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Home My WebLink About1808 COTTONWOOD AVE; ; CB142793; Permit10-20-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB142793 Building Inspection Request Line (760) 602-2725 Job Acidress; Permit Type: Parcel No: Reference #: PC #: Project Title: 1808 COTTONWOOD AV CBAD PME 2155033715 Lot#: SEAPORT HOA-GAS LINE REPAIR LEAK BY METER- SDG&E SHUT OFF Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/20/2014 RMA 10/20/2014 10/20/2014 Applicant: MISSION COAST PLUMBING INC Owner: CAIRE JUSTINIAN&ELIZABETH 3568 9TH ST SAN MARCOS CA 92078-2316 760-295-3346 1808 COTTONWOOD AVE CARLSBAD CA 92011 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $160.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00 Inspector: Date Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively refened to as "fees/exactions." You have 90 days from the date this pennit 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 Carisbad IVIunicipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attacl<, 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 oreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenA/lse expired. yj^E FOLLOWING APPROVALS REQUIRED PRIORTO PERMIT ISSUANCE: QPLANNING •ENGINEERING •BUILDING DFIRE EHEALTH (ZlHAZMATfAPCD r .f^- . r. Building Permit Application Citv 01 1635 Faraday Ave., Carlsbad, CA 92008 1 J Ph: 760-602-2719 Fax:760-602-8558 Larlsbad ^™"r»sr,r"" PlanCheckNo. CIJIUSQ^I r .f^- . r. Building Permit Application Citv 01 1635 Faraday Ave., Carlsbad, CA 92008 1 J Ph: 760-602-2719 Fax:760-602-8558 Larlsbad ^™"r»sr,r"" —• —• *— * f ^ Est. Vaiue ^ r .f^- . r. Building Permit Application Citv 01 1635 Faraday Ave., Carlsbad, CA 92008 1 J Ph: 760-602-2719 Fax:760-602-8558 Larlsbad ^™"r»sr,r"" Plan Ck. posit^ r .f^- . r. Building Permit Application Citv 01 1635 Faraday Ave., Carlsbad, CA 92008 1 J Ph: 760-602-2719 Fax:760-602-8558 Larlsbad ^™"r»sr,r"" Date (0|;| 1^ 1 {'Lf. SWPPP SUITE#/SPACE#/UNITr jAPN ' ' CT/PRC... LOT* PHASE # #0F UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCCGROUP DESCRIPTION OF WORK: /ncfude Square Feet of Atfected Ana(s) EXISTING USE PROPOSED USE ^ GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES(~|» N0| 1 AIR CONDITIONING FIRE SPRINKLERS YES riNO [~1 YES n NOfl APPUCANTNAME Primary Contact PROPERTYOWNER ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL ADDRESS ADDRESS , CITY STATE ZIP CITY SWTE ZIP PHONE FAX FAX/- EMAIL STATE UC. # ST«EL|C.# CLASS CITY BUS. UC.# (Sec. 7031.5 Business and Professions Code: Any City or Couniy which requires a permitto construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a siBied statement that he is licensed pursuantto the provisions of the Contractor's UcenseLawfCnapter 9, commendingwlth Section 7000of Division 3 ofthe Business and Professions Code) or that 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)). WORKERS' COMPENSATION Woikers' Compensation Dedaration: / Aereby affi/m under penal^ ofpeijury one of the folowing dedaraions: I- JI have and will maintain a certlflcate of consent to self-Insure for worters' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this perniit is issued. Lsl have and will maintain workars' compensation, as required by Section 3700 of the Labor Code, for the perfbmiance of the work for which thi&fiernM Isissued. Uy workers' compensation insuranop carrier and poltey numbera,e InsuranceCo \^'(LX^A^\\J%^lMli_ ^t^P^ Pnl^Nn FVNK^tOQSM g>ftS Exoiratinn D..e 07/01/20/3" Thte section need not be compleled if the pemiit Is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the performance of the work fbr which this pemiit is issued, I shall not employ any person In any manner so as to become subject to the Woricers' Compensation Laws of Califomia. WARNING: Failure to secure workers' compsnsation coverage Is unlawful, and shall subject an employer to criminal penalties and chril fines up to one hundred thousand dollare (&100,000), In addition to the cost of compensatio^fftmages as tf^dedfA'in Sectto* 3706 of the Labor code, interest and attorney's fee^^ . JS^ CONTRACTOR SIGNATURE L>^vOC>^ ^fma DATE / 0^O ^ Y OWNER-BUItOER J ECLARATION / teeijy affirm that I am exempt from Conlraclor's L/cense Law for the fokming