The URL can be used to link to this page

Home My WebLink About1683 BRADY CIR; ; CB142770; Permit10-16-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB142770 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type; Parcel No: Reference #: PC #: Project Title: 1683 BRADY CR CBAD PME 2054401000 Lot#: HICKERSON RES IN KITCHEN REPAIR GAS LINE Status: Applied: Entered By; Plan Approved: Issued: Inspect Area: ISSUED 10/16/2014 SKS 10/16/2014 10/16/2014 Applicant: PERFORMANCE PLUMBING&MECH. INC. STE 105 3800 OCEANIC DR OCEANSIDE CA 92056-5836 760-822-8286 Owner; HICKERSON LAURENCE J&JILLIAN L 1683 BRADY CIR CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees other PME Fees $160.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00 inspector: FINALAPPROVAL / Date: ///V^// Clearance: NOTICE: Please take NOTICE Afat approval of your project includes tiie "Imposition" of fees, dedications, resen/ations, or otfier exactions iiereafter collectively refen-ed to as "fees/exactions." You have 90 days from tiie date this permit 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 Carlsbad 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 capacify 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/exactinns of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired. TTHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING JENGINEERING ClLDING OFIRE nHEALTH • HAZMAT/APCD City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carisbadca.gov Plan Check No^ | ^^'7 70 Est. Value Plan Ck, Prosit, Date lOl/l^M SWPPP JOB ADDRESS SUITE#/SPACE#/UNIT* CT/PROJECT# PHASE # # OF UNITS # BEDROOMS # BATHROOr^S TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Areafs; EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES[~|* N0| I AIR CONDITIONING YES QNO I I FIRE SPRINKLERS YES I |NO| I APPLICANT NAME . t , Primary Contact rT IcI^^CSOL^ PROPERTYOWNER ADDRESS ADDRESS CITY CITY PHONE 7(»g> 32Z'/^2J3r^ FAX PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL •PFha CONTRACTOR BUS. NAME ADDRESS \ _ , STATE ZIP ADDRESS CITY STATE OA. CITY STATE PHONE EMAIL FAX FAX STATPiJCJ CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permitto construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicantfor such permitto file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commendingwlth Section 7000 of Division 3 ofthe Business and Professions Coae) or that 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)). PENS AT«W. •••••I Workers' Compensation Declaration: / hereby affim} under penalty ofpeijury one ofthe following declarations: ave and will maintain a certificate of consent to self-insure for worisers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I liave and will maintain workers' compensation, as requiied by Section 3700 ofthe LaborCode. forthe performance of the work for which this permitis issued. My workers' compensation insurance earner and policy number are: Insurance Co yVW-(it<,f Policy No. lAAlAJC PO SD ^ S/'Ol Expiration Date |lO|/>Y This section need not be completed if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certifythatintheperfomnanceof the work forwhich this pennit 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 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 tlie cost of compensation, damages as prgtMMafor in Secti^i^S^OS'Orjfle Labor code, interest and attomey's fees. JS^ CONTRACTORSIGNATURE / hereby affimi that I am exempt from Contractor's License Law for the foilowing reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stnicture 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 I I, as owner of the property, am exdusively contracting with licensed contractois to construct the project (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 contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I I I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. QYes I No 2.1 (have / have not) signed an application for a building pemnit for the proposed work, 3.1 have contracted with the following peison (firm) to provide the praposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the woik, but I have hired the following person to cooidinate, supervise and provide the major woik (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the wori< indicated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE QAGENT DATE 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 25505,25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No Is the facility to be constracted 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 HET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affimi that there is a construction lending agency for the perfomiance 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 ttiat ttie above intionnation is coirect and thatthe information on ttie plans Is accuiate. I agiee to coniply with all City oidinances and State laws relating to building constmctton. I heieby authorize representative of the City of Carisbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST Aa LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITi' IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennit is required for excavations over 5'0' deep and demolition or constructbn of stmctures over 3 stories in height. EXPIRATION: Every perniit issued by the Building Official under the provisions of this (Me shall expire by limitation and become null and void if the building or wort( authorized by such pennit is not commenced within 180 days from the date of sxh pemnit or ifthe txidjng or auttorrad by such permit is suspended or abandoned at any time after the worts is commenced for a period of 180 days (Section 106.4.4 Unifomn Building Code). vgS"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 buildit1Q(a)carlsbadca.aov or Mall the completed fom to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Offlce Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE CITY STATE ZIP Carlsbad CA PHONE EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: 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 >ef APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB142770 Type: PME HICKERSON RES -REPAIR GAS LINE IN KITCHEN Date Inspection Item Inspector Act Comments 10/20/2014 23 Gas/Test/Repairs PY AP Wednesday, November 05, 2014 Page 1 of 1