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HomeMy WebLinkAbout1308 OAK AVE; MULTI-PERMIT FILE; CB111771; Permit"' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-16-2011 Electrical Permit Permit No: CB111771 Building Inspection Request Line (760) 602-2725 Job Address: 1308 OAK AV CBAD ELEC Status: Permit Type: Parcel No: 1561903200 Lot#: 0 Applied: Reference #: PC#: Project Title: AWAD: REMOVE ELECTRICAL RUN (UNPERMITIED) TO BEDROOM. Applicant: AWAD GEORGE G&AIDA K 5480 CARLSBAD BL VD CARLSBAD CA 92008 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: AWAD GEORGE G&AIDA K 5480 CARLSBAD BL VD CARLSBAD CA 92008 ISSUED 08/16/2011 JMA 08/16/2011 08/16/2011 $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20:00 Total Payments To Date: $20.00 Balance Due: Inspector: ~ FINAL APPROVAL Date: ~,./11/;1 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. «~~ ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Ave... Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. Est. Value Plan Ck. Deposit Date I '4 / t I APN PHASE# TENANT BUSIN NAM l SWPP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) R,~MOV 'V\ So wo..-\c.. EXISTING USE GARAGE (SF) ADDRESS ,~~ CITY STATE ZIP (! A , oc.K PHONE FAX ARCH/DESIGNER NAME & ADDRESS STATE UC.# PATIOS (SF) DECKS (SF) FIREPLACE YES D #_ N~ APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE PHONE FAX CONTRACTOR BUS. NAME ADDRESS CITY STATE PHONE FAX EMAi STATE UC.# CLASS AIR CONDITIONING YES D NO~ ZIP ZIP CITY BUS. UC.# \ \ FIRE SPRINKLERS YES D NO ~ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair anl structure, prior 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 {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or !hat 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]). Worken.' Compensation Declaration: I hereby affirm under penatty of petjury one of the following dec/ara6ons: 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 permit 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 permit is issued. My workers' compensation insurance carTier 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. ~ CONTRACTOR SIGNATURE 0AGENT DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: V \, 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 I"' License Law does not apply to an owner of property who builds or improves thereon, and who does such work himsett or through his own employees, provided that such improvements are not intended or offered for ' sale. 11, 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 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 who builds 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 construction of the proposed property improvement. Cl Yes Cl 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 {firm) to provide the proposed construction {include name address I 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 f 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): ~ PROPERTY OWNER SIGNATURE ClAGENT DATE Is the applicant or future building occupant required to submtt 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 Act? D Yes 15(No Is the applicant or future building occupant required to obtain a permtt from the air pollution control district or air quality management district? D Yes l!'lNo Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes .l:!f,,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 information is correct and that the information on the plans Is accurate. I agree ID comply with all Cttyordinances and State laws relating 1D building construction. I hereby au~ representative of the City of Carlsbad kl enter upon the above menti:lned property l:>r inspecmn purposes. I .ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JU[X;MENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA AA OSHA permit is required br excavations over 5'0' deep and demolition or construcfun of structures over 3 sklries in height. EXPIRATION: Every permit issued by the Buik1ing Offdal under the provisi:lns of this Code shaft e,qjre by imitatbn and become nul and void ~ the buik1ing or 'M'.ll1< authorized by such permit is not CX>ll1menced v.ithin 100 days from the date of such permit or if the buidingor'M'.ll1< authorized by such permit is suspended or at any time after the 'M'.ll1< is commenced tr a perod of 100days (Sediln 100.4.4 Unoorm Building Code). ,.@S'APPLICANT'S SIGNATURE a /c_, DATE f""IS:20,, City of Carlsbad Bldg Inspection Request For: 09/19/2011 Permit# CB111771 Title: AWAD: REMOVE ELECTRICAL RUN Description: (UNPERMITTED) TO BEDROOM. Type: ELEC Sub Type: Job Address: 1308 OAK AV Suite: Lot: 0 Location: OWNER AWAD GEORGE G&AIDA K Owner: AWAD GEORGE G&AIDA K Inspector Assignment: TP Phone: 7602247600 Inspector: ?- Remarks: 2ND REQUEST. OUTLET AT THE PANEL INSPECT Total Time: CD Description 34 Rough Electric ~ Act Comments Requested By: DWANE Entered By: CHRISTINE ,4/ LIi JCL'IJv/vvt/J C.1/l?V If' AP ---·-·-----------··~-~- -------------------·. --------------··--~----- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-07-2011 Plumbing Permit Permit No: CB110720 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 1308 OAK AV CBAD PLUM 1561903200 Status: Lot#: 0 Applied: Construction Type: NEW Entered By: Plan Approved: Issued: Project Title: AWAD: INSTALL 2ND SEWER CLEAN OUT Inspect Area: Applicant: AWAD GEORGE G&AIDA K 5480 CARLSBAD BL VD CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 1 0 0 0 0 0 Owner: AWAD GEORGE G&AIDA K 5480 CARLSBAD BL VD CARLSBAD CA 92008 ISSUED 04/07/2011 JMA 04/07/2011 04/07/2011 $20.00 $0.00 $15.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due: Inspector: 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. ' ' J ---t .· ~ Building Permit Application Plan Check No. ('J_? \ \ 0 «(~ 1635 Faraday Ave., carlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718/ 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit WWW.Qsjrl~QslQQsj.gQV Date '111 / II lswPP g-, C,lttk Ave_ SUITE#/SPACE#/UNIT# IAPN ---!OB ADDRESS} 3 0 CT/PROJECT # ILOT# l PHASE# r OF UNITS 1 # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. lYPE I occ. GROUP ,J>ESCRIPTION OF WORK: Include Square Feet of.Affected Area(s) ' e~~C9L.\.\ EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE l AIR CONDITIONING I FIRE SPRINKLERS YES D #_ NOD YES D NOD YES D NO 0 CO~CT NAME ,,, Different t:: Applin) Al) APPLICANT NAME c.~r';)<... G-.· A"-' r...f) <-0 ~°'I <-• (.,v ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE \FAX EMAIL EMAIL PROPERTY OWNER NAME C.~o('-~~ C.., l\w A[) CONTRACTOR BUS. NAME ADDRESS f 3, e,~ e>O....l~ I\VC ADDRESS CITY <:t,._r \ .S ba..d STATq C\ ZIP CITY STATE ZIP 'l..oo&- PHONE?&o ..,~g-1~ ~~3 1F, be>-t./38"-~sct 0 PHONE (AX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE LIC.# I CLASS I CllY BUS. UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter. improve, demolish or repair an~ structure, prior 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 (Cha'fter 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 703 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). -c,""'' " • • • • "' • ' --,,_ ,.,-• --~' • • • •• • ~ -·" ~ · WORl(ERS ' COMPENSATION ·-. . ., -,_ -~ . . ~ . . -. . -, --· Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following decJara/ions: 0 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 lhe performance of the work for which this permit is issued. 