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Home My WebLink About1811 ASTON AVE; ; CB160865; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-04-2016 Permit No: CB160865 Building Inspection Request Line (760) 602-2725 Job Address: 1811 ASTON AV CBAD Permit Type: PME Status: ISSUED Parcel No: 2121201000 Lot #: 0 Applied: 03/04/2016 Entered By: SLE Reference #: Plan Approved: 03/04/2016 PC #: Issued: 03/04/2016 Inspect Area: Project Title: GENOPTIX: GAS REPAIR / REMOVE & REPLACE 2 GAS TRANSITION RISERS Applicant: Owner: COLLINS PLUMBING, INC. BLACKMORE ASTON INVESTMENT L P 8130 COMMERCIAL ST LA MESA CA 91942-2926 619-469-0800 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES P O BOX 1810 RCHO SANTA FE CA 92067 Total Fees: $163.00 Total Payments To Date: $163.00 $0.00 $0.00 $0.00 $163.00 $163.00 Balance Due: $0.00 FINAL APPRO AL / Inspector: Date: ,h Clearance: NOTICE Please take NONCE that approval of your project includes the "Imposition' cf fees, dedications, reservations, or other exactions hereafter odlectively referred to as "Fees/exactions." You have 90 days from the date this permit was issued to protest i nposition of these feeslexactions. If you protest them, you mast fdlo✓vthe protest procedures set forth in Goverrynent Code Section 66020(a), and file the protest and any other required infomation with the city Ktnager for processing in accordance Wth Carlsbad NUnicipal Code Section 3.32.030. Failure to timelyfdlavthat pmoedure WWI bar any subsequent legal action to attack, review, set aside, vdd, or annul their imposition. You are hereby FURTHER NOTI FI ED that your right to protest the specified fees(exac:tions 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 oreviously been cpven a NOTICE sin ilar to this or as to which the statute of limitations has Previously otherwise expired. E THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: E]PLANNING ®ENGINEERING DBUILDING ®FIRE ®HEALTH HAZMAT/APCD Building Permit Application r Cl��j 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Cailsbademail: building@carlsbadca.gov www.carisbadca.gov Plan Check No. �-'" Est. Value Plan Ck. Deposit Date —1U SWPPP " JOB ADDRESS / Q / /F/,/� �7-�(� g d //�,g ,/z ,Q ,/� SUITE#/SPACE#/UNIT# APN CT/PROJECT # LOT # HASE # # OF UNITS 111BEDROOMS # BATHROOMS TENANT BUSINESS NAME CON ,TR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) k4fovl< RGPLACC ^f 5*1T1wq t ►�� . f�AVe' /J Lz--K k P. . EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES❑#_ NO❑ AIR CONDITIONING YES ❑NO ❑ IFIRESPRINKLERS YES[—] NOD APPLICANT NAME Primary Contact PROPERTY OWNER � ,��1 �/ �p /) LI�X /�DYL� V ADDRESS 8 e O C6; ,MAC`)1 � T , ! YIIGR / jj �j ADDRESS t � /( vE Su T� [ v L� n STATE �I� , ZIP / CITY �� CITY �i r STATE n ZIP 9 7-00 ` // C(L/ v AD PHONE Loll- FAX PHONE Z(OD-BCif-oti�OD EMAIL "7� �,rN�PLt1�. a EMAIL oc.�� 1L L_ncK,►M.o�o►� �1N �� DESIGN PROFESSIONAL OONTRACTOR BUS. NAME (' N (v ADDRESS ADDRES 1 6 C0V4M&�iAv 5T, CITY STATE ZIP CITY LA Af—� 11`9 STATE ^ ZIP q PHONE FAX PHONE I ^ ` qte 9 ® �, `, �-lt FAX (41P9_ O EMAIL EMA71lL1^Ct /�� _CWN") l I�VI� STATE LIC. # STATE LIC.# Q ^ � /�_ LASS� CC C12LIl'73 (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 is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the 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 ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for},�tperformance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. sgruRA�AJGF CpG rA;gNofy4K1, "Policy No. W V6,$Aj �8 '0a Expiration Datey'/ ' I% 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 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' com ensfation coverage is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars ""11,000),in addition to the cost of compensation, dam as pro or in Section 3706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE /� /s 1 A I /- ❑ AGENT DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: ElI, 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, 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). ❑ 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. ❑Yes [—]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 I 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): )KPROPERTY OWNER SIGNATURE nAGENT 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? ❑ 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 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 certifythat I have read the application and state thatthe above information is correctand thatthe information on the plans is accurate. I agree to complywtth all City ordinances and State laws relating to building construction. 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 AGAINSTALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUEAGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA: An OSHA permit is required forexcavations over SO'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 buil ng or vcrk aAM by such permit is suspended or abandoned at anytime after the work is commenced for a period of 180 days (Section 106A 4 Uniform Building Code). APPLICANT'S SIGNATURE n / DATE t? • v - / fi N� 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 OCCUPANCY (Commercial Projects Onlyl Fax (760) 602-8560, Email bulldnlgftarlsbadCa.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. r0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: ❑ CONTACT (Listed above) ❑ OCCUPANT (Listed above) ❑ CONTRACTOR (On Pg. 1) ❑ ASSOCIATED CB# MAIL TO: ❑ CONTACT (Listed above) ❑ OCCUPANT (Listed above) ❑ CONTRACTOR (On Pg. 1) ❑ NO CHANGE IN USE / NO CONSTRUCTION MAIL / FAX TO OTHER: ❑ CHANGE OF USE / NO CONSTRUCTION A5'APPLICANT'S SIGNATURE DATE i Inspection List Permit#: CB160865 Type: PME GENOPTIX: GAS REPAIR / REMOVE & REPLACE 2 GAS TRANSITION RISERS Date Inspection Item Inspector Act Comments 03/07/2016 23 Gas/Test/Repairs - RI 03/07/2016 23 Gas/Test/Repairs AEK AP 03/07/2016 29 Final Plumbing AEK FI Monday, March 07, 2016 Page 1 of 1