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Home My WebLink About1857 PENTAS CT; ; CB141431; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 04-08-2016 Permit No: CB141431 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference#: PC#: 1857 PENTAS CT CBAD PME 2155210500 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: STEVENS RES-REPLACE/ADD NEW 200 AMP PANEL// TRENCH 2" CONDUIT IN FRONT OF RESIDENCE Applicant: STEVENS SPENCE L&SUE J 1857 PENTAS CT CARLSBAD CA 92011 760-402-0846 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: STEVENS SPENCE L&SUE J 1857 PENTAS CT CARLSBAD CA 92011 EXPIRED 06/20/2014 SKS 06/20/2014 06/20/2014 $0.00 $0.00 $0.00 $0.00 $0.00 Total Fees: $0.00 Total Payments To Date: $0.00 Balance Due: Inspector: FINAL APPROVAL Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, 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 Ccxle Section 3.32.030. Failure to timely follow that procedure win 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 • • ,_-_ _ • • _·.,,.,_,..,,...,-• • • ,.,_~ • .,+ .. +,,+.a "IT• • • • -LL----'---••-' THE FOLLOWING APPft0VALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD "~ <_(~ ~CITY Of Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. c,,{:} L/f L/3 / Est. Value Plan Ck. Deposit CARLSBAD Date //J / 7-;>/ / '-1 lswPPP r-, ~OB ADDRESS vr< /;re;-7 cf SUITEf/SPACEf/UNIT# CT/PROJECT# I LOT tr T PHASE# I# OF UN!TS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME ICONSTR. TYPE I occ. GROUP pESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 1 'J:>?h/f /Je.tv :2.co f?II'/' /ffeler /'"'I!'/ f1P .s,v:I-J, ~/( g,J-e.Jli.>h,_, /'¥e>/ L,,,L,~,~ 9ttf'~ rv,/,k. fp f'PP&) '-e_p-v1 r e.s EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) lDECKS {SF) FIREPLACE YESO [ AIR CONDITIONING I FIRE SPRINKLERS No□ YES □No □ YES□No□ APPLICANT NAME Prlmarv Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL STATE ZIP IFAX STATE ZIP IFAX I STATE UC.# I PROP~rrJ>!'NE_R • '"'fr, L, ~ ! ADORES~ I / J?'e.-7 z19".2.0 I J EMAIL -' PePct" Sf-ev&v:;, CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE IFAX EMAIL STATE UC.# I CLASS I CITY BUS. LIC.# (Sec. 7031.5 Business and P_rofessIons Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_mit 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 D1vis1on 3 of the B_usiness and Professions Code} or that he Is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant tor a permit subjects the applicant to a cIvII penalty of not more than five hundred dollars {$500)). WORKERS' CO!l!Pt:NSATION ,, Workers' Compensation Declaration: / hereby affirm under penalty of petjury one of the following declarations: B 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 pertormance of the work for which this permit is issued. I have and will maintain wor1ten' compensation, as reQuired bv Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. My workers' compensation insurance carrier and polk:y number are: Insurance Co, ______________________ Policy No. ______________ Expiration Date _________ _ ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pertormance 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 crlmlnal penaltiff and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. ,/tS CONTRACTOR SIGNATURE DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ ~ □ 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). 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes 0No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3, I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I 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. I will rovide some of the work, b t \ h co ~~Uliiw!Ulll!Jo.U..ingpersons to provide the work indicated (include name I address/ phone/ type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE ' CO M-1' LE T0E TH IS SECTION FOR NON• RESIDENTIAL BU IL DING PERMITS ONLY Is 111e 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 ls 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 certlfy that I have read the application and state that the above Information Is corteetand that the information on the plans Is accurate. I agree to comply with all Chy oltllnances and State laws relating tl'.l building construction. I hereby authorize representative of the City of Carlsbad to enter upon the aOOve mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMN!FY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA M OSHA pennrt is required for excavations over 5'0' deep and demolitk:ln or construction of structures over 3 stories in he'Jhl. EXPlPATION: Every permit issued by the Building Oflk:ial under the provisions of thtS Code shall expire by li'nitatk:ln and become null and void W the building orv.orl< authorized by such permit is not oommenced within 180 days from the date of such pe,mrt or if the buik1ing or mrl< authorized by such permit is suspended or abandoned at any time after the v.orl< is oomrnenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ,8$ APPLICANT'S SIGNATURE DATE G .zo, • 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 building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (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 OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER:---------------~ A! APPLICANT'S SIGNATURE ASSOCIATED CB#'------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP