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Home My WebLink About1695 CALLIANDRA RD; ; CB121465; Permit08-07-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No CB121465 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 1695 CALLIANDRA RD CBAD PME 2159000200 Lot# CARNESRES- GAS LINE TO FIRE PIT Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 08/03/2012 RMA 08/07/2012 08/07/2012 Applicant LORCO Owner CARNES SEAN T&TIFFANY J 4488 SALISBURY DR CARLSBAD CA 92010 619-434-8945 1695 CALLIANDRA RD CARLSBAD CA 92011 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $150 00 SO 00 $0 00 $0 00 TOTAL PERMIT FEES $150 00 Total Fees $150 00 Total Paynnents To Date $150 00 Balance Due: $0 00 Inspector /I LAPPROVAL FINAL APPROVE Date Clearance NOTICE Please take NOTICE that approval of your project inciudes the "Imposition' of fees, dedications reservations, or other exactions hereafter collectively refen'ed to as "fees/exactions' You have 90 days from the date this pemnit was issued to protest imposition of these fees/exactions If you protest them you mttst follow the protest procedures set forth m Govemment Code Section 66020(a). and file the protest and any other required infonnation with the City Manager for processing in accordance with Carlsbad fvlunicipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action lo attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED thai 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 you have previously been given a NQTICE similar to t^is. or as to which the statute of limitations has prBviouslv otherwise expired THE FOLLOWING APPROVALS REQUIRED PRtORTO PERMIT ISSUANCE • PIANNING • ENGINEERING • BUILDING • FIRE • HEALTH • HAZMAT/APCD Plan Check No /^^| / ^ / ^ ^zT^ CITY OF Building Permit Application 1635 Faraday Ave , Carlsbad. CA 92008 Pfl 760-602-2719 Fax 760-602-8558 email buidling@carlsbadca gov www carlsbadca gov Est. Value Plan Ck. Deposit JOB ADDRESS SUITE#/SPACE#/CtfllTfl CT/PROJECT S PHASE # B OF UNITS tt BEDROOMS S BATHROOMS TENANT BUSINESS M6,ME DESCRIPTION OFWORK Include Square Feet of Affected Area(s) 6t*og- ^(i^ Pt7 EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD # NO • AIR CONDITIONING YES • NOD FIRE SPRINKLERS YES • NOD APPUCANT NAME (Pffmary Contact) APPUCANT NAME (Secondary Conlact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS NAME ADDRESS ADDRESS 73 STATE 2IF CITY STATE CITY PHONE FAX FAX EMWL EMAIL ARCH/DESIGNER NAME & ADDRESS cirv BUS LIC# (Sec 70315 Business and Professions Code Any City or County which requires a permit lo 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 a, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom and th^ basis forthe 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)) Workers' Compensation Declaration / hereby affirm under penally of perij/y one of Ihe following dectarations O I have and will maintain a certificate of consent lo self insure forZ/Mers'compensation as provided by Seclion 3700 of lhe Lalar Code, lor (he performanceof the work fcr which this perm it is issued d I have and sull maintain workers' compensation as required by faction 3700 olthe Labor Code, forthe performanceof lhe work for which this permit is issued My workers compensation insurance carrier and policy InsuranceCo . [[ gnlry Mn Expiration Date This aeClion need not be completed ifthe permit is for one hundred dollfifs [SIOO) or less Certificate of Exemption I certify that in the perfomiance of theivorkforwhich th|?ii?rmitiE issued I shall not employ any person in any manner so as lo become subject lo the Workers Compensation Laws of California WARMNG Failureto secure workers' compensatior/coverage ij>diiawful, and shall sub|ect an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for i/Sectio>S705 of the Labor code, interest and attorney'* fees ^ CONTRACTOR SIGNATURE •AGENT DATE I hereby affirm lhal I am exempl from Conlractors Ucense Law for the following reason O I, as owner of lhe property or my employees with wages as their sole compensation, will do the work and the slructure is not intended or oflered for sale {Sec 70'I4 Business and Professions Code The Contractor's License Law does nol apply to an owner ol property who builds or improves thereon, and who does such work himself of through his own employees