERY OPTIONS PICK UP CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg 1) MAIL TO CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg 1) IVIAIL / FAX TO OTHER ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^ef APPLICANT'S SIGNATURE DATE Inspection List Permit* CB132325 Type PME REILLY RES-EMERGENCY GAS LEAK REPAIR Date Inspection Item Inspector Act Comments 09/26/2013 23 Gas/Test/Repairs PY AP Monday, February 03, 2014 Page 1 of 1