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Home My WebLink About1701 CANNAS CT; ; CB132526; Permit10-16-2013 City of Carlsbad 1635 Faraday Av Carlsbad, GA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No CBI 32526 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 1701 CANNAS CTCBAD PME 2155011200 Lot# BALLARD RES= ADD A/C TO PRE PLUMBED HOME AND ADD BREAKER Status ISSUED Applied Entered By Plan Approved Issued Inspect Area 10/16/2013 LSM 10/16/2013 10/16/2013 Applicant BALLARD GORDON L&JANICE M Owner BALLARD GORDON L&JANICE M POBOX 131765 CARLSBAD CA 92013 619-518-9184 P O BOX 131765 CARLSBAD CA 92013 Plumbing Fees Electncal Fees Mechanical Fees other PME Fees $0 00 $0 00 $158 00 $0 00 TOTAL PERMIT FEES $158 00 Total Fees $158 00 Total Payments To Date $158 00 Balance Due $0 00 Inspector FINAL APPROVAL Date /jg-^/^-/-^ Clearance NOTICE Please take NOTICE ttiat approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this permit ms 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 tees 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 previouslv been given 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 •FIRE •HEALTH • HAZMAT/APCD 1/ 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 carlsbadca gov Plan Check No. Cfc / S ^SgLj^ Est. Value Plan Ck. Deposit Date \0l l(jpf (3- [sWPPP JOB ADDRESS SUITE#/SPACE#/UNIT« CT/PROJECT tt PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK /ncfude Square Feet of Affected Area(s; EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESfltf Noj I AIR CONDITIONING YES QNO I I FIRE SPRINKLERS YES I |NO| I APPLICANT NAIVIE (Primary Contact) APPUCANT NAME (Secondary Contact; ADDRESS ADDRESS CITY STATE CITY STATE ZIP PHONE PHONE EMAIL EMAIL PROPERTY OWNER NAME , /\ CONTRACTOR BUS NAME ADDRiSS ADDRESS CITY STATE OA. ^ ZIP ^ CITY STATE PHONE , FAX PHONE EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS CLASS CITY BUS LIC # (Sec 7031 5 Business and Professions Code Any City or County VKhich 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 ICnapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)) Workers' Compensation Declaration / terefcy affirm under penalty of perjury one of the following declarations • 1 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 perfonnance of the work for which this permil is issued I 11 have and will maintain workers' compensation as required by Section 3700 of the Labor Code for the performance of the worts for which this permit is issued My workers' compensation insurance earner and policy number are InsuranceCo PolicyNo Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less I I Certificate of Exemption I certify that in the performance of the work for which this permit 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 cnminal 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 ofthe Labor code, interest and attomey's fees ygS" CONTRACTOR SIGNATURE • AGENT DATE / hereby affinn that I am exempt from Confractor's Lrcense Law for the follomng reason I I I, 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) I )/f^, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec 7044, Busmess 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 Ucense Law) I I I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals for constniction of the proposed property improvement QYes I iNo 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 following 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 worts) ^PROPERTY OWNER SIGNATURE>4 ^AGENT DATE /d/^^/zJ Is the applicant or future building occupant required to submit a business plan, acutely hazanjous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the Presley Tanner Hazardous Substance Account Acr? ~ Yes No Is the applicant or future building occupant required to obtain a pennit from the air pollution control distnct or air quality management districP Yes No Is the facility to be constructed 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 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 I ceitly that I have read the applicaton and state thatthe above infonnatonis conect and that the infoimaton on the plans is accurate 1 agnee to comply witti allCityoidinancesand State lavs lelatng to building constucton I hereby 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 ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfFY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA pemnit is requred lor excavations over 5'0' deep and demolition or constmction of structures over 3 stones in height EXPIRATION Eveiy permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or worts authonzed by such pennit is not commenced within 180 days from the date of such perniit or if the building or worts authonzed by such pennit is suspended or abandoned at any time after the vmris is commenced for a penod of 180 days (Section 106 4 4 Unifomn Building Code) ^eTAPPLlCANT'SSlGNATU^I^;^ ^Y^.^y^../Z '''' ^ STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPAf^CY |Commercial Projects Fax (760) 602-8560, Email buildinq(5)carlsbadca gov or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, California 92008 C0# (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY Carlsbad CA PHONE ElVIAIL OCCUPANT'S BUS LIC No DEUVERY OPTIONS PICK UP CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg 1) MAIL TO CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg 1) IVIAIL / FAX TO OTHER ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE DATE Inspection List Permit# CB132526 Type PME BALLARD RES= ADD A/C TO PRE PLUMBED HOME AND ADD BREAKER Date Inspection Item Inspector Act Comments 10/25/2013 43 AirContd/Furnace Set - Rl 10/25/2013 43 AirContd/Furnace Set PB AP - 10/25/2013 49 Final Mechanical - Rl 10/25/2013 49 Final Mechanical PB AP Friday, October 25, 2013 Page 1 of 1