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Home My WebLink About1448 FOREST AVE; ; CB160587; Permit~ . City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 02-16-2016 Permit No: CB160587 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 1448 FOREST AV CBAD PME 1560523100 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: HALL RES-REPLACE GAS LINE FROM GAS METER TO ROOM ADDITION BEHIND MAIN HOME-BUILDING INSPECTOR TO VERIFY THAT THE ADDITION HAS NOT BEEN CONVERTED TO A 2ND DWELLING UNIT Applicant: ALL ABOUT PLUMBING 106 COPPER WOOD WY OCEANSIDE CA 92008 760 889-5462 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: HALL PAMELA L 1448 FOREST AVE CARLSBAD CA 92008 ISSUED 02/16/2016 RMA 02/16/2016 02/16/2016 MC $163.00 $0.00 $0.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: -n \) 7 x!l FINAL APPROVAL Inspector: ' I ., " Date: 2.-/'1-{.h Clearance: $0.00 NOTICE Rease ta<e NOTICE that WOO cl )OJ ptject irdudes tt-e "lrrp::sitiori' cl fea;, decicaticrs, reseovaticn; a: ctra-exa:ticrs -cdldllely ri:terred to a; 'fees'exa:tic:ns." You rave 00 days fran tt-e-tlis pemit l'o0S iss..ed to p,-ctest irrµisitirn cl ttese fees'exa:tic:ns. If you p,-ctest It-en\ you rn.ot fcilo.vtt-e imest ;:rocect,es set fol1h in G:>lermmt Code Sdrn 60020(a), anfilett-e p,-ctest an "1)'ctl-a" recµred infoomtirn wth tt-e Qty Mr,agerfa: ;roressirg in ocrotlal::ewth ca-tsba:I Mrici?" Code Sdrn 3.32.030. Falu:etotiireyfcilo.vth;t JJO(E(IJewll tB" "1)'subse:µrt leg,< actirn toatta:l<. review, set aside, vcid, a aTU th3ir irrp::sition. You a-e heret1y F\.RT1-ER NOTIFIED that )OJ ri!ft to p,-ctest tt-e apecifiedfees'exa:tioos DCES r,,,or AA'I..Ytov.ater an .......,.OC>lndrn fees ard ~ c1-a-g,s, ra plmrg, imrg, gaclrga:ctra-snrila-,wicatirn ;roressirg a;ss>,;a,fees in OC>lndrnwth tlis ptject. l'O'<DCES IT APF\_ Yto "'Y CYlS have sini1--·-•'-'s --res ·rec1. ~ THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING Ccityof 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 SUITEI/SPACEI/UNIT PHASE# # OF UNITS # BEDROOMS # BATHROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Re 0BU1LD1NG OFIRE Plan Check No. Est. Value SW PPP CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) AIR CONDITIONING vesONoD FIRE SPRINKLERS YESONoD APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL STATE ZIP FAX STATE ZIP FAX STATE UC.# Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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 carrier and policy number are: Insurance Co. Policy No. Expiration Date _________ _ .... ~'.~n need not be completed if the permit is for one hundred dollars ($100) or less ~ficate of Exemption: I certify that in the pertormance 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 clvll fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensatio ges as provld r in Section 3706 of the Labor code, interest and attorney's fees. ft:! CONTRACTOR SIGN·-·-'-~ I hereby afflnn that I am exempt from Contractor's Ucense Law for the following reason- D D 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). 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. Oves 0No 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 I 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): 8$ PROPERTY OWNER SIGNATURE 0AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevent on program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 Yes O 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 O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes O 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 Jnfonnation is c:ormct and that the lnfonnation on the plans Is ac:c:urate. I agree to complyYtith all Clfyordinances and State laws relating to building construction. I hereby authorize representative of the City of Ca~sbad to enteruJX)l1 the atx:>ve mentioned property br inspection purpJSeS. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST A1..L LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: M OSHA permtt is required for excavations over 5'0' deep and demolitk'.ln or 001strudion of structures over 3 stories in height. EXPIR/fflON: Every penntt issued by the Building Oflk:ial under the provisk'.Jns of this Code shall expire by limltalion and berome null and voKl Wthe building oroor'K authorized by such permit is not commenced 'Mlhin 180 days from the date of such permtt or rt the building or'Mlri<: authorized by such permtt is suspended or abandoned at any time after the v.ork is commenced for a perkxl of 180 days (&dk'.lfl 106.4.4 Unifonn Building Code}. ,f!5 APPLICANT'S SIGNATURE DATE 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 bui1ding@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPIIONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. :1.) MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. i) MAIL/FAXTOOTHER: _______________ _ A$ APPLICANT'S SIGNATURE D ASSOCIATED CB#------------- D NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB160587 Type: PME Date Inspection Item 02117/2016 23 GasfTesURepairs 02/17/2016 29 Final Plumbing Thursday, February 18, 2016 Inspector PB PB Act AP AP HALL RES-REPLACE GAS LINE FROM GAS METER TO ROOM ADDITION BEHIN Comments Page 1 of 1