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Home My WebLink About1372 CORVIDAE ST; ; CB132670; Permit10-29-2013 City of Carlsbaci 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBI32670 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1372 CORVIDAE ST CBAD PIVIE 2156912500 Lot #: TAFIA RES-GAS LINE TO FIRE PIT Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/29/2013 RMA 10/29/2013 10/29/2013 Applicant: WESTERN PAVERS STED 1937 FRIENDSHIP DR EL CAJON CA 92020 619-931-3900 Owner: TAPIA SAMUEL R JR&DEBORAH J FAMILY TRUST 01-28-0 1372 CORVIDAE ST CARLSBADCA 92011 Plumbing Fees Electrical Fees IVlechanical 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: /P^^ FINAL APPROVAL Date: ^^jir-^i^ Clearance: NOTICE: Please tal<e NOTICE ttiat approval of your project includes the "Imposition" of fees, dedications, resen/ations, or ottier exactions tiereafter collectively refen-ed to as "fees/exactions." You have 90 days from the date this pemiit vi/as issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required infomiation with the City Manager for processing in accordance with Carlsbad t\yiunicipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attacih, 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 se\*er connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or sen/ice 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 othenAfise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: • PUNNING nENGINEERlNG nBUlLDING nPIRE EALTH • HAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buildlng@carlsbadca.gov www.carlsbadca.gov Plan Check No. Est. Value Pian Ck. Deposit SWPPP JOBADDRESS a/PR0JECT# L0T# PHASE # # OF UNITS # BEDROOIMS # BATHROOIVIS TENANT BUSINESS NAMF^ ' — . • CONSTR. TTPE OCCGROUP DESCRIimON OF WORK:/iMdiNto Square net Of MlKMAfttars; ^ n' 1 EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SR [ 5ECKS(StO FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YEsf~>. No| 1 YESQNO[~| YES| 1NO| 1 APPUCANTNAME (Primary Contact)! 1 APPUCANTNAME ^Secondary Contact; ADDRESS \ ~ X Q \ " ADDRESS CITY STATE ZIP PHONE PHONE FAX EMAIL ^ EMAIL PROPERTYOWNERNAME J-J-U. /\ ' ADDRESS n \ ' ' * CI"Ct STATE ZIP A ^ « Sfiuw m.r (zi<> C&L \2o'i2 PHONE ^ EMAIL EMAIL^ /-J ARCH/DESIGNER NAIWE & ADDRESS STATE uc. # STATE UC.# t- CIJBS CITY BUS. LIC.# _ ^ (Sec. 7031.5 Business and Professions Ckide: Any or Coun^ which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicantfor sucti permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's Ucense Law (Chapter 9, commending with Section TOOOof Division 3 of the Business and Professions Code) or Biat he is exempt therefrom, and the basis for the alleged exemption. Any vioiation of Section 7031.5 by any appiicant for a permit subjects the applicant to a oivil penalty of not more than five hundred dollars ($500)). Workers'Ckxnpensation 0eciml6<»n -. I hereby s/fimi under pen^ci peijury one of the Mloiwingdeclara^s: elhave and will malntiln a certificate of content to self-insure fbr woitefs' compensation as provided by Section 37(X) d tlie I.Bbor Code, lbr the pertonnance of the worit for which Ihis pemiit is issued. I have and will maintain workers' compen^on, as required by Section 37(X) of the Labor Code, for the performance of the work for whicti this permit is issued. My workers' compensation insuranoe carrier and policy number are: Insurance Co, _!ZJ?n \oSjfG/^Cji PolicyNo Z. Ql ^ ^^blQ j Expiration Date | j pQ 1^ This section need not be completed if the penriit is tbr one hundred dollars ($1(X)) or less. I I Certitkate of Exemption:! certify that in ttie pertormance of the worii for which this permit is issued, I shall nol Calilomia. WARNINO: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and chril fines iq> tn one hundred thousand dollars (S100,000), in addition to the cost of compensalion, damages as provided fbr in Section 3708 of the Labor cu|e, interest and attomey's fees. ^^eS" CONTRACTOR SIGNATURE ^'''^^^.---^r::-^^ /^^-''^L/^^^-^ •AGENT OWNER-BUILDER :mMS-thA^>«^AXiOn- I heneby affirm (hat / am exempt fmm Contractor's Lcense Law tbr the foSowing reason: I I I, as owner of the property or my employees with wages as theirsole compensatnn, will do ttie worit and the stnnture is nc^ License Law does not apply to an owner of property who builds or improves ttiereon, and who does such worit himself or through his own empkiyees, provided that such improvements are not Intended or offered kx sale. If, however, the building or improvement is sold within one year of rxmpletlon, the owner-txiilder will liave the burden of proving that he did not build or improve Ibr the puipose of sale). I I 1, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Protessions Code: The Contractors Ucense Law does not apply to an owner of property wtio builds or improves thereon, and contracts for such proiects with contr3ctor(s) licensed puisuant to the CkxitractoTs License Law). I I I am exempt under Section, _Business and Professions Code fbr this reason: 1.1 personally plan to provide the major labor and materials for constnKtion of the proposed property improveme^ I lYes I INO 2.1 (have / have not) signed an application for a building permit tbr the proposed woric 3.1 have contracted with the following person (fimi) to provide the proposed constniction (include name address / phone / contractors' Ucense number): 4.1 plan to provide portions of the worit, but I have hired the following pei^ to coordinate, supervise and pmvide the major worit (include name / address / phone / contractors' license number): 5.1 will provide some of the worit, but I have contracted (hired) the folkiwing peisons to provide the worit indk:ated (include name / address / phone / type of worit): ^PROPERTY OWNER SIGNATURE OAGENT DATE 3#C>vM P L STE THIS SMCT I O IM FOR NON- R E is f DE N T IA i BUI t D i N is p E R MIT S <O N i. Y Is the applicant or future buikJing occupant requiied to subrnit a business plan, acutely hazardous materials regis^ Presiey-Tanner Hazardous Substance Account Act? • Yes • Ito Is the applkant or future building occupant required to otAaIn a pemiit lirom the air pollution control district or air quality management district? • Yes tJtto Is the faciiity to be constmcted within 1,0(X) feet of the outer boundary of a school site? OYes ONo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY HAY 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. }t|Q:N'ST R.UC T TON • L'£<M'pTN G'• A G;E N'C Y I hereby aflinm that there is a construction lending agencyfbrthe performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address PLICANT CERTIFICATION Icerti^thatl have read the applkatkxi and state that the above inkxmatkin is conect and that the intone I hereby authorize representative of the Oty of Cartsbad to enter upon the above mentioned property for AGAINST AU LIABILFTIES, JUDGMEffTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMFT. OSHA: An OSHA pennit is required Ibr excavations over S'O'deep and demolition or constriK^on of sti^ EXPIFWION: Every pemiit issued by the Building Oflicial under the provisions of this Code shafl expire by (mltation and become nul and void if the building or wortt autoized by such perniit Is not commenced within 180 days torn the date of such pennit or if the buMng or vvorit authorized by such pennit is suspentied or abandon^ y£$'APPUCANrS SIGNATIJRE DATE Inspection List PenTiit#: CB132670 Type: PME TAPIA RES-GAS LINE TO FIRE PIT Date Inspection Item 03/11 /2014 29 Final Plumbing 03/11 /2014 29 Final Plumbing 11/01/2013 23 Gas/Test/Repairs Inspector Act Rl MC Fl MC AP Comments no one home- take new card Wednesday, March 12, 2014 Page 1 of 1