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Home My WebLink About1615 CORTE ORCHIDIA; ; CB162718; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 07-13-2016 Permit No: CB162718 Building Inspection Request Line (760) 602-2725 Job Address:1615 CORTE ORCHIDIA CBAD Permit Type:PME Status:ISSUED Parcel No:2159503400 Lot #:0 Applied:07/13/2016 Entered By:SLE Reference #:Plan Approved:07/13/2016 PC #:Issued:07/13/2016 Inspect Area: Project Title:MARTINSON: REPAIR WATER LINE FROM WATER METER TO HOUSE Applicant:Owner: MARTINSON TRUST 01 -23-03 MARTINSON TRUST 01-23-03 1615 CORTE ORCHIDIA 1615 CORTE ORCHIDIA CARLSBAD CA 92011 CARLSBAD CA 92011 760-419-7337 Plumbing Fees $163.00 Electrical Fees $0.00 Mechanical Fees $0.00 Other PME Fees $0.00 TOTAL PERMIT FEES $163.00 Total Fees:$163.00 Total Payments To Date:$163.00 Balance Due:$0.00 FINAL APPROVAL Inspector:/14 149-4A"C Date:(1-°4 Clearance: NOTICE:Please tate NOTICE that approval cfyar pled includes the "Irrpcsitionn d fees, dedcaticns, resavatims, or ether exactas hereafter cdledively referred to as "fees/exactions."You have 90 days from the date this perrrit was issued to pretest inposition cf these famtexacticns.If you pretest them, you must fellow the protest procedures set forth in avament 1.11ASection 6€020(a), and file the protest and any other required information with the City Managerfa processing in accordance with Carlsbad IVIridpal Code calicri 3.32.030.Failure to timely follcw that procedure will bar any subsequent legal action to attack, review, set aside, void, or amid their irrposition. You are hereby FURTFER NOTIFIED that your rip to protest the spedfied fees/exactions FTIPS NOT APPLY to water and sewer ccnnection fees and capacity changes, nor planning, coning,going or ether similar application processing ("service fees in comecticn with this project.NCR DCFS IT APPLY to any fees/exadicns et which you have previously been Oven a NOTICE simile* to this.a as to which the statute cf lirritations has deviously dhenwise expired. 3 N •THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:DPLANNING EJENGINEERING 0 BUILDING 0 FIRE 0 HEALTH ElHAZMAT/APCD CC .ity of Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Plan Check No.Of6 1 (0 2- 1 q Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov Plan Ck. Deposit www.carisbadca.gov Date 1—1 -2)---14 SWPPP JoBjApR5p /7 t 6.„./.>.SUITE#/SPACE#/UNIT#APN /(0 73 C-42 c"-(4. i /--- CT/PROJECT #LOT #PHASE##OF UNITS #BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:Include Square Feet of Affected Area(s) Al(--i'l)-7-F-4 MZ_T-ck //.-(._-OA.)i-i-ty ,/t.of-e4 .. EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESDt_NOD YES DNO D YES El NOD APPLICANT NAME PROPERTY OWNER Primary Contact ------ra- fri-‘PC.( 4417'11)r-tr70 ADDRESS ADDRES9//5 ....._(LP CITY STATE ZIP CITY sICAI.6.d-----ZIP -2o 17 PHONE FAX PHONE FAX 76 o '7/? -73; 7 •EMAIL EMAIL ir/4A e /"GZ.il."`1T-2^0-yt.,_74.‘„Ii*-e..04•1 DESIGN PROFESSIONAL CONTRACTOR BUS.NAME"- ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL STATE LIC. #STATE LIC.#CLASS CITY BUS.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 requires theapplicant 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 theBusiness and Professions Code) or that 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 acivil penalty of not more than five hundred dollars ($5001). WORKERS'COMPENSATION Workers' Compensation Declaration: I hereby affirm under penally of perjury one of the following declarations: ElI have and will maintain acertificate 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. EI 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 if the permit is for one hundred dollars ($100) or less.0 Certificate of Exemption:I certify that in the performance of the work for which this permit is issued,I shall not employ any person inany 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. .ES CONTRACTOR SIGNATURE 0 AGENT DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's License Law for the following reason:ElI,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). )2V 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).0 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.ElYes ENo 2.I (have/ 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 / phone / contractors' license number): 4.I plan to provide portions of the work, but I have hired the followiag person to coordinate, supervise and provide the major work (include name / address / phone / 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 / address / phone / type of work): ((/...-.E 'PROPERTY OWNER SIGNATURE__—DAGENT DATE 7-f.rnc COMPLETE THI 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 prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?0 Yes 0 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?0 Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 Yes 0 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 AGENCY 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 APPLICANT CERTIFICATION Icedi(y thatI have read the application and stateMatteabove information is correct and that the information on the plans is accurate.Iagree to comply with all City ordinances and StateWASrelating to building construclion. I hereby authorize representativeofthe City of Carlsbad to enter upon the above mentioned property for inspection purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAYIN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolitbn or construction of structures over 3 storiesin height. EXPIRATION: Every permit issued by the Building Officiakinderthepro*ons ofthis Code shall expire by limitation and become null and void if the building or work authorized by such permits not commenced within 180 days from the dateofsuch permitbriny building or work .thorized lo)/such permits susJdedor abandoned at any time after the work is commenced for a period of 1.80dayspection 106.4.4 Uniform Building Code). AtcAPPLICANT'S SIGNATtc3.,...._._.DATE ..7 TOP 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 building@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 ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP:o CONTACT (Listed above)o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB#MAIL TO:o CONTACT (Listed above)El OCCUPANT (Listed above) CONTRACTOR (On Pg. 1)o NO CHANGE IN USE /NO CONSTRUCTION MAIL /FAX TO OTHER: o CHANGE OF USE /NO CONSTRUCTION .ACAPPLICANT'S SIGNATURE DATE Inspection List Permit#:CB162718 Type:PME MARTINSON: REPAIR WATER LINE FROM WATER METER TO HOUSE Date Inspection Item Inspector Act Comments 07/14/2016 22 Sewer/Water Service MC AP BLDG. SUPPLY REPAIR FROM METER TO DWELLING UNIT. Wednesday, January 11, 2017 Page 1 of 1 PERMIT INSPECTION HISTORY REPORT (CB162718) Permit Type:BLDG-Residential Application Date:07/13/2016 Owner:TRUST MARTINSON TRUST 01-23-03 Work Class:P/M/E Issue Date:07/13/2016 Subdivision: Status:Issued -Active Expiration Date:06/09/2017 Address:1615 Corte Orchidia Carlsbad, CA IVR Number:715764 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 12/06/2016 12/06/2016 BLDG-Final 004302-2016 Passed Michael Collins Complete Inspection Checklist Item COMMENTS Passed BLDG-Plumbing Final Yes January 11.2017 Page 1 of 1