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Home My WebLink About1711 LOBELIA CT; ; CB120686; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical {PME) Permit 04-16-2012 Permit No: CB120686 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1711 LOBELIA CT CBAD PME Status: Parcel No: 2156312900 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: LEVY: REROUTE HOT WATER OVERHEAD/NEW WATER HEATER LEVY DANIEL&TECLA 2006 TRUST 1711 LOBELIA CT CARLSBAD CA 92011 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: LEVY DANIEL&TECLA 2006 TRUST 1711 LOBELIA CT CARLSBAD CA 92011 ISSUED 04/16/2012 JMA 04/16/2012 04/16/2012 $150.00 $0.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $0.00 Balance Due: Inspector: -f?C:Z 4 FINAL APPROVAL Date: Lf-1!-1 z__, Clearance: $150.00 NOTICE: Please take NOTICE that 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 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 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 f i n f whi h h I Tl E imil r whi h h r i I h rwi , «~'» Building Permit Application Plan Check No. C.6 (2. 0 {p ~ /o 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718/ 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date t-/ {tro ft~ lswPP JOB ADDRESS SUITE#/SPACE#/UNIT# IA'.a.1 s --i~ -OtJ 1111 -ft~( \.,()@~ \..-IA-CT. ' c,,A:F\\hw.P I "t·H)II CT/PROJECT# I LOT# I PHA.SE # l # OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) -P..t. f' \-'-r"' K/An;l'{ <t\1,1, TB IL .,,~ ~1'1,1. ~ t,t,l'e Pll'f L.UJ'6" ih-r ,,,,_,w EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES □#_ NOD YES □ NO □ YES □ NOi;:::l APPLICANT NAME (Primary Contact} APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS \11\ ~i,eUA t::r CITY STATE ZIP CITY STATE ZIP C~l-Sl?lrO CJ.-C,\1.DII PHo"h1,o) t{;o ll'61£ IFAX PHONE IFAX EMAIL ob r..l..~£. f.,c., a.I "bo.l , n e-\- c,.,a,c PROPERTY OWNER NAME -CONTRACTOR BUS. NAME Tec:..1,A->-Pt.\l'""' I t:::1/V ADDRESS ' ADDRESS \7 II l,0~5'L-I'\ C.T'" CITY STATE ZIP CITY STATE ZIP c.Jrt(.Ue,PrV Ck qu,11 PHONE --,c..o tf10 I FAX PHONE IFAX c.c,is-' EMAIL tuk @,.,~koi Lo t,M , n e t--"f:MAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.# I CLASS I CITY BUS. UC.# (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 1s licensed pursuant to the prov1s1ons of the Contractor'_s License Law /Chapter 9, commending with Section 7000 of D1vis1on 3 of the B_usiness and Professions Code) or that he is exem_P.t therefrom, and the Oasis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a cIvII penalty of not more than five hundred dollars ($500)). 'wall!IU!IH' COMl'ENIAHON . ' ',. ' -' ' M --i MM Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: □ 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 pem1it is issued, □ I have and wHI maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for whici1 this pem1it is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. ______________ Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less, □ Certificate of Exemption: I certify that in the performance of the work for which this pem1it is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ,.6$ CONTRACTOR SIGNATURE □AGENT DATE I !U'l!NER•IUUDEff IJEClL>'il'UIH!i!lll ,__ ' ' ---- ' -' M j ' -M & - I ~y affirm that I am exempt from Contractor's License Law for the fo/lo~ng reason: cl{' I, as owner of the property or my employees with wages as their sole compensation, will do the work al'\d the structure is not il'ltel'\ded or offered for sale (Sec. 7044, Business al'\d Professions Code: The Col'\tractor's Ucel'\Se Law does not apply to al'\ owner of property who builds or improves thereof\, al'\d who does such work himself or through his own employees, provided that such improvemel'lls are not il'ltel'\ded or offered for /ale. 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 l'IOt build or improve for the purpose of sale). ,,f I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Sec. 7044, Business and Professiol'\s Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, arid contracts for such projects with coritractor(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section _____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for coristruction of the proposed property improvement. □ Yes □ No 2. I (have I have not) signed an applica~on for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construdon (include name address I 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 I 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 work): ,..S PROPERTY OWNER SIGNATURE □AGENT DATE 14 1 'l,., Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevent on program under Sections 25505, 25533 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 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 certify that I have read the application and state that the above lnfonnation Is oorrect and that the information on the plans is accurate. I agree to c:omply\Wl:h all City on1inances and State laws relating to building construction. I hereby authorize representatMl of the City of Carlsbad to enter up:m the above mentioned property br inspection p .. irpJses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSB.40 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: AA OSHA permit is required for excavations over5'0' deep and demolition or constructbn of structures over 3 stories in he{lhl EXPIRATION: Every permit issued by the Building Official under the provisbns of this Cooe shall expire by lrl'litalion and become null and void Wthe buik:Hng or oork authorized by sudl permit is not commenced within 100 days from the date of sudl permit or if the buikling orv.ork authorized by such permit is suspended or abandoned at any time after the v.ol1<. is commenced bra per'od of 100 days (Secoon 106.4.4 Uniform Buik::lilg Code). ,6$ APPLICANT'S SIGNATURE 0 u1.t.. V-..,,t;.,...'v' 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 www.byilding@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CONTACT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL DELIVERY OPTIONS □ PICK UP: □ CONTACT (Listed above) o OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □ MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (listed above) o CONTRACTOR (On Pg. 1) D MAIL/ FAX TO OTHER: ________________ ~ ,15 APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. LIC. No. □ ASSOCIATED CB#---~ □ NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP City of Carlsbad Bldg Inspection Request For: 04/17/2012 Permit# CB120686 Title: LEVY: REROUTE HOT WATER Description: OVERHEAD/NEW WATER HEATER Type:PME Sub Type: Job Address: Suite: Location: 1711 LOBELIA CT Lot: 0 APPLICANT LEVY DANIEL&TECLA 2006 TRUST Owner: LEVY DANIEL& TECLA 2006 TRUST Remarks: am please after 9 Total Time: CD Description Act Comments Inspector Assignment: _,K_ Phone: 7606022733 Inspector: ----- Requested By: TECLA Entered By: JANEAN 25 Water HeaterNents 29 Final Plumbing 4/z_ ______ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments