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Home My WebLink About1415 BUENA VISTA WAY; ; CB150816; Permit03-18-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB150816 Building Inspection Request Line (760) 602-2725 Job Address: 1415 BUENA VISTA WY CBAD Permit Type: PME Status: Parcel No; 1562312500 Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC #: Issued: Inspect Area: Project Title: LITTLE RES-REPLACE BATHTUB IN HALL BATH WITH JACUZZI WALK-IN TUB WITHIN EXISTING FOOTPRINT// 2 NEW 20 AMP CIRCUITS//MINOR PLUMB ISSUED 03/18/2015 LSM 03/18/2015 03/18/2015 Applicant: L J HAUSNER CONSTRUCTION STE E 1541 PARKWAY LOOP TUSTIN CA 92780 714-544-3100 Owner: LITTLE RONALD F TRUST 1415 BUENA VISTA WAY CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $160.00 $35.00 $0.00 $0.00 TOTAL PERMIT FEES $195.00 Total Fees: $195.00 Total Payments To Date: $195.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: '/S Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed to as "fees/exactions." You have 90 days from the date this pemnit was issued to protest imposition of these fees/exactions. If you protest them, you must follovi/ 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 you have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING nENGINEERING nBUILDING nFIRE OHEALTH nHAZMAT/APCD C City of Carlsbad Buildmg Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: bullding(gcarlsbadca.gov www.carlsbadca.gov Plan Check No. C& [ SIPS'IU Est. Value Plan Ck. Deposit Date SWPPP JOB ADDRESS J / / i . O SUITEf/SPACE*/UNIT« ARM CT/PROJECT # LOT # PHASE # # OF UNITS #BEDROOMS #a^ROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of AffectecOlfeafs; , . , ^ _ -7-7 / i ] f\^ l c , /t L, ,1 "7 A /i^^P (^^^(Z. ^CM;^^ •^j^.^'^' -y P6.^4?'^^ r^'^c^ fcot-j^ v^r. EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIRCONDITIONING FIRESPRINKLERS YEsfT* No| 1 YES QNO • YEs| |NO| 1 PROPERTYOWNER -f) \ j /,y ADDRESS ^ , ^ ADDRESS _ CITY >^ . STATE ZIP ^ CITY ^, , STATE /ZIP^ <^ilLsJ^^ ufr 7 ^co^ FAX FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACJ55^E^ -y- yy^^^^^ ADDRESS ADDRES^ ^ y / P^;e^^^ CITY STATE ZIP PHONE FAX F/\X EMAIL EMAIL STATE LIC, # CLASS— CITY BUS. LIC.# _/ ^ (Sec. 7031.5 Business and Professions Code: Any Cityor County whicti requires a permitto construct, alter, improve, demolisti or repair any structure, priorto its issuance, also requires ttie applicant for such permit to fiie a signed statement tnat tie is licensed pursuant to ttie provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) ortnat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATiOM Workers' Compensation Declaration: / /le/ety affirm under penatty of perjury one of the foiiomng declarabons: Bl have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, tor the perfonnance of the work for which this permit is issued. ^ 1 have and will maintain wortters^cainpensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this pemiit is issued. My wohters' compe number are: Insurance Co._ Policy No. Expiration Date juiivvi II ••SUI ai i^yc I r^i Cll 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 tor which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. WARNING: Failure to secure wprker^ificompensatloncaxerage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&iOO,000), in addition to the cost of compensatian, damgwK provided fop^S^lon 3706 ofthe Labor code. Interest and attomey's fees. /gS* CONTRACTOR SlGNATUR^.>/>J^O ^/T^^" Jg(^GENT DATE 3 OWNER-BUILOER DECLARATION / hereby affirm that 1 am exempt from Contractor's Ucense Law for the following reason: 1, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture 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 ot completion, the owner-builder will have the burden of praving that he did not build or improve for the purpose of sale), 1, as owner of the property, am exclusively contrxting 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 to the Contractor's License Law), • • • I am exempt under Section Business and Professions Code for this reason: 1,1 personally plan to provide the major labor and materials for constmction of the proposed property improvement, I lYes I iNo 2,1 (have / have not) signed an application for a building permit for the proposed work. 3,1 have contracted with the following person (fimi) to provide the proposed construction (include name address / phone / contractors' license number): 4,1 plan to pravide portions of the wori<, but 1 have hired the tollowing person to coordinate, supen/ise and provide the major wori( (include name / address / phone / contractors' license number): 5,1 will provide some of the woris, but 1 have contracted (hired) the following persons to provide the worts indicated (include name / address / phone / type of work): vefpRGPERTY OWNER SIGNATURE QAGENT DATE COMPLETE THiS SECTION FOR NON-RESIOENTIAL BUILOING PERMITS ONLY Is the applicant or future buikling occupant required to submit a business plan, acutely hazanlous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the applicant or future building occupant required to obtain a pemiit from the air pollution control district or air quality management district? Yes No Is the facility to be constnicted 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. CONSTRUCTION LENDING ACENCY I hereby affirm that there is a construction lending agency for the performance of the work this pennit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certif ttiat I have read the applkatton and state thatthe above Inlbrmation Is conectand that ttie infonnation on the plans is accurate. I agree to complywith all C% oidinances and State laws relating to building constructton. I hereby authorize nepresentative of the City of Carlsbad to enter upon the above mentioned property for inspectton 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 SMO C\JY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfF. OSHA: An OSHA pemiit is required for excavations over 5'0' deep and demolition or constmctton of structures over 3 stories in height EXPIRATION: Every pemiit issued by the Building Offaal under the provistons of this Code shall expire by limitatton and become null and void if the building or vw)ri< authorized by such pemiit is not commenced within 180 days from the date of such pemiit or if the buildintforjrtft authorized by such oennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Sectton 106.4.4 Unifonn Building Code). vfiTAPPLICANT'S SIGNATURE DATE Hi 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 buildinQ(S)carlsbadca.qov or Mall the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS STATE CITY STATE Carlsbad CA PHONE FAX OCCUPANT'S 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) MAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPLICANTS SIGNATURE DATE Inspection List Permit#: CB150816 Type: PME Date Inspection Item 08/05/2015 27 Show/er Pan/Roman Tubs 08/05/2015 27 Shower Pan/Roman Tubs 08/05/2015 29 Final Plumbing 08/05/2015 29 Final Plumbing Inspector Act Rl PB AP Rl PB AP LITTLE RES-REPLACE BATHTUB IN HALL BATH WITH JACUZZI WALK-IN T Comments AM PLEASE AM PLEASE Thursday, August 06, 2015 Page 1 of 1