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Home My WebLink About1804 COTTONWOOD AVE; ; CB111975; Permit09-13-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB111975 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 1804 COTTONWOOD AV CBAD PME 2155033716 Lot#: SCHULING RES- REMODEL ELECTRIC IN KITCHEN - ADD 4 CAN LIGHTS & APPLIANCE CIRCUITS Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Applicant: NEW LIFE CONSTRUCTION 6550 NANCY RIDGE ROAD SAN DIEGO CA 92121 858-638-1900 Owner: PAKULA FAMILY TRUST 06-19-90 1804 COTTONWOOD AVE CARLSBAD CA 92011 ISSUED 09/13/2011 RMA 09/13/2011 09/13/2011 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES $0,00 $150.00 $0.00 $0.00 $150:00 Total Fees:$150.00 Total Payments To Date:$150.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date:Clearance: 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OFr*ADi cRAnV^AKLaoAU Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax:760-602-8558 www.carlsbadca.gov Plan Check No./// ?75- Est. Value Plan Ck. Deposit Date SWPP JOB ADDR # OF UNITS I # BEDROOMS SUITE#/SPACE#/ TENANT BUSINESS NAME "i CT/PROJECT## BATHROOMS ft- CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square feet of Affected Area(s) L EXISTING USE«PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES D # _NO D AIR CONDITIONING YES D NO O FIRE SPRINKLERS YES n NO a APPLICANT NAME APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY -3 . STATE ZIP CITY STATE ZIP FAT PHONE FAX PRO OWNER N;'T<4u L CONTRACTOR BUS. NAME / ADDRE ADDRE ZS'O CITY G STATE ZIP CITY STATE ZIP FAX FAX EMAIL ARCH/DESIGNER NAME & ADDRESS civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: O 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 permit is issued. Behave and will maintain worker^' cornpenjation, as rejpsed by Section 3700 of the Labor Code, for the performance of the work for which this Dermit is issued. My workers' compensation-insurance carrier and policy number are: Insurance Co. QW £frf fe</t-*'O.) _ Policy No. QlT 2. _? <£->? 'f Expiration Date <~^/~" / "? __ This section need not be completed if the permit is for one hundred dollars ($100) or less. Q Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&1 00,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. JS$ CONTRACTOR SIGNATURE £^r ~2_^^-~""C-^*~- -- SAGtNT / hereby affirm that I am exempt from Contractor's License Law for the following reason: C5 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). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). C3 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. Q Yes D No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone /contractors' license number): 4.1 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): 5.1 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): >£f PROPERTY OWNER SIGNATURE DAGENT 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 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYes HMflo . Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality-management district? O Yes Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes IF ANY OF THE ANSWERS ARE YES, t 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 hereby authorize representative of the City of Carlsbad 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 SAD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every 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 work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a perjod of 180 days (Section 106.4.4 Uniform Building Code). ^APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 11/04/2011 Permit* CB111975 Title: SCHULING RES- REMODEL ELECTRIC Inspector Assignment: TP Description: IN KITCHEN - ADD 4 CAN LIGHTS & APPLIANCE CIRCUITS Type: PME Sub Type: Job Address. 1804 COTTONWOODAV Suite: Lot: 0 Location: OWNER PAKULA FAMILY TRUST 06-19-90 Owner: PAKULA FAMILY TRUST 06-19-90 Remarks: KEY SIGN TWICE AND THEN 9511 Phone: 8585184918 Inspector: Total Time: CD Description 29" Final Plumbing Requested By: JUSTIN Entered By: CHRISTINE Act Comments Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments 09/21/2011 34 Rough Electric AP TP 09/20/2011 34 Rough Electric CO TP