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Home My WebLink About1475 PINE AVE; ; CB112497; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 11-28-2011 Permit No: CB112497 _-Building Inspection Request Line (760) 602-2725 Job Address: 1475 PINE AV CBAD PME Status: Permit Type: Parcel No: 2050510300 Lot#: 0 Applied: ISSUED 11/28/2011 KG 11/28/2011 11/28/2011 Reference #: PC#: Project Title: Applicant: KIRWAN:RES-INSTALL SEWER CLEANOUT IN FRONT YARD ARS OBA RESCUE ROOTER 9895 OLSON DR SAN DIEGO CA 92121 858 457 6502 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: KIRWAN JOHN A&KIRSTEN MR 1475 PINE AVE CARLSBAD CA 92008 $150.00 $0.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: ' .. $150.00 Balance Due: Inspector: Clearance: ------ $0.00 NOTICE: Please take NOTICE that approval of yw project lrciudes the "I mposltkln" of fees, dedcations, reservafuns, or other exactloos hereafter colectlvely referred to as "fees/exactloos.' You have 90 days from the date this permit was Issued to prolest Imposition of these fess/exactloos. If you protest them, you must follow the protest procedures set forth In GoYerrvnent Code Section OOJ20(a), and Ille the prolest and any other recµred lnlormation with Iha City Manager !or processing In accordance with ea, lsbad M~ Code Sectloo 3.32.030. Failure to timely foflow that procecue wll bar any swsequoot legal action to attack, review, set aside, void, or annu their lmposltlon. You are hereby FU RT HER NOTIFIED that your right to pro!Bst the specified fees/exactions OOES NOT AP PLY to water and sewer corooctlon fees and capacity changes, oor plamng, zoong: grading or other similar appOcatlon processing or 86IVlce fees In connection with this project. NOR DOES IT APPLY to any City of Carlsbad 1635 Faraday Ave .. Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 / 7541 Fax: 760-602-8558 Building Permit Application Date SUITEtt/SPACE1t/lJNfl ,i ENANT BUSINESS NAME GARAGE (SF) PATIOS (SF) FIRE SPRINKLERS YES0N00 '2-I CONTRACTOR BUS. NAME Rescue Rooter ADDRESS 9895 Olson Dr# B STATE ZIP CITY STATE ZIP San Dieao D CA C 92121 FAX PHONE FAX 858-457 -6500 858-457 -6541 EMAIL EMAIL STATE LIC.# CLASS CITY BUS. LIC.# 765155 C36 C42 1207640 ARCH/DESIGNER NAME & ADDRESS STATE LIC. # (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 reou1res the applicant for such permit to file a signed statement that he ,s licensed pursuant to the prov1s1ons of the Contractor's License Law (Chapter 9. commending with Section 7000 of D1v1s1on 3 of the Business and Professions Code) or Chat he ,s exempt therefrom. and the basis for the alleged exemption. Any v,olauon of Secuon 7031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars ($5001). Worllers' Compensation Declaration: I hereby affirm under penalty of pequry one of the following declarations: 0 I have and will maintain a certificate ot consent to selt,insure for WOl1(ers' compensatiln as provided by Section 3700 of the Labor Code, for the performance of the worl( for which this permit is ISSUed. [Z] I have and will maintain worllers' compensation. as reouired by Section 3700 of the Labor Code. for the performance of the worl( for which this O""'lit is issued. My workers' compensabon insurance earner and policy numberare:lnsuranceCo PolicyNo. Wcl-631-508631-<;ll Expiration Date I 0 -\-IL __ _ ~section need not be completed if 1he permit 1s for one hundred dollars ($100) or less LJ Certificate of Exemption: I certify that in the performance of the worl( for which this pennil is issued, I shall nol employ any person in any manner so as to become subject to the Workers' Compensation Laws of Calttorrna. WARNING: Failure to secure worllers' 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. £S CONTRACTOR SIGNATURE ~ ~ DATE / /-zf? -t, { I hereby affirm that t 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 cornpensat,on, will do the worl( and the structure ,snot intended or offered for sale (Sec. 7044, Business and Profess,ons Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such worl( hlmsett or through his own employees, provided that such improvements are nol intended or offered for sale. If. however, the building or mprovement 1s sold within one year of completion. the owner-builder will have the burden of proving that he do 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, Busmess and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves lhereon. and contracts lor such pro1ects with contractor(s) licensed pursuant to the Contractor's Lx:ense Law). 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. 0 Yes 0 No 2. I (have I have not) signed an application for a building pennij for the proposed worl(. 3. I have contracted with the fotloWlng person (finn) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portx>ns of the WOl1(, bul I have hued the folloW1ng person to coordinate, supe!Vise and provide the mBJO( WOl1( (include name I address I phone I contractors' llcense number): 5. I will provide some of the work, but I have contracted (h11ed) the folloWlng persons to provide the work indicated (include name I address I phone I type of worl(): le) PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant requ•ed to submit a bus1nes~an acutely hazardous matenals reg. 1stration form or risk management and prevention program under Sections 25505. 25533 or 25534 of the Presley-Tanner Hazardous Substance Accounl Act? D Yes No , Is the applicant or future building occupant required to obtain a permit f m the air pollution control district or a~r uality management district? 0 Yes ~o Is the facility to be constructed within 1.000 feet of the outer boundary of a school site? 0 Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED N ESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that 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 I certify that I have read the application and state that the above intonnation is oorrectand that the information on the plans is accurate. I agree to oomplywith all City ordinances and State laws relating to building oonstruction. I hereby authorize representative of the City of Car1sbad to enter upon the above mentioned property for ins~ion purposes. I ALSO AGREE TO SA VE. INDEMNIFY AND KEEP HARMLESS THE Cl1Y OF CARLSBAD AGAINST ALL 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 permit is required loc excavations ove,; 5'0' deep and demolition or oonstruction of structures ove,; 3 stories in height. EXPIRATION: Every permit issued by the Buildilg Official under the provisions of this Code shall expire by limitation and become null and \tid ~ the blilding or work authorized by such permit is not (l)Olm8noed within 180 days from the date of such permit or~ the building orwockauthorized by such permit is suspended or abandoned at anytirre after lhe wock is commenoed for a period of 180days (Section 106.4.4 Un~orm Building Code). £5 APPLICANT'S SIGNATURE ~ ~ DATE /t-2---:J,...... I I City of Carlsbad Bldg Inspection Request For: 11/29/2011 Permit# CB112497 Title: KIRWAN RES-INSTALL SEWER Description: CLEANOUT IN FRONT YARD Type: PME Sub Type: Job Address: 1475 PINE AV Suite: Lot: 0 Location: APPLICANT ARS OBA RESCUE ROOTER Owner: KIRWAN JOl1N A&KIRST~N M R Remarks: Total Tlme: 'I ( I CD Description Act Comments 29 Flnal Plumbing ~------¥1 Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Orlglnal PC# Inspection History Date Description Act lnsp Comments Inspector Assignment Phone: 8584576310 1,p-1} Inspector: l't'ft. Requested By: DEBRA/ANNA Entered By: CHRISTINE