provided that such improvements are not intended or offered for sale It, however, the building or improvement is sold within one year of completion, lhe owner builder will have the burden of proving that he did not build or improve forthe purpose of sale) I, as owner of lhe properly, am exclusively conlracling with licensed contractors to construct the proiect (Sec 7044, Business and Professions Code The Contraclor's License Law does not apply to an owner of property who buiids or improves Ihereon and contracts for such pro)ectE wilh contractor[s) licensed pursuant to the Contractor's License Law) 1 am exempt under Section Business and Professions Code lor this reason 1 1 personally plan to provide the major labor and malenals for conslruclion of lhe proposed property improvement • Yes • No 2 I [have / have not) signed an application for a building permitfor lhe proposed work 3 I havecontracted with the followmg person (firm) to provide Ihe proposed construction (include name address/phone/contractors license number) 4 I plan to provide portions of the work but I have hired the following person to coordinate supen/ise and provide the ma)or work {include name / address / phone / contractors' license number) 5 I will provide some of the work, bul I have contracted (hired) the lollowing persons to provide the work indicated (include name / address / phone / type ol vrark) • ^fi^PROPERTY OWNER SIGNATURE •AGENT DATE Is the applicant or future building occupant required to submit a business plan, aculely hazardous malenals registration form or nsk managemenl and prevention program under Sections 25505 25533 or 25534 ot the Presley Tanner Hazardous Substance Account Act? • Yes • No Is the applicant or future building occupant required to oblain a permit Irom lhe air pollution control dislnct or air quality managemenl distncf • Yes • No Is the facility lc 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 15 MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that ttiere is a constnjction lending agency for the perfomiance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address Icsitfy that I have read the applicabon and state that the a I hereby authonze representative of the City of Carlsbad to AGAINST fill LIABILITIES, JUDGMENTS, COSTS AND OSHA fi\ OSHA pemi!! is required for excavations over EXPIRATION Every pennit issued by the Buiding Offiaal 180 days from the date of such pemiit or if the building or APPLICANT'S SIGNATURE mfomiaton IS coirectandthatthe infonnation on the plans isaaurate I agree to complywith all Cityordmances and State laws relating to building constmction 3tave mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CfTY OF CAf^LSBAD lAY IN ANY WAY ACCRUE AGAINST SAID CITY If^ CONSEQUENCE OF THE GRANTING OF THIS PERMIT or constmction of stmctures over 3 slones in heghl iviscns ot this Code shall expire by limilation and become null and void if the building otmik authonzed by sucff pemiit is not commenced within I permit is suspended or abandoned at any time after the vwrii is commenced for a penod of/180 days|(Section 1064 4 Uniform Building Code) DATE STOP- THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at fmal inspection. CERTIFICATE OF OCCUPANCY {Commerciai Projects OnlyJ Fax (760) 602-8560, Email mm buiidinqtScarlsbsdca qov or Wl3\\ the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 C0# (Office Use Only) CONTACT NAME OCCUPANT NAIVIE ADDRESS BUILDING ADDRESS CITY STATE CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANTS BUS LIC No DELIVERY OPTIONS • PICKUP • CONTACT (Listed above) • OCCUPANT (Listed above) • CONTRACTOR (On pg l) • 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 ^APPLICANT'S SIGNATURE DATE Inspection List Permits CB121465 Type PME CARNES RES- GAS LINE TO FIRE PIT Date inspection Item Inspector Act Comments 09/21/2012 29 Final Plumbing PD AP 08/08/2012 23 Gas/Test/Repairs PY AP Monday, January 28, 2013 Page 1 of 1 e Fire Feature High) Natural Gas Crete Pavers, Belgard ina Tuscana ting Wall >ting Plants To nam Path W/ Quartzite ne Steppers isting Concrete iwCurb sting Wall isting Plants To main w Wood Fence & Gate lor & Style To Match sting '7)(1 w Mow Curt>s i Path W/ Quartzite >ne Steppers locate Existing — untain isting Grass ncrete Pavers, Belgard Dana Tuscana Sidewailc