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Home My WebLink About167 CHERRY AVE; ; CB121164; Permit06-20-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB121164 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 167 CHERRY AVCBAD PME 2042321800 Lot#: ROYSUBIR RENTAL- REPAIR LINE FROM RISER TO ELECTRIC PANEL- EMERGENCY REPAIR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/20/2012 RMA 06/20/2012 06/20/2012 Applicant: ALOHA ROWE ELECTRIC INC Owner: ROY SUBIR TRUST 11-16-94 4026 OLIVE DR 92056 760 941-3779 470 LAKEVIEW RD PASADENA CA 91105 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $150.00 $0.00 $0.00 TOTAL PERMIT FEES $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: ^'IZ'f^ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resenrations, or other exactions hereafter collectively referred fo as lees/exactions." You have 90 days from the date this pemiit was issued to protest imposition of these fees/exactions. If you protest them, you must follow 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 sewice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: • PLANNING • ENGINEERING • BUILDING DHRE • HEALTH • HAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. (C^ /JL // / V Est. Value Plan Ck. Deposit Date IL SWPP JOB ADDR^S SUITE#/SPACE#/ILNIT# CT/PROJECT # # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE DESCRIPTION OF WORK: lnc/udeS4uaraFeetof>Uf»cte(/Area(s; ^l^ey r<S'pair OMer^Aed s^rvute TING USE I PROPOSED USE I r^APAr^p rsn <rpATint! (.<!FI I npnut! «!F\ iFisrpi A^F EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES • # NO Q FIRE SPRipfKLERS YES D NOD APPLICANT NAME (Primary Contact) APPUCANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS ADORES! CITY STATE ZIP PHONE FAX PHONE I _ [FAX '. EMAIL STATElia# CLASS IflffY BUS. UC.#. , 7) ~ ARCH/DESIGNER NAME 4 ADDRESS a# CLASS ^— ,«tYBUS. UC.r / r, Improve, demolish or repair any structure, prior to its issuance,'alsoHquires the (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 the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business 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 a civil penalty of not more than five hundred dollars ($500)). WO BK ERS' COMPENSATION Woriiers' Compensation Declaration: / hereby aKmi under penaity of perjury one of the following declarations: O 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 pennit is Issued. a I have and will maintain workers' compensation, as required by Section 37(X) of the Labor Code, for the perfomnance of the worf< for which this permit is Issued. My workers' compensation insurance earner and policy number are: Insurance Co. Policy No. Expiration Date This section need not be completed if the pemiit is for one hundred dollars ($100) or less. to Certificate of Exsmptlon: I certify that in the perfonnance of the work for which this pemiit is Issued, I shall not employ any person in any manner so as to become subject to the Worisers' Compensation Laws of Callfbmia. WARNING: Failure to secure woriters' 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 ot compensation, damages as provided for In Section 3706 of the Labor code. Interest and attorney's fees. JS^ CONTRACTOR SIGNATURE ^rf?Vn>_g ^ OWNER-BUILDER DECLARATION •AGENT DATE ^'tUui^ g-Q tg> / hereby affimi that I am exempt from Confrac/or's Ucense Law for the foltowing reason: • I, as owner of the property or my employees with wages as their sole compensation, will do the worit and the structure is not intended or oflered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense 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 Ihat such improvements are not intended or offered for sale. If, however, the building or improvement is sokJ 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: 1.1 personally plan to provWe the major labor and materials for constmction of the proposed property Improvement • Yes • No 2.1 (have / have not) signed an application for a building pennit for the proposed worit. 3.1 have contracted with the foltowing person (firm) to provide the proposed constmction (Include name address / phone / contractors' license number): 4.1 plan to provide portions of the worit, but I have hired the following person to coordinate, supen/ise and provide the major worit (Include name / address / phone / contractors' license number): 5.1 will provide some of the worit, but I have contracted (hired) the foiiowing persons to provide the worit indicated (include name / address / phone / type of worit): vCfpROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR NON-RESIOENTIAL BUILDING PERMITS ONLY Is the applicant or future buikiing occupant required to submit a business plan, acutely hazardous inaterials registrafon form or risk management and preventon program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazanlous Substance Account Act? 13 Yes ONo Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? O Yes • No Is the facility to be constnicted within 1,000 feet of the outer boundary of a school site? OYes DNo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affinn that there is a construction lending agency for the perfonnance of the worit this pennit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I cettify that I have read the appllcaUon and state tliat the above Infbmiation Is oonea and that the Infomiafion I hereby authorize representative of the Qty of Cartsbad to enter upon the above mentioned property for inspection 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 SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemiit is psquired for excavations over SO' deep and demolition or constmction of structures over 3 stories in heighL EXPIRATION: Every permit issued by the Building Ofliciai under the provisions of this Code shall expire by limitatton and become nul and void if Ihe building or wortt authorized by such pennit is not commenced within 180 days from the date of such permit or if Ihe building or wortt authorized by such permit is suspended or abandoned at any time after the worit is commenced for a pertod of 180 days (Section 106.4.4 Unifonn Building Code). vfiTAPPLICANT'S SIGNATURE ^Zj^J(f\/^jC^ DATE 0-0 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 www.buildina(5)carisbadca.qov or Mail the completed fbrni to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CrtY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS • PICK UP: • CONTACT (Usted above) • OCCUPANT (Listed above) • CONTRACTOR (On pg. 1) • MAIL TO: • CONTACT (Listed above) • OCCUPANT (Usted above) • CONTRACTOR (On pg. 1) a MAIL / FAX TO OTHER: • ASSOCIATED CB# • NO CHANGE IN USE / NO CONSTRUCTION • CHANGE OF USE /.NO CONSTRUCTION • ASSOCIATED CB# • NO CHANGE IN USE / NO CONSTRUCTION • CHANGE OF USE /.NO CONSTRUCTION >erAPPUCANT'S SIGNATURE DATE Inspection List Permit*: CB121164 Type: PME ROYSUBIR RENTAL-REPAIR LINE FROM RISER TO ELECTRIC PANEL- EME Date Inspection Item Inspector Act Comments 06/21/2012 33 Service Change/Upgrade - Rl EARLY AM PLEASE 06/21/2012 33 Service Cfiange/Upgrade PB AP Tuesday, June 26, 2012 Page 1 of 1