0 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 permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date ---------- This section need not be completed tt the permil is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Calilornia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&10-0,000), in addttion to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ,,1$ CONTRACTOR SIGNATURE 0AGENT DATE I hereby affirm thal I am exempt from Contractors Ucense Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, wiil 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 lo an owner of property "Mio builds or improves thereon, and who does such work himsett or through his own employees, provided that such improvements are not inlended 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 nol build or improve for the purpose of sale). ·o 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 lo an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). O 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. O Yes O No 2.1 (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 I phone I contractors' license number): 4.1 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 conlractors' Hcense number): 5. I will provide some ol the work. but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone/ Jype of work): ,,1$ PROPERTY OWNER SIGNATURE Cl AGENT DATE .· 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 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 haYe read the application and state that the abolle infonnation ls correct and that the infonnation on the plans is aa:urate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby au1hori2.e rep,esenlative of the City of Carlsbad kl enter upon the above menooned property for i1specoon ~s. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN mt WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA pennit is required b excavations CNer 5'0' deep and demolition or construcoon of structures CNer 3 sklries 11 hei;lht. EXPIRATION: Every permi1 issued by the Building Offtial under the provisions of this Code shall expie by Imitation and become nun and void l the buidrig or work autiorized by such perTrit is not corrmenced \\1lhi1 180 days from the date of such pemit or ff the buidrig or work autiorized by such pennit is suspended or abandoned at any tine after the work is commenced for a period of 180 days (Secoon 106.4.4 lklimn Buildrig Code) . • ~ APPLICANT'S SIGNATURE DATE -7-1Ao/ City of Carlsbad Bldg Inspection Request For: 11/01/2011 Permit# CB110720 Title: AWAD: INSTALL 2ND SEWER CLEAN Description: OUT Type: PLUM Sub Type: Job Address: 1308 OAK AV Suite: Lot: 0 Location: OWNER AWAD GEORGE G&AIDA K Owner: AWAD GEORGE G&AIDA K Remarks: permit status check. No response to lett~(' Total Time: Description Act Comments Inspector Assignment: PD Requested By: CHRISTINE Entered By: CHRISTINE CD 29 M Pr Ji tr" Final Plumb.~in_g ______ j___ ~---------- Comments/Notices/Holds [Notice Work was done prior to pulling permit. See Scott R. for information. Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments 04/14/2011 22 Sewer/Water Service CO PD BOXES -CALLED DWAYNE B U I L D I N G P E; R M I T Permit No: CB960~35 . Project No: A9600494 Development No: 03/01/96 09:23 Page 1 of 1 1Job Address: 1308 OAK AV Permit Type: MECHANICAL Parcel No: 156-190-32-00 Valuation: 0 Suite: Lot#: Occupancy Group: Reference#: Description: BRIND FAU UP TO CODE Appl/Ownr: BERCKS PLUMBING 938 ANDREASON DRIVE #H ESCONDIDO, CA. 92029 *** Fees Required "A * * Fees: Adjustments : Total Fees: Fee description Enter 'Y' for Mechanl Install Furn/Ducts/Hat * MECHANICAL TOTAL 619 CITY OF CARLSBAD 6287 03/01/96 0001 01 02 24-00 Construction Typ~-PRl'UN Status: ISSUED Applied: 03/01/96 Apr/Issue: 03/01/96 Entered By: MDP 737-8670 .00 .00 24.00 *** Ext fee Data 15.00 Y 9 .00 24.00 2075 Las Palmas Dr., Carlsbad, CA 92()()() (619) 438-1161 PLAN CHECK NO. q ~ • 31,~ PERMIT APPLICATION City of Carlsa.t Buildi'llil Depertmnt 2075 Las Palms Dr., Carlsa.t, CA 92009 (619) 438-1161 EST.VAL,__ __________ _ 1. PERMIT IYPE PLAN CK DEPOSIT _______ _ VAIJD.BY __________ _ DATE From List 1 (see back) give code of Permit-Type: ------------ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type:--------------------- Net Loss/Gain of Dwelling Units------------------ 2. PRClJF.C'f INFORMATION FOR OFFICE USE ONLY LEGAL DESCRIMioN Lot No. subd1V1s1on Name/Number Unit No. Phase No. CAECR BEillW IF susMI 11 Eb: D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK l3£« ~ (r 7flic..) SQ. IT. # OF STORIES # OF BEDROOMS # OF BATIIROOMS 3. WN IAC"I PEJts()N (tr duterenf from apphcant) NAME (last name first) ADDRESS NAME ~ast name first) J3r;/k {U.,t+oiJU.J&-' ADDRESS q3"i? S ~dl2c~c;E.,.J OR. . "5ft;: /f- CilY p.