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Home My WebLink About1816 COTTONWOOD AVE; ; CB142795; Permit10-20-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB142795 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No; Reference #: PC #: Project Title: 1816 COTTONWOOD AV CBAD PME 2155033713 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: TAYLOR PAULA A REVOCABLE TRUST 02-17-04 3568 9TH ST SAN MARCOS CA 92078-2316 760-295-3346 5393 BALBOA AVE SAN DIEGO CA 92117 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: FINAL ARPRQVAL mm-Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Impositioif offees, dedications, reservations, or other exactions hereafter collectively refen-ed to as "fees/exactions." You have 90 days from the date this pemiit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carisbad Municipal 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 previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othew/ise exoired. fflJE FOLLOWiNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE; •PLANNING CjENGlNEERING OBUILDING nPIRE OHEALTH C HAZMAT/APCD . p Building Permil Application Citv Ol 1635 Faraday Ave.. Carlsbad, CA 92008 ^^^1 J Ph: 760-602-2719 Fax:760-602-8658 Larlsbad °"""'.r:£2r."'™ ovv PlanCheckNo. Cl 3^19< . p Building Permil Application Citv Ol 1635 Faraday Ave.. Carlsbad, CA 92008 ^^^1 J Ph: 760-602-2719 Fax:760-602-8658 Larlsbad °"""'.r:£2r."'™ ovv Est. Value ' . p Building Permil Application Citv Ol 1635 Faraday Ave.. Carlsbad, CA 92008 ^^^1 J Ph: 760-602-2719 Fax:760-602-8658 Larlsbad °"""'.r:£2r."'™ ovv Plan Ck. Deposit , . p Building Permil Application Citv Ol 1635 Faraday Ave.. Carlsbad, CA 92008 ^^^1 J Ph: 760-602-2719 Fax:760-602-8658 Larlsbad °"""'.r:£2r."'™ ovv TJate 1(c^ SWPPP 'T^'IlSn, COTTOUUJOCa) ML- CI/FIROJECT# LOT# PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCCGROUP DESCRIPTION OF WORK: /nc/uda SQuare fetX ot Affected Area(s) EXISTING USE PROPOSEO USE ' GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YEsQf NoQ YES QNO • YESQNOQ APPLICANT NAME Primary Contact PROPERTYOWNER ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAMr, ^. ADORESS ADDRESS CITV STATE ZIP CITY , S»TE ZIP PHONE FAX FAX/- ^:i9<r-400-7 EMAIL STATE LIC. # STAIE L|C.# ICLASS CITY BUS. LIC.# ^&lfV 1 civil penalty of not more than five hundred dollars ($500)). WORKERS- C O (W P E N S A T I O N Woiken' Compensation Declaration: / hereby affm under penalty peijury one ofthe following declarations: LJ 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 perfomnance of the woii( for which this pennit is issusd. Uin have and will maintain woriters' compensation, as required bv Section 3700 ol the Latxir Ckide, for the perfonnance of the worit for which ttiiuerrail isissued. My workers' compensatbn insurants carrier and polk:y number are: Insurance Co. asection need not be completed if the pennit is tor one hundred dollars ($100) or less. Certificate of Exemptian: I certify that in the perfonnance of the work for which this pennit is Issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of Califomia WARNING: Failure to secure workera' compensation coverage is unlawful, and shall subject an employer to criminal penaities and cMI fines up to one hundred thousand dollare (&100,000), In addition to the cost of compensatio^^Afnages as tfravided fA- In SectiaA 3706 of the Labor code, interest and attomey's fees. I t i CONTRACTOR SIGNATURE (^(^[tt'^L^l^ L^^vC<^ 0^NT DATE 10/2^0/^0 Itf OWNEi?-BUILOER J ECLARATION ' fiereby affinn fiiat I am exempt from Ckintractor's Ucense Law for the following reason: I j I, as owner of the property or my employees with wages as their sole compensatkin, will do the work and the stnjcture is not intended or offeied for sale (Sec. 7044, Business and Professbns Code: The Contractor's License Law does not apply to an owner of pioperty who buikis or improves thereon, and who does such work himself or through his own employees, provkled thai such improvements aro not intended or offered for sale. If, however, the building or improvement is sokl within one year of completbn, Ihe owner-buikler will have fhe burden of proving that he dki not buikl or improve for the purpose of sale). • • I, as owner of the property, am exclusively contracting with Ibensed contractois to constmct the project (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 contracts kir such projeds with contractor(s) licensed pursuant lo the Contractor's License Law). I am exempt under Section _ .Business and Professbns Code for this reason: 1.1 personally plan to provkle the major labor and materials for constnictbn of the proposed property improvemenL •Yes •NO 2.1 (have / have not) signed an applbatbn for a bulbing pemiit for the proposed work. 3.1 have contracted with the following person (firni) to provide the proposed construction (include name address / phone / contractois' lbense number): 4.1 plan fo provide portbns of the woiit, but I have hired the following person to coordinate, supervise and provkle the major work (include name / address / phone / contractors' lbense number): 5.1 will provbe some of the work, but I have contracted (hired) the following persons to provbe the woik indbated (include name / address / phone / type of work): ^1 PROPERTY OWNER SIGNATURE •AGENT DATE COMPtSTE THIS SECTION FOR M O N - R E S I O E N T i A t BUiLDiNG PERMITS ONLY Is the applbant or future buibing occupant required to submit a business pian, acutely hazardous mateiials legistratbn form or risk management and prevention program under Sectbns 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the applbant or future buikiing occupant required to obtain a pemiit from the air pollutbn control district or air quality management district? Yes No Is the facility 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 MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT CONSTROCTION LEMOtNO AGBNCY I hereby aflirm 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 A P PL I C AN T C E R T J F I CATI O N I ceitiVtliat I have read the applbatbn and state that the above infonnation is conectand thatthe infoimation on the plans is accuiate. I agiee to complywith all 01^ ordinances and State laws lelating to buliding constnictbn. I heretiy authorize lepresentative ofthe City of Carlsbad toenter upon the above mentkined pioperty fbr inspeclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CffY OF CARLSBAD AGAINST AU UABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT. OSHA: An OSHA pemiit is required lbr excavatkins over 5'0' deep and demolitbn or constmctbn of stmclures over 3 stories in height. EXPIRATION: Every pemiit issued by the Building Official under the provisbns of this Code shall expire by limitatton and beconne null and void if the building or vrork aulhorized by such penmit is not oommenced wilhin 180 days from the date of such pemiit or if the buikiing or worit authorized by such permit is suspended or abandoned at any time after the vwrit is commenced fbr a period of 180 days (Sectton 106.4.4 Unifomn Buikiing C^xle). >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 buiidinalSjcarlsbadca.qOV or Mall the completed forni 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 ZIP Carlsbad CA PHONE FAX EIVIAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAIL/FAX TO OTHER: -t ASSOCIATED CB# - NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION -t ASSOCIATED CB# - NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION jef APPLICANT'S SIGNATURE DATE Inspection List Permlt#: CB142795 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