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Home My WebLink About1695 BASSWOOD AVE; ; CB140039; Permit01-08-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB140039 Building Inspection Request Line (760) 602-2725 Job Address; 1695 BASSWOOD AV CBAD Permit Type: PME Status: Parcel No: 2051306600 Lot#: 0 Applied: Entered By Reference #: Plan Approved PC #: Issued Inspect Area Project Title: HERRERLA RES- GAS LINE FROM GAS METER TO FIRE PIT IN REAR YARD, INSTALL CONDUIT ONLY FROM HOUSE TO FIRE PIT- FOR FUTURE ELECTRIC WIRE INSTALATION BY SEPARATE PERMIT. ISSUED 01/08/2014 RMA 01/08/2014 01/08/2014 Applicant: M&WLANDSCAPING Owner: HERRERIA VICTOR&CARRIE P 0 BOX 909 VISTA CA 92085 760 945-3443 1695 BASSWOOD AVE CARLSBADCA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $158.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $158.00 Total Fees: $ 158.00 Total Payinents To Date: $158.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: e>lM^'S> Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedi(ations, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exatrtions. 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 fhe City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legai 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 service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired, THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING nENGINEERING • BUILDING OFIRE q HEALTH •HAZMATWPCD CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: buildingtgcarlsbadca.gov /it f www.carlsbadca.gov / nff^ JOB ADDRESS CT/PROJEC !CTl ' LQT# rPH»E# I# OF UNITS jk BEDROOMS SUITE«/SPACE#/UN # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include SQiiare Feet ofAtfected Area(s) > ^**W^r7^A^PT^M Men^ "H? ^x^c fir EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESfn* N0| I AIR CONDITIONING YES [^NOI I FIRESPRINKLERS YES I |NO| I APPUCANTNAME (Primary Contact) APPLICANTNAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME ADDRESS CITY .CONTRACTOR BUS. NAME STATE s,DDRES! ZIP CITY 'SS_ STATE ZIP PHONE FAX PHONE FAX Clk,IAII ^ EMAIL ARCH/DESIGNER NAME & ADDRESS EMAIL STATE LIC.# CLASS CITY BUS. LIC.# \ AIL I Q LA i (Sec. 7031.5 Business and Professions Code: Any City or County vnhich requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code) or tnat 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)). 'ORKERS' COMPENSATION Workers' Compensation Declaration; / hereby affinn under penalty of peijury one of the following declaiatbns: JI have and will maintain a certificate of consent to seif-insure tor woricers' compensation as provided by Section 3700 of the Labor Code, for the performance of the woric for whfch this pemilt Is issued. |j!>l have and will maintain woricers' compensatian, as lequired by Section 3700 of the Labor Code, for the perfomiance of the woric for which this pemilt Is Issued. My woriceis' compensatton Insurance carrier and polfcy number are; Insurance Co. [/if/f^ i'^ f ' ' I (|l l! -J^ '^'^x PolfcvNo ^ X"? ^T. Expiration Date / This sectton need not be completed if the oennit is for one hundred dollars (SlOO) or le«g i0^ft4M IT ^g" . I I Certificate of Exemption: I certify that In the peifonnance of the woric tor whfch this penult is issued, 1 shall not employ any p«rsSn in any manner so as to become subject to the Workers' (Compensatton Laws of Califomia. WARNING: Failure to secure workers' compnsatian coverage Is unlawful, and shaMsiiblect an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation^damajies as providfld ta^lirsecaon nm^ ths Lab9teatleilnterest and attomey's fees. jgf CONTRACTOR SIGNATURE\J Z^T^'^'^^^^ nAGENT DATE I^'if OWN£R-BUILDER DECLARATION thereby affiim that I am exempt from Contactor's Ucense Law for ihe following reason: I I 1, as owner of the property or my emptoyees with wages as their sole compensatton, will do the woric and the stnicture Is not Intended or offered for sale (Sec. 7044, Business and Professtons 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 emptoyees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completton, 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 exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professtons Code: The Contractor's Lfcense Law does not apply to an owner of property who bulWs or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Ucense Law). I I I am exempt under Sectton 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. OYes I INO 2.1 (have / have not) signed an applfcation for a buikling pemilt for the proposed woric. 3.1 have contracted with the following person (finn) to provide the proposed constmction (Include name address / phone / contractors' license number); 4.1 plan to provide porttons of the woric, but I have hired the following person to coordinate, supenrise and provide the major woric (include name / address / phone / contractors' license number): 5.1 will provide some of the woric, but I have contracted (hired) the following persons to provide the woric indicated (include name / address / phone / type of woric); ^eTpROPERTY OWNER SIGNATURE •AGENT DATE '"to MP LET e THIS SECTION FOR NON-RESIOENTIAI. BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazaidous materials registration form or risk management and prevention program under Secttons 25505,25533 or 25534 of the Presley-Tanner Hazaidous Substance Account Ad? Yes No Is the applfcant or future building occupant required to obtain a pemiit from the air pollutton control district or air quality management district? Yes No Is the facility to be constmcted 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 MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENOIN& AGENCY I hereby affinn that there is a construction lending agency for the performance of the work this pennit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certif that I have lead the applfcatkin and slate tiiat the above inlbimation is conect andthatthelntbimationontheplansis accuiata I agiee tocomplywIthallCi^ oidinances and State laws relating to building constmctfon. I hereby authorize representative ofthe City of Carisbad to enter upon the above mentioned propeity for InspecSon puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU. LIABILfTIES, 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 nequired fbr excavations over 5'0' deep and demolition or constmction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Oflicial under tha ptovisions of this Code shall expire by limltatbn and become null and void if the building or vioric authorized by such peimit is not oommenced within 180 days from Itie date of such pemiit or if the building or woric authlrized by such pemiit is suspended or abjindoned at any time alter the vwric is commenced fbr a period of 180 days (Sectkin 106.4.4 Unifbmi Buikjing Code). VSTAPPLICANT'S SIGNATURE DATE //^//^ STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy wili be requested at final inspection. Fax (760) 602-8560, Email bulldinotSicarlsbadca.qOV or Mail the completed fomn to City of Carlsbad, Building Division 1635 Faraday Avenue, Cadsbad, Califomia 92008. C0#: (Office Use Only) CONTACTNAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EIVIAIL OCCUPANT'S BUS. LIC No. DEUVERY 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 ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION >ef APPLICANT'S SIGNATURE DATE Inspection List Permits: CB140039 Type: PME HERRERLA RES- GAS LINE FROM GAS METER TO FIRE PIT IN REAR YARD, Date Inspection Item Inspector Act Comments 07/30/2015 29 Final Plumbing -Rl GATE WILL BE UNLOCKED 07/30/2015 29 Final Plumbing MC Fl NO CARD ON SITE. GAS ONLY, NO ELECTRIC 07/28/2015 29 Final Plumbing -Rl OK TO ENTER BACKYARD/SPOKE TO MIKE EARLIER 07/28/2015 29 Final Plumbing MC CO GATE LOCKED, NO ACCESS. CALLED BEFORE ARRIVING, LEFT MESSAGE. 07/28/2014 23 Gas/Test/Repairs MC NR 02/27/2014 23 Gas/Test/Repairs MC CO NO ACCESS, CALLED CONTRACTOR 01/13/2014 21 Underground/Under Floor MC WC 01/13/2014 23 Gas/Test/Repairs MC AP TO FIREPIT Ttiursday, July 30, 2015 Page 1 of 1