-6 co,vc) ,c,f6 STATE CA-ZIP CODE 97c,z; DAY TELEPHONE 7 3 7 -8(o 7 0 S. PROPERN oWNER ./ L' NAME (last name first) c.::rc. /<. U A) ADDRESS / ~ °E' QA(\ /11/,:::::_ CilY U-t2. (, 5 iJ4 /(J ST A TE Cfi-ZIP CODE 9 2. 006 DAY TELEPHONE 6. WN'i'RACIUR ;2..:.11c v J 7.J/,•M,(1-iw 1 ~ O o ~ ,a _() .t!.c'.:-.,;J lJ. /,../-,,-fl NAME(lastnamefirst) (,.,A-f< f 'il I' v V <r ADDRESS 7Jo ..1-/'f.A/Of.kt:;-'r..,.,_ V-:;:::;,11: ... • CilY £ 7Coµd, rcio STATE CA-ZIP COD"£1 2tf 2Cf DAY TELEPHONE 7'37-8l 70 STATE uc. # Cf3 /'/6Z ucENSE cLASs6 ~"1,'"24 d'Z. CilY BUSINESS uc. # /7-oZ.CJb~- DESIGNER NAME (last name hrst) ADDRESS CilY STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WORKERS' WMPENsAlioN Workers' Compensauon Oeclarauon: I hereby alhrm iliat I have a ceruftcate of consent to sell -insure issued by ilie Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Ceru!tcate of Exempuon: I cerufy iliac in ilie performance of the work for which this permit 1s issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE A. oWREff-eOIIDER DF.Ci.ARA11oN Owner-Buuder Declaration: I hereby afhrm that I am exempt from the Contradofs Llcense law for the following reason: D 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 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.). D 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 who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section -------Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County 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 is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exe refrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the to a · · lty of not more than five hundred dollars [$500]). SIGNA1URE DATE Is the ap · nt r fu uilding occupant required to submit a business plan, acutely hazardous materials registration form or risk management and preven on program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES ONO IF ANY OF THE ANSWERS ARE YE5, A FINAL CERTIFICATE OF cxx:upANCY MAY NCJf BE ISSUED AFI'ER JULY I, 1989 UNllSS THE APPLICANT HA.5 MJIT OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND nm AIR POll.UTION CDNTROL DISl1UCT. 9. WNS'i'RUClioN D:NDlNG AGENCY I hereby ai11rm iliac iliere 1s a construcuon lending agency for ilie performance of ilie work for which ili1s permit IS tSSued (Sec 3097(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS lo. APPUCAN I CERl1FICAl10N I cemfy iliac I have read ilie appltcauon and state that the above mlormauon 1s correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I Al.SO AGREE TO SAVE INDEMNIFY AND KEEP HARMLF.SS THE Cl1Y OF CAR.lSBAD AGAINST AU. UABIUllE.5, JUDGMENTS, CDSTS AND EXPENSES WI-IlCH MAY IN ANY WAY Aa:RUE AGAINST SAID Cl1Y IN CDNSF.QUENCE OF THE GRANTING OF TIIlS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by su permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended o n n n time after the work is commenced for a period of 180 days (Section 303(d) Uniform Buildi ). APPUCANT'S SIGN DATE: .....;:,"'-'-+--'......._ TE: File YEllOW: Aoolicant PINK: Finance PERMIT# CB960335 DESCRIPTION: BRIND FAU UP TO TYPE: MECH JOB ADDRESS: 1308 OAK AV APPLICANT: BERCKS PLUMBING CONTRACTOR: OWNER: REMARKS: MW SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 49 ME Final Mechanical CITY OF CARLSBAD INSPECTION REQUEST FOR 03/06/96 CODE STE: INSPECTOR AREA PLANCK# CB960335 OCC GRP CONSTR. TYPE VN LOT: PHONE: 619 737-8670 PHONE: PHONE: INSPECTOR ...,..,,/'t_' -·~-c::::-"------- ACT COMMENTS ff ___ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION 030496 Rough/Ducts/Dampers ACT INSP NR PY COMMENTS