reason: I I I, as owner of Ihe praperty or my employees with wages as their sole compensalion, will do the work and the stn/cture is not intended or offered (br sale (Sec. 7044, Business and Prafessions Code: The Contractor's License Law does not apply to an owner of praperty who builds or impraves thereon, and who does such work himself or thraugh his own employees, provided that such impravements are not intended or offeied for sale. If, however, the building or improvement Is sold within one year of completion, the owner-builder will have the burden of praving that he did not build or improve for the purpose of sale). • I, as owner of the property, am exclusively contracting with licensed contractors to constmct 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 theieon, and contracts fbr such projects with contractorfsj licensed pursuant to the Contractor's License Law). I [ I am exempt under Sectkin _ .Business and Professions Code for this reason: 1.1 personally plan to pravide the major labor and materials for constnjction of the proposed praperty impravement I iYes I INO 2.1 (have / have not) signed an application for a building pemiit for the praposed work. 3.1 have contracted with the following person (finm) to provide the praposed constraction (include name addiess / phone / contractors' license number): 4.1 plan to pravide porttons of the work, but I have hired the foltowing person to coonjinate, supenrise and pravide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the wort(, but I have contracted (hired) the following peisons to provide the woik indicated (include name / address / phone / type of vrark): .fiS'pROPERTY OWNER SIGNATURE QAGENT DATE COMPtETC TMIS SECTiON P O tt N O N - R E $ I 0 E N T IA I BUItDiNC PERMITS ONIY Is the applicant or future buikiing occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Secttons 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acf? Yes No Is the applicant or future building oaupant required to obtain a pemilt from the air pollutton control district or air quality management district? Yes No Is the facility to be constnicted within 1,000 feet of the outer boundary of a school sHe? 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 C O N S T R U C TI O N L £ N D I NG AGENCY I hereby aflirm that there Is a constniction lending agency fbr the performance ofthe wori< this permit is issued (Sec. 3097 (1) Civil Code). Lender's Name Lender's Address A P P 11 C A N T JC B ttt I El CAT I O N I certHy that I have lead the appltoatton and state thatthe above infonnation Is conectand thatthe Inlbnnation on the plans is accurate. I agiee to complywith all Oily oniinances and State laws lelating to building constructton. I hereby authorize representative of the City of Cartsbad to, enter upon the above mentioned property for Inspeclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARIVILESS THE CfTY OF CARLSBAD AGAINST ALL UABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA pennil Is required for excavations over 5'0' deep and demolition or constniction of stmctures over 3 stories in height. EXPIRATION: Every permit issued by ttie Building Official under the provisbns of this Code shall expine by limitation and become null and void if the building or vwrt( authorized by such pennit is not commenced wilhin 180 days from Ihe date of such pennit or ifthe building or vwri< authorized by such pemiit is suspended or abandoned at any time after the vrak Is commenced for a period of 180 days {Section 106.4.4 Unifomi Building Code). >eS'APPLICANT'S SIGNATURE 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 buildina(5)cai1sbadca.aov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPnONS PICK UP: CONTACT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: MAIL/FAX TO OTHER CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) OCCUPANT (Listed above) ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION MS APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB142793 Type: PME SEAPORT HOA-GAS LINE REPAIR LEAK BY METER- SDG&E SHUT OFF Date Inspection Item 10/21/2014 23 Gas/Test/Repairs 10/21/2014 23 Gas/Test/RepaIrs 10/21/2014 29 Final Plumbing Inspector Act Comments Rl SP AP SP Fl Wednesday, October 22, 2014 Page 1 of 1