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Home My WebLink About1812 COTTONWOOD AVE; ; CB142794; Permit10-20-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB142794 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1812 COTTONWOOD AV CBAD PME 2155033714 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: LAMB ALLISON A 3568 9TH ST SAN MARCOS CA 92078-2316 760-295-3346 426 LOGAN ST SEWICKLEYPA 15143 Plumbing Fees Electrical Fees Mechianical 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: FINAL Date: L APPROVAL Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen'ed 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 IVIunicipal 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenA/ise expired. nife FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: CJPLANNING •ENGINEERING O BUILDING OFIRE ' Ccityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov vifvvw.carlsbadca.gov Plan Check No. Est. Value (•HEALTH OHAZMAT/APCD Plan Ck. Deposit Date SWPPP # OF UNITS I # BEOROOMS SUITE«/SPACEf/UNIT* # BATHROOMS TENANT BUSINESS NAME CONSTH. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude SQuare Feet of A/hcted Areafs} EXISTING USE ^ PROPOSED / GARAGE (SF) i. ' PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YEsQ* N0| 1 YESr~lNOr~l YESflNOl | APPLICANT NAME Primaty Contaet PROPERTYOWNER ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME, _ , ADDRESS ADDRESS CITY STATE ZIP CITY SWTE ZIP PHONE FAX FAX/- EMAIL STATE LIC. # ST4IEUC.# CLASS 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 Is licensed pursuantto the provisions of the Contractor's License Law {Chapter 9, commendingwlth 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 7031.5 by any applicant for a permit subjects the appiicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS COMPENSATION Workers' Compensaticn Declaratian: / fiereby affirm under penalty ofpeijury one of the following declarations: LJ I hava and will maintain a cattilicate of consent to self-Insure for worlcers' compensation as pmvidsd by Section 3700 of the Labor Code, fbr the perfbrmance of the wortc tor which this permit is Issued. uQThave and will maintain workars' compensation, as required by Sectkin 3700 of the Labor Code, for the performartce of the work fbr whk^ thiuieiTgit isissued. My workers' compensalnn insurancje carrier and polk:y number are: Insurar^e Co V^'RJCjX^XxJ'SSk.^lMICl, CLOM^A«^|f p,,,,^ No FV^V^<U3Q3M g>BS Expiraton Date Ol/OtJZOIS' Bsection need not be compleled if the pennit is for one hundred dollars ($100) orless. Certificate of Exemption: I certify that in Ihe perfonnance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensatkin Laws of Califomia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensatio^fAmages as dravided Ift' in Sediojk 3706 of the Labor code, interest and attorney's fees. . CONTRACTOR SIGNATURE (J($|t>^tol>., L^^vOC^ 0SGENT DATE lO I^^Oj'ZO t t/ OWNER-BUitOER DECLARATION / heteby affinn that I am exempt from Ckintractor's Ucense Law for the following reason: I I I, as owner of the property or my empkiyees with wages as their sole compensatkin, will do the work and the stmcture 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 buikls or improves thereon, and who does such work himself or through his own empkiyees, provkled that such improvements are not intended or offered for sale. If, however, the buikiing or improvement is sokl within one year of completkin, the owner-buikler will have the burden of proving that he dkl not buikl or improve for the purpose of sale). I I I, asownerof the property, am exclusively contracting with Ifcensed contractors to constract the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply loan owner of pmperty who buikls or Improves thereon, and contracts kir such projecis with contractor(s) Ifcensed pursuant to the Contractor's Lfcense Law). I I I am exempt under Section _ _Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for constructkin of the proposed property Improvement I lYes I INO 2.1 (have / have not) signed an applfcatkin for a building pemiit for the proposed work. 3.1 have contracted with the following person (finn) fo pmvide the proposed construction (include name address / phone /contractors' lfcense number): 4.1 plan to provkle portkins of the work, but I have hired the following person to coordinate, supenrise and provkle the major woric (include name / address / phone / contractors' lfcense number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provkle the worit indicated (include name / address / phone / type of wortc): jS^PROPERTf OWNER SIGNATURE •AGENT DATE COMPtETC THIS 5£CTtOM rOR N O N - R E S I O E N T I A L 8 U 11 D I N G PERMITS ONIY Is the applfcant or future buikiing occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sectfcns 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the applicant or fulure buikiing occupant required to obtain a pemiit from the air pollutbn control district or air quality management districf? Yes No Is the lacility to be constnjcted 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 MEETINQ THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT C OMSTRUCT I ON LENOING AGENCY I hereby affirm that there is a construction lending agency for the perfbrmance ofthe woric this pennit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address JM» P 1.1 C A N T C f B TI FICATION I certif that I have read the applfcatk>n and slate that the above inibmiation is conectand that the infbmiation on the plans is accurate. I agree to complywith all Qly ordinances and State laws relating to building consbuctkin. I hereby authorize representative ofthe City of Carisbad toenter upon the above menttoned pioperty for inspectbn purposes. I ALSO AGFCE TO SAVE, INDEMNIFY AND KEBP HARMLESS THE Crry OF CARLSBAD AGAINST Aa UABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT. OSHA' An OSHA pennit is required for excavatkins over 5'0' deep and demolition or constmctton of structures over 3 stories in heighL EXPIRATION: Every pennit issued by the Building Official under the piovisbns ofthis Code shall expire by limitatton and become null and void if the buikiing or woric authorized by such pennit is not commenoed within 180 days ftom the date of such pennit or ifthe buikiing or wortc authorized by such pennit is suspended or abandoned at any time alter the work is oommenced for a period of 180 days (Sectbn 106.4.4 Unifonn Buikiing Code). veTAPPLICANT'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 buildinotaicarlsbadca.aov or Mall the completed foim to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, California 92008. C0#: (Offlce Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS crrY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EIVIAIL OCCUPANT'S BUS. LIC. No. DEUVERY OPnONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION jeSAPPLICANT'S SIGNATURE DATE Inspection List PermlW: CB